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        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>64730</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>64730</RelatedOrExemptFuncIncomeAmt>
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        <UnrelatedBusinessRevenueAmt>12862</UnrelatedBusinessRevenueAmt>
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      <TotalProgramServiceRevenueAmt>6754145</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>70116</TotalRevenueColumnAmt>
        <ExclusionAmt>70116</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2649003</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
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      <NetGainOrLossInvestmentsGrp>
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      </NetGainOrLossInvestmentsGrp>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalRevenueColumnAmt>30077</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30077</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>30077</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>12862</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>70116</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ProgramServicesAmt>93309</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>917481</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>213628</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>3021</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>15750</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>50136</ManagementAndGeneralAmt>
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        <FundraisingAmt>3251</FundraisingAmt>
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        <ManagementAndGeneralAmt>56158</ManagementAndGeneralAmt>
        <FundraisingAmt>1724</FundraisingAmt>
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        <ManagementAndGeneralAmt>278981</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>99395</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ProgramServicesAmt>575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33372</ManagementAndGeneralAmt>
        <FundraisingAmt>11</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>21006</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1227</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>11858</ManagementAndGeneralAmt>
        <FundraisingAmt>155</FundraisingAmt>
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        <TotalAmt>8062811</TotalAmt>
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        <ManagementAndGeneralAmt>2023950</ManagementAndGeneralAmt>
        <FundraisingAmt>30654</FundraisingAmt>
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        <EOYAmt>705482</EOYAmt>
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        <EOYAmt>72246</EOYAmt>
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      <TotalLiabilitiesGrp>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <ReconcilationRevenueExpnssAmt>1195824</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>40431</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc7">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>1571365</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1589919</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3543610</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2125373</CurrentTaxYearAmt>
        <TotalAmt>11002176</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus2YearsAmt>4876449</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5496217</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6771360</CurrentTaxYearAmt>
        <TotalAmt>28405183</TotalAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>6209754</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>9039827</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8896733</CurrentTaxYearAmt>
        <TotalAmt>39407359</TotalAmt>
      </Total509Grp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus4YearsAmt>153354</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>677132</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>416886</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>1247372</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>153354</CurrentTaxYearMinus4YearsAmt>
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      <PublicSupportTotal509Amt>38159987</PublicSupportTotal509Amt>
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      <InvestmentIncomeAndUBTIGrp>
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        <TotalAmt>629633</TotalAmt>
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      <OtherIncome509Grp>
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        <CurrentTaxYearMinus2YearsAmt>5270</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>30077</CurrentTaxYearAmt>
        <TotalAmt>59792</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearAmt>8996926</CurrentTaxYearAmt>
        <TotalAmt>40096784</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.95170</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.92770</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS REVENUE 59,792</ExplanationTxt>
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    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
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        <BookValueAmt>450429</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>14411564</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3280105</DepreciationAmt>
        <BookValueAmt>11131459</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>535974</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>351548</DepreciationAmt>
        <BookValueAmt>184426</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>894927</DepreciationAmt>
        <BookValueAmt>193376</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>125381</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>125381</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11959690</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>VALLEY VNA HEALTH SYSTEMS, INC. AND AFFILIATE ARE ORGANIZED AS WISCONSIN NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (IRC) SECTION 501(C) (3), QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER IRC SECTIONS 170(B)(1)(A)(VI) AND (VIII), AND HAVE BEEN DETERMINED NOT TO BE PRIVATE FOUNDATIONS UNDER IRC SECTIONS 509 (A)(1) AND (3), RESPECTIVELY. THE ORGANIZATIONS ARE ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATIONS ARE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO THEIR EXEMPT PURPOSES FOR WHICH IT FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THERESA PICHELMEYER</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH AND WELLNESS PROGRAMS INCLUDE FOOT CARE, BLOOD PRESSURE CLINICS, AND ADMINISTRATION OF THE MEALS ON WHEELS PROGRAM. WE PROVIDED 6563 MEALS, 1143 HOURS OF FOOT CARE SERVICES, AND 638 HOURS OF NURSING VISITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>WE GET EITHER ELECTRONIC OR PAPER COPIES OF 990 TO EXECUTIVE/FINANCE COMMITTEE AS SOON AS POSSIBLE FOR REVIEW, WHICH MAY OR MAY NOT BE PRIOR TO SUBMISSION BASED ON TIMING IT IS PROVIDED TO MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS ARE REQUIRED TO DISCLOSE TO THE BOARD ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT. WHEN THIS HAPPENS EITHER THE DIRECTOR WILL ABSTAIN FROM VOTING ON PARTICULAR ISSUES, OR THEY MAY BE ASKED TO LEAVE THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS USES A WAGE SURVEY TO HELP DETERMINE COMPENSATION FOR THE TOP OFFICERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES 0 40,674 0 PURCHASED SERVICES AND COSTS 0 53,428 0 PROFESSIONAL FEES 0 0 23,653 PROFESSIONAL FEES 60,546 0 0 PURCHASED SERVICES AND COSTS 976,335 0 0 TOTAL 1,036,881 94,102 23,653</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>VNA APARTMENTS INC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>VNA APARTMENTS INC</BusinessNameLine2Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1535 LYON DRIVE</AddressLine1Txt>
          <AddressLine2Txt>1535 LYON DRIVE</AddressLine2Txt>
          <CityNm>NEENAH</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54956</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>ELDER CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
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      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNA APARTMENTS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>405346</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VNA APARTMENTS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>698336</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>