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        <ProgramServices>1467026</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>1144060</Total>
        <ProgramServices>295732</ProgramServices>
        <ManagementAndGeneral>848328</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>CONTRACTED SERVICES</Description>
        <Total>8850728</Total>
        <ProgramServices>7184464</ProgramServices>
        <ManagementAndGeneral>1666264</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>2456590</Total>
        <ManagementAndGeneral>2456590</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHARMACY</Description>
        <Total>1988950</Total>
        <ProgramServices>1988950</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FOOD</Description>
        <Total>1199588</Total>
        <ProgramServices>1163490</ProgramServices>
        <ManagementAndGeneral>36098</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENTAL</Description>
        <Total>946977</Total>
        <ProgramServices>871534</ProgramServices>
        <ManagementAndGeneral>75443</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>1950203</Total>
        <ProgramServices>1491568</ProgramServices>
        <ManagementAndGeneral>458635</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>46799907</Total>
        <ProgramServices>39271143</ProgramServices>
        <ManagementAndGeneral>7528764</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>14072344</BOY>
        <EOY>14444866</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
        <BOY>4662547</BOY>
        <EOY>6394151</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>676012</BOY>
        <EOY>423943</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>30859825</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>11898203</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>18081446</BOY>
        <EOY>18961622</EOY>
      </LandBuildingsEquipmentBasisNet>
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        <BOY>6869767</BOY>
        <EOY>10255843</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>44362116</BOY>
        <EOY>50480425</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>4273182</BOY>
        <EOY>4851063</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>27751532</BOY>
        <EOY>27283613</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>501354</BOY>
        <EOY>0</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>32526068</BOY>
        <EOY>32134676</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>11836048</BOY>
        <EOY>18345749</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>11836048</BOY>
        <EOY>18345749</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>44362116</BOY>
        <EOY>50480425</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>6509701</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>2050</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>15913</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1275</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>85031</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>66830</CurrentTaxYear>
        <Total>171099</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>37512672</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>38852798</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>39517080</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>47634682</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>53118638</CurrentTaxYear>
        <Total>216635870</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>37514722</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>38868711</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>39518355</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>47719713</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>53185468</CurrentTaxYear>
        <Total>216806969</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>216806969</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>690236</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>839613</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>247258</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>93919</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>124140</CurrentTaxYear>
        <Total>1995166</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>690236</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>839613</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>247258</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>93919</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>124140</CurrentTaxYear>
        <Total>1995166</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>38204958</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>39708324</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>39765613</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>47813632</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>53309608</CurrentTaxYear>
        <Total>218802135</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99090</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98930</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00910</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01070</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
      <AgentTrusteeEtc>1</AgentTrusteeEtc>
      <BeginningBalance>243713</BeginningBalance>
      <AdditionsDuringYear>22865</AdditionsDuringYear>
      <EndingBalance>266578</EndingBalance>
      <IncludedOnFS>0</IncludedOnFS>
      <Land>
        <OtherCostOrOtherBasis>3839375</OtherCostOrOtherBasis>
        <BookValue>3839375</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>21522349</OtherCostOrOtherBasis>
        <Depreciation>8982464</Depreciation>
        <BookValue>12539885</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>4447288</OtherCostOrOtherBasis>
        <Depreciation>2464606</Depreciation>
        <BookValue>1982682</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1050813</OtherCostOrOtherBasis>
        <Depreciation>451133</Depreciation>
        <BookValue>599680</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>18961622</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>INVESTMENT IN CAPTIVE</Description>
        <BookValue>500000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEFERRED FINANCING COSTS</Description>
        <BookValue>876768</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS WHOSE USE IS LIMITED</Description>
        <BookValue>8218872</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ESTIMATED THIRD PARTY PAYOR SETTLEMENTS</Description>
        <BookValue>660203</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>10255843</TotalBookValueOtherAssets>
      <TotalRevenue>53309608</TotalRevenue>
      <TotalExpenses>46799907</TotalExpenses>
      <ExcessOrDeficitForYear>6509701</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>6509701</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>53256630</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>53256630</RevenueSubtotal>
      <OtherRevenuesNotIncluded>52978</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>52978</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>53309608</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>46746929</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>46746929</ExpensesSubtotal>
      <OtherExpensesNotIncluded>52978</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>52978</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>46799907</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <ReturnReference>PART IV, LINE 1B:</ReturnReference>
        <Explanation>THE ORGANIZATION OFFERS CASH MANAGEMENT SERVICES TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENTS AND ARE DISBURSED AS REQUESTED. THE ORGANIZATION ACTS ONLY AS A CUSTODIAN.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CONTRIBUTIONS RECEIVED 52,978.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CONTRIBUTIONS GIVEN 52,978.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FLORIDA HEALTH CARE ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>307 WEST PARK AVENUE</AddressLine1>
          <City>TALLAHASSEE</City>
          <State>FL</State>
          <ZIPCode>32301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>591229583</EINOfRecipient>
        <IRCSection>501(C)(6)</IRCSection>
        <AmountOfCashGrant>70000</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
        <PurposeOfGrant>CONTRIBUTION</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: THE MANAGING AGENT OF THE ORGANIZATION, AIRAMID HEALTH MANAGEMENT,LLC, IS ON THE STEERING COMMITTEE OF THE FLORIDA HEALTHCARE ASSOCIATION (FHCA). THE ORGANIZATION HAS ASKED FHCA TO NOTIFY THEM AS TO WHAT THE GRANT MONEY IS BEING USED FOR BEFORE THE FUNDS ARE SPENT. DISBURSEMENTS FROM THE FUNDS ARE REVIEWED AND APPROVED BY A PAC ATTORNEY WHO VERIFIES THE EXPENDITURE IS ONE PERMITTED UNDER IRS REGULATIONS GOVERNING 501(C)(3) TAX EXEMPT ENTITIES.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MATURE CARE INSURANCE CO</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>AN ENTITY OF WHICH A CURRENT OFFICER/DIRECTOR SERVES AS A DIRECTOR.</Relationship>
        <AmountOfTransaction>714680</AmountOfTransaction>
        <DescriptionOfTransaction>INS. PREMS.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>47954</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>0</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 8B</Identifier>
        <Explanation>THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE FORM 990 IS REVIEWED BY THE BOARD PRESIDENT AND THE MANAGEMENT COMPANY. THE RETURN IS PROVIDED TO ALL VOTING BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS CONTAINED IN THE EMPLOYEE HANDBOOK. THE POLICY EXTENDS TO THE ORGANIZATION'S OFFICERS AND DIRECTORS. THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ITS ANNUAL DISCLOSURE PROCESS. THE BOARD REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS EXIST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS HAS THE AUTHORITY TO FIX THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR AS WELL AS OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION LEVELS ARE SET BASED ON CONSULTATION WITH THE MANAGEMENT COMPANY. ALL PARTIES ARE INDEPENDENT WITH RESPECT TO THE COMPENSATION DECISIONS. COMPENSATION LEVELS ARE SET BASED ON CURRENT MARKET CONDITIONS, THE ECONOMY AND FUNDING SOURCES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 2C</ReturnReference>
        <Explanation>THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT IS ASSUMED BY THE GOVERNING BODY. THIS PROCESS HAS NOT CHANGED IN ANY WAY FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>