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            <AddressLine1Txt>936 BARRET AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40204</ZIPCd>
          </USAddress>
          <TitleTxt>DIRECTOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
          <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>EILEEN VAN HOOSE</PersonNm>
          <USAddress>
            <AddressLine1Txt>936 BARRET AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40204</ZIPCd>
          </USAddress>
          <TitleTxt>DIRECTOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
          <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>CARA WRENN</PersonNm>
          <USAddress>
            <AddressLine1Txt>936 BARRET AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40204</ZIPCd>
          </USAddress>
          <TitleTxt>DIRECTOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
          <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>MARYILYN HELVEY</PersonNm>
          <USAddress>
            <AddressLine1Txt>936 BARRET AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40204</ZIPCd>
          </USAddress>
          <TitleTxt>DIRECTOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
          <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>MARY JO COKER</PersonNm>
          <USAddress>
            <AddressLine1Txt>936 BARRET AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40204</ZIPCd>
          </USAddress>
          <TitleTxt>DIRECTOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>5.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>38438</CompensationAmt>
          <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>BETH CLARK</PersonNm>
          <USAddress>
            <AddressLine1Txt>936 BARRET AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40204</ZIPCd>
          </USAddress>
          <TitleTxt>DIRECTOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
          <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <OfficerDirTrstKeyEmplGrp>
          <PersonNm>BOB WHITE</PersonNm>
          <USAddress>
            <AddressLine1Txt>936 BARRET AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40204</ZIPCd>
          </USAddress>
          <TitleTxt>DIRECTOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>1.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>0</CompensationAmt>
          <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
          <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
        </OfficerDirTrstKeyEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>DAWN SMITH</PersonNm>
          <USAddress>
            <AddressLine1Txt>936 BARRET AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40204</ZIPCd>
          </USAddress>
          <TitleTxt>ADMINISTRATOR</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>121039</CompensationAmt>
          <EmployeeBenefitsAmt>11495</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>KENNEISHA PARHAM</PersonNm>
          <USAddress>
            <AddressLine1Txt>936 BARRET AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40204</ZIPCd>
          </USAddress>
          <TitleTxt>LPN</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>96846</CompensationAmt>
          <EmployeeBenefitsAmt>11928</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>SHANNON EVANS</PersonNm>
          <USAddress>
            <AddressLine1Txt>936 BARRET AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40204</ZIPCd>
          </USAddress>
          <TitleTxt>BUSINESS OFFICE MANA</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>67258</CompensationAmt>
          <EmployeeBenefitsAmt>5687</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>KELLY YURT</PersonNm>
          <USAddress>
            <AddressLine1Txt>936 BARRET AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40204</ZIPCd>
          </USAddress>
          <TitleTxt>ADMISSIONS COORDINAT</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>50291</CompensationAmt>
          <EmployeeBenefitsAmt>3567</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <CompensationHighestPaidEmplGrp>
          <PersonNm>GERTRUDE REED</PersonNm>
          <USAddress>
            <AddressLine1Txt>936 BARRET AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40204</ZIPCd>
          </USAddress>
          <TitleTxt>LPN</TitleTxt>
          <AverageHrsPerWkDevotedToPosRt>40.00</AverageHrsPerWkDevotedToPosRt>
          <CompensationAmt>51895</CompensationAmt>
          <EmployeeBenefitsAmt>0</EmployeeBenefitsAmt>
          <ExpenseAccountAmt>0</ExpenseAccountAmt>
        </CompensationHighestPaidEmplGrp>
        <OtherEmployeePaidOver50kCnt>0</OtherEmployeePaidOver50kCnt>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CULINARY SERVICES GROUPS LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1135 BUSINESS PARKWAY SOUTH SUITE</AddressLine1Txt>
            <AddressLine2Txt>10</AddressLine2Txt>
            <CityNm>WESTMINSTER</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21157</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>DIETARY SERVICES</ServiceTypeTxt>
          <CompensationAmt>444094</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>AMS HEALTHCARE STAFFING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1400 BROWNS LANE UNIT A</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40207</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>CONTRACT NURSING</ServiceTypeTxt>
          <CompensationAmt>286505</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>RLM BUILDING &amp; REMODEL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>705 DANES HALL DRIVE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40206</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>CONSTRUCTION</ServiceTypeTxt>
          <CompensationAmt>171976</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <CompensationOfHghstPdCntrctGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WHITEHOUSE RESIDENTIAL PAINTING COMPANY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8045 WARWICK AVENUE</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40222</ZIPCd>
          </USAddress>
          <ServiceTypeTxt>PAINTING</ServiceTypeTxt>
          <CompensationAmt>147641</CompensationAmt>
        </CompensationOfHghstPdCntrctGrp>
        <ContractorPaidOver50kCnt>0</ContractorPaidOver50kCnt>
      </OfficerDirTrstKeyEmplInfoGrp>
      <SummaryOfDirectChrtblActyGrp>
        <Description1Txt>THE LOUISVILLE PROTESTANT ALTENHEIM (THE "ALTENHEIM") WAS FOUNDED IN 1906 AS A LONG-TERM CARE FACILITY IN LOUISVILLE, KENTUCKY. IT IS A CONTINUING CARE RETIREMENT COMMUNITY WITH FOUR LEVELS OF CARE: INDEPENDENT LIVING; PERSONAL CARE; INTERMEDIATE CARE; AND NURSING HOME BEDS.</Description1Txt>
        <Expenses1Amt>3030384</Expenses1Amt>
      </SummaryOfDirectChrtblActyGrp>
      <SumOfProgramRelatedInvstGrp>
        <TotalAmt>0</TotalAmt>
      </SumOfProgramRelatedInvstGrp>
      <MinimumInvestmentReturnGrp>
        <AverageMonthlyFMVOfSecAmt>10624653</AverageMonthlyFMVOfSecAmt>
        <AverageMonthlyCashBalancesAmt>172166</AverageMonthlyCashBalancesAmt>
        <FMVAllOtherNoncharitableAstAmt>139056</FMVAllOtherNoncharitableAstAmt>
        <TotalFMVOfUnusedAssetsAmt>10935875</TotalFMVOfUnusedAssetsAmt>
        <ReductionClaimedAmt>0</ReductionClaimedAmt>
        <AcquisitionIndebtednessAmt>0</AcquisitionIndebtednessAmt>
        <AdjustedTotalFMVOfUnusedAstAmt>10935875</AdjustedTotalFMVOfUnusedAstAmt>
        <CashDeemedCharitableAmt>164038</CashDeemedCharitableAmt>
        <NetVlNoncharitableAssetsAmt>10771837</NetVlNoncharitableAssetsAmt>
        <MinimumInvestmentReturnAmt>538592</MinimumInvestmentReturnAmt>
      </MinimumInvestmentReturnGrp>
      <DistributableAmountGrp>
        <Sect4942j3j5FndtnAndFrgnOrgInd>X</Sect4942j3j5FndtnAndFrgnOrgInd>
      </DistributableAmountGrp>
      <PFQualifyingDistributionsGrp>
        <ExpensesAndContributionsAmt>155213</ExpensesAndContributionsAmt>
        <ProgramRelatedInvstTotalAmt>0</ProgramRelatedInvstTotalAmt>
        <CharitableAssetsAcquisPaidAmt>419387</CharitableAssetsAcquisPaidAmt>
        <QualifyingDistributionsAmt>574600</QualifyingDistributionsAmt>
      </PFQualifyingDistributionsGrp>
      <PrivateOperatingFoundationsGrp>
        <PrivateOperatingFndtnRulingDt>1986-04-16</PrivateOperatingFndtnRulingDt>
        <Section4942j5Ind>X</Section4942j5Ind>
        <LessorAdjNetIncmMinInvstRetGrp>
          <CurrentYearAmt>0</CurrentYearAmt>
          <TotalAmt>0</TotalAmt>
        </LessorAdjNetIncmMinInvstRetGrp>
        <QualifyingDistributionsGrp>
          <CurrentYearAmt>574600</CurrentYearAmt>
          <Year1Amt>426884</Year1Amt>
          <Year2Amt>113407</Year2Amt>
          <Year3Amt>34622</Year3Amt>
          <TotalAmt>1149513</TotalAmt>
        </QualifyingDistributionsGrp>
        <QualifyingDistriNotUsedDrtGrp>
          <CurrentYearAmt>0</CurrentYearAmt>
          <Year1Amt>0</Year1Amt>
          <Year2Amt>0</Year2Amt>
          <Year3Amt>0</Year3Amt>
          <TotalAmt>0</TotalAmt>
        </QualifyingDistriNotUsedDrtGrp>
        <QualifyingDistriMadeDrtGrp>
          <CurrentYearAmt>574600</CurrentYearAmt>
          <Year1Amt>426884</Year1Amt>
          <Year2Amt>113407</Year2Amt>
          <Year3Amt>34622</Year3Amt>
          <TotalAmt>1149513</TotalAmt>
        </QualifyingDistriMadeDrtGrp>
        <TwoThirdsMinimumInvstRetGrp>
          <CurrentYearAmt>359061</CurrentYearAmt>
          <Year1Amt>380551</Year1Amt>
          <Year2Amt>404781</Year2Amt>
          <Year3Amt>339886</Year3Amt>
          <TotalAmt>1484279</TotalAmt>
        </TwoThirdsMinimumInvstRetGrp>
      </PrivateOperatingFoundationsGrp>
      <SupplementaryInformationGrp>
        <OnlyContriToPreselectedInd>X</OnlyContriToPreselectedInd>
        <TotalGrantOrContriPdDurYrAmt>0</TotalGrantOrContriPdDurYrAmt>
        <TotalGrantOrContriApprvFutAmt>0</TotalGrantOrContriApprvFutAmt>
      </SupplementaryInformationGrp>
      <AnalysisIncomeProducingActyGrp>
        <ProgramServiceRevenueDtl>
          <Desc>NURSING HOME FEES</Desc>
          <ExclusionCd>08</ExclusionCd>
          <ExclusionAmt>2976877</ExclusionAmt>
        </ProgramServiceRevenueDtl>
        <ProgramServiceRevenueDtl>
          <Desc>RESIDENTIAL INCOME</Desc>
          <ExclusionCd>08</ExclusionCd>
          <ExclusionAmt>79626</ExclusionAmt>
        </ProgramServiceRevenueDtl>
        <ProgramServiceRevenueDtl>
          <Desc>MISCELLANEOUS INCOME</Desc>
          <ExclusionCd>08</ExclusionCd>
          <ExclusionAmt>8514</ExclusionAmt>
        </ProgramServiceRevenueDtl>
        <DividendsAndInterestFromSecDtl>
          <RelatedOrExemptFunctionIncmAmt>282770</RelatedOrExemptFunctionIncmAmt>
        </DividendsAndInterestFromSecDtl>
        <GainSalesAstOthThanInvntryGrp>
          <RelatedOrExemptFunctionIncmAmt>-20425</RelatedOrExemptFunctionIncmAmt>
        </GainSalesAstOthThanInvntryGrp>
        <SubtotalsIncmProducingActyGrp>
          <UnrelatedBusinessTaxblIncmAmt>0</UnrelatedBusinessTaxblIncmAmt>
          <ExclusionAmt>3065017</ExclusionAmt>
          <RelatedOrExemptFunctionIncmAmt>262345</RelatedOrExemptFunctionIncmAmt>
        </SubtotalsIncmProducingActyGrp>
        <TotalIncomeProducingActyAmt>3327362</TotalIncomeProducingActyAmt>
      </AnalysisIncomeProducingActyGrp>
      <RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>1A</LineNumberTxt>
          <RelationshipStatementTxt>DIRECT CHARGES TO INDIVIDUALS FOR CARE AT NURSING HOME</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>1B</LineNumberTxt>
          <RelationshipStatementTxt>DIRECT CHARGES TO INDIVIDUALS FOR CARE AT NURSING HOME</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>1C</LineNumberTxt>
          <RelationshipStatementTxt>INSURANCE PROCEEDS</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
      </RlnOfActyToAccomOfExmptPrpsGrp>
      <TrnsfrTransRlnNonchrtblEOGrp>
        <TrnsfrOfCashToNonchrtblEOInd>0</TrnsfrOfCashToNonchrtblEOInd>
        <TrnsfrOtherAssetNonchrtblEOInd>0</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>0</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>0</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>0</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>0</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>0</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>0</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>0</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>0</RelationshipsNonchrtblEOInd>
      </TrnsfrTransRlnNonchrtblEOGrp>
    </IRS990PF>
    <InvestmentsOtherSchedule2 documentId="RetDoc2018100001">
      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>SYB TRUST</CategoryOrItemTxt>
        <ListedAtCostOrFMVCd>FMV</ListedAtCostOrFMVCd>
        <BookValueAmt>8080724</BookValueAmt>
        <EOYFMVAmt>8080724</EOYFMVAmt>
      </InvestmentsOtherGrp>
      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>SYB STITZEL TRUST</CategoryOrItemTxt>
        <ListedAtCostOrFMVCd>FMV</ListedAtCostOrFMVCd>
        <BookValueAmt>2096282</BookValueAmt>
        <EOYFMVAmt>2096282</EOYFMVAmt>
      </InvestmentsOtherGrp>
      <InvestmentsOtherGrp>
        <CategoryOrItemTxt>SYB CPMF TRUST</CategoryOrItemTxt>
        <ListedAtCostOrFMVCd>FMV</ListedAtCostOrFMVCd>
        <BookValueAmt>1014235</BookValueAmt>
        <EOYFMVAmt>1014235</EOYFMVAmt>
      </InvestmentsOtherGrp>
    </InvestmentsOtherSchedule2>
    <LandEtcSchedule2 documentId="RetDoc2059000001">
      <LandEtcGrp>
        <CategoryOrItemTxt>LAND</CategoryOrItemTxt>
        <CostOrOtherBasisAmt>350000</CostOrOtherBasisAmt>
        <AccumulatedDepreciationAmt>0</AccumulatedDepreciationAmt>
        <BookValueAmt>350000</BookValueAmt>
        <EOYFMVAmt>350000</EOYFMVAmt>
      </LandEtcGrp>
      <LandEtcGrp>
        <CategoryOrItemTxt>BUILDNGS AND IMPROVEMENTS</CategoryOrItemTxt>
        <CostOrOtherBasisAmt>5381088</CostOrOtherBasisAmt>
        <AccumulatedDepreciationAmt>4122879</AccumulatedDepreciationAmt>
        <BookValueAmt>1258209</BookValueAmt>
        <EOYFMVAmt>1258209</EOYFMVAmt>
      </LandEtcGrp>
      <LandEtcGrp>
        <CategoryOrItemTxt>MACHINERY AND EQUIPMENT</CategoryOrItemTxt>
        <CostOrOtherBasisAmt>1215135</CostOrOtherBasisAmt>
        <AccumulatedDepreciationAmt>1064951</AccumulatedDepreciationAmt>
        <BookValueAmt>150184</BookValueAmt>
        <EOYFMVAmt>150184</EOYFMVAmt>
      </LandEtcGrp>
    </LandEtcSchedule2>
    <OtherAssetsSchedule documentId="RetDoc2046600001">
      <OtherAssetsScheduleGrp>
        <Desc>CASH SURRENDER OF LIFE INSURANCE</Desc>
        <BOYBookValueAmt>159270</BOYBookValueAmt>
        <EOYBookValueAmt>139056</EOYBookValueAmt>
        <EOYFMVAmt>139056</EOYFMVAmt>
      </OtherAssetsScheduleGrp>
    </OtherAssetsSchedule>
    <OtherExpensesSchedule documentId="RetDoc2003200001">
      <OtherExpensesScheduleGrp>
        <Desc>DIETARY SERVICES</Desc>
        <RevenueAndExpensesPerBooksAmt>480427</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>457929</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>22498</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>HOUSEKEEPING EXPENSE</Desc>
        <RevenueAndExpensesPerBooksAmt>31827</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>30337</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>1490</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>PROPERTY INSURANCE</Desc>
        <RevenueAndExpensesPerBooksAmt>105736</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>100785</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>4951</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>OTHER INSURANCE</Desc>
        <RevenueAndExpensesPerBooksAmt>34051</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>32456</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>1595</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>HEALTH PROVIDER FEES</Desc>
        <RevenueAndExpensesPerBooksAmt>11428</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>10893</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>535</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>ADVERTISING</Desc>
        <RevenueAndExpensesPerBooksAmt>55370</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>52777</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>2593</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>OFFICE EXPENSES</Desc>
        <RevenueAndExpensesPerBooksAmt>48735</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>46453</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>2282</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>ACTIVITIES</Desc>
        <RevenueAndExpensesPerBooksAmt>5312</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>5063</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>249</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>NURSING SUPPLIES</Desc>
        <RevenueAndExpensesPerBooksAmt>69622</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>66362</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>3260</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>CONSULTANTS/CONTRACT LABOR</Desc>
        <RevenueAndExpensesPerBooksAmt>297204</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>283286</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>13918</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>NURSING HOME</Desc>
        <RevenueAndExpensesPerBooksAmt>128422</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>122408</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>6014</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>CONTINUING EDUCATION</Desc>
        <RevenueAndExpensesPerBooksAmt>4726</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>4505</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>221</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>BUSINESS LICENSES</Desc>
        <RevenueAndExpensesPerBooksAmt>3353</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>3196</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>157</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>INTERNMENT EXPENSES</Desc>
        <RevenueAndExpensesPerBooksAmt>928</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>885</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>43</DisbursementsCharitablePrpsAmt>
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      <OtherExpensesScheduleGrp>
        <Desc>BAD DEBT</Desc>
        <RevenueAndExpensesPerBooksAmt>4154</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>3959</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>0</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
    <OtherIncomeSchedule2 documentId="RetDoc2001500001">
      <OtherIncomeDetail>
        <Desc>NURSING HOME FEES</Desc>
        <RevenueAndExpensesPerBooksAmt>2976877</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>2976877</AdjustedNetIncomeAmt>
      </OtherIncomeDetail>
      <OtherIncomeDetail>
        <Desc>RESIDENTIAL INCOME</Desc>
        <RevenueAndExpensesPerBooksAmt>79626</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>79626</AdjustedNetIncomeAmt>
      </OtherIncomeDetail>
      <OtherIncomeDetail>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <RevenueAndExpensesPerBooksAmt>8514</RevenueAndExpensesPerBooksAmt>
        <AdjustedNetIncomeAmt>8514</AdjustedNetIncomeAmt>
      </OtherIncomeDetail>
    </OtherIncomeSchedule2>
    <OtherIncreasesSchedule documentId="RetDoc2049700001">
      <OtherIncreasesDetail>
        <Desc>UNREALIZED GAIN</Desc>
        <Amt>1110980</Amt>
      </OtherIncreasesDetail>
    </OtherIncreasesSchedule>
    <OtherLiabilitiesSchedule documentId="RetDoc2065700001">
      <OtherLiabilitiesDetail>
        <Desc>SECURITY DEPOSITS</Desc>
        <BOYBookValueAmt>2093</BOYBookValueAmt>
        <EOYBookValueAmt>2095</EOYBookValueAmt>
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    </OtherLiabilitiesSchedule>
    <OtherProfessionalFeesSchedule documentId="RetDoc2002300001">
      <OtherProfessionalFeesDetail>
        <CategoryTxt>OTHER PROFESSIONAL FEES</CategoryTxt>
        <Amt>18076</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>17230</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>846</DisbursementsCharitablePrpsAmt>
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      <OtherProfessionalFeesDetail>
        <CategoryTxt>INVESTMENT FEES</CategoryTxt>
        <Amt>54327</Amt>
        <NetInvestmentIncomeAmt>54327</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>0</DisbursementsCharitablePrpsAmt>
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    </OtherProfessionalFeesSchedule>
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      <TaxesDetail>
        <CategoryTxt>PAYROLL TAXES</CategoryTxt>
        <Amt>121283</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>115603</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>5680</DisbursementsCharitablePrpsAmt>
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    </TaxesSchedule>
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</Return>