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        <ProgramServices>400502</ProgramServices>
        <ManagementAndGeneral>44500</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>ASSOCIATION FEES</Description>
        <Total>153350</Total>
        <ProgramServices>138015</ProgramServices>
        <ManagementAndGeneral>15335</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>DIETARY COSTS</Description>
        <Total>789550</Total>
        <ProgramServices>789550</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MAINTENANCE &amp; REPAIRS</Description>
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        <ProgramServices>758077</ProgramServices>
        <ManagementAndGeneral>2</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>TAXES &amp; LICENSES</Description>
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        <ProgramServices>304222</ProgramServices>
        <ManagementAndGeneral>31669</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>THERAPIES</Description>
        <Total>197973</Total>
        <ProgramServices>197973</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>15367453</Total>
        <ProgramServices>13737941</ProgramServices>
        <ManagementAndGeneral>1629512</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>514290</BOY>
        <EOY>437805</EOY>
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      <AccountsReceivable>
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      <LandBuildingsEquipmentBasis>72982819</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>15373677</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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        <EOY>57609142</EOY>
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        <EOY>4719945</EOY>
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        <EOY>12796627</EOY>
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      <TotalAssets>
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        <EOY>76422044</EOY>
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      <AccountsPayableAccruedExpenses>
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        <EOY>2121846</EOY>
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        <EOY>50734290</EOY>
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      <TaxExemptBondLiabilities>
        <BOY>58152667</BOY>
        <EOY>58155005</EOY>
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      <UnsecuredNotesLoansPayable>
        <BOY>8433489</BOY>
        <EOY>8613271</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>571544</BOY>
        <EOY>594261</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>121954718</BOY>
        <EOY>120218673</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-42165606</BOY>
        <EOY>-43796629</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-42165606</BOY>
        <EOY>-43796629</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>79789112</BOY>
        <EOY>76422044</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-2250686</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>619663</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
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        <CurrentTaxYearMinus3Years>50203</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>241827</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>95239</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>20211</CurrentTaxYear>
        <Total>583250</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>11168512</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10991795</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>12365012</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12820241</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12812617</CurrentTaxYear>
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      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>11344282</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>11041998</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>12606839</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12915480</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12832828</CurrentTaxYear>
        <Total>60741427</Total>
      </Total509>
      <PublicSupportTotal509>60741427</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>581877</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>715285</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>412137</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>272307</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>297308</CurrentTaxYear>
        <Total>2278914</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>581877</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>715285</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>272307</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>297308</CurrentTaxYear>
        <Total>2278914</Total>
      </InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>11757283</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>13187787</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>13130136</CurrentTaxYear>
        <Total>63020341</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.96384</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.95791</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.03616</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.04208</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <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">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
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        <OtherCostOrOtherBasis>8547678</OtherCostOrOtherBasis>
        <BookValue>8547678</BookValue>
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      <Buildings>
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        <OtherCostOrOtherBasis>50666985</OtherCostOrOtherBasis>
        <Depreciation>10802037</Depreciation>
        <BookValue>39864948</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>2826094</OtherCostOrOtherBasis>
        <Depreciation>1606521</Depreciation>
        <BookValue>1219573</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>10942062</OtherCostOrOtherBasis>
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        <BookValue>7976943</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>57609142</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>BOND TRUSTEE SECURITIES</Description>
        <BookValue>9723607</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>UNAMORTIZED FINANCING &amp;</Description>
        <BookValue>3073020</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>12796627</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>REFUNDABLE ENTRANCE FEES</Description>
        <Amount>70982</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED INTEREST</Description>
        <Amount>523279</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>594261</TotalOfAmounts>
      <TotalRevenue>13116767</TotalRevenue>
      <TotalExpenses>15367453</TotalExpenses>
      <ExcessOrDeficitForYear>-2250686</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>619663</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>619663</TotalAdjustments>
      <ExcessOrDeficitPerFS>-1631023</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>13697284</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>619663</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>619663</RevenueNotRptdF990>
      <RevenueSubtotal>13077621</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>39146</InvestmentExpensesNotIncluded>
      <RevenueNotRptdOnFinStmt>39146</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>13116767</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>15328307</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>15328307</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>39146</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>39146</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>15367453</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>RAYMOND M JOHNSON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>168530</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>20000</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>7600</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>6628</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>202758</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>ST JOHNS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <DateIssued>2006-10-11</DateIssued>
        <DescriptionOfPurpose>SERIES 2006A &amp; 2006B REVENUE B</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>58781100</TotalProceeds>
        <AmountInReserveFund>3849119</AmountInReserveFund>
        <IssuanceCostsFromProceeds>438258</IssuanceCostsFromProceeds>
        <CapitalExpenditures>6398940</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>DEPFA BANK PLC</BusinessNameLine1>
        </NameOfGICProvider>
        <TermOfGIC>9.</TermOfGIC>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Review Process of Form 990</Identifier>
        <ReturnReference>Part VI Section B Question 11A</ReturnReference>
        <Explanation>Copy of form 990 is provided to the governing body via email for review before it is filed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Compensation Review</Identifier>
        <ReturnReference>Part VI Section B Question 15B</ReturnReference>
        <Explanation>Compensation Committee of the Board reviews accomplishments against objectives and determines the compensation of Executive Director,top management and key employees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Disclousre available to public</Identifier>
        <ReturnReference>Part VI Section C Question 19</ReturnReference>
        <Explanation>Governing documents: Upon Request Conflict of interest policy: Upon Request Financial Statements: Disclosure USA-NRMSIR website</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Compliance of Confilct of Interest Policy</Identifier>
        <ReturnReference>PART VI SECTION B QUESTION 12c</ReturnReference>
        <Explanation>THERE IS A YEARLY REVIEW AT THE BOARD LEVEL WHERE EACH BOARD MEMBER SIGNS A CONFLICT ON INTEREST POLICY AND DELCARES ANY CONFLICT. ADDITIONALLY THERE IS A CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK AND IT IS REVIEWED WITH THE DEPARTMENT HEADS ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSET</Identifier>
        <ReturnReference>PART XI LINE 5</ReturnReference>
        <Explanation>THE DIFFERENCE IS ATTRIBUTABLE TO UNREALIZED GAIN (LOSS) PER FINANCIAL STATEMENT WHICH IS NOT INCLUDED IN TAX RETURN.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LIFE CARE PONTE VEDRA INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <PrimaryActivities>CCRC</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LIFE CARE PASTORAL SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <PrimaryActivities>Holding Co.</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LCPS MANAGEMENT INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <PrimaryActivities>Mgmt Company</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LCPVINC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>1d</TransactionType>
        <AmountInvolved>8613271</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LCPS MANAGEMENTINC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>1p</TransactionType>
        <AmountInvolved>80912</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LCPVINC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>1o</TransactionType>
        <AmountInvolved>730912</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LCPVINC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>1p</TransactionType>
        <AmountInvolved>70418</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>