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        <CurrentTaxYearMinus4Years>3988</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>335</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>26471</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>74</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>30075</CurrentTaxYear>
        <Total>60943</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>1673330</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1529155</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1927438</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2363743</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2503146</CurrentTaxYear>
        <Total>9996812</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <CurrentTaxYearMinus4Years>25772</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>34372</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>15324</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>11625</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>10370</CurrentTaxYear>
        <Total>97463</Total>
      </GrossReceiptsFromNonUBI>
      <Total509>
        <CurrentTaxYearMinus4Years>1703090</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1563862</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1969233</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2375442</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2543591</CurrentTaxYear>
        <Total>10155218</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <CurrentTaxYearMinus4Years>757056</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>739542</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>898402</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1561156</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1311428</CurrentTaxYear>
        <Total>5267584</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>757056</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>739542</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>898402</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1561156</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1311428</CurrentTaxYear>
        <Total>5267584</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>4887634</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>48868</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>58150</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>130201</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6877</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15136</CurrentTaxYear>
        <Total>259232</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>48868</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>58150</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>130201</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6877</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15136</CurrentTaxYear>
        <Total>259232</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>1751958</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1622012</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2099434</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2382319</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2558727</CurrentTaxYear>
        <Total>10414450</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.46930</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.48040</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.02490</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.02950</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtc>1</AgentTrusteeEtc>
      <BeginningBalance>19324</BeginningBalance>
      <AdditionsDuringYear>199619</AdditionsDuringYear>
      <DistributionsDuringYear>200236</DistributionsDuringYear>
      <EndingBalance>18707</EndingBalance>
      <IncludedOnFS>0</IncludedOnFS>
      <Land>
        <OtherCostOrOtherBasis>7197</OtherCostOrOtherBasis>
        <BookValue>7197</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>2401530</OtherCostOrOtherBasis>
        <Depreciation>1273351</Depreciation>
        <BookValue>1128179</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>624602</OtherCostOrOtherBasis>
        <Depreciation>424182</Depreciation>
        <BookValue>200420</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>1335796</TotalOfBookValueLandBuildings>
      <TotalRevenue>2558727</TotalRevenue>
      <TotalExpenses>2468293</TotalExpenses>
      <ExcessOrDeficitForYear>90434</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>90434</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>2558727</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>2558727</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>2558727</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>2468293</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>2468293</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>2468293</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <ReturnReference>Part IV, Line 1b:</ReturnReference>
        <Explanation>The Organization is a custodian of resident trusts. The funds are not reported as assets on the balance sheet because this money does not belong to the Organization. This money belongs to the residents that reside at the Organization.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X:</ReturnReference>
        <Explanation>The Manor has implemented Accounting Standards Codification 740, Income Taxes, (ASC 740). The Manor undergoes an annual analysis of its various tax positions, assessing the likelihood of those positions being upheld upon examination with relevant tax authorities, as defined by ASC 740. For the years ended December 31, 2010 and 2009, the unrecognized tax liability accrual was zero. The Manor is no longer subject to federal tax examination by tax authorities for years before 2007. The Manor will recognize future accrued interest and penalties related to unrecognized tax benefits in income tax expense if incurred.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Becky McManus</NamePerson>
        <BaseCompensationFilingOrg>39772</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>146</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>70</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1707</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8503</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>50198</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Form 990, Part VII, Section A, &amp; Form 990, Schedule J, Part II: Becky McManus, Administrator, is compensated by Avera Sacred Heart Health Services, 501 Summit, Yankton, SD 57078, an unrelated management company.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 3</Identifier>
        <Explanation>Avera Sacred Heart Health Services provides management services to Sunset Manor, Inc. The Administrator is paid through Avera Sacred Heart Health Services and presides over the day-to-day operations of Sunset Manor, Inc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>Members have voting rights at the annual meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>The organization currently has a five member board of directors. Each director serves a three year term. Members nominate and elect the board of directors at the annual meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>The audited financial statements and the minutes from the previous year's meeting are approved at the annual meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The Administrator will review the Form 990. After her review, the board of directors will be given a copy of the Form 990. The Form 990 will be filed with the IRS after board members have been given sufficient time to review it.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The Conflict of Interest Policy covers board members and officers. A request is made annually for all board members to disclose any potential conflict of interest. The Board makes a determination of whether there is a conflict of interest and if so, implements the procedure for evaluating the issue or transaction involved. The board member or officer with the conflict must refrain from voting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15a</ReturnReference>
        <Explanation>The Administrator is an employee of Avera Sacred Heart. Her performance and salary are reviewed annually by Avera Sacred Heart and any increase is approved by the Sunset Manor board of directors.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Not available.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>