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      <OtherChangesInNetAssetsAmt>-186572</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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        <BookValueAmt>36790</BookValueAmt>
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        <BookValueAmt>2615842</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>1906351</DepreciationAmt>
        <BookValueAmt>365868</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3018500</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>9245939</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>101222</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>101222</RevenueNotReportedAmt>
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      <InvestmentExpensesNotIncldAmt>16468</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>16468</RevenueNotReportedFinclStmtAmt>
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      <ExpensesSubtotalAmt>9404371</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>16468</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>16468</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSIDERATION HAS BEEN GIVEN TO UNCERTAIN TAX POSITIONS. THE FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED AFTER DECEMBER 31, 2020, REMAIN OPEN FOR POTENTIAL EXAMINATION BY MAJOR TAX JURISDICTIONS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.</ExplanationTxt>
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    </IRS990ScheduleD>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO THE FILING OF THE 990 A DRAFT COPY OF THE RETURN IS PRESENTED TO THE BOARD FOR THE OPPORTUNITY TO DISCUSS, REVIEW AND MODIFY IF NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCLOSURE FORMS ARE REQUIRED TO BE COMPLETED AND ARE KEPT ON FILE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>FOOD 224,416 0 0 NURSING SUPPLIES 166,173 0 0 PHYSICAL THERAPY 162,492 0 0 PHARMACY 108,118 0 0 BACK OFFICE ACCOUNTING 88,200 0 0 PROFESSIONAL FEES OTHER 49,652 0 0 RESIDENT EXPENSE 48,937 0 0 HOUSEKEEPING SUPPLIES 39,536 0 0 DIETARY SUPPLIES 27,310 0 0 INVESTMENT EXPENSES 16,468 0 0 EDUCATION 0 15,186 0 MEDICAL DIRECTOR 14,832 0 0 SPEECH THERAPY 13,600 0 0 LICENSING &amp; DUES 0 12,784 0 X-RAY 12,437 0 0 PHARMACIST 8,910 0 0 MISCELLANEOUS 8,224 0 0 LINEN 4,519 0 0 LAUNDRY SUPPLIES 3,432 0 0 BEAUTY SHOP 83 0 0 TOTAL 997,339 27,970 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR YEAR ADJUSTMENT -186,572</ExplanationTxt>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>