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        <MethodOfValuation>C</MethodOfValuation>
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      <OtherAssets>
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      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>3763558</ExcessOrDeficitPerFS>
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      <OtherRevenues>10553772</OtherRevenues>
      <RevenueNotRptdF990>10553772</RevenueNotRptdF990>
      <RevenueSubtotal>7950313</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>7950313</TotalRevenuePerForm990>
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      <OtherExpensesIncluded>8465450</OtherExpensesIncluded>
      <ExpensesNotRptdF990>8465450</ExpensesNotRptdF990>
      <ExpensesSubtotal>4186755</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>4186755</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>REVENUE FROM RELATED ORGANIZATION</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>EXPENSES FROM RELATED ORGANIZATION</Explanation>
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        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>GRANT TO MIDWEST CARE CENTER, INC.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Explanation>SCHEDULE D, PART X, LINE 2: MIDWEST CARE CENTER VIII, INC. HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, MIDWEST CARE CENTER VIII, INC. IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. MIDWEST CARE CENTER VIII, INC. FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007.</Explanation>
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      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
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          <BusinessNameLine1>MAC HEALTHCARE CORPORATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>225 W 124TH ST</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>641451183</ZIPCode>
        </AddressUS>
        <EINOfRecipient>431818627</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>705828</AmountOfCashGrant>
        <MethodOfValuation>FMV</MethodOfValuation>
        <PurposeOfGrant>TO ASSIST IN ITS MISSION TO PROVIDE QUALITY AFFORDABLE SENIOR LIVING</PurposeOfGrant>
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      <DispositionTable>
        <DescriptionOfAsset>SOLD PROPERTY USED FOR REHABILITATION SERVICES</DescriptionOfAsset>
        <DateOfDistribution>2010-06-24</DateOfDistribution>
        <FMVOfAsset>6602934</FMVOfAsset>
        <MethodOfFMVDetermination>SALES PRICE</MethodOfFMVDetermination>
        <EIN>272514589</EIN>
        <NameBusiness>
          <BusinessNameLine1>TI - EFFINGHAM LLC</BusinessNameLine1>
        </NameBusiness>
        <AddressUS>
          <AddressLine1>7611 STATE LINE ROAD SUITE 30</AddressLine1>
          <City>KANSAS CITY</City>
          <State>MO</State>
          <ZIPCode>64114</ZIPCode>
        </AddressUS>
        <IRCSection>LIMITED LIABILITY COMPANY</IRCSection>
      </DispositionTable>
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      <EmployeeOfSuccessor2>0</EmployeeOfSuccessor2>
      <OwnerOfSuccessor2>0</OwnerOfSuccessor2>
      <ReceiveCompensation2>0</ReceiveCompensation2>
    </IRS990ScheduleN>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>CHANGES IN PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 3</ReturnReference>
        <Explanation>LAKELAND MADE A SIGNIFICANT CHANGE IN THE WAY THEY CONDUCTED BUSINESS IN 2010. THEY SOLD THE PROPERTY THAT WAS USED FOR PROVIDING SERVICES TO FULFILL THEIR CHARITABLE MISSION. CURRENTLY, THEY ARE IN THE PROCESS OF LOOKING FOR A REPLACEMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 3</Identifier>
        <Explanation>THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT FOR THE OPERATION AND MANAGEMENT OF THE NURSING HOME FACILITIES. THE MANAGEMENT AGREEMENTS GIVE DAILY OPERATING AUTHORITY TO THE MANAGEMENT COMPANY, HOWEVER, ALWAYS SUBJECT TO THE UTLIMATE AUTHORITY OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>THE MEMBERS OF THE CORPORATION SHALL CONSIST OF THE INDIVIDUALS WHO ARE IN GOOD STANDING AND ARE SERVING ON THE BOARD OF DIRECTORS. THE SOLE DUTY OF THE MEMBERS SHALL BE TO VOTE ON THE BOARD OF DIRECTORS CANDIDATES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>A MAJORITY OF THE MEMBERS SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS AT ANY MEETINGS OF THE MEMBERS; PROVIDED, HOWEVER, THAT IF LESS THAN A MAJORITY OF THE MEMBERS ARE PRESENT AT SAID MEETING, A MAJORITY OF THE MEMBERS PRESENT MAY ADJOURN THE MEETING FROM TIME TO TIME WITHOUT FURTHER NOTICE. EACH MEMBER PRESENT SHALL BE ENTITLED TO ONE VOTE UPON EACH MATTER SUBMITTED TO A VOTE AT ANY SUCH MEETING. MEMBERS MAY BE REMOVED, FOR CAUSE, UPON THE AFFIRMATIVE VOTE OF A MAJORITY OF THE REMAINING MEMBERS. IN THE EVENT OF THE REMOVAL OF A MEMBER, THE REMAINING MEMBERS MAY FILL SUCH VACANCY OR VACANCIES UPON THE AFFIRMATIVE VOTE OF A MAJORITY OF THE REMAINING MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>THE ACT OF THE MAJORITY OF THE MEMBERS PRESENT AT A MEETING OF THE MEMBERS AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE BOARD OF DIRECTORS OF THE ORGANIZATION DETERMINED THAT A COPY OF FORM 990 WOULD BE PROVIDED TO A COMMITTEE OF THE BOARD SO THAT THE COMMITTEE COULD REVIEW THE 990 IN DETAIL AND THEN ADVISE THE ENTIRE BOARD REGARDING ANY ISSUES THAT NEED TO BE DETERMINED BY, OR DISCLOSED TO, THE ENTIRE BOARD OF DIRECTORS. IN ADDITION, THE ENTIRE FORM 990 WAS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS SUFFICIENTLY PRIOR TO FILING THE FORM SO THAT ANY COMMENTS COULD BE PROVIDED TO THE ORGANIZATION IN TIME TO PERMIT ANY NECESSARY REVISIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT REQUIRES ANNUAL EXECUTION OF A CERTIFICATION WITH RESPECT TO CONFLICTS AND ROUTINE DISCLOSURE. IF THERE IS A CONFLICT IN CONNECTION WITH A MATTER THEN THE MATTER WILL COME BEFORE THE BOARD. THE BOARD MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY BY REQUIRING THE ANNUAL CERTIFICATION AND BY REMINDING BOARD MEMBERS OF THEIR OBLIGATIONS WITH RESPECT TO CONFLICTS ON AN ON-GOING BASIS. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST, THEN THEY WILL NOT VOTE ON THE MATTER AT-HAND.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVERAGE HOURS WORKED FOR RELATED ORGANIZATIONS</Identifier>
        <Explanation>EDWARD T. WEAVER 3 W. TERRENCE BROWN 3 MICHAEL A. MICHAUD 3 MERLE SPRINGER 3 MARK BRYANT 3</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A:</ReturnReference>
        <Explanation>THE OFFICERS ARE MEMBER OF, AND ELECTED BY, THE BOARD OF DIRECTORS. THE OFFICERS ARE UNCOMPENSATED EXCEPT FOR REIMBURSEMENT OF REASONABLE EXPENSES INCURRED ON BEHALF OF THE CORPORATION AS WELL AS A REASONABLE FEE FOR ATTENDANCE AT BOARD MEETINGS. THE ADMINISTRATOR IS THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. THE ADMINISTRATOR'S COMPENSATION IS DETERMINED BY THE MANAGEMENT COMPANY'S HUMAN RESOURCES DEPARTMENT AND IS APPROVED BY THE MANAGEMENT COMPANY'S PRESIDENT.</Explanation>
      </GeneralExplanation>
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          <City>KANSAS CITY</City>
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