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      <TotalContributionsAmt>8796</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH CENTER</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>4898062</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4898062</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INDEPENDENT LIVING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1915441</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1915441</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ASSISTED LIVING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1243109</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1243109</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AMORTIZATION OF ENTRAN</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>238908</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>238908</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>8295520</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>64107</TotalRevenueColumnAmt>
        <ExclusionAmt>64107</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>BEAUTY SHOP</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>125404</TotalRevenueColumnAmt>
        <ExclusionAmt>125404</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>DINING SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>26591</TotalRevenueColumnAmt>
        <ExclusionAmt>26591</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>LAUNDRY</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1105</TotalRevenueColumnAmt>
        <ExclusionAmt>1105</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>153100</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8521523</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8295520</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>217207</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>200</TotalAmt>
        <ProgramServicesAmt>200</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>64374</TotalAmt>
        <ManagementAndGeneralAmt>64374</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4136096</TotalAmt>
        <ProgramServicesAmt>3760086</ProgramServicesAmt>
        <ManagementAndGeneralAmt>376010</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>2937</TotalAmt>
        <ProgramServicesAmt>2467</ProgramServicesAmt>
        <ManagementAndGeneralAmt>470</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>373552</TotalAmt>
        <ProgramServicesAmt>309036</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64516</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>257393</TotalAmt>
        <ProgramServicesAmt>221922</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35471</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>33851</TotalAmt>
        <ProgramServicesAmt>28435</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5416</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>100000</TotalAmt>
        <ManagementAndGeneralAmt>100000</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>70128</TotalAmt>
        <ProgramServicesAmt>58908</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11220</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>964169</TotalAmt>
        <ProgramServicesAmt>809902</ProgramServicesAmt>
        <ManagementAndGeneralAmt>154267</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>113171</TotalAmt>
        <ProgramServicesAmt>95064</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18107</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>526495</TotalAmt>
        <ProgramServicesAmt>442256</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84239</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>57842</TotalAmt>
        <ProgramServicesAmt>48587</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9255</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>671651</TotalAmt>
        <ProgramServicesAmt>586206</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85445</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>17410</TotalAmt>
        <ProgramServicesAmt>14624</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2786</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>2768</TotalAmt>
        <ProgramServicesAmt>2325</ProgramServicesAmt>
        <ManagementAndGeneralAmt>443</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>144698</TotalAmt>
        <ProgramServicesAmt>121546</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23152</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>555465</TotalAmt>
        <ProgramServicesAmt>466591</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88874</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>341350</TotalAmt>
        <ProgramServicesAmt>286734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54616</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD SUPPLIES</Desc>
        <TotalAmt>291148</TotalAmt>
        <ProgramServicesAmt>244564</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46584</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>261069</TotalAmt>
        <ProgramServicesAmt>261069</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES, LICENSES &amp; FEES</Desc>
        <TotalAmt>60829</TotalAmt>
        <ProgramServicesAmt>51096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9733</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BEAUTY &amp; BARBER</Desc>
        <TotalAmt>33133</TotalAmt>
        <ProgramServicesAmt>27832</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5301</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>28316</TotalAmt>
        <ProgramServicesAmt>23786</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4530</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>9108045</TotalAmt>
        <ProgramServicesAmt>7863236</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1244809</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>296143</BOYAmt>
        <EOYAmt>2536</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>6223</BOYAmt>
        <EOYAmt>21822</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>526547</BOYAmt>
        <EOYAmt>943906</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>175039</BOYAmt>
        <EOYAmt>416696</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>22032984</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>15520675</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6906924</BOYAmt>
        <EOYAmt>6512309</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1987461</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>245389</BOYAmt>
        <EOYAmt>1165167</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>10143726</BOYAmt>
        <EOYAmt>9062436</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1962805</BOYAmt>
        <EOYAmt>1877967</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>1466768</BOYAmt>
        <EOYAmt>1227859</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>5710413</BOYAmt>
        <EOYAmt>5533155</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>36256</BOYAmt>
        <EOYAmt>36356</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>9176242</BOYAmt>
        <EOYAmt>8675337</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>967484</BOYAmt>
        <EOYAmt>387099</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>967484</BOYAmt>
        <EOYAmt>387099</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>10143726</BOYAmt>
        <EOYAmt>9062436</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-586522</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>6137</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>155507</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1114176</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>168342</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2184854</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8796</CurrentTaxYearAmt>
        <TotalAmt>3631675</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>7532052</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7647427</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7449977</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7443335</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8295520</CurrentTaxYearAmt>
        <TotalAmt>38368311</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus4YearsAmt>5313</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8426</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>204738</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>125756</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>153100</CurrentTaxYearAmt>
        <TotalAmt>497333</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>7692872</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8770029</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7823057</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9753945</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8457416</CurrentTaxYearAmt>
        <TotalAmt>42497319</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>22912</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24134</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25760</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26186</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20544</CurrentTaxYearAmt>
        <TotalAmt>119536</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>22912</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24134</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25760</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26186</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20544</CurrentTaxYearAmt>
        <TotalAmt>119536</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>42377783</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>9970</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6571</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1426</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6025</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>64107</CurrentTaxYearAmt>
        <TotalAmt>88099</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>9970</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6571</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1426</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6025</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>64107</CurrentTaxYearAmt>
        <TotalAmt>88099</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>270670</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>237719</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10203</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>518592</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>7973512</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9014319</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7834686</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9759970</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8521523</CurrentTaxYearAmt>
        <TotalAmt>43104010</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98320</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97710</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00200</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00060</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2019 AMOUNT: $ 15,801. 2020 AMOUNT: $ 4,990. 2021 AMOUNT: $ 7,376. MEAL/VENDING - 2019 AMOUNT: $ 197,881. 2020 AMOUNT: $ 161,521. TRANSPORTATION - 2019 AMOUNT: $ 15,415. 2020 AMOUNT: $ 12,904. LAUNDRY - 2019 AMOUNT: $ 8,944. 2020 AMOUNT: $ 10,552. GUEST ROOM - 2019 AMOUNT: $ 4,635. BEAUTY BARBER - 2019 AMOUNT: $ 27,325. 2020 AMOUNT: $ 37,426. NFRA REVENUE - 2019 AMOUNT: $ 669. 2020 AMOUNT: $ 580. 2021 AMOUNT: $ 2,827. GARAGE FEES - 2020 AMOUNT: $ 9,746.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </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>
        <OtherCostOrOtherBasisAmt>192239</OtherCostOrOtherBasisAmt>
        <BookValueAmt>192239</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>19746218</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13722058</DepreciationAmt>
        <BookValueAmt>6024160</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>577147</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>413990</DepreciationAmt>
        <BookValueAmt>163157</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1517380</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1384627</DepreciationAmt>
        <BookValueAmt>132753</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6512309</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>REPLACEMENT RESERVE</Desc>
        <BookValueAmt>50525</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEBT SERVICE RESERVE</Desc>
        <BookValueAmt>169342</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS LIMITED AS TO USE</Desc>
        <BookValueAmt>937375</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CERTIFICATE OF NEED</Desc>
        <BookValueAmt>7726</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSET</Desc>
        <BookValueAmt>199</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1165167</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <Amt>36356</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>36356</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>8527460</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>6137</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-200</OtherRevenueAmt>
      <RevenueNotReportedAmt>5937</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>8521523</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>8521523</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>9107845</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>9107845</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>200</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>200</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>9108045</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATION EXPENSE REPORTED ON AFS AS REVENUE -200.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATION EXPENSE REPORTED ON AFS AS REVENUE 200.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ON SEPTEMBER 1, 2017, THE FOUNDATION ENTERED INTO AN ACCOUNTING AGREEMENT WITH LCS. UNDER THE TERMS OF THE AGREEMENT, LCS WILL PROVIDE ACCOUNTING, PAYROLL, ACCOUNTS PAYABLE AND BILLING SERVICES OUTLINED WITHIN THE AGREEMENT UNTIL A TERMINATION DATE THAT COINCIDES WITH THE MANAGEMENT AGREEMENT. FEES FOR LCS ACCOUNTING SERVICES ARE PAYABLE MONTHLY BEGINNING SEPTEMBER 1, 2017 AT $4,167 PER MONTH. THE MANAGEMENT AGREEMENT AND ACCOUNTING AGREEMENT WERE TERMINATED EFFECTIVE JUNE 30, 2023. AMOUNTS PAYABLE TO LCS AT AUGUST 31, 2024 ARE $916,559. ON JULY 1, 2023, THE FOUNDATION ENTERED INTO AN ACCOUNTING AGREEMENT WITH FMI. UNDER THE TERMS OF THE AGREEMENT, FMI WILL PROVIDE ACCOUNTING, PAYROLL, ACCOUNTS PAYABLE, AND BILLING SERVICES OUTLINED WITHIN THE AGREEMENT. EITHER PARTY MAY TERMINATE THE AGREEMENT, WITHOUT CAUSE AT ANY TIME BY GIVING THE OTHER PARTY AT LEAST 30 DAYS WRITTEN NOTICE OF ITS DESIRE TO TERMINATE AND USING A SCHEDULED SEVERANCE AGREEMENT. FEES FOR FMIS ACCOUNTING SERVICES ARE PAYABLE MONTHLY BEGINNING JULY 1, 2023 AT $1,800 PER MONTH THROUGH DECEMBER 2023 THEN INCREASING TO $2,500 PER MONTH PLUS POSTAGE AND TIME CLOCK RENTAL FEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR AND ACCOUNTING DIRECTOR REVIEW FORM 990 AND THEN A COMPLETE COPY IS PROVIDED TO ALL BOARD MEMBERS BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY DISCLOSE CONFLICTS OF INTEREST TO THE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION USES COMPARABILITY DATA AND THE EMPLOYEES ANNUAL REVIEW INFORMATION TO DETERMINE COMPENSATION. THE BOARD OF DIRECTORS HAS FINAL APPROVAL OF ANY COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSIDE SERVIES: PROGRAM SERVICE EXPENSES 648,927. MANAGEMENT AND GENERAL EXPENSES 123,605. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 772,532. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 62,298. MANAGEMENT AND GENERAL EXPENSES 11,866. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,164. CONSULTING: PROGRAM SERVICE EXPENSES 98,677. MANAGEMENT AND GENERAL EXPENSES 18,796. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,473.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 12 PART XII LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESSES HAVE NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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          <CityNm>HIGGINSVILLE</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>PROMOTE &amp; SUPPORT AREA NURSE TRAINING PROGRAMS &amp; SCHOOLS</PrimaryActivitiesTxt>
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