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      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GrapeTree Medical Staffing</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 5340</AddressLine1Txt>
            <CityNm>Sioux Falls</CityNm>
            <StateAbbreviationCd>SD</StateAbbreviationCd>
            <ZIPCd>57117</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Temp Staffing</ServicesDesc>
        <CompensationAmt>566435</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Senior Care Solutions</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 2283</AddressLine1Txt>
            <CityNm>Stillwater</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55082</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Temp Staffing</ServicesDesc>
        <CompensationAmt>410516</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SlashBlue LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1200 Red Fox Road</AddressLine1Txt>
            <CityNm>Arden Hills</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55112</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT Service Provider</ServicesDesc>
        <CompensationAmt>392205</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>St Augustine Manor</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7801 Detroit Ave</AddressLine1Txt>
            <CityNm>Cleveland</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Property Management</ServicesDesc>
        <CompensationAmt>313923</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Quadrant Office Building Property Group</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 6243</AddressLine1Txt>
            <CityNm>Hicksville</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11802</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Property Management (SO Building)</ServicesDesc>
        <CompensationAmt>169215</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>373199</AllOtherContributionsAmt>
      <TotalContributionsAmt>373199</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Resident Rent &amp; Service Income</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>35396233</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>35396233</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>575814</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>575814</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>35972047</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>208941</TotalRevenueColumnAmt>
        <ExclusionAmt>208941</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>Loss from Discontinued Operations</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1994970</TotalRevenueColumnAmt>
        <ExclusionAmt>1994970</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Gain from insurance settlement</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>126831</TotalRevenueColumnAmt>
        <ExclusionAmt>126831</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2121801</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>38675988</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>35972047</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2330742</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1302901</TotalAmt>
        <ManagementAndGeneralAmt>1302901</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>15324364</TotalAmt>
        <ProgramServicesAmt>13139046</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2185318</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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        <ManagementAndGeneralAmt>7335</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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        <ManagementAndGeneralAmt>206672</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>79634</TotalAmt>
        <ManagementAndGeneralAmt>79634</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>159707</TotalAmt>
        <ManagementAndGeneralAmt>159707</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>2877732</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ManagementAndGeneralAmt>350654</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>923952</TotalAmt>
        <ProgramServicesAmt>815002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108950</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>2045133</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95413</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>95653</TotalAmt>
        <ManagementAndGeneralAmt>95653</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>2788863</TotalAmt>
        <ProgramServicesAmt>2742899</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45964</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>331542</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Food Expense</Desc>
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        <ProgramServicesAmt>1905687</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Bad Debt Expense</Desc>
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        <ManagementAndGeneralAmt>28563</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>876263</TotalAmt>
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        <ManagementAndGeneralAmt>381573</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>29651785</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6994724</ManagementAndGeneralAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>15206076</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>927008</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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      <TotalLiabilitiesGrp>
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      <DonorRestrictionNetAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part III, Line 12, Explanation of Other Income:</FormAndLineReferenceDesc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Security deposits</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Operating Lease</Desc>
        <Amt>1475536</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1741223</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>Scott Hamman</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anne Petersmeyer</PersonNm>
        <TitleTxt>COO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeff Smith</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The bonuses for Executive Team were discretionary based on their performance, issues faced and resolved during the prior year, and the financial situation of Vista Prairie Communities and its affiliates. In addition, an informal review was done with consultants regarding compensation issues for 501(c)(3) organizations and certain published surveys.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>River Heights Assisted Living sold on July 29, 2022</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Emerald Village-GEAC, LLC, entered into a management agreement with St. Augustine Manor, an Ohio nonprofit corporation, to provide management services. The amount paid during the year ended June 30, 2023 was $206,672.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>There are no committees with the authority to act on behalf of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's CEO reviews the draft Form 990. In addition, a copy of the draft Form 990 is provided to the full board prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy covers the board members and officers of the organization. The President and Chair review potential conflicts. If an individual has a conflict they may participate in discussions, but must remove themselves during voting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the Chief Executive Officer is determined by the Board of Directors. Compensation for the Chief Financial Officer is determined by the Chief Executive Officer. The compensation for meetings and special activities or services for the Board of Directors is determined by the Board of Directors. Comparability data, including an analysis and review of special services and activities performed by Directors and market rates for the performance of such services and activities, is used to determine board compensation as well as officer compensation and the process is documented.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Professional Services: Program service expenses 301,466. Management and general expenses 718,058. Fundraising expenses 0. Total expenses 1,019,524. Purchased Services: Program service expenses 1,781,841. Management and general expenses 385,049. Fundraising expenses 0. Total expenses 2,166,890. Maintenance and Repairs: Program service expenses 794,425. Management and general expenses 2,868. Fundraising expenses 0. Total expenses 797,293.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Loss on refinancing of debt -82,928. Change in net assets for discontinued operations 74,916.</ExplanationTxt>
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