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        <RelatedOrExemptFuncIncomeAmt>5575616</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>52239</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <TotalAmt>800</TotalAmt>
        <ProgramServicesAmt>800</ProgramServicesAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>33054</TotalAmt>
        <ProgramServicesAmt>33054</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>2028190</TotalAmt>
        <ProgramServicesAmt>1906946</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>26707</TotalAmt>
        <ProgramServicesAmt>25136</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1571</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>194968</TotalAmt>
        <ProgramServicesAmt>183500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11468</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>149537</TotalAmt>
        <ProgramServicesAmt>140741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8796</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>169563</TotalAmt>
        <ManagementAndGeneralAmt>169563</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>41312</TotalAmt>
        <ManagementAndGeneralAmt>41312</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2691306</TotalAmt>
        <ProgramServicesAmt>2691306</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>6274</TotalAmt>
        <ManagementAndGeneralAmt>6274</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>339220</TotalAmt>
        <ProgramServicesAmt>253127</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86093</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>111065</TotalAmt>
        <ProgramServicesAmt>108306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2759</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>9613</TotalAmt>
        <ProgramServicesAmt>8198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1415</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>5612</TotalAmt>
        <ProgramServicesAmt>5362</ProgramServicesAmt>
        <ManagementAndGeneralAmt>250</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>175820</TotalAmt>
        <ProgramServicesAmt>170725</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5095</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>44762</TotalAmt>
        <ProgramServicesAmt>43465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1297</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>328880</TotalAmt>
        <ProgramServicesAmt>328880</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>31926</TotalAmt>
        <ProgramServicesAmt>31926</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SALES TAX AND LICENSES</Desc>
        <TotalAmt>4001</TotalAmt>
        <ManagementAndGeneralAmt>4001</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>8181</TotalAmt>
        <ProgramServicesAmt>337</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7844</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>6400791</TotalAmt>
        <ProgramServicesAmt>5931809</ProgramServicesAmt>
        <ManagementAndGeneralAmt>468982</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>995680</BOYAmt>
        <EOYAmt>510320</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>516630</BOYAmt>
        <EOYAmt>512583</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>59946</BOYAmt>
        <EOYAmt>51333</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>5908</BOYAmt>
        <EOYAmt>28006</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>4570735</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3526164</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1152063</BOYAmt>
        <EOYAmt>1044571</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>2002565</BOYAmt>
        <EOYAmt>1787043</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>4732792</BOYAmt>
        <EOYAmt>3933856</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>394648</BOYAmt>
        <EOYAmt>364403</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>394648</BOYAmt>
        <EOYAmt>364403</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4338144</BOYAmt>
        <EOYAmt>3569453</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4338144</BOYAmt>
        <EOYAmt>3569453</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4732792</BOYAmt>
        <EOYAmt>3933856</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-771931</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>3240</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1232</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1366602</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>619218</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>342676</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1005</CurrentTaxYearAmt>
        <TotalAmt>2330733</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>4103901</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4215688</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4602142</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5992261</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5575616</CurrentTaxYearAmt>
        <TotalAmt>24489608</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>4105133</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5582290</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5221360</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6334937</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5576621</CurrentTaxYearAmt>
        <TotalAmt>26820341</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus4YearsAmt>1550985</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>769693</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1500689</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1886320</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2293701</CurrentTaxYearAmt>
        <TotalAmt>8001388</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>1550985</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>769693</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1500689</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1886320</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2293701</CurrentTaxYearAmt>
        <TotalAmt>8001388</TotalAmt>
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      <PublicSupportTotal509Amt>18818953</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>26499</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18459</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18829</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12386</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>62574</CurrentTaxYearAmt>
        <TotalAmt>138747</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>26499</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18459</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18829</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12386</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>62574</CurrentTaxYearAmt>
        <TotalAmt>138747</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>4131632</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5600749</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5240189</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6347323</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5639195</CurrentTaxYearAmt>
        <TotalAmt>26959088</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.69810</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.71920</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00510</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00340</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>1</AgentTrusteeEtcInd>
      <BeginningBalanceAmt>39857</BeginningBalanceAmt>
      <AdditionsDuringYearAmt>293808</AdditionsDuringYearAmt>
      <DistributionsDuringYearAmt>305168</DistributionsDuringYearAmt>
      <EndingBalanceAmt>28497</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>0</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>17527</OtherCostOrOtherBasisAmt>
        <BookValueAmt>17527</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3384774</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2711962</DepreciationAmt>
        <BookValueAmt>672812</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1168434</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>814202</DepreciationAmt>
        <BookValueAmt>354232</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1044571</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>INTEREST IN AVERA HEALTH FOUNDATION</Desc>
        <BookValueAmt>31759</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>ASSETS LIMITED AS TO USE</Desc>
        <BookValueAmt>1755284</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>1787043</TotalBookValueSecuritiesAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5642435</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>3240</OtherRevenueAmt>
      <RevenueNotReportedAmt>3240</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>5639195</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-10335</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-10335</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>5628860</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>6411126</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>10335</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>10335</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>6400791</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>6400791</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESIDENT FUND ACCOUNT - WE ARE PAYEE FOR SEVERAL RESIDENTS. THEIR MONEY IS KEPT IN THIS ACCOUNT ALONG WITH SPENDING MONEY DEPOSITED INTO THIS ACCOUNT BY RESIDENTS THAT WE ARE NOT THE PAYEE FOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MANOR 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 MANOR 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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN AVERA HEALTH FOUNDATION 3,240.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES -10,335.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 10,335.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>NICHOLAS GAERTNER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BROTHER TO DIRECTOR BRITTANI DAVIS</RelationshipDescriptionTxt>
        <TransactionAmt>33054</TransactionAmt>
        <TransactionDesc>EMPLOYEE COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BRITTANI DAVIS, TAMIE NIELSEN, AND ROBIN STOCKLAND HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AVERA SACRED HEART HEALTH SERVICES PROVIDES MANAGEMENT SERVICES TO SUNSET MANOR. ROBIN STOCKLAND, ADMINISTRATOR, IS PAID THROUGH AVERA SACRED HEART HEALTH SERVICES AND PRESIDES OVER THE DAY-TO-DAY OPERATIONS OF SUNSET MANOR. COMPENSATION PROVIDED TO ROBIN FOR SERVICES TO SUNSET MANOR IS AS FOLLOWS: ROBIN STOCKLAND: COMPENSATION $ 55,471 NONTAXABLE BENEFITS $ 11,778</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY PERSON, FIRM, ASSOCIATION, CORPORATION, OR BODY POLITIC OR SUBDIVISION THEREOF, MAY BECOME A MEMBER OF THE CORPORATION, BY DONATING OR CONTRIBUTING $25 OR MORE TO THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OWNER(S) OF A MEMBERSHIP CERTIFICATE SHALL BE ENTITLED TO ONE VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY PERSON WHO IS THE HOLDER OF A MEMBERSHIP CERTIFICATE IN THE CORPORATION SHALL BE ELIGIBLE TO BE ELECTED AS A DIRECTOR OF THE CORPORATION. A CANDIDATE SHALL BE NOMINATED FROM THE FLOOR AT THE ANNUAL MEETING. EACH PERSON AS A MEMBER SHALL BE ENTITLED TO VOTE FOR A CANDIDATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ADMINISTRATOR WILL REVIEW THE FORM 990. AFTER THE REVIEW, THE BOARD OF DIRECTORS WILL BE GIVEN A COPY OF THE FORM 990. THE FORM 990 WILL BE FILED WITH THE IRS AFTER BOARD MEMBERS HAVE BEEN GIVEN SUFFICIENT TIME TO REVIEW IT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS AND OFFICERS. A REQUEST IS MADE ANNUALLY FOR ALL BOARD MEMBERS TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. THE BOARD MAKES A DETERMINATION OF WHETHER THERE IS A CONFLICT OF INTEREST AND IF SO, IMPLEMENTS THE PROCEDURE FOR EVALUATING THE ISSUE OR TRANSACTION INVOLVED. THE BOARD MEMBER OR OFFICER WITH THE CONFLICT MUST REFRAIN FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ADMINISTRATOR IS AN EMPLOYEE OF AVERA SACRED HEART HEALTH SERVICES. THE ADMINISTRATOR'S PERFORMANCE AND SALARY ARE REVIEWED ANNUALLY BY AVERA SACRED HEART HEALTH SERVICES AND ANY INCREASE IS APPROVED BY THE SUNSET MANOR BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT AVAILABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>THERAPY SERVICES: PROGRAM SERVICE EXPENSES 91,465. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 91,465. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 6,767. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,767. CONTRACTED NURSING SERVICES: PROGRAM SERVICE EXPENSES 2,574,891. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,574,891. CONTRACTED DIETARY SERVICES: PROGRAM SERVICE EXPENSES 5,565. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,565. OTHER FEES: PROGRAM SERVICE EXPENSES 12,618. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,618.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN AVERA HEALTH FOUNDATION 3,240.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>