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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <ManagementAndGeneralAmt>488270</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>6244</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>58635</ProgramServicesAmt>
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        <Desc>PURCHASED SERVICES</Desc>
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        <ProgramServicesAmt>4743229</ProgramServicesAmt>
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        <Desc>DIETARY SERVICES OTHER</Desc>
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        <ProgramServicesAmt>459748</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>NURSING SERVICES OTHER</Desc>
        <TotalAmt>387151</TotalAmt>
        <ProgramServicesAmt>387151</ProgramServicesAmt>
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        <Desc>UTILITIES</Desc>
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        <EOYAmt>2155836</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>5863748</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-1028010</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus2YearsAmt>541863</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>424943</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>527190</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>1359578</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>966806</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>521368</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>849406</CurrentTaxYearAmt>
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      <PublicSupportTotal170Amt>4367290</PublicSupportTotal170Amt>
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        <CurrentTaxYearMinus3YearsAmt>162073</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>176343</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>119749</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportPY170Pct>0.84080</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <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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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>579232</DepreciationAmt>
        <BookValueAmt>143027</BookValueAmt>
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      <OtherAssetsOrgGrp>
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        <BookValueAmt>130889</BookValueAmt>
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        <Desc>RIGHT OF USE ASSET (BUILDING)</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>ACCUMULATED AMORTIZATION - ROU</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>CONSTRUCTION IN PROGRESS</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>PATIENT FUNDS HELD IN TRUST</Desc>
        <Amt>130889</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE PAYABLE (BUILDING)</Desc>
        <Amt>606985</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT LEASE LIABILITY</Desc>
        <Amt>14805</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>NAVITAS FINANCIAL LIABILITY</Desc>
        <Amt>122495</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <ExpensesNotReportedAmt>527190</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUBSTANTIATED UPON EXAMINATION BY THE IRS. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED AS OF SEPTEMBER 30, 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION PLAN UNRECOGNIZED NET ACTURIAL GAIN 434,200.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc1042800001">
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          <PersonNm>LEWIS MILLER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
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        <TransactionDesc>SUPPLIES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <RealEstateOtherGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>527190</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COMPARABLE RENTS</MethodOfDeterminingRevenuesTxt>
      </RealEstateOtherGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF FORM 990 WAS PRESENTED TO THE BOARD FOR REVIEW AND COMMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS, THE ORGANIZATION HAS ALL BOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARIES ARE GOVERNED BY THE BOARD BASED ON CONSIDERATION OF COMPARABLE DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>INSURANCE: PROGRAM SERVICE EXPENSES 271,698. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 271,698. RESTORATIVE SERVICES OTHER COSTS: PROGRAM SERVICE EXPENSES 260,536. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 260,536. BAD DEBTS: PROGRAM SERVICE EXPENSES 218,235. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 218,235. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 111,474. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,474. MAINTENANCE OTHER COSTS: PROGRAM SERVICE EXPENSES 84,340. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,340. MEDICAL SUPPLIES: PROGRAM SERVICE EXPENSES 80,761. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,761. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 33,757. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,757. ANCILLARY COSTS: PROGRAM SERVICE EXPENSES 33,038. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,038. EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 28,468. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,468. TAXES AND LICENSES: PROGRAM SERVICE EXPENSES 25,229. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,229. DUES &amp; SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 5,307. MANAGEMENT AND GENERAL EXPENSES 14,425. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,732. SUPPLIES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,183. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,183. TELEPHONE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 17,579. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,579. LAUNDRY: PROGRAM SERVICE EXPENSES 7,754. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,754. ADVERTISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,607. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,607. MEDICAL RECORDS : PROGRAM SERVICE EXPENSES 4,395. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,395. EDEN: PROGRAM SERVICE EXPENSES 3,330. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,330.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>