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        <Description>CONTRACT SERVICES</Description>
        <Total>45287145</Total>
        <ProgramServices>31710649</ProgramServices>
        <ManagementAndGeneral>13576496</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>BAD DEBTS</Description>
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        <ManagementAndGeneral>10974309</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>PHARMACY</Description>
        <Total>9580605</Total>
        <ProgramServices>9580605</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>4704407</ProgramServices>
        <ManagementAndGeneral>160802</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>EQUIPMENT RENTAL</Description>
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        <ProgramServices>4168221</ProgramServices>
        <ManagementAndGeneral>356537</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>9232538</Total>
        <ProgramServices>5438292</ProgramServices>
        <ManagementAndGeneral>3794246</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>224596042</Total>
        <ProgramServices>174290250</ProgramServices>
        <ManagementAndGeneral>50305792</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <LandBuildingsEquipmentBasisNet>
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        <BOY>11700972</BOY>
        <EOY>9986378</EOY>
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      <TotalAssets>
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        <EOY>80294569</EOY>
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        <EOY>23988753</EOY>
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        <BOY>254744</BOY>
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      <TotalLiabilities>
        <BOY>21083491</BOY>
        <EOY>24222714</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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        <BOY>47112150</BOY>
        <EOY>56071855</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>56071855</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>68195641</BOY>
        <EOY>80294569</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>11613705</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-2654000</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
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        <CurrentTaxYearMinus2Years>1800</CurrentTaxYearMinus2Years>
        <CurrentTaxYear>250</CurrentTaxYear>
        <Total>3609</Total>
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      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>198886502</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>197142711</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>213909569</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>236114749</CurrentTaxYear>
        <Total>1044175113</Total>
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      <Total509>
        <CurrentTaxYearMinus4Years>198121582</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>198888061</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>197144511</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>213909569</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>236114999</CurrentTaxYear>
        <Total>1044178722</Total>
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      <AmtsRecdFromDisqualPersons>
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      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>1044178722</PublicSupportTotal509>
      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus3Years>365819</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>121751</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>70597</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>94748</CurrentTaxYear>
        <Total>1322067</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>365819</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>121751</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>70597</CurrentTaxYearMinus1Year>
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      <TotalSupportTotal>
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        <CurrentTaxYearMinus3Years>199343880</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>213980166</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>236209747</CurrentTaxYear>
        <Total>1046808789</Total>
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      <PublicSupportPercentage509>0.99750</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99720</PriorYearSupportPercentage>
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      <PriorYrInvestIncomePercentage>0.00150</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtc>1</AgentTrusteeEtc>
      <BeginningBalance>603179</BeginningBalance>
      <AdditionsDuringYear>70633</AdditionsDuringYear>
      <DistributionsDuringYear>42811</DistributionsDuringYear>
      <EndingBalance>631001</EndingBalance>
      <IncludedOnFS>0</IncludedOnFS>
      <LeaseholdImprovements>
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        <Depreciation>4245056</Depreciation>
        <BookValue>11327091</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>6705561</OtherCostOrOtherBasis>
        <Depreciation>2197903</Depreciation>
        <BookValue>4507658</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>833323</OtherCostOrOtherBasis>
        <Depreciation>184881</Depreciation>
        <BookValue>648442</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>16483191</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>ASSETS WHOSE USE IS LIMITED</Description>
        <BookValue>5657727</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEFERRED FINANCE CHARGES</Description>
        <BookValue>32397</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEPOSITS</Description>
        <BookValue>4296254</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>9986378</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATE</Description>
        <Amount>233961</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>233961</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <ReturnReference>PART IV, LINE 1B:</ReturnReference>
        <Explanation>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 ACTS ONLY AS A CUSTODIAN.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>MATURE CARE INSURANCE CO</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>AN ENTITY OF WHICH A CURRENT OFFICER/DIRECTOR SERVES AS A DIRECTOR.</Relationship>
        <AmountOfTransaction>2428020</AmountOfTransaction>
        <DescriptionOfTransaction>INS. PREMS.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 8B</Identifier>
        <Explanation>THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE FORM 990 IS REVIEWED BY THE BOARD PRESIDENT AND THE MANAGEMENT COMPANY. THE RETURN IS PROVIDED TO ALL VOTING BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>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 MANAGEMENT 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>CHANGE IN MATURE CAPTIVE -2,654,000. TOTAL TO FORM 990, PART XI, LINE 5: -2,654,000.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT:</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT IS ASSUMED BY THE GOVERNING BODY. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FLORIDA INSTITUTE FOR LONG TERM CARE LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1675 PALM BEACH LAKES BLVD STE 900</AddressLine1>
          <City>WEST PALM BEACH</City>
          <State>FL</State>
          <ZIPCode>33401</ZIPCode>
        </AddressUS>
        <EIN>020660404</EIN>
        <PrimaryActivities>NURSING HOME, ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
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        <EOYAssets>73961763</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUN COAST NURSING CENTERS INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
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          <BusinessNameLine1>LONG TERM CARE INSTITUTE OF ST PETERSBURG LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>1675 PALM BEACH LAKES BLVD STE 900</AddressLine1>
          <City>WEST PALM BEACH</City>
          <State>FL</State>
          <ZIPCode>33401</ZIPCode>
        </AddressUS>
        <EIN>021237632</EIN>
        <PrimaryActivities>NURSING HOME, ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
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        <EOYAssets>4014080</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUN COAST NURSING CENTERS INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FI - BAY POINTE LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>1675 PALM BEACH LAKES BLVD STE 900</AddressLine1>
          <City>WEST PALM BEACH</City>
          <State>FL</State>
          <ZIPCode>33401</ZIPCode>
        </AddressUS>
        <EIN>020660736</EIN>
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        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLORIDA INSTITUTE FOR LONG TERM CARE LLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
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          <BusinessNameLine1>FI - BOCA RATON LLC</BusinessNameLine1>
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          <City>WEST PALM BEACH</City>
          <State>FL</State>
          <ZIPCode>33401</ZIPCode>
        </AddressUS>
        <EIN>320051407</EIN>
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        <DirectControllingEntityName>
          <BusinessNameLine1>FLORIDA INSTITUTE FOR LONG TERM CARE LLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FI - BROWARD NURSING</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <City>WEST PALM BEACH</City>
          <State>FL</State>
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        </AddressUS>
        <EIN>320051409</EIN>
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        <DirectControllingEntityName>
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        </DirectControllingEntityName>
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          <BusinessNameLine1>FI - CAPE CORAL LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>1675 PALM BEACH LAKES BLVD STE 900</AddressLine1>
          <City>WEST PALM BEACH</City>
          <State>FL</State>
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        </AddressUS>
        <EIN>320051412</EIN>
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        <DirectControllingEntityName>
          <BusinessNameLine1>FLORIDA INSTITUTE FOR LONG TERM CARE LLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FI - CARROLLWOOD CARE LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1675 PALM BEACH LAKES BLVD STE 900</AddressLine1>
          <City>WEST PALM BEACH</City>
          <State>FL</State>
          <ZIPCode>33401</ZIPCode>
        </AddressUS>
        <EIN>320051414</EIN>
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        <LegalDomicileState>FL</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
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        <DirectControllingEntityName>
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        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FI - CASA MORA LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1675 PALM BEACH LAKES BLVD STE 900</AddressLine1>
          <City>WEST PALM BEACH</City>
          <State>FL</State>
          <ZIPCode>33401</ZIPCode>
        </AddressUS>
        <EIN>320051422</EIN>
        <PrimaryActivities>NURSING HOME, ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLORIDA INSTITUTE FOR LONG TERM CARE LLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FI - EVERGREEN WOODS LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>1675 PALM BEACH LAKES BLVD STE 900</AddressLine1>
          <City>WEST PALM BEACH</City>
          <State>FL</State>
          <ZIPCode>33401</ZIPCode>
        </AddressUS>
        <EIN>320051430</EIN>
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        <DirectControllingEntityName>
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        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
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          <BusinessNameLine1>FI - HIGHLAND PINES REHABILITATION LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>1675 PALM BEACH LAKES BLVD STE 900</AddressLine1>
          <City>WEST PALM BEACH</City>
          <State>FL</State>
          <ZIPCode>33401</ZIPCode>
        </AddressUS>
        <EIN>320051433</EIN>
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        <DirectControllingEntityName>
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        </DirectControllingEntityName>
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          <State>FL</State>
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        </AddressUS>
        <EIN>320051438</EIN>
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        <DirectControllingEntityName>
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      <Form990ScheduleRPartI>
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          <BusinessNameLine1>FI - PAMPANO REHAB LLC</BusinessNameLine1>
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          <AddressLine1>1675 PALM BEACH LAKES BLVD STE 900</AddressLine1>
          <City>WEST PALM BEACH</City>
          <State>FL</State>
          <ZIPCode>33401</ZIPCode>
        </AddressUS>
        <EIN>320051441</EIN>
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        <DirectControllingEntityName>
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        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
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          <BusinessNameLine1>FI - THE ABBEY LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1675 PALM BEACH LAKES BLVD STE 900</AddressLine1>
          <City>WEST PALM BEACH</City>
          <State>FL</State>
          <ZIPCode>33401</ZIPCode>
        </AddressUS>
        <EIN>020660729</EIN>
        <PrimaryActivities>NURSING HOME, ELDERLY CARE</PrimaryActivities>
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        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLORIDA INSTITUTE FOR LONG TERM CARE LLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
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          <BusinessNameLine1>FI - SANFORD REHAB LLC</BusinessNameLine1>
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