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        <Desc>PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>15132543</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15132543</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>15132543</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>942642</TotalRevenueColumnAmt>
        <ExclusionAmt>942642</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>27145</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27145</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>27145</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>16103230</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15159688</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>942642</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>378339</TotalAmt>
        <ManagementAndGeneralAmt>378339</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>12143090</TotalAmt>
        <ProgramServicesAmt>11694132</ProgramServicesAmt>
        <ManagementAndGeneralAmt>448958</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>96000</TotalAmt>
        <ProgramServicesAmt>89537</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6463</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>853802</TotalAmt>
        <ProgramServicesAmt>799241</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54561</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>916895</TotalAmt>
        <ProgramServicesAmt>855165</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61730</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>38495</TotalAmt>
        <ManagementAndGeneralAmt>38495</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>140090</TotalAmt>
        <ManagementAndGeneralAmt>140090</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>955528</TotalAmt>
        <ProgramServicesAmt>955528</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>9223</TotalAmt>
        <ManagementAndGeneralAmt>9223</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>42430</TotalAmt>
        <ManagementAndGeneralAmt>42430</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>185828</TotalAmt>
        <ManagementAndGeneralAmt>185828</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>713642</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>19108</TotalAmt>
        <ManagementAndGeneralAmt>19108</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>73243</TotalAmt>
        <ProgramServicesAmt>70713</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2530</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>923443</TotalAmt>
        <ProgramServicesAmt>877844</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45599</ManagementAndGeneralAmt>
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        <TotalAmt>162683</TotalAmt>
        <ProgramServicesAmt>162683</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL/RESIDENT SUPPLIES</Desc>
        <TotalAmt>603623</TotalAmt>
        <ProgramServicesAmt>603623</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DIETARY SUPPLIES</Desc>
        <TotalAmt>517592</TotalAmt>
        <ProgramServicesAmt>517592</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER RESIDENT SUPPLIES</Desc>
        <TotalAmt>432911</TotalAmt>
        <ProgramServicesAmt>290020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142891</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PHARMACY SUPPLIES</Desc>
        <TotalAmt>404053</TotalAmt>
        <ProgramServicesAmt>404053</ProgramServicesAmt>
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        <TotalAmt>123635</TotalAmt>
        <ProgramServicesAmt>123635</ProgramServicesAmt>
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        <TotalAmt>19733653</TotalAmt>
        <ProgramServicesAmt>18157408</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1576245</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>105308</EOYAmt>
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        <EOYAmt>27304</EOYAmt>
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        <BOYAmt>66561</BOYAmt>
        <EOYAmt>58812</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>18650379</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8402339</BOYAmt>
        <EOYAmt>7649966</EOYAmt>
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        <EOYAmt>584762</EOYAmt>
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        <EOYAmt>2093590</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2224650</BOYAmt>
        <EOYAmt>2288871</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>13235434</BOYAmt>
        <EOYAmt>9175630</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>7867</BOYAmt>
        <EOYAmt>7867</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13243301</BOYAmt>
        <EOYAmt>9183497</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15467951</BOYAmt>
        <EOYAmt>11472368</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-3630423</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-429381</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc5">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>11885</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1068760</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>213533</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2324</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>900</CurrentTaxYearAmt>
        <TotalAmt>1297402</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>15779354</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14784209</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14279636</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13034888</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15132543</CurrentTaxYearAmt>
        <TotalAmt>73010630</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>15791239</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15852969</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14493169</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13037212</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15133443</CurrentTaxYearAmt>
        <TotalAmt>74308032</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>74308032</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>347080</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>187780</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>341118</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>429500</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>942642</CurrentTaxYearAmt>
        <TotalAmt>2248120</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>347080</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>187780</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>341118</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>429500</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>2248120</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>23247</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2183883</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>27604</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>27145</CurrentTaxYearAmt>
        <TotalAmt>2288421</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearAmt>16103230</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.95160</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.03000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME 121,681 FORGIVENESS OF PPP LOAN 2,166,740</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME IS RELATED TO THE TAX EXEMPT PURPOSE OF THE ORGANIZATION AND THE ORGANIZATION'S MISSION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
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        <DepreciationAmt>650048</DepreciationAmt>
        <BookValueAmt>599952</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>7303979</DepreciationAmt>
        <BookValueAmt>6875339</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>3221061</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>3046386</DepreciationAmt>
        <BookValueAmt>174675</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>7649966</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>FIXED INCOME &amp; EQUITY MUTUAL FUNDS</Desc>
        <BookValueAmt>2043617</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>2043617</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>584762</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>584762</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PAYROLL AND RELATED BENEFITS</Desc>
        <Amt>1039090</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE PAYABLE</Desc>
        <Amt>989454</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD-PARTY SETTLEMENTS</Desc>
        <Amt>44148</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT AGENCY FUNDS</Desc>
        <Amt>20898</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2093590</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>15673849</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-429381</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-429381</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>16103230</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>16103230</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>19733653</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>19733653</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc3">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN GAZDICK</PersonNm>
        <TitleTxt>CHIEF FNCL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>180357</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>17600</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>3959</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>201916</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNE KNOUSE</PersonNm>
        <TitleTxt>ADMINISTRATOR/COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>158964</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>14000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>3459</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>176423</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 PART 1, LINE 1: TO CONSTRUCT, FURNISH, EQUIP, IMPROVE, REPAIR, AND MAINTAIN A HEALTHCARE SERVICES ORGANIZATION. TO PROMOTE EDUCATION AND SCIENTIFIC RESEARCH TOWARDS THE ADVANCEMENT OF THE TREATMENT OF DISEASE; TO PROMOTE PHYSICAL AND MENTAL HEALTH; AND TO AID AND PROMOTE THE CARE OF THE SICK, AGED, AND HELPLESS, THROUGH THE FACILITIES AND SERVICES OF THE ORGANIZATION. FROM 990 PART III, LINE 1, BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION: TO ENHANCE AND ASSIST THOSE WE SERVE TO ACHIEVE THEIR DESIRED PHYSICAL, MENTAL, AND SPIRITUAL POTENTIAL AND TO REBUILD THROUGH COMPASSIONATE CARE, PURPOSEFUL AND MEANINGFUL LIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>SECTION B, LINE 13: UPON HIRE, EMPLOYEES RECEIVE A COPY AND EXPLANATION OF THE ORGANIZATION'S WHISTLEBLOWER POLICY, AS WELL AS OTHER POLICES REGARDING THE REPORTING OF SUSPECTED ABUSE OR UNETHICAL BEHAVIOR. RESIDENTS, FAMILIES, AND EMPLOYEES ARE INFORMED TO CONTACT THE INDIANA STATE DEPARTMENT OF HEALTH (ISDH) TO REPORT ISSUES AND FILE COMPLAINTS CONCERNING RESIDENT CARE OR UNETHICAL BEHAVIOR. THE ISDH IS REQUIRED TO MAINTAIN CONFIDENTIALITY WITH RESPECT TO COMPLAINTS AND THE PERSON(S) FILING THE COMPLAINT; THEREFORE, THERE IS NO RISK OF RETALIATION TO RESIDENTS, FAMILIES, OR EMPLOYEES. IN ADDITION, UPON ADMISSION, RESIDENTS AND FAMILIES RECEIVE COPIES AND EXPLANATIONS OF THE OPEN DOOR AND RESIDENT'S RIGHTS POLICIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BEFORE THE 990 IS FILED, A DRAFT COPY IS REVIEWED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND EXECUTIVE TEAM, WHICH IS COMPRISED OF THE ADMINISTRATOR, CHIEF CLINICAL OFFICER, AND CHIEF FINANCIAL OFFICER, ARE REQUIRED TO UPDATE THE CONFLICT OF INTEREST STATEMENT ANNUALLY. THE EXECUTIVE COMMITTEE OF THE BOARD IS RESPONSIBLE FOR MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE ADMINISTRATOR, CHIEF CLINICIAL OFFICER, AND CHIEF FINANCIAL OFFICER ARE REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD, BASED ON COMPARATIVE INFORMATION PUBLISHED BY THE INDIANA ASSOCIATION OF HOME AND SERVICES FOR THE AGING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHWIN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, ANNUAL FINANCIAL STATEMENTS, AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>