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      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>14708</TotalAmt>
        <ProgramServicesAmt>11766</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2942</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>28502</TotalAmt>
        <ProgramServicesAmt>22802</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5700</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>604086</TotalAmt>
        <ProgramServicesAmt>483269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>120817</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>21646</TotalAmt>
        <ProgramServicesAmt>17317</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4329</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>11010</TotalAmt>
        <ProgramServicesAmt>8808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2202</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>3388</TotalAmt>
        <ProgramServicesAmt>3388</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1900</TotalAmt>
        <ProgramServicesAmt>1900</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>59359</TotalAmt>
        <ProgramServicesAmt>47487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11872</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Resident Care Expense</Desc>
        <TotalAmt>249616</TotalAmt>
        <ProgramServicesAmt>249616</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Automobile</Desc>
        <TotalAmt>74091</TotalAmt>
        <ProgramServicesAmt>59273</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14818</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Misc Operation Expenses</Desc>
        <TotalAmt>8605</TotalAmt>
        <ProgramServicesAmt>6884</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1721</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and Maintenance</Desc>
        <TotalAmt>49958</TotalAmt>
        <ProgramServicesAmt>49958</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>58384</TotalAmt>
        <ProgramServicesAmt>46707</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11677</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1900010</TotalAmt>
        <ProgramServicesAmt>1611317</ProgramServicesAmt>
        <ManagementAndGeneralAmt>288693</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>20234</BOYAmt>
        <EOYAmt>63488</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>152499</BOYAmt>
        <EOYAmt>51243</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <LandBldgEquipCostOrOtherBssAmt>168827</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>163960</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4867</BOYAmt>
        <EOYAmt>4867</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>467093</BOYAmt>
        <EOYAmt>389290</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>644693</BOYAmt>
        <EOYAmt>508888</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <EOYAmt>2000</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>2000</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>644693</BOYAmt>
        <EOYAmt>506888</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>644693</BOYAmt>
        <EOYAmt>506888</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>644693</BOYAmt>
        <EOYAmt>508888</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-137805</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>642</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>195017</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>21000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10550</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15175</CurrentTaxYearAmt>
        <TotalAmt>242384</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>1981573</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1790703</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1810396</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2115774</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>85781</CurrentTaxYearAmt>
        <TotalAmt>7784227</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1982215</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1985720</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1831396</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2126324</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>100956</CurrentTaxYearAmt>
        <TotalAmt>8026611</TotalAmt>
      </Total509Grp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>8026611</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>74</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>56</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>749</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2823</CurrentTaxYearAmt>
        <TotalAmt>3710</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>74</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>56</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>749</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2823</CurrentTaxYearAmt>
        <TotalAmt>3710</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus3YearsAmt>35151</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>36544</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18704</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>90399</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>1982289</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2020927</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1867948</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2145777</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>103779</CurrentTaxYearAmt>
        <TotalAmt>8120720</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98840</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98670</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>83410</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>78543</DepreciationAmt>
        <BookValueAmt>4867</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>85417</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>85417</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4867</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Annuity Contracts</Desc>
        <BookValueAmt>389290</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>389290</TotalBookValueOtherAssetsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <FundraisingEventInformationGrp>
        <Event1Nm>Dinner</Event1Nm>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Dr Anna Thames</PersonNm>
        <RelationshipWithOrgTxt>CEO</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Rent Pay</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>46031</OriginalPrincipalAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Dr Anna Thames</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CEO</RelationshipDescriptionTxt>
        <TransactionDesc>The Organi</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of Form 990 was provided to the organizations governing body for review prior to filing the tax return. The governing body reviews the tax returns and updates the tax returns for corrections if necessary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of Interest issues are reviewed by the board of directors on an ongoing basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation is reviewed by the board of directors, voted upon, and then documented in the minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation is reviewed by the board of directors, voted upon, and then documented in the minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 and the organizations governing documents, conflict of interest policy, and financial statements are available upon request at the business office of record.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>