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            <BusinessNameLine1Txt>CENTRA HEALTHCARE SOLUTIONS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 7466813</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303746813</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>760614</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAXIM HEALTHCARE STAFFING SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12558 COLLECTIONS CTR DR</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>672977</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ONE CARE PHARMACY LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1945 HEIDE DR</AddressLine1Txt>
            <CityNm>TROY</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48084</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY SERVICES</ServicesDesc>
        <CompensationAmt>583911</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>470250</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3627</AllOtherContributionsAmt>
      <TotalContributionsAmt>473877</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH CENTER</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>16387386</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16387386</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ASSISTED LIVING &amp; MEMORY CARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>10131451</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10131451</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INDEPENDENT LIVING</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>2857492</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2857492</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AMORTIZATION OF ENTRANCE FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>639232</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>639232</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>30015561</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>357715</TotalRevenueColumnAmt>
        <ExclusionAmt>357715</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>14280</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>6667</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>7613</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>7613</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7613</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>38287</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-38287</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-38287</TotalRevenueColumnAmt>
        <ExclusionAmt>-38287</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>ENTRY FEE INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>41480</TotalRevenueColumnAmt>
        <ExclusionAmt>41480</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>ASSESSMENT INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>24065</TotalRevenueColumnAmt>
        <ExclusionAmt>24065</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>65545</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>30882024</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30023174</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>384973</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>35012</TotalAmt>
        <ProgramServicesAmt>35012</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>137166</TotalAmt>
        <ManagementAndGeneralAmt>137166</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>12181548</TotalAmt>
        <ProgramServicesAmt>11227285</ProgramServicesAmt>
        <ManagementAndGeneralAmt>954263</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>41337</TotalAmt>
        <ManagementAndGeneralAmt>41337</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1055787</TotalAmt>
        <ProgramServicesAmt>710821</ProgramServicesAmt>
        <ManagementAndGeneralAmt>344966</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>935603</TotalAmt>
        <ProgramServicesAmt>840719</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94884</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>574403</TotalAmt>
        <ManagementAndGeneralAmt>574403</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>577</TotalAmt>
        <ManagementAndGeneralAmt>577</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>141292</TotalAmt>
        <ManagementAndGeneralAmt>141292</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3806878</TotalAmt>
        <ProgramServicesAmt>3382137</ProgramServicesAmt>
        <ManagementAndGeneralAmt>424741</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>336427</TotalAmt>
        <ProgramServicesAmt>336427</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>292816</TotalAmt>
        <ProgramServicesAmt>229383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63433</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>625847</TotalAmt>
        <ManagementAndGeneralAmt>625847</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2452785</TotalAmt>
        <ProgramServicesAmt>2221194</ProgramServicesAmt>
        <ManagementAndGeneralAmt>231591</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>59136</TotalAmt>
        <ProgramServicesAmt>12484</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46652</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>104583</TotalAmt>
        <ProgramServicesAmt>73853</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30730</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1597049</TotalAmt>
        <ProgramServicesAmt>1445330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>151719</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2507357</TotalAmt>
        <ProgramServicesAmt>2269158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>238199</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>473030</TotalAmt>
        <ManagementAndGeneralAmt>473030</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>RESIDENT CARE SUPPLIES</Desc>
        <TotalAmt>1633895</TotalAmt>
        <ProgramServicesAmt>1633895</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD SERVICE</Desc>
        <TotalAmt>1347862</TotalAmt>
        <ProgramServicesAmt>1347862</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>239965</TotalAmt>
        <ProgramServicesAmt>239965</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT</Desc>
        <TotalAmt>171040</TotalAmt>
        <ProgramServicesAmt>79668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91372</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>128082</TotalAmt>
        <ProgramServicesAmt>89710</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38372</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>30879477</TotalAmt>
        <ProgramServicesAmt>26174903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4704574</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>7613854</BOYAmt>
        <EOYAmt>4218552</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1095703</BOYAmt>
        <EOYAmt>4585762</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3584359</BOYAmt>
        <EOYAmt>3133030</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>165172</BOYAmt>
        <EOYAmt>174196</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>203799</BOYAmt>
        <EOYAmt>304349</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>74283343</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>37888759</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>37896942</BOYAmt>
        <EOYAmt>36394584</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>4027233</BOYAmt>
        <EOYAmt>3920161</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>54587062</BOYAmt>
        <EOYAmt>52730634</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2171174</BOYAmt>
        <EOYAmt>2696282</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>9524344</BOYAmt>
        <EOYAmt>8840736</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>22291018</BOYAmt>
        <EOYAmt>21692916</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>11852443</BOYAmt>
        <EOYAmt>10726138</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>45838979</BOYAmt>
        <EOYAmt>43956072</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8748083</BOYAmt>
        <EOYAmt>8774562</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8748083</BOYAmt>
        <EOYAmt>8774562</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>54587062</BOYAmt>
        <EOYAmt>52730634</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>2547</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>50318</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-26386</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>20419</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1145148</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8683454</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>441504</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>473877</CurrentTaxYearAmt>
        <TotalAmt>10764402</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>26489206</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22892220</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23267144</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26470154</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>30023174</CurrentTaxYearAmt>
        <TotalAmt>129141898</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>26509625</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24037368</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>31950598</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26911658</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>30497051</CurrentTaxYearAmt>
        <TotalAmt>139906300</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>139906300</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>56085</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15912</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12141</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>341854</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>357715</CurrentTaxYearAmt>
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      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>15912</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12141</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>341854</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>357715</CurrentTaxYearAmt>
        <TotalAmt>783707</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>812478</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>224946</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>522432</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>91244</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>65545</CurrentTaxYearAmt>
        <TotalAmt>1716645</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>24278226</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>32485171</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>27344756</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>30920311</CurrentTaxYearAmt>
        <TotalAmt>142406652</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98240</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98180</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00550</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00360</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>672500</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>672500</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>61355466</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>28270968</DepreciationAmt>
        <BookValueAmt>33084498</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1916697</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1383062</DepreciationAmt>
        <BookValueAmt>533635</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>10208205</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8234729</DepreciationAmt>
        <BookValueAmt>1973476</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>130475</OtherCostOrOtherBasisAmt>
        <BookValueAmt>130475</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>36394584</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS LIMITED AS TO USE</Desc>
        <BookValueAmt>2933077</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN NET ASSETS OF BURCHAM HILLS FOUNDATION</Desc>
        <BookValueAmt>876476</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-TO-USE ASSETS</Desc>
        <BookValueAmt>110608</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>3920161</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>5604</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATIONS</Desc>
        <Amt>110608</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ENTRANCE FEES</Desc>
        <Amt>4061185</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>NONREFUNDABLE ENTRANCE FEES</Desc>
        <Amt>6548741</Amt>
      </OtherLiabilitiesOrgGrp>
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      <TotalRevEtcAuditedFinclStmtAmt>30912623</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>50318</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>6667</OtherRevenueAmt>
      <RevenueNotReportedAmt>56985</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>30855638</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>26386</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>26386</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>30882024</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>30886144</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>6667</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>6667</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>30879477</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>30879477</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 6,667.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF CHARITABLE FOUNDATION 26,386.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 6,667.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPARROW FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1215 E MICHIGAN AVENUE</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48912</ZIPCd>
        </USAddress>
        <RecipientEIN>386100687</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>2023 TGIF</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE GREATER LANSING CARE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4127 OKEMOS ROAD SUITE 4</AddressLine1Txt>
          <CityNm>OKEMOS</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48864</ZIPCd>
        </USAddress>
        <RecipientEIN>881077646</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MCLAREN GREATER LANSING FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 W GREENLAWN AVE</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48910</ZIPCd>
        </USAddress>
        <RecipientEIN>382463637</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>COCKTAILS FOR A CAUSE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GRANTS AND SPONSORSHIPS ARE UNRESTRICTED AND THE USE OF THE GRANTS WAS NOT MONITORED AFTER THE DATE OF DONATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE ECONOMIC DEVELOPMENT CORPORATION OF THE CHARTER TOWNSHIP OF MERIDIAN</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>386007712</BondIssuerEIN>
        <CUSIPNum>589664BH3</CUSIPNum>
        <BondIssuedDt>2018-08-14</BondIssuedDt>
        <IssuePriceAmt>8587435</IssuePriceAmt>
        <PurposeDesc>CURRENT REFUND ALL OF 2007A-1 BONDS (ISSUED ON APRIL 13, 2007)</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE ECONOMIC DEVELOPMENT CORPORATION OF THE CITY OF EAST LANSING</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>386004674</BondIssuerEIN>
        <CUSIPNum>273381AR4</CUSIPNum>
        <BondIssuedDt>2018-08-14</BondIssuedDt>
        <IssuePriceAmt>5350919</IssuePriceAmt>
        <PurposeDesc>CURRENT REFUND ALL OF 2007B-1 BONDS (ISSUED ON APRIL 26, 2007)</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>8587435</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>171748</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>8415687</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2018</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <TotalProceedsAmt>5350919</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>107018</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>5243901</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2018</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THROUGHOUT THE YEAR, KARI RENNIE, MENTIONED IN PART VII, WAS EMPLOYED BY LIFE CARE SERVICES, LLC AND CONTRACTED TO BURCHAM HILLS TO SERVE AS THE EXECUTIVE DIRECTOR, PROVIDING MANAGEMENT SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BY-LAWS OF BURCHAM HILLS RETIREMENT CENTER II SPECIFY THAT THE NOMINATION OF MEMBERS TO THE BOARD OF TRUSTEES IS MANAGED BY A NOMINATING COMMITTEE APPOINTED BY THE PRESIDENT. THIS COMMITTEE PRESENTS A LIST OF QUALIFIED NOMINEES TO THE BOARD OF TRUSTEES, WHO THEN ELECT NEW TRUSTEES AT THE ANNUAL MEETING. THE CORPORATION DOES NOT HAVE MEMBERS OR STOCKHOLDERS, AND ALL GOVERNANCE DECISIONS ARE MADE BY THE BOARD OF TRUSTEES, WITH CERTAIN COMMITTEES DESIGNATED TO ASSIST IN MANAGEMENT BUT LIMITED IN THEIR AUTHORITY TO MAKE MAJOR DECISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES MAY DESIGNATE SUCH COMMITTEES AS IT DEEMS APPROPRIATE FOR THE CONDUCT OF THE ACTIVITIES OF THE CORPORATION. EACH SUCH COMMITTEE SHALL HAVE AND MAY EXERCISE ALL POWERS AND AUTHORITY OF THE BOARD OF TRUSTEES IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION, AS AUTHORIZED AND DIRECTED BY THE BOARD OF TRUSTEES, EXCEPT THAT NO COMMITTEE SHALL HAVE THE POWER OR AUTHORITY TO (A) AMEND THE ARTICLES OF INCORPORATION, (B) ADOPT A PLAN OF MERGER OF CONSOLIDATION, ( C) APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY AND ASSETS OF THE CORPORATION, ( D) APPROVE A VOLUNTARY DISSOLUTION OF THE CORPORATION OR A REVOCATION THEREOF, OR (E) AMEND THE BY-LAWS OF THE CORPORATION. THE DESIGNATION OF ANY SUCH COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF TRUSTEES, OR ANY MEMBER THEREOF, OF ANY RESPONSIBILITY IMPOSED BY LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING THE FORM 990, A THOROUGH REVIEW PROCESS IS CONDUCTED TO ENSURE ACCURACY AND COMPLIANCE. THE TREASURER IS RESPONSIBLE FOR CONDUCTING THE INITIAL REVIEW, WHILE AN ELECTRONIC COPY OF THE RETURN IS SENT TO THE BOARD FOR THEIR REVIEW. ADDITIONALLY, THE DIRECTOR OF FINANCIAL SERVICES AND EXECUTIVE DIRECTOR ALSO CONDUCT A COMPREHENSIVE REVIEW OF THE RETURN BEFORE IT IS FILED. THIS MULTI-LEVEL REVIEW PROCESS ENSURES THAT THE RETURN IS ACCURATE AND COMPLIANT WITH ALL REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON HIRE, AND THEN ANNUALLY THEREAFTER EACH BOARD OF TRUSTEE MEMBER, EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER, CERTAIN OTHER "ADMINISTRATIVE" STAFF AS DESIGNATED BY THE EXECUTIVE DIRECTOR OR PRESIDENT, AND CERTAIN VOLUNTEERS OF BURCHAM HILLS RETIREMENT CENTER II SHALL COMPLETE THE DESIGNATED DISCLOSURE STATEMENT. THEY SHALL FULLY AND COMPLETELY DISCLOSE THE MATERIAL FACTS ABOUT ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. AN ADDITIONAL DISCLOSURE STATEMENT SHALL BE FILED AT SUCH TIME AS AN ACTUAL OR POTENTIAL CONFLICT ARISES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>IN PREPARING THE BUDGET, THE EXECUTIVE DIRECTOR AND FINANCE DIRECTOR DETERMINE WHAT PERCENTAGE TO INCREASE EMPLOYEE COMPENSATION. AS PART OF THIS PROCESS, THEY ALSO RECOMMEND PERCENTAGE INCREASES FOR THE DIRECTORS' COMPENSATION. THE BUDGET IS REVIEWED BY LIFECARE SERVICES AND APPROVED BY THE BOARD. LIFECARE SERVICES CONDUCTS PERFORMANCE REVIEWS OF THE EXECUTIVE DIRECTOR, AND THE EXECUTIVE DIRECTOR REVIEWS THE FINANCE DIRECTOR'S PERFORMANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WILL CONSIDER REQUESTS TO REVIEW INFORMATION THAT IS NOT REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR, THE FOLLOWING INDIVIDUAL LISTED ON PART VII, WAS AN EMPLOYEE OF LIFECARE SERVICES CONTRACTED TO BURCHAM HILLS TO PROVIDE MANAGEMENT SERVICES AS AN EXECUTIVE DIRECTOR. KARI RENNIE: BASE COMPENSATION: $162,555 BONUS: $22,617 DEFERRED COMPENSATION: $11,273 OTHER NON-TAXABLE BENEFITS: $21,972</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>SPEECH THERAPY: PROGRAM SERVICE EXPENSES 157,477. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 157,477. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 627,455. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 627,455. RESPIRATORY THERAPY: PROGRAM SERVICE EXPENSES 58,728. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,728. OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 517,929. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 517,929. CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 1,788,395. MANAGEMENT AND GENERAL EXPENSES 388,611. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,177,006. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 40,845. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,845. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 21,782. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,782. CONSULTING FEES: PROGRAM SERVICE EXPENSES 169,526. MANAGEMENT AND GENERAL EXPENSES 16,446. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 185,972. OUTSOURCED BILLING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 19,684. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,684.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST OF NET ASSETS OF CHARITABLE FOUNDATION -26,386.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BURCHAM HILLS LLC DBA BURCHAM HILLS WELLNESS AND REHABILITATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2700 BURCHAM DRIVE</AddressLine1Txt>
          <CityNm>EAST LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48823</ZIPCd>
        </USAddress>
        <EIN>200600411</EIN>
        <PrimaryActivitiesTxt>OUTPATIENT REHABILITATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <TotalIncomeAmt>296778</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BURCHAM HILLS RETIREMENT CENTER II</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>