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        <Other>159750</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>179236</TotalRevenueColumn>
        <ExclusionAmount>179236</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>21593</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>101922</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>50541</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-28948</TotalRevenueColumn>
        <ExclusionAmount>-28948</ExclusionAmount>
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      <TotalRevenue>
        <TotalRevenueColumn>23976689</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>22856542</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>7224</UnrelatedBusinessRevenue>
        <ExclusionAmount>497761</ExclusionAmount>
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      <CompCurrentOfficersDirectors>
        <Total>369881</Total>
        <ManagementAndGeneral>369881</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>8994248</Total>
        <ProgramServices>8204192</ProgramServices>
        <ManagementAndGeneral>790056</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>23060</Total>
        <ProgramServices>20204</ProgramServices>
        <ManagementAndGeneral>2856</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>1188308</Total>
        <ProgramServices>1041112</ProgramServices>
        <ManagementAndGeneral>147196</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>684336</Total>
        <ProgramServices>599567</ProgramServices>
        <ManagementAndGeneral>84769</ManagementAndGeneral>
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      <FeesForServicesLegal>
        <Total>63987</Total>
        <ManagementAndGeneral>63987</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>56819</Total>
        <ManagementAndGeneral>56819</ManagementAndGeneral>
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      <Advertising>
        <Total>52242</Total>
        <ManagementAndGeneral>52242</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>543050</Total>
        <ProgramServices>452807</ProgramServices>
        <ManagementAndGeneral>90243</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>579297</Total>
        <ProgramServices>481791</ProgramServices>
        <ManagementAndGeneral>97506</ManagementAndGeneral>
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      <Travel>
        <Total>8296</Total>
        <ManagementAndGeneral>8296</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>1709130</Total>
        <ProgramServices>1421454</ProgramServices>
        <ManagementAndGeneral>287676</ManagementAndGeneral>
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      <DepreciationDepletion>
        <Total>1712352</Total>
        <ProgramServices>1424134</ProgramServices>
        <ManagementAndGeneral>288218</ManagementAndGeneral>
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      <Insurance>
        <Total>295518</Total>
        <ProgramServices>245777</ProgramServices>
        <ManagementAndGeneral>49741</ManagementAndGeneral>
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        <Description>PURCHASED SERVICES</Description>
        <Total>1993388</Total>
        <ProgramServices>1657867</ProgramServices>
        <ManagementAndGeneral>335521</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FOOD</Description>
        <Total>958857</Total>
        <ProgramServices>958857</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>RENTAL &amp; MAINTENANCE</Description>
        <Total>805877</Total>
        <ProgramServices>670234</ProgramServices>
        <ManagementAndGeneral>135643</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>605014</Total>
        <ProgramServices>503180</ProgramServices>
        <ManagementAndGeneral>101834</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHARMACY</Description>
        <Total>330499</Total>
        <ProgramServices>330499</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>716405</Total>
        <ProgramServices>224535</ProgramServices>
        <ManagementAndGeneral>471377</ManagementAndGeneral>
        <Fundraising>20493</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>21690564</Total>
        <ProgramServices>18236210</ProgramServices>
        <ManagementAndGeneral>3433861</ManagementAndGeneral>
        <Fundraising>20493</Fundraising>
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      <CashNonInterestBearing>
        <BOY>568498</BOY>
        <EOY>630925</EOY>
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      <SavingsAndTempCashInvestments>
        <BOY>1021403</BOY>
        <EOY>1226099</EOY>
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        <BOY>38736</BOY>
        <EOY>38146</EOY>
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        <EOY>1716065</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>27792</EOY>
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        <BOY>108785</BOY>
        <EOY>83947</EOY>
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      <LandBuildingsEquipmentBasis>43452608</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>29610029</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>14497038</BOY>
        <EOY>13842579</EOY>
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        <BOY>7858356</BOY>
        <EOY>9721755</EOY>
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      <OtherAssetsTotal>
        <BOY>735638</BOY>
        <EOY>655165</EOY>
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      <TotalAssets>
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        <EOY>27942473</EOY>
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        <EOY>23254565</EOY>
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      <TotalLiabilities>
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        <EOY>28913029</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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        <EOY>-5087117</EOY>
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      <TemporarilyRestrictedNetAssets>
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        <EOY>2927991</EOY>
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        <EOY>-970556</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>26062714</BOY>
        <EOY>27942473</EOY>
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      <ReconcilationOtherChanges>502423</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
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      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
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        <CurrentTaxYearMinus3Years>254324</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>218266</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>615162</CurrentTaxYear>
        <Total>2038325</Total>
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      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>19601572</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>21842871</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>22856542</CurrentTaxYear>
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      <GrossReceiptsFromNonUBI>
        <CurrentTaxYear>497761</CurrentTaxYear>
        <Total>497761</Total>
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      <Total509>
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        <CurrentTaxYearMinus3Years>19855896</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>22061137</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>23969465</CurrentTaxYear>
        <Total>105590121</Total>
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      <AmtsRecdFromDisqualPersons>
        <CurrentTaxYear>16020</CurrentTaxYear>
        <Total>16020</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYear>16020</CurrentTaxYear>
        <Total>16020</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>105574101</PublicSupportTotal509>
      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus1Year>24316</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>354697</CurrentTaxYear>
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      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>399861</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>402560</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>190625</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>24316</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>354697</CurrentTaxYear>
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        <CurrentTaxYearMinus4Years>18930278</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>20258456</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>21363831</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>22085453</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>24324162</CurrentTaxYear>
        <Total>106962180</Total>
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      <PublicSupportPercentage509>0.98700</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98660</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01280</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01340</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>
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        <Contributions>180477</Contributions>
        <EndOfYearBalance>4116561</EndOfYearBalance>
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      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>3965596</BeginningOfYearBalance>
        <OtherExpenditures>29512</OtherExpenditures>
        <EndOfYearBalance>3936084</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>4930408</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>3072</InvestmentEarningsOrLosses>
        <OtherExpenditures>967884</OtherExpenditures>
        <EndOfYearBalance>3965596</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.29000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.71000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>1435743</OtherCostOrOtherBasis>
        <BookValue>1435743</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>34176296</OtherCostOrOtherBasis>
        <Depreciation>23910986</Depreciation>
        <BookValue>10265310</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>7780894</OtherCostOrOtherBasis>
        <Depreciation>5699043</Depreciation>
        <BookValue>2081851</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>59675</OtherCostOrOtherBasis>
        <BookValue>59675</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>13842579</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>REAL ESTATE</Description>
        <BookValue>11257</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>GOVERNMENT SECURITIES</Description>
        <BookValue>4355082</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>COMMON STOCKS</Description>
        <BookValue>916225</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>EQUITY FUNDS</Description>
        <BookValue>2445153</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>MUTUAL FUNDS</Description>
        <BookValue>818354</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>FIXED INCOME SECURITIES</Description>
        <BookValue>1175684</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>9721755</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>WAITING LIST DEPOSITS</Description>
        <Amount>90500</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>REFUNDABLE ADVANCES FEE</Description>
        <Amount>2670036</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>GIFT ANNUITY PAYABLE</Description>
        <Amount>29588</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION OBLIGATION</Description>
        <Amount>184401</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2974525</TotalOfAmounts>
      <TotalRevenue>23976689</TotalRevenue>
      <TotalExpenses>21690564</TotalExpenses>
      <ExcessOrDeficitForYear>2286125</ExcessOrDeficitForYear>
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      <TotalAdjustments>502423</TotalAdjustments>
      <ExcessOrDeficitPerFS>2788548</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>24508060</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>502423</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>502423</RevenueNotRptdF990>
      <RevenueSubtotal>24005637</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-28948</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-28948</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>23976689</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>21719512</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>28948</OtherExpensesIncluded>
      <ExpensesNotRptdF990>28948</ExpensesNotRptdF990>
      <ExpensesSubtotal>21690564</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>21690564</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ORGANIZATION IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE ORGANIZATION IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER THE CODE AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS A CHARITABLE TAX DEDUCTION FOR THE CONTRIBUTOR. THE ORGANIZATION'S 2009, 2008 AND 2007 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>LOSS ON FUNDRAISING, SEE PART VIII, LINE 8C -28,948.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>LOSS ON FUNDRAISING, SEE PART VIII, LINE 8C 28,948.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>JEANS &amp; JEWELS GALA</NameOfEvent1>
        <GrossReceiptsEvent1>69623</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>48030</CharitableContributionsEvent1>
        <GrossRevenueEvent1>21593</GrossRevenueEvent1>
        <NonCashPrizesEvent1>200</NonCashPrizesEvent1>
        <FoodAndBeverageEvent1>15271</FoodAndBeverageEvent1>
        <EntertainmentEvent1>450</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>33720</OtherDirectExpensesEvent1>
        <NameOfEvent2>BISHOP'S DINNER</NameOfEvent2>
        <GrossReceiptsEvent2>53892</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>53892</CharitableContributionsEvent2>
        <FoodAndBeverageEvent2>900</FoodAndBeverageEvent2>
        <GrossReceiptsTotal>123515</GrossReceiptsTotal>
        <CharitableContributionsTotal>101922</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>21593</GrossRevenueTotalEvents>
        <NonCashPrizesTotalEvents>200</NonCashPrizesTotalEvents>
        <FoodAndBeverageTotalEvents>16171</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>450</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>33720</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>50541</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-28948</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <HousingAllowanceOrResidence>X</HousingAllowanceOrResidence>
      <WrittenPolicyReTAndEExpenses>0</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>0</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>JERRY NEY</NamePerson>
        <BaseCompensationFilingOrg>213796</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>6113</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>219909</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>STEVE WARNEKE ($6,300) AND JERRY NEY ($1,800) RESIDENCE PROVIDED AS PART OF REQUIREMENTS OF JOB.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4A</ReturnReference>
        <Explanation>BETTY J EDSON $9,308, DEAN EDSON $10,065, JAN JENKINS $5,650, EDWIN JENKINS, JR. $5,750</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE GOVERNING BODY WILL REVIEW THE 990 AT A BOARD MEETING BEFORE IT IS FILED WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE PROCESS OF DETERMINING COMPENSATION BY AN INDEPENDENT PARTY WAS FOLLOWED FOR THE FOLLOWING INDIVIDUALS: CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND VICE PRESIDENT OF CLINICAL SERVICES. COMPENSATION ADJUSTMENTS ARE APPROVED BY THE BOARD. ALSO, A COMPARISON IS CONDUCTED TO OTHER SIMILAR HEALTHCARE ORGANIZATIONS WITHIN THE LOCAL AND STATE AREAS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>ALTHOUGH NOT REQUIRED, THE ORGANIZATION WILL PROVIDE PHOTO COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO ALL WHO REQUEST ONE OR MORE OF THESE ITEMS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 502,423.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE PROCESS IS CONSISTENT WITH THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALDERSGATE VILLAGE HOME HEALTH SERVICES LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7220 SW ASBURY DRIVE</AddressLine1>
          <City>TOPEKA</City>
          <State>KS</State>
          <ZIPCode>66614</ZIPCode>
        </AddressUS>
        <EIN>264170787</EIN>
        <PrimaryActivities>HOME HEALTH SERVICES</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <TotalIncome>116662</TotalIncome>
        <EOYAssets>37106</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
    </IRS990ScheduleR>
  </ReturnData>
</Return>