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    <Timestamp>2011-04-04T14:18:31-07:00</Timestamp>
    <TaxPeriodEndDate>2010-06-30</TaxPeriodEndDate>
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    <TaxPeriodBeginDate>2009-07-01</TaxPeriodBeginDate>
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      <Name>
        <BusinessNameLine1>Fairmount Long Term Care</BusinessNameLine1>
      </Name>
      <NameControl>FAIR</NameControl>
      <Phone>2156850800</Phone>
      <USAddress>
        <AddressLine1>2100 W Girard Avenue</AddressLine1>
        <City>Philadelphia</City>
        <State>PA</State>
        <ZIPCode>19130</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>James T Scannapieco</Name>
      <Title>Assoc Admin, Finance</Title>
      <DateSigned>2011-04-04</DateSigned>
    </Officer>
    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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        <City>Philadelphia</City>
        <State>PA</State>
        <ZIPCode>19130</ZIPCode>
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      <WebSite>www.fltcpnh.org</WebSite>
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      <YearFormation>1993</YearFormation>
      <StateLegalDomicile>PA</StateLegalDomicile>
      <ActivityOrMissionDescription>Fairmount Long Term Care operates the Philadelphia Nursing Home a 451-bed long-term care facility on behalf of the City of Philadelphia. FLTC provides nursing home services primarily to indigent residents of Philadelphia.</ActivityOrMissionDescription>
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      <MissionDescription>Fairmount Long Term Care (FLTC), formerly called Episcopal Long Term Care, operates the Philadelphia Nursing Home on behalf of the City of Philadelphia. FLTC provides nursing home services primarily to indigent residents of Philadelphia. Licensed as a 451-bed long-term care facility, 99.3% of the residents of the nursing home are covered by the Medical Assistance program (Medicaid) or Medicare. In fiscal year 2010 the nursing home provided services to 589 individuals providing 150,467 days of nursing home care. Services that FLTC provides its residents include, daily routine nursing care, physical therapy, speech therapy, occupational therapy, recreational therapy, routine physician services, specialty physician services, and mental health services. Most of the residents at FLTC have very complex psychosocial histories. Many are here with medical problems directly related to substance abuse and/or violence, and many have very little social supports in their lives. The goal is to provid</MissionDescription>
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        <NamePerson>James T Scannapieco</NamePerson>
        <TelephoneNumber>2156850800</TelephoneNumber>
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          <State>PA</State>
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      <Advertising>
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        <ManagementAndGeneral>2500</ManagementAndGeneral>
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        <ManagementAndGeneral>72480</ManagementAndGeneral>
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      <Royalties>
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        <ManagementAndGeneral>27894</ManagementAndGeneral>
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        <ManagementAndGeneral>31257</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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        <ManagementAndGeneral>10004</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>0</Total>
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        <ProgramServices>35197164</ProgramServices>
        <ManagementAndGeneral>1946853</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>852899</EOY>
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      <SavingsAndTempCashInvestments>
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        <EOY>1383147</EOY>
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      <ReceivablesFromOfficersEtc>
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      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
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      <OtherNotesLoansReceivableNet>
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      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
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        <EOY>158161</EOY>
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        <EOY>200823</EOY>
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      <LandBuildingsEquipmentBasisNet>
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      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
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      <OtherAssetsTotal>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>8867861</BOY>
        <EOY>6680471</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>6518178</BOY>
        <EOY>4250218</EOY>
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      <OtherLiabilities>
        <BOY>520703</BOY>
        <EOY>501959</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>7038881</BOY>
        <EOY>4752177</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1828980</BOY>
        <EOY>1928294</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1828980</BOY>
        <EOY>1928294</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>8867861</BOY>
        <EOY>6680471</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>false</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="09000047" softwareVersion="2009v1.3">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <Total>0</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>32806981</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>32914679</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>37739037</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>37241404</CurrentTaxYear>
        <Total>175692844</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <Total>0</Total>
      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <CurrentTaxYearMinus4Years>3559536</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3559536</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3559536</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3559536</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3666322</CurrentTaxYear>
        <Total>17904466</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>38550279</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>36366517</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>36474215</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>41298573</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>40907726</CurrentTaxYear>
        <Total>193597310</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <PublicSupportTotal509>193597310</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>60599</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>77999</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>87214</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>38890</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1927</CurrentTaxYear>
        <Total>266629</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>60599</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>77999</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>87214</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>38890</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1927</CurrentTaxYear>
        <Total>266629</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <Total>0</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <Total>193863939</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99860</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99800</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00140</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00200</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="09000047" softwareVersion="2009v1.3">
      <OtherLiabilities>
        <Description>Due to Resident Trust Fund</Description>
        <Amount>501959</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>501959</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="09000047" softwareVersion="2009v1.3">
      <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>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Pansy L Clarke</NamePerson>
        <BaseCompensationFilingOrg>166427</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>6657</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5172</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>178256</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mary K Hess</NamePerson>
        <BaseCompensationFilingOrg>151051</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>6042</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14099</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>171192</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Maria Julia Florescio</NamePerson>
        <BaseCompensationFilingOrg>218007</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>5510</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5912</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>229429</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Juliana Joseph-Diggs</NamePerson>
        <BaseCompensationFilingOrg>165049</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>6602</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>10981</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>182632</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Carol Smith</NamePerson>
        <BaseCompensationFilingOrg>160765</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>6431</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>3121</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>170317</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Annette C Carter</NamePerson>
        <BaseCompensationFilingOrg>151236</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>6049</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6324</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>163609</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="09000047" softwareVersion="2009v1.3">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Anne B DeLuca</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Sis. of M Hess</Relationship>
        <AmountOfTransaction>118408</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Stacy Long</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Dau. of H Long</Relationship>
        <AmountOfTransaction>41551</AmountOfTransaction>
        <DescriptionOfTransaction>Employment</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Newton and Burden Associates</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>35%+ owned/Trustee</Relationship>
        <AmountOfTransaction>70000</AmountOfTransaction>
        <DescriptionOfTransaction>Independent contractor</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Urban Health</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>35%+ owned/Trustee</Relationship>
        <AmountOfTransaction>365535</AmountOfTransaction>
        <DescriptionOfTransaction>Independent contractor</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.3">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>To the extent required by applicable law, the organization makes its governing documents available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Officers and key employees are required to submit signed conflict of interest disclosure statements annually. Directors, officers, and key employees have an obligation to disclose potential conflicts as matters arise. The Board of Directors evaluates any disclosures and determines whether a conflict of interest exists and how it should be handled. Board Members do not participate in discussions or votes on matters as to which a conflict of interest has been determined to exist.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The 990 was prepared by Staff, with drafts submitted to FLTC Treasurer and outside legal counsel for review and comment. A final draft was submitted to the Board for review and approval prior to submission to the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Fairmount Long Term Care utilizes the services of Urban Health, Inc. for quality assurance and medical director services for Philadelphia Nursing Home. Principals for Urban Health are also members of Fairmount Long Term Care's Board of Directors.The Board maintains a conflict of interest policy. All transactions are entered into with Board Members are conducted at arms length and are approved by members of the Board of Directors who do not have a conflict.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>