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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>573345</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>2054925</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>2054925</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>2628270</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-728327</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
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        <CurrentTaxYearMinus2YearsAmt>1507</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>3856947</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportPY509Pct>0.99960</PublicSupportPY509Pct>
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      <InvestmentIncomePYPct>0.00040</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>413725</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>2377069</DepreciationAmt>
        <BookValueAmt>842713</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>378868</DepreciationAmt>
        <BookValueAmt>145032</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>84067</DepreciationAmt>
        <BookValueAmt>13292</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1414762</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3278461</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>694120</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3972581</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4006788</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4006788</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>694120</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>694120</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4700908</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ACCORDANCE WITH THE ACCOUNTING FOR INCOME TAXES TOPIC OF THE ACCOUNTING STANDARDS CODIFICATION (REFERRED TO AS EITHER THE CODIFICATION OR THE ASC), THE NURSING HOME RECOGNIZES ACCRUED INTEREST WITH PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF THEIR INCOME TAX PROVISION, IF ANY. THE PAST THREE YEARS OF FEDERAL TAX RETURNS ARE SUBJECT TO POTENTIAL EXAMINATION BY THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLOWANCE FOR DOUBTFUL ACCOUNTS 694,120.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLOWANCE FOR DOUBTFUL ACCOUNTS 694,120.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW AND APPROVAL PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE PROVIDED TO INDIVIDUALS UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
