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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS JONES</PersonNm>
        <TitleTxt>MM-MEMBER (UNTIL</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRYSTAL WARNER GIBSON</PersonNm>
        <TitleTxt>MM-MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DON MEGERT</PersonNm>
        <TitleTxt>MM-MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE PIZZINO</PersonNm>
        <TitleTxt>MM-MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK TOMBLYN</PersonNm>
        <TitleTxt>ERCC-MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH GEORGE</PersonNm>
        <TitleTxt>ERCC-MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREG JOHNSON</PersonNm>
        <TitleTxt>MM-MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TARA SHAVER</PersonNm>
        <TitleTxt>ERCC-ADMINISTRATOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>158588</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14041</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETSY JONES</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>106069</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14855</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINA KITTLE</PersonNm>
        <TitleTxt>MM-EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>124603</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>389260</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>28939</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ODYSSEY REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>415 BENEDUM DRIVE</AddressLine1Txt>
            <CityNm>BRIDGEPORT</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26330</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>1120974</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MLK STAFFING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 219081</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64121</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING SERVICES</ServicesDesc>
        <CompensationAmt>459676</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRIME TIME HEALTH LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15380 WEIR ST</AddressLine1Txt>
            <CityNm>OMAHA</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68137</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING SERVICES</ServicesDesc>
        <CompensationAmt>271337</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE CHIPS NETWORK</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12978 GARRETT HWY SUITE 200</AddressLine1Txt>
            <CityNm>OAKLAND</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21550</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SPECIALIST</ServicesDesc>
        <CompensationAmt>103435</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>2253</AllOtherContributionsAmt>
      <TotalContributionsAmt>2253</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>SKILLED/INTERMEDIATE CARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>16899014</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16899014</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ASSISTED LIVING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>3926605</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3926605</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>20825619</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>244969</TotalRevenueColumnAmt>
        <ExclusionAmt>244969</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3109</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-3109</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-3109</TotalRevenueColumnAmt>
        <ExclusionAmt>-3109</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>82141</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>129794</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-47653</TotalRevenueColumnAmt>
        <ExclusionAmt>-47653</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>23967</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23967</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>23967</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>21046046</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20849586</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>194207</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>15575</TotalAmt>
        <ProgramServicesAmt>15575</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>418200</TotalAmt>
        <ProgramServicesAmt>329458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88742</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>8885940</TotalAmt>
        <ProgramServicesAmt>7000344</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1885596</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>26540</TotalAmt>
        <ProgramServicesAmt>20908</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5632</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2859305</TotalAmt>
        <ProgramServicesAmt>2252560</ProgramServicesAmt>
        <ManagementAndGeneralAmt>606745</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1208</TotalAmt>
        <ProgramServicesAmt>952</ProgramServicesAmt>
        <ManagementAndGeneralAmt>256</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>40179</TotalAmt>
        <ManagementAndGeneralAmt>40179</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>85148</TotalAmt>
        <ManagementAndGeneralAmt>85148</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2137523</TotalAmt>
        <ProgramServicesAmt>1683940</ProgramServicesAmt>
        <ManagementAndGeneralAmt>453583</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>179455</TotalAmt>
        <ProgramServicesAmt>141375</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38080</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>105608</TotalAmt>
        <ProgramServicesAmt>83198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22410</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>288774</TotalAmt>
        <ProgramServicesAmt>227496</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61278</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>414042</TotalAmt>
        <ProgramServicesAmt>326182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87860</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>20347</TotalAmt>
        <ProgramServicesAmt>16030</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4317</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>397313</TotalAmt>
        <ProgramServicesAmt>313004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84309</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>768364</TotalAmt>
        <ProgramServicesAmt>605317</ProgramServicesAmt>
        <ManagementAndGeneralAmt>163047</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>525427</TotalAmt>
        <ProgramServicesAmt>413931</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111496</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1157908</TotalAmt>
        <ProgramServicesAmt>1157908</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVIDER TAXES</Desc>
        <TotalAmt>800663</TotalAmt>
        <ProgramServicesAmt>800663</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD EXPENSES</Desc>
        <TotalAmt>574233</TotalAmt>
        <ProgramServicesAmt>574233</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>533902</TotalAmt>
        <ProgramServicesAmt>431604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102298</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>358641</TotalAmt>
        <ProgramServicesAmt>282539</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76102</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>20594295</TotalAmt>
        <ProgramServicesAmt>16677217</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3917078</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>260209</BOYAmt>
        <EOYAmt>215944</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3291348</BOYAmt>
        <EOYAmt>3518731</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1948447</BOYAmt>
        <EOYAmt>1666066</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>50318</BOYAmt>
        <EOYAmt>46237</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>367371</BOYAmt>
        <EOYAmt>412681</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>20725474</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10986386</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>10257981</BOYAmt>
        <EOYAmt>9739088</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>845655</BOYAmt>
        <EOYAmt>1124612</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2217691</BOYAmt>
        <EOYAmt>2161571</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>19239020</BOYAmt>
        <EOYAmt>18884930</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2051642</BOYAmt>
        <EOYAmt>1616234</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>8786473</BOYAmt>
        <EOYAmt>8397239</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>10838115</BOYAmt>
        <EOYAmt>10013473</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8400905</BOYAmt>
        <EOYAmt>8871457</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8400905</BOYAmt>
        <EOYAmt>8871457</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>19239020</BOYAmt>
        <EOYAmt>18884930</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>451751</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>18801</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>555</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>555</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAYS DUES TO THE WEST VIRGINIA HEALTH CARE ASSOCIATION (WVHCA) AND THE AMERICAN HEALTH CARE ASSOCIATION (AHCA). WVHCA AND AHCA REPORT THE PERCENTAGE OF DUES USED FOR LOBBYING PURPOSES REGARDING HEALTH CARE ISSUES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1120731</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1120731</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>13077198</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6812531</DepreciationAmt>
        <BookValueAmt>6264667</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1681802</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>541300</DepreciationAmt>
        <BookValueAmt>1140502</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4095053</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2944839</DepreciationAmt>
        <BookValueAmt>1150214</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>750690</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>687716</DepreciationAmt>
        <BookValueAmt>62974</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9739088</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS WHOSE USE IS LIMITED</Desc>
        <BookValueAmt>2151116</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>10455</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2161571</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>21194642</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>18801</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>129795</OtherRevenueAmt>
      <RevenueNotReportedAmt>148596</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>21046046</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>21046046</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>20724090</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>129795</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>129795</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>20594295</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>20594295</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS RECOGNIZED AS EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC AND SIMILAR SECTIONS OF STATE STATUTES. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRES THE CENTER TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE IRS. THE CENTER HAS CONCLUDED THAT AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. MANAGEMENT OF THE CENTER BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE YEAR ENDED DECEMBER 31, 2021.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD 129,795.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD NETTED WITH INCOME ON 990 129,795.</ExplanationTxt>
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          <PersonNm>WILLIAM M JONES</PersonNm>
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        <RelationshipDescriptionTxt>BROTHER-IN-LAW OF BETSY JONES, CFO</RelationshipDescriptionTxt>
        <TransactionAmt>46711</TransactionAmt>
        <TransactionDesc>COMPENSATION FOR MAINTENANCE ASSISTANT</TransactionDesc>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE BOARD OF DIRECTORS MEETING, THE 990 IS PRESENTED AND REVIEWED BY A REPRESENTATIVE FROM BAKER TILLY ADVISORY GROUP, LP WITH ALL MEMBERS ATTENDING THE MEETING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF THE ANNUAL AUDIT PROCESS, THE CONFLICT OF INTEREST POLICY AND FORMS ARE DISTRIBUTED TO BOARD MEMBERS AT THE JANUARY MEETING. THE CONFLICT OF INTEREST POLICY IS EXPLAINED AND ANY QUESTIONS ARE ANSWERED. FULLY DISCLOSING ANY AND ALL CONFLICTS IS CONVEYED AND STRESSED TO ALL BOARD MEMBERS. FORMS ARE COMPLETED BY EACH BOARD MEMBER IN ATTENDANCE AND RETURNED TO GRACE ROY, DIRECTOR OF HUMAN RESOURCES. ANY BOARD MEMBER NOT IN ATTENDANCE WILL RECEIVE THE POLICY AND FORMS AT THE FEBRUARY MEETING. THE SAME PROCESS IS FOLLOWED AT THE FEBRUARY MEETING. ALL FORMS ARE GENERALLY COMPLETED NO LATER THAN MARCH OF EACH YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ANALYSIS IS DONE WITH WAGE INFORMATION PROVIDED BY STATE SURVEY VS. WAGE SCALES AND WAGES WITHIN THE AREA AND INDUSTRY, PROVIDED BY HOSPITAL AND HEALTHCARE COMPENSATION SERVICE, AND THIS IS USED AS A GUIDELINE ALONG WITH EXPERIENCE OR REVIEW BY THE BOARD'S PERSONNEL COMMITTEE, THE BOARD OR MANAGEMENT IN FULFILLING THE POSITION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ON FILE WITH THE WEST VIRGINIA HEALTH CARE AUTHORITY AND ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO PUBLISHED IN THE LOCAL NEWSPAPERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>NURSING PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 543,295. MANAGEMENT AND GENERAL EXPENSES 146,341. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 689,636. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,140,645. MANAGEMENT AND GENERAL EXPENSES 307,242. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,447,887.</ExplanationTxt>
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          <BusinessNameLine1Txt>MOUNTAIN MEMORIES ASSISTED LIVING &amp; RETIREMENT CENTER LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>301 WILSOM LANE</AddressLine1Txt>
          <CityNm>ELKINS</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>262413259</ZIPCd>
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        <EIN>861600008</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVING CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <TotalIncomeAmt>3936455</TotalIncomeAmt>
        <EndOfYearAssetsAmt>6808461</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>ELKINS REGIONAL CONVALESCENT CENTER INC</BusinessNameLine1Txt>
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      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
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