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        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A, COLUMN F:</FormAndLineReferenceDesc>
        <ExplanationTxt>RON WILSON IS EMPLOYED BY RFMS, INC., AN UNRELATED ORGANIZATION WHICH HAS AN ADMINISTRATIVE SERVICES CONTRACT WITH DESERT HEALTH CARE FACILITIES, INC. THE TYPE OF SERVICES PROVIDED BY RFMS, INC., ARE DETAILED IN THE SCHEDULE O EXPLANATION ABOVE RELATIVE TO FORM 990, PART VI, SECTION A, LINE 3. RON WILSON IS THE CHIEF FINANCIAL OFFICER OF RFMS, INC. HIS COMPENSATION REPORTED ON HIS RFMS, INC. FORM W-2, BOX 5 FOR CALENDAR YEAR 2022 IS $196,536. RON WILSON'S COMPENSATION AMOUNT AND HOURS HAVE NOT BEEN PRORATED BASED ON TIME SPENT FOR EACH OF THE FIFTEEN ORGANIZATIONS TO WHOM SERVICES ARE PROVIDED BY RFMS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR OVERSIGHT OF THE COMPILATION AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ELKO HEALTH CARE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>285 S FARNHAM STREET</AddressLine1Txt>
          <CityNm>GALESBURG</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61401</ZIPCd>
        </USAddress>
        <EIN>275439926</EIN>
        <PrimaryActivitiesTxt>OPERATES A NURSING HOME &amp; ASSISTED LIVING FACILITY FOR THE ELDERLY.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NV</LegalDomicileStateCd>
        <TotalIncomeAmt>7824573</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1836758</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DESERT HEALTH CARE FACILITIES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FALLON HEALTH CARE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>285 S FARNHAM STREET</AddressLine1Txt>
          <CityNm>GALESBURG</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61401</ZIPCd>
        </USAddress>
        <EIN>275440284</EIN>
        <PrimaryActivitiesTxt>OPERATES A NURSING HOME &amp; ASSISTED LIVING FACILITY FOR THE ELDERLY.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NV</LegalDomicileStateCd>
        <TotalIncomeAmt>7777984</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1007216</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DESERT HEALTH CARE FACILITIES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MESQUITE HEALTH CARE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>285 S FARNHAM STREET</AddressLine1Txt>
          <CityNm>GALESBURG</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61401</ZIPCd>
        </USAddress>
        <EIN>275440122</EIN>
        <PrimaryActivitiesTxt>OPERATES A NURSING HOME FOR THE ELDERLY.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NV</LegalDomicileStateCd>
        <TotalIncomeAmt>6522687</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1147345</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DESERT HEALTH CARE FACILITIES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>