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            <AddressLine1Txt>6536 WILLIAM PENN HIGHWAY</AddressLine1Txt>
            <CityNm>DELMONT</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15626</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSING SERVICES</ServicesDesc>
        <CompensationAmt>111119</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>529782</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>725</AllOtherContributionsAmt>
      <TotalContributionsAmt>530507</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL SERVICE REVENU</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>8142860</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8142860</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>8142860</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>7845</TotalRevenueColumnAmt>
        <ExclusionAmt>7845</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>193</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-193</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-193</TotalRevenueColumnAmt>
        <ExclusionAmt>-193</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER OPERATING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>26054</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26054</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>26054</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8707073</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>7652</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>314582</TotalAmt>
        <ManagementAndGeneralAmt>314582</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>711699</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>42632</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>5429</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>26256</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>91470</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>298696</ProgramServicesAmt>
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        <TotalAmt>8204</TotalAmt>
        <ProgramServicesAmt>8204</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>642</TotalAmt>
        <ManagementAndGeneralAmt>642</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>213454</TotalAmt>
        <ProgramServicesAmt>213454</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>399354</TotalAmt>
        <ProgramServicesAmt>395313</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>318607</TotalAmt>
        <ProgramServicesAmt>318607</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1042691</TotalAmt>
        <ProgramServicesAmt>1042691</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>413903</TotalAmt>
        <ProgramServicesAmt>413903</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD/DIETARY</Desc>
        <TotalAmt>276261</TotalAmt>
        <ProgramServicesAmt>276261</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES/MINOR EQUIPMEN</Desc>
        <TotalAmt>134458</TotalAmt>
        <ProgramServicesAmt>133234</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1224</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>86878</TotalAmt>
        <ProgramServicesAmt>47362</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39516</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>9868060</TotalAmt>
        <ProgramServicesAmt>8505025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1363035</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>300</EOYAmt>
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        <EOYAmt>4277804</EOYAmt>
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        <EOYAmt>800560</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>49583</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>242050</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>7115283</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>5181115</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>138749</EOYAmt>
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        <EOYAmt>409724</EOYAmt>
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        <EOYAmt>1232790</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>5524758</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>8237705</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3992269</BOYAmt>
        <EOYAmt>2887637</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3992269</BOYAmt>
        <EOYAmt>2887637</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>11074714</BOYAmt>
        <EOYAmt>11125342</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-1160987</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>56355</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>1635</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>995</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1645</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>530507</CurrentTaxYearAmt>
        <TotalAmt>535462</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>9873653</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9258493</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9602916</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8142860</CurrentTaxYearAmt>
        <TotalAmt>47005129</TotalAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>9875288</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9259488</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9604561</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8673367</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
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      <PublicSupportTotal509Amt>47540591</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>3936</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6759</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>7845</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>14811</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7845</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>23281</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>24322</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>26054</CurrentTaxYearAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>9926732</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9289528</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9643694</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8707266</CurrentTaxYearAmt>
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      <PublicSupportCY509Pct>0.99620</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99610</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00080</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00070</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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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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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>175737</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>9691757</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5313217</DepreciationAmt>
        <BookValueAmt>4378540</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT TRUST-RESTRICTED</Desc>
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      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>193</RevenueNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>413903</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS RECOGNIZED AS TAX EXEMPT UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATION TO EVALUATE TAX POSTIIONS 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 BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICES (IRS). THE ORGANIZATION HAS CONCLUDED THAT AS OF DECEMBER 31, 2020 AND 2019, 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. GENERALLY, TAX RETURNS FOR YEARS ENDED DECEMBER 31, 2017, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>LOSS ON DISPOSAL OF EQUIPMENT 193.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF EQUIPMENT 193.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 413,903.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>JOANN BAZANOS</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY STALLER</PersonNm>
        <TitleTxt>ADMINISTRATOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>134481</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8226</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12319</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>155026</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>LGAR HEALTH AND REHABILITATION CENTER HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 TO REVIEW BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>LGAR HEALTH AND REHABILITATION CENTER ANNUALLY REQUIRES ITS BOARD MEMBERS AND OFFICERS TO SIGN A STATEMENT CONFIRMING THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, READ AND UNDERSTOOD THE POLICY, AND AGREED TO COMPLY WITH THE POLICY. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE/SHE RECUSES THEMSELVES FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS OF LGAR HEALTH AND REHABILITATION CENTER MEET REGULARLY TO DELIBERATE AND DECIDE COMPENSATION OF ALL THE OFFICERS AND KEY EMPLOYEES, INCLUDING THE ADMINISTRATOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>LGAR HEALTH AND REHABILITATION CENTER MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC. AT THIS TIME, LGAR HEALTH AND REHABILITATION CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S MANAGEMENT AND BOARD OF DIRECTORS ASSUME RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. THE PROCESS IS CONSISTENT WITH PRIOR YEARS AND HAS NOT CHANGED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
