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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AEGIS THERAPIES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1000 BEVERLY WAY</AddressLine1Txt>
            <CityNm>FORT SMITH</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>72919</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>2755538</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TWSL LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7400 WEST 109TH STREET</AddressLine1Txt>
            <CityNm>BLOOMINGTON</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55438</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE MANAGEMENT</ServicesDesc>
        <CompensationAmt>2550994</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTHCARE SERVICES GROUP INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3220 TILLMAN DRIVE STE 300</AddressLine1Txt>
            <CityNm>BENSALEM</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19020</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOUSEKEEPING SERVICES</ServicesDesc>
        <CompensationAmt>2259616</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GRAPETREE MEDICAL STAFFING INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2501 BOJI BEND DR STE 100</AddressLine1Txt>
            <CityNm>MILFORD</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>51351</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>1577910</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>17</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>125972</AllOtherContributionsAmt>
      <TotalContributionsAmt>125972</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>52235766</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>52235766</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>95334</TotalRevenueColumnAmt>
        <ExclusionAmt>95334</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>8000</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>8000</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>8000</TotalRevenueColumnAmt>
        <ExclusionAmt>8000</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>809678</TotalRevenueColumnAmt>
        <ExclusionAmt>809678</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>809678</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>53274750</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>52235766</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>913012</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>48573</TotalAmt>
        <ProgramServicesAmt>48573</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>19985</TotalAmt>
        <ProgramServicesAmt>19985</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>101750</TotalAmt>
        <ManagementAndGeneralAmt>101750</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>18243731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2228743</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>168997</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>1404645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>180439</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>2550994</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>189478</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>158779</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>766400</ProgramServicesAmt>
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        <TotalAmt>1252675</TotalAmt>
        <ProgramServicesAmt>1252675</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>614318</TotalAmt>
        <ManagementAndGeneralAmt>614318</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES</Desc>
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        <ProgramServicesAmt>322605</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>100879</TotalAmt>
        <ProgramServicesAmt>100879</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>139030</TotalAmt>
        <ProgramServicesAmt>139030</ProgramServicesAmt>
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        <TotalAmt>54050762</TotalAmt>
        <ProgramServicesAmt>44729546</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9321216</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>9094092</EOYAmt>
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        <EOYAmt>2358178</EOYAmt>
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        <EOYAmt>6677061</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>500000</BOYAmt>
        <EOYAmt>500000</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>419264</BOYAmt>
        <EOYAmt>721621</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>81258135</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>47784522</LandBldgEquipAccumDeprecAmt>
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        <BOYAmt>34058881</BOYAmt>
        <EOYAmt>33473613</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>846151</EOYAmt>
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        <EOYAmt>4446998</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>6828795</BOYAmt>
        <EOYAmt>6270564</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>64840713</BOYAmt>
        <EOYAmt>64388278</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>4029470</EOYAmt>
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      <DeferredRevenueGrp>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>14170228</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>399088</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>38211689</BOYAmt>
        <EOYAmt>37374598</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>550259</BOYAmt>
        <EOYAmt>735367</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>58223856</BOYAmt>
        <EOYAmt>58383097</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>6529022</BOYAmt>
        <EOYAmt>5917286</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>87835</BOYAmt>
        <EOYAmt>87895</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6616857</BOYAmt>
        <EOYAmt>6005181</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>64840713</BOYAmt>
        <EOYAmt>64388278</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-776012</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>127309</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>262392</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-225365</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>110214</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3190235</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5527215</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1106652</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>125972</CurrentTaxYearAmt>
        <TotalAmt>10060288</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>58678388</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>56371326</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>55782131</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>52235766</CurrentTaxYearAmt>
        <TotalAmt>284897075</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus4YearsAmt>7057</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>7057</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>61946735</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>61868623</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>61898541</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>56888783</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>52361738</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
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      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
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      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>294964420</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>343353</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>132827</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>132827</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>472342</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>2563509</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus1YearAmt>57493952</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>53274750</CurrentTaxYearAmt>
        <TotalAmt>298751932</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98730</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98730</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00410</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00550</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2411495</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2411495</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>68575981</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>40321272</DepreciationAmt>
        <BookValueAmt>28254709</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>9891722</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7463250</DepreciationAmt>
        <BookValueAmt>2428472</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>378937</OtherCostOrOtherBasisAmt>
        <BookValueAmt>378937</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>33473613</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>COVENIRE CARE NOKOMIS, LLC</Desc>
        <BookValueAmt>1349533</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>THE WATERS OF EDEN PRAIRIE INVESTERS, LLC</Desc>
        <BookValueAmt>2365005</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>THE WATERS OF PEWAUKEE JV MEMBER, LLC</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherAssetsOrgGrp>
        <Desc>RESIDENT TRUST FUND</Desc>
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      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ESCROW DEPOSITS</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>REPLACEMENT RESERVE</Desc>
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      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RESIDUAL RECEIPTS RESERVE</Desc>
        <BookValueAmt>1942843</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>FUNDS HELD UNDER BOND INDENTURE</Desc>
        <BookValueAmt>1146852</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ESCROW HOLDBACK RELATING TO WOHP SALE</Desc>
        <BookValueAmt>25295</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6270564</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT</Desc>
        <Amt>522667</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>UNCLAIMED PROPERTY</Desc>
        <Amt>35248</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>177452</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>735367</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RESIDENT TRUST FUNDS ARE PATIENT PERSONAL FUNDS THAT ARE HELD BY THE FACILITY. THE FUNDS BELONG TO THE RESIDENTS AND FACILITY MAINTAINS DETAIL ON DEPOSITS/WITHDRAWALS PER MN DHS GUIDELINES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THAT THE ORGANIZATION EVALUATE TAX POSITIONS AND RECOGNIZE A LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE ORGANIZATION HAS ANALYZED ITS TAX POSITIONS AND CONCLUDED THAT AS OF DECEMBER 31, 2023 AND 2022 THERE WERE NO UNCERTAIN TAX POSITIONS TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDIT BY TAX AUTHORITIES, HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY OPEN TAX PERIODS IN PROGRESS.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORMANDALE CENTER FOR HEALING AND WHOLENESS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6100 NORMANDALE RD 2ND FLOOR</AddressLine1Txt>
          <CityNm>EDINA</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55436</ZIPCd>
        </USAddress>
        <RecipientEIN>411959179</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>UNRESTRICTED CHARITABLE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TUITION REIMBURSEMENT</GrantTypeTxt>
        <RecipientCnt>10</RecipientCnt>
        <CashGrantAmt>19985</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEE SCHOLARSHIPS AND GRANTS ARE PAID DIRECTLY TO THE EDUCATIONAL INSTITUTION UPON RECEIPT OF A LETTER OF ACCEPTANCE OR AN INVOICE. FOR GRANTS TO OTHER ORGANIZATIONS, SENIOR CARE COMMUNITIES DOES NOT HAVE A FORMAL MONITORING PROCESS.</ExplanationTxt>
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    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TONY YEBOAH</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>201558</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201558</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL KAREL</PersonNm>
        <TitleTxt>EX DIR-WOODBURY SENIOR LIV</TitleTxt>
        <BaseCompensationFilingOrgAmt>175682</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3272</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>178954</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>XINLAN WANG</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>156635</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7686</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>164321</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>WASHINGTON COUNTY COMMUNITY DEVELOPMENT AGENCY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>411408079</BondIssuerEIN>
        <CUSIPNum>93778CAD0</CUSIPNum>
        <BondIssuedDt>2016-08-19</BondIssuedDt>
        <IssuePriceAmt>17685000</IssuePriceAmt>
        <PurposeDesc>REFINANCE SERIES 2007 BONDS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1300000</RetiredAmt>
        <TotalProceedsAmt>17685000</TotalProceedsAmt>
        <InReserveFundAmt>1146806</InReserveFundAmt>
        <RefundingEscrowAmt>15924477</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>348200</IssuanceCostsFromProceedsAmt>
        <WorkingCapitalExpendituresAmt>265516</WorkingCapitalExpendituresAmt>
        <SubstantialCompletionYr>2016</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>1</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: WASHINGTON COUNTY COMMUNITY DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 08/01/2021</ExplanationTxt>
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    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>TWSL LLC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>MAJOR CONTRIBUTOR</RelationshipDescriptionTxt>
        <TransactionAmt>2550994</TransactionAmt>
        <TransactionDesc>HEALTHCARE MANAGEMENT SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SENIOR CARE COMMUNITIES DELEGATED RESPONSIBILITY FOR THE MANAGEMENT OF THEIR FACILITIES TO TWSL, LLC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 WAS PREPARED BY INDEPENDENT ACCOUNTANTS FOR INTERNAL REVIEW. ONCE COMPLETE, THE FORM WAS SENT OUT ELECTRONICALLY TO THE FULL BOARD TO REVIEW AND APPROVE THE FORM BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>SR. CARE COMMUNITIES APPROVED THE FOLLOWING CONFLICT OF INTEREST POLICY ON 5/7/2009. THE FOLLOWING PERSONS ARE "KEY PERSONS" FOR THE PURPOSES OF THE CONFLICT OF INTEREST POLICY: A MEMBER OF THE BOARD OF DIRECTORS, A MEMBER OF A COMMITTEE WITH POWERS DELEGATED BY THE BOARD OF DIRECTORS, AN OFFICER OF THE CORPORATION, A FAMILY MEMBER DEFINED AS A SPOUSE, PARENT, CHILD, SIBLING OR SPOUSE OF A SIBLING. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST. ONCE A POTENTIAL CONFLICT OF INTEREST HAS BEEN DISCLOSED: THE KEY PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING AT WHICH THE TRANSACTION WILL BE DISCUSSED, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, OBTAIN AND RELY ON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DECISION WHETHER OR NOT TO PARTICIPATE IN THE PROPOSED TRANSACTION OR ARRANGEMENT. THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE BOARD OR COMMITTEE SHALL USE DUE DILIGENCE TO DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. AFTER CONSIDERATION, THE BOARD OR COMMITTEE MAY DETERMINE THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF SO, THE BOARD OR COMMITTEE MAY DECIDE, BY A MAJORITY VOTE, TO ENTER INTO A TRANSACTION INVOLVING A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OFFICERS RECEIVE MINIMAL COMPENSATION FOR THEIR SERVICES TO SENIOR CARE COMMUNITIES, INC. DETERMINATION OF THEIR COMPENSATION IS BASED ON THE AMOUNT OF TIME DEDICATED TO THE ORGANIZATION IN THE PRIOR YEAR AND INCLUDES REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION. THIS PROCESS WAS LAST UNDERTAKEN FOR ALL OFFICERS IN 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS AVAILABLE UPON REQUEST OR AT WWW.GUIDESTAR.ORG WHILE OTHER DOCUMENTS ARE ONLY AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE ON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL AND PATIENT SERVICES: PROGRAM SERVICE EXPENSES 11,221,117. MANAGEMENT AND GENERAL EXPENSES 148,579. TOTAL EXPENSES 11,369,696. REGISTRY: PROGRAM SERVICE EXPENSES 2,195,249. TOTAL EXPENSES 2,195,249.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>(LOSS) ON EQUITY METHOD INVESTMENTS -225,365.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NEITHER THE OVERSIGHT PROCESS NOR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENIOR CARE PROVIDENCE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>370 23RD AVENUE SOUTH</AddressLine1Txt>
          <CityNm>MINNEAPOLIS</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55407</ZIPCd>
        </USAddress>
        <EIN>260429826</EIN>
        <PrimaryActivitiesTxt>SKILLED NURSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>19298778</TotalIncomeAmt>
        <EndOfYearAssetsAmt>17834694</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENIOR CARE COMMUNITIES INC</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENIOR CARE FOREST LAKE LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>604 NE FIRST STREET</AddressLine1Txt>
          <CityNm>FOREST LAKE</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55025</ZIPCd>
        </USAddress>
        <EIN>208316264</EIN>
        <PrimaryActivitiesTxt>SKILLED NURSING AND ASSISTED LIVING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>11028308</TotalIncomeAmt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENIOR CARE COMMUNITIES INC</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SENIOR CARE WOODBURY LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>7012 LAKE DRIVE</AddressLine1Txt>
          <CityNm>WOODBURY</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55125</ZIPCd>
        </USAddress>
        <EIN>208316216</EIN>
        <PrimaryActivitiesTxt>SKILLED NURSING AND ASSISTED LIVING</PrimaryActivitiesTxt>
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        <EndOfYearAssetsAmt>23658147</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>SENIOR CARE COMMUNITIES INC</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE WATERS OF HIGHLAND PARK LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>678 SNELLING AVENUE S</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55116</ZIPCd>
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        <EIN>471154954</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>25295</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SENIOR CARE COMMUNITIES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE WATERS OF EDEN PRAIRIE INVESTORS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1600 HOPKINS CROSSROAD</AddressLine1Txt>
          <CityNm>MINNETONKA</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55305</ZIPCd>
        </USAddress>
        <EIN>474586845</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>491539</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>8423954</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.71510</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
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</Return>