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        <EOYAmt>5204</EOYAmt>
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        <EOYAmt>2070351</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>190817</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>68924</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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        <CurrentTaxYearMinus2YearsAmt>18200</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>515</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>29111</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>2655302</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1966652</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2928090</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>1246</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>51752</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>1968413</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>13691418</TotalAmt>
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      <PublicSupportPY509Pct>0.98950</PublicSupportPY509Pct>
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      <InvestmentIncomePYPct>0.01010</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <EndingBalanceAmt>11320</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
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        <BookValueAmt>43750</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>1915152</DepreciationAmt>
        <BookValueAmt>208318</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>1303131</DepreciationAmt>
        <BookValueAmt>381576</BookValueAmt>
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        <DepreciationAmt>612522</DepreciationAmt>
        <BookValueAmt>23787</BookValueAmt>
      </EquipmentGrp>
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      <RevenueNotReportedFinclStmtAmt>7836</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>7836</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Line 1b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Resident funds held in trust</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Line 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>Escrow or custodial liability is for resident funds held in trust.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is a nonprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal and state income taxes on related income pursuant to Section 501(a) of the code. The Organization files as a tax-exempt organization. Should that status be challenged in the future, the Organization's returns are open for examination by federal and state taxing authorities for three years after filing. The Organization follows the policy for uncertainty in income taxes to be recognized in an entity's financial statements. No uncertain income tax positions were identified for the year ended December 31, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior to filing with the IRS, the executive committee and the director of finance review the 990. Pertinent information is reviewed with the full board at the next board meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior to filing with the IRS, the executive committee and the director of finance review the 990. Pertinent information is reviewed with the full board at the next board meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All employees and board members are subject to the organization's conflict of interest policy. All employees must disclose all real or apparent conflicts of interest that they discover or that have been brought to their attention in connection with the corporation activities. Determinations of whether a conflict exists are made at the management level and reviewed with the board on an annual basis. The board of directors will then report if there are any conflicts of interest that exist within the organization. In addition, when an individual is deeemed to have a conflict of interest, that individual will abstain from making any motions, voting, executing agreements, or taking any direct action on behalf of the corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>An annual review to determine compensation is conducted for all employees including the administrator. This review is initiated by the administrator and is then reviewed and approved by the board of directors. To assist in this process, the report published by Massachusetts Senior Care titled "Employment trends in Massachusetts Nursing Facilities" was utilized. This report provided salary information for a variety of nursing home positions and presented the results by county and state wide. In addition, we reached out to another local nursing home and compared our salary structure and rates with theirs. This allowed us the opportunity to ensure that the compensation we pay employees is comparable within our community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All employees and board members are subject to the organization's conflict of interest policy. All employees must disclose all real or apparent conflicts of interest that they discover or that have been brought to their attention in connection with the corporation activities. Determinations of whether a conflict exists are made at the management level and reviewed with the board on an annual basis. The board of directors will then report if there are any conflicts of interest that exist within the organization. In addition, when an individual is deeemed to have a conflict of interest, that individual will abstain from making any motions, voting, executing agreements, or taking any direct action on behalf of the corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>An annual review to determine compensation is conducted for all employees including the administrator. This review is initiated by the administrator and is then reviewed and approved by the board of directors. To assist in this process, the report published by Massachusetts Senior Care titled "Employment trends in Massachusetts Nursing Facilities" was utilized. This report provided salary information for a variety of nursing home positions and presented the results by county and state wide. In addition, we reached out to another local nursing home and compared our salary structure and rates with theirs. This allowed us the opportunity to ensure that the compensation we pay employees is comparable within our community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>