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        <CompensationAmt>2637039</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REHABCARE GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7733 FORSYTH BLVD</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63105</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICAL THERAPY</ServicesDesc>
        <CompensationAmt>1063332</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OMNICARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 78000</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>63150</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY</ServicesDesc>
        <CompensationAmt>330742</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>57169</AllOtherContributionsAmt>
      <TotalContributionsAmt>57169</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>19355460</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19355460</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>19355460</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>542795</TotalRevenueColumnAmt>
        <ExclusionAmt>542795</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1478537</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1478537</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1478537</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1478537</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1802230</SecuritiesAmt>
        <OtherAmt>10000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1802230</SecuritiesAmt>
        <OtherAmt>10000</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1812230</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1812230</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>PERSONAL SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>207284</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>207284</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>BEAUTY SHOP</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>90822</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>90822</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>54616</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>54616</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>150951</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>150951</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>503673</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>23749864</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23149900</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>542795</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>275426</TotalAmt>
        <ManagementAndGeneralAmt>275426</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7087639</TotalAmt>
        <ProgramServicesAmt>5879260</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>107762</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>57377</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>75481</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>208447</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>76062</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>68499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>192784</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>37249</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160295</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1346399</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25436</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>10594</TotalAmt>
        <ProgramServicesAmt>3000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7594</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>927487</TotalAmt>
        <ProgramServicesAmt>927487</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1782539</TotalAmt>
        <ProgramServicesAmt>1782539</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1505772</TotalAmt>
        <ProgramServicesAmt>1486749</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19023</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>2573057</TotalAmt>
        <ProgramServicesAmt>2572681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>376</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>QUALITY ASSESSMENT</Desc>
        <TotalAmt>1075565</TotalAmt>
        <ProgramServicesAmt>1075565</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LOSS ON EXTINGUISHMENT</Desc>
        <TotalAmt>942006</TotalAmt>
        <ManagementAndGeneralAmt>942006</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>NURSING COSTS</Desc>
        <TotalAmt>668391</TotalAmt>
        <ProgramServicesAmt>668391</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1450287</TotalAmt>
        <ProgramServicesAmt>792330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>657957</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>24213738</TotalAmt>
        <ProgramServicesAmt>19791526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4422212</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>841384</BOYAmt>
        <EOYAmt>769362</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>3499707</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>37472</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>141806</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>46894014</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>23563853</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>24372365</BOYAmt>
        <EOYAmt>23330161</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>30545030</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>2076751</BOYAmt>
        <EOYAmt>1405164</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>62844883</BOYAmt>
        <EOYAmt>59728702</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1560847</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>139983</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>17393406</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>482530</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>19576766</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>40151936</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>40151936</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>62844883</BOYAmt>
        <EOYAmt>59728702</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-463874</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-479247</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-59657</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>3413185</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>367742</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>163683</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>113136</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>57169</CurrentTaxYearAmt>
        <TotalAmt>4114915</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>13090492</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13426714</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13906066</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22646227</CurrentTaxYearAmt>
        <TotalAmt>76373879</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>16717565</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13458234</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13590397</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14019202</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22703396</CurrentTaxYearAmt>
        <TotalAmt>80488794</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>80488794</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>6309740</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6351759</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7047161</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6846393</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>542795</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus2YearsAmt>7047161</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6846393</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>542795</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>442777</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>643497</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>520760</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>503673</CurrentTaxYearAmt>
        <TotalAmt>2631466</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>23548064</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>20252770</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>21281055</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>21386355</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23749864</CurrentTaxYearAmt>
        <TotalAmt>110218108</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.73030</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.67640</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.24590</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.29680</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>2520955</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2520955</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>36132059</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>17308238</DepreciationAmt>
        <BookValueAmt>18823821</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>8241000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6255615</DepreciationAmt>
        <BookValueAmt>1985385</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>23330161</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>CAPITAL IMPOVEMENTS FUND</Desc>
        <BookValueAmt>30545030</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>30545030</TotalBookValueProgramRltdAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PATIENT TRUST FUND</Desc>
        <Amt>22430</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SWAP AGREEMENT</Desc>
        <Amt>460100</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>482530</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>23306396</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-479247</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>35779</OtherRevenueAmt>
      <RevenueNotReportedAmt>-443468</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>23749864</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>23749864</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>24362574</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>148836</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>148836</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>24213738</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>24213738</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION RELATED CHANGES OTHER THAN NET PERIODIC COSTS -59,657. BAD DEBT RECOVERY (NET WITH BAD DEBT EXPENSE) 15,845. REVENUE OF FOUNDATION 79,591.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES OF FOUNDATION 132,991. BAD DEBT RECOVERY (NET WITH BAD DEBT EXPENSE) 15,845.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ORGANIZATION'S MISSION: FORM 990, PART III, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF LOURDES-NOREEN MCKEEN RESIDENCE IS BASED ON THAT OF THE ORDER OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM. THE CARMELITE SISTERS FOR THE AGED AND INFIRM, AS WOMEN OF THE CATHOLIC CHURCH, INSPIRED BY MOTHER M. ANGELINE TERESA, FOUNDRESS OF THEIR ORDER, RESPOND WITH FAITH, COURAGE AND LOVE TO THE HEALING MINISTRY OF CHRIST. THEIR PHILOSOPHY IS BEST EXPRESSED IN THE WORDS OF MOTHER ANGELINE: "OUR APOSTOLATE IS NOT ONLY TO STAFF AND OPERATE UP-TO-DATE HOMES FOR THE AGED, BUT AS RELIGIOUS IT IS TO BRING CHRIST TO EVERY PERSON UNDER OUR CARE. BRINGING CHRIST MEANS GIVING THEM HIS COMPASSION, HIS INTEREST, HIS LOVING CARE, HIS WARMTH MORNING, NOON AND NIGHT. IT MEANS INSPIRING THE LAY PEOPLE WHO WORK WITH US TO GIVE THE SAME TYPE OF LOVING CARE." THE MISSION OF THE CARMELITE SISTERS' FOR THE AGED AND INFIRM IS REFLECTED IN THE PHILOSOPHY OF CARE INHERENT IN ALL POLICIES AND PRACTICES WITHIN LOURDES-NOREEN MCKEEN RESIDENCE, THEREBY CHARGING THE ADMINISTRATION, BOARD OF DIRECTORS, AND MEDICAL STAFF WITH PROMOTING THE CHRISTIAN MISSION OF HEALING AND CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JAMES J. DALY, ESQ., A MEMBER OF THE BOARD OF DIRECTORS, IS THE FATHER OF FELLOW BOARD-MEMBER, BETH DALY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THE CORPORATION IS THE CARMELITE SYSTEM, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE MEMBERS RETAIN THE RIGHT TO APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW. THE FINANCE COMMITTEE REPORTS TO THE BOARD OF DIRECTORS REGARDING THE REVIEW, AND A COPY OF FORM 990 IS PROVIDED TO THE BOARD BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. EACH OFFICER, DIRECTOR AND KEY EMPLOYEE SIGNS AN ANNUAL STATEMENT INDICATING THAT THEY COMPLY WITH THE SIGNED STATEMENTS ON AN ANNUAL BASIS. THE ORGANIZATION'S BOARD OF DIRECTORS MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS ACTUAL CONFLICTS AND PROHIBITS OFFICERS AND DIRECTORS FROM VOTING ON MATTERS WHERE ACTUAL CONFLICTS OF INTEREST EXIST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF TOP MANAGEMENT IS DETERMINED BY THE COMPENSATION COMMITTEE USING INFORMATION FROM COMPENSATION STUDY PREPARED BY INDEPENDENT CONSULTANT. THE COMPENSATION COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS, WHICH MAKES THE ULTIMATE DECISION REGARDING COMPENSATION. ALL MEMBERS OF THE EXECUTIVE AND COMPENSATION COMMITTEES ARE INDEPENDENT WITH RESPECT TO THE COMPENSATION ARRANGEMENTS BEING REVIEWED AND APPROVED AND THE PROCESS IS DOCUMENTED IN THE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC ON GUIDESTAR'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION RELATED CHANGES OTHER THAN NET PERIODIC COSTS -59,657.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>OVERSIGHT OF AUDIT - FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CARMELITE SYSTEM, INC. APPROVES THE ENGAGEMENT OF THE INDEPENDENT AUDITORS FOR THE CORPORATION. THE SYSTEM AUDIT COMMITTEE MEETS WITH THE SYSTEM'S MANAGEMENT AND THE INDEPENDENT AUDITORS TO REVIEW THE ENGAGEMENT PROPOSAL, RESULTS OF THE AUDIT, DRAFT AUDIT REPORT AND MANAGEMENT LETTERS. THE AUDIT COMMITTEE MAY MEET WITH THE INDEPENDENT AUDITORS IN EXECUTIVE SESSION BEFORE CONCLUDING ITS REVIEW AND ACCEPTANCE OF THE ANNUAL AUDIT REPORT. THE AUDIT COMMITTEE REPORTS ITS FINDINGS AND MAKES ITS RECOMMENDATION TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMPENSATION - SISTER JEANETTE D. LINDSAY: FORM 990, PART VII:</FormAndLineReferenceDesc>
        <ExplanationTxt>SISTER JEANETTE LINDSAY, AS A MEMBER OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM, INC. HAS TAKEN A VOW OF POVERTY. THE COMPENSATION ESTABLISHED FOR THE SISTER ON BEHALF OF SERVICES PROVIDED TO THE FACILITY IS PAID DIRECTLY TO THE CARMELITE SISTERS FOR THE AGED AND INFIRM, INC. RATHER THAN TO THE INDIVIDUAL SISTER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LOURDES FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>315 S FLAGLER DRIVE</AddressLine1Txt>
          <CityNm>WEST PALM BEACH</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33401</ZIPCd>
        </USAddress>
        <EIN>592632080</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING ON BEHALF OF LOURDES-NOREEN MCKEEN RESIDENCE FOR GERIATRIC CARE,</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
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        </DirectControllingEntityName>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>CARMELITE SISTERS FOR THE AGED AND INFIRM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <ZIPCd>12526</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CARMEL MANOR INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41075</ZIPCd>
        </USAddress>
        <EIN>610523290</EIN>
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        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARMEL TERRACE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>933 CENTRAL STREET</AddressLine1Txt>
          <CityNm>FRAMINGHAM</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01701</ZIPCd>
        </USAddress>
        <EIN>043210051</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KAHL HOME FOR THE AGED AND INFIRM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6701 JERSEY RIDGE ROAD</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52807</ZIPCd>
        </USAddress>
        <EIN>420760833</EIN>
        <PrimaryActivitiesTxt>SKILLED NURSING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MARIAN MANOR FOR THE AGED AND INFIRM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>130 DORCHESTER STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02127</ZIPCd>
        </USAddress>
        <EIN>042173054</EIN>
        <PrimaryActivitiesTxt>SKILLED NURSING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MOTHER ANGELINE MCCRORY MANOR INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5199 EAST BROAD STREET</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43213</ZIPCd>
        </USAddress>
        <EIN>912134683</EIN>
        <PrimaryActivitiesTxt>SKILLED NURSING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MOUNT CARMEL CARE CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>320 PITTSFIELD ROAD</AddressLine1Txt>
          <CityNm>LENOX</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01240</ZIPCd>
        </USAddress>
        <EIN>383902709</EIN>
        <PrimaryActivitiesTxt>SKILLED NURSING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARGARET HALL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1960 MADISON ROAD</AddressLine1Txt>
          <CityNm>CINCINATTI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45206</ZIPCd>
        </USAddress>
        <EIN>310655031</EIN>
        <PrimaryActivitiesTxt>SKILLED NURSING AND ASSISTED LIVING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST PATRICK'S HOME FOR THE AGED AND INFIRM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>66 VAN CORTLAND PARK SOUTH</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10463</ZIPCd>
        </USAddress>
        <EIN>121740033</EIN>
        <PrimaryActivitiesTxt>SKILLED NURSING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST PATRICK'S MANOR INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>863 CENTRAL STREET</AddressLine1Txt>
          <CityNm>FRAMINGHAM</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01701</ZIPCd>
        </USAddress>
        <EIN>042157057</EIN>
        <PrimaryActivitiesTxt>SKILLED NURSING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST PATRICK'S RESIDENCE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1400 BROOKDALE ROAD</AddressLine1Txt>
          <CityNm>NAPERVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60563</ZIPCd>
        </USAddress>
        <EIN>362527011</EIN>
        <PrimaryActivitiesTxt>SKILLED NURSING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VILLAS AT SAINT THERESE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5253 EAST BROAD STREET</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43213</ZIPCd>
        </USAddress>
        <EIN>472021696</EIN>
        <PrimaryActivitiesTxt>INDEPENDENT LIVING FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>