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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
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        <ContractorAddress>
          <USAddress>
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      <GovernmentGrantsAmt>3695938</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>498046</AllOtherContributionsAmt>
      <TotalContributionsAmt>4193984</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET RESIDENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>37991705</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37991705</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>ASSISTED LIVING REVENUE</Desc>
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        <TotalRevenueColumnAmt>7789651</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7789651</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>45781356</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>78886</ExclusionAmt>
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      <TotalRevenueGrp>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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      <InformationTechnologyGrp>
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        <ManagementAndGeneralAmt>888988</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>212</ProgramServicesAmt>
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        <Desc>STATE BED ASSESSMENT</Desc>
        <TotalAmt>2169929</TotalAmt>
        <ProgramServicesAmt>2169929</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>1829940</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES &amp; EQUIPMENT</Desc>
        <TotalAmt>447007</TotalAmt>
        <ProgramServicesAmt>272250</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ManagementAndGeneralAmt>298092</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>46644191</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7334369</ManagementAndGeneralAmt>
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        <EOYAmt>49991</EOYAmt>
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        <EOYAmt>11086526</EOYAmt>
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        <EOYAmt>1209310</EOYAmt>
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        <EOYAmt>7574591</EOYAmt>
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        <EOYAmt>8610170</EOYAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus2YearsAmt>180000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4388639</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4193984</CurrentTaxYearAmt>
        <TotalAmt>9929557</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>50208020</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47026823</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>47743179</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>45781356</CurrentTaxYearAmt>
        <TotalAmt>214426342</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>23666964</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>51374954</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47206823</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>52131818</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>49975340</CurrentTaxYearAmt>
        <TotalAmt>224355899</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>224355899</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>9825</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22368</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25354</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>35397</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus2YearsAmt>25354</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>35397</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>25866</CurrentTaxYearMinus2YearsAmt>
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      <TotalSupportCalendarYearGrp>
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      <InvestmentIncomePYPct>0.00050</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>1</AgentTrusteeEtcInd>
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      <DistributionsDuringYearAmt>34889</DistributionsDuringYearAmt>
      <EndingBalanceAmt>198261</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>0</InclEscrowCustodialAcctLiabInd>
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      <InvstProgramRelatedOrgGrp>
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      <OtherAssetsOrgGrp>
        <Desc>REPAIR AND REPLACEMENT RESERVES</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueSubtotalAmt>50054226</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH OF THE SUBSIDIARIES OFFERS A CASH MANAGEMENT SERVICE TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENTS, TO BE DISBURSED ONLY AS REQUESTED. THE SUBSIDIARIES HAVE A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS AND REMAIN ONLY CUSTODIANS. AT DECEMBER 31, 2021 AND 2020, THESE FUND BALANCES, IN AGGREGATE, WERE APPROXIMATELY $198,000 AND $233,000.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION OR LIABILITY FOR INCOME TAXES IS INCLUDED IN THESE CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
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        <EmployeeCnt>0</EmployeeCnt>
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      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
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      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>1</ForeignCorpOwnershipInd>
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      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III ACCOUNTING METHOD:</FormAndLineReferenceDesc>
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    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION HAS DELEGATED MANAGEMENT DUTIES OVER ITS FINANCIAL OPERATIONS TO KANE FINANCIAL SERVICES, LLC PURSUANT TO A BOARD-APPROVED AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE BOARD PRESIDENT AND THE CONSULTING COMPANY. THE RETURN IS PROVIDED TO ALL VOTING BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS CONTAINED IN THE EMPLOYEE HANDBOOK. THE POLICY EXTENDS TO THE ORGANIZATION'S OFFICERS AND DIRECTORS. THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ITS ANNUAL DISCLOSURE PROCESS. THE BOARD REVIEWS ACTUAL CONFLICTS THAT ARE IDENTIFIED AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS EXIST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS THE AUTHORITY TO FIX THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR AS WELL AS OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION LEVELS ARE SET BASED ON CONSULTATION WITH THE CONSULTING COMPANY. ALL PARTIES ARE INDEPENDENT WITH RESPECT TO THE COMPENSATION DECISIONS. COMPENSATION LEVELS ARE SET BASED ON CURRENT MARKET CONDITIONS, THE ECONOMY AND FUNDING SOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 10,499,844. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,499,844. CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,554,476. MANAGEMENT AND GENERAL EXPENSES 358,921. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,913,397. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 1,328,178. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,328,178. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 42,626. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,626. NUTRITION SERVICES: PROGRAM SERVICE EXPENSES 886. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 886.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY IS RESPONSIBLE FOR THE OVERSIGHT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ISLF DEERWOOD PLACE - JACKSONVILLE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8700 AC SKINNER PARKWAY</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32256</ZIPCd>
        </USAddress>
        <EIN>200983025</EIN>
        <PrimaryActivitiesTxt>NURSING HOME, ELDERLY CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <TotalIncomeAmt>15123120</TotalIncomeAmt>
        <EndOfYearAssetsAmt>5373183</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>INSTITUTE FOR SENIOR LIVING OF FLORIDA INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ISLF REGENTS PARK - WINTER PARK LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>558 NORTH SEMORAN BLVD</AddressLine1Txt>
          <CityNm>WINTER PARK</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32792</ZIPCd>
        </USAddress>
        <EIN>200983133</EIN>
        <PrimaryActivitiesTxt>NURSING HOME, ELDERLY CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <TotalIncomeAmt>17578994</TotalIncomeAmt>
        <EndOfYearAssetsAmt>4852361</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>INSTITUTE FOR SENIOR LIVING OF FLORIDA INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ISLF WESTCHESTER OF SUNRISE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>9701 WEST OAKLAND PARK BLVD</AddressLine1Txt>
          <CityNm>SUNRISE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33351</ZIPCd>
        </USAddress>
        <EIN>200983159</EIN>
        <PrimaryActivitiesTxt>NURSING HOME, ELDERLY CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <TotalIncomeAmt>19006241</TotalIncomeAmt>
        <EndOfYearAssetsAmt>6345265</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>INSTITUTE FOR SENIOR LIVING OF FLORIDA INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
