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      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1847950</TotalAmt>
        <ProgramServicesAmt>810638</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1037312</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2241969</TotalAmt>
        <ProgramServicesAmt>2063020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>178949</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>198283</TotalAmt>
        <ProgramServicesAmt>22000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>176283</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>119515</TotalAmt>
        <ManagementAndGeneralAmt>119515</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>8921694</TotalAmt>
        <ProgramServicesAmt>7961673</ProgramServicesAmt>
        <ManagementAndGeneralAmt>960021</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>19050</TotalAmt>
        <ProgramServicesAmt>1888</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17162</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>619018</TotalAmt>
        <ProgramServicesAmt>56223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>562795</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>154040</TotalAmt>
        <ProgramServicesAmt>16238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>137802</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1595451</TotalAmt>
        <ProgramServicesAmt>1589440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6011</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>89351</TotalAmt>
        <ProgramServicesAmt>2635</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86716</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>12782</TotalAmt>
        <ProgramServicesAmt>60</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12722</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>88416</TotalAmt>
        <ProgramServicesAmt>88416</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>163902</TotalAmt>
        <ProgramServicesAmt>148643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15259</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1001185</TotalAmt>
        <ProgramServicesAmt>907975</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93210</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>STATE QUALITY ASSESSMEN</Desc>
        <TotalAmt>2649696</TotalAmt>
        <ProgramServicesAmt>2649696</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>1698750</TotalAmt>
        <ProgramServicesAmt>1698750</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY</Desc>
        <TotalAmt>992774</TotalAmt>
        <ProgramServicesAmt>992774</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>860699</TotalAmt>
        <ProgramServicesAmt>853989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6710</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1598995</TotalAmt>
        <ProgramServicesAmt>1499351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>99644</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>47623869</TotalAmt>
        <ProgramServicesAmt>41965412</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5658457</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2201058</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>14304394</BOYAmt>
        <EOYAmt>12315235</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1028590</BOYAmt>
        <EOYAmt>328679</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1901003</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>268025</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1635273</BOYAmt>
        <EOYAmt>1632978</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>3034470</BOYAmt>
        <EOYAmt>30797630</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>22203785</BOYAmt>
        <EOYAmt>45074522</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>6648720</BOYAmt>
        <EOYAmt>14506666</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>4865642</BOYAmt>
        <EOYAmt>4000000</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>7049645</BOYAmt>
        <EOYAmt>8895442</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>5388577</BOYAmt>
        <EOYAmt>27462774</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>23952584</BOYAmt>
        <EOYAmt>54864882</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>-1748799</BOYAmt>
        <EOYAmt>-9790360</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-1748799</BOYAmt>
        <EOYAmt>-9790360</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>22203785</BOYAmt>
        <EOYAmt>45074522</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-8155897</ReconcilationRevenueExpnssAmt>
      <InvestmentExpenseAmt>114336</InvestmentExpenseAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus2YearsAmt>2102135</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4002060</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>6104195</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus2YearsAmt>47478733</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>113272596</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>39427880</CurrentTaxYearAmt>
        <TotalAmt>200179209</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus2YearsAmt>49580868</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>117274656</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>39427880</CurrentTaxYearAmt>
        <TotalAmt>206283404</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>206283404</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus2YearsAmt>360</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2303</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1888</CurrentTaxYearAmt>
        <TotalAmt>4551</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus2YearsAmt>360</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2303</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1888</CurrentTaxYearAmt>
        <TotalAmt>4551</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus2YearsAmt>667453</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>53746</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>38204</CurrentTaxYearAmt>
        <TotalAmt>759403</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus2YearsAmt>50248681</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>117330705</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>39467972</CurrentTaxYearAmt>
        <TotalAmt>207047358</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99630</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>1</AgentTrusteeEtcInd>
      <BeginningBalanceAmt>494375</BeginningBalanceAmt>
      <EndingBalanceAmt>494375</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>0</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>20305</OtherCostOrOtherBasisAmt>
        <BookValueAmt>20305</BookValueAmt>
      </LandGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1222146</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>136791</DepreciationAmt>
        <BookValueAmt>1085355</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>483235</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>75891</DepreciationAmt>
        <BookValueAmt>407344</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>175317</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>55343</DepreciationAmt>
        <BookValueAmt>119974</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1632978</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>3451253</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEFERRED FINANCING COST</Desc>
        <BookValueAmt>142785</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSET</Desc>
        <BookValueAmt>27203592</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>30797630</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD PARTY PAYOR SETTLEMENTS</Desc>
        <Amt>-68313</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED EMPLOYEE COMPENSATION AND BENEFITS</Desc>
        <Amt>9109</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED STATE BED ASSESSMENTS</Desc>
        <Amt>667463</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED CONSULTING FEES</Desc>
        <Amt>1558974</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO OTHERS</Desc>
        <Amt>25295541</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>27462774</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OFFERS CASH MANAGEMENT SERVICES TO ITS RESIDENTS. THESE FUNDS REMAIN THE SOLE PROPERTY OF THE RESIDENTS AND ARE DISBURSED AS REQUESTED. THE ORGANIZATION HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS AND REMAINS ONLY A CUSTODIAN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <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 RETURN IS PREPARED BY THE ORGANIZATION'S PUBLIC ACCOUNTING FIRM, AND IS REVIEWED BY THE ORGANIZATION'S BOARD PRESIDENT AND CONSULTING COMPANY. A FINAL DRAFT OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS 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>MEDICAL &amp; SOCIAL SERVICES: PROGRAM SERVICE EXPENSES 96,347. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,347. CONSULTING: PROGRAM SERVICE EXPENSES 1,338,111. MANAGEMENT AND GENERAL EXPENSES 331,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,669,361. REHABILITATION: PROGRAM SERVICE EXPENSES 3,598,481. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,598,481. HOUSEKEEPING &amp; LAUNDRY: PROGRAM SERVICE EXPENSES 1,237,642. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,237,642. LAB &amp; X-RAY: PROGRAM SERVICE EXPENSES 153,159. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 153,159. TRANSPORTATION: PROGRAM SERVICE EXPENSES 54,059. MANAGEMENT AND GENERAL EXPENSES 5,929. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,988. OTHER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 6,359. MANAGEMENT AND GENERAL EXPENSES 36,821. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,180. FINANCIAL SERVICE CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 241,157. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 241,157. TEMP LABOR - NURSING: PROGRAM SERVICE EXPENSES 1,470,880. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,470,880. ACTIVITIES: PROGRAM SERVICE EXPENSES 6,635. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,635. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 344,864. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 344,864.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>