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        <CurrentTaxYearMinus1YearAmt>842850</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1346952</CurrentTaxYearAmt>
        <TotalAmt>4606491</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>839594</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>811298</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1001413</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>964179</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1616864</CurrentTaxYearAmt>
        <TotalAmt>5233348</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>5233348</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>2250</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1987</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1272</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1155</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>455</CurrentTaxYearAmt>
        <TotalAmt>7119</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>2250</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1987</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1272</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1155</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>455</CurrentTaxYearAmt>
        <TotalAmt>7119</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>841844</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>813285</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1002685</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>965334</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1617319</CurrentTaxYearAmt>
        <TotalAmt>5240467</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99860</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99810</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>19831</OtherCostOrOtherBasisAmt>
        <BookValueAmt>19831</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>523408</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>438224</DepreciationAmt>
        <BookValueAmt>85184</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>472789</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>332912</DepreciationAmt>
        <BookValueAmt>139877</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1280</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>36</DepreciationAmt>
        <BookValueAmt>1244</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>246136</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PATIENT REFUNDS</Desc>
        <Amt>14640</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>BED TAX PAYABLE</Desc>
        <Amt>2275</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>EMPLOYEE INSURANCE</Desc>
        <Amt>2206</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYROLL TAXES PAYABLE</Desc>
        <Amt>1147</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RETIREMENT PAYABLE</Desc>
        <Amt>238</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ROUNDING</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SALES TAX PAYABLE</Desc>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>20506</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS ARE INDIVIDUALS RESIDING IN THE LOCAL COMMUNITY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS ELECT BOARD OF DIRECTORS. BOARD OF DIRECTORS MAKE DECISIONS CONCERNING THE OPERATIONS OF THE NURSING FACILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND ANY DISCUSSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 7, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>PARENT ORGANIZATION HAS FILED A SEPARATE RETURN</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS 141,663 0 0 FOOD 89,189 0 0 TEMP EMPLOYEES 12,878 0 0 SUPPLIES 90,086 0 0 LAB AND X-RAY 8,035 0 0 PHARMARCY 28,488 0 0 LIFE ENRICHMENT 1,826 0 0 NON CAPITAL EQUIPMENT 2,508 0 0 EQUIPMENT LEASE 491 0 0 PROVIDER ASSESSMENT TAX 9,646 0 0 CONTRACTED EMPLOYEES 122,717 0 0 FINES 8,000 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>