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        <Desc>MEDICARE/MEDICAID</Desc>
        <BusinessCd>623990</BusinessCd>
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        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>104942085</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>104942085</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>561000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>259970</RelatedOrExemptFuncIncomeAmt>
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        <ManagementAndGeneralAmt>268213</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>100524</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5454507</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>572835</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>2078377</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>2411006</TotalAmt>
        <ProgramServicesAmt>1205503</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1205503</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>22623405</ProgramServicesAmt>
        <ManagementAndGeneralAmt>699693</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>134338</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>380927</TotalAmt>
        <ProgramServicesAmt>228167</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152760</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1235029</ProgramServicesAmt>
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        <ProgramServicesAmt>5705031</ProgramServicesAmt>
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        <ProgramServicesAmt>827120</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>THERAPY COST</Desc>
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        <ProgramServicesAmt>15035854</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>RESIDENT EXPENSES</Desc>
        <TotalAmt>14498025</TotalAmt>
        <ProgramServicesAmt>14498025</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PHARMACY COST</Desc>
        <TotalAmt>5131013</TotalAmt>
        <ProgramServicesAmt>5131013</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSE</Desc>
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        <ProgramServicesAmt>3865515</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>3505263</TotalAmt>
        <ProgramServicesAmt>3505263</ProgramServicesAmt>
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        <ProgramServicesAmt>209778826</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17852829</ManagementAndGeneralAmt>
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        <EOYAmt>54824</EOYAmt>
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        <EOYAmt>556728</EOYAmt>
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        <EOYAmt>24805424</EOYAmt>
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        <EOYAmt>11182806</EOYAmt>
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        <EOYAmt>60726683</EOYAmt>
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        <EOYAmt>83872033</EOYAmt>
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        <EOYAmt>83872033</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>144598716</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1830319</ReconcilationRevenueExpnssAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RHONDA FLANIGAN</PersonNm>
        <TitleTxt>CPO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>33000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10153</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31804</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>238358</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AARON DUNLAP</PersonNm>
        <TitleTxt>CFA</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>17500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9638</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27585</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>222669</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN STUHR</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>144123</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8706</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3447</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>186276</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOEL WICHMAN</PersonNm>
        <TitleTxt>DIRECTOR OF FACILITY DEVELOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>119731</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>25000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5262</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25033</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>175026</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN TURNER</PersonNm>
        <TitleTxt>ADMINISTRATOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>125868</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4852</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9608</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>150328</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>VETTER HOLDING INC</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>VETTER HOLDING, INC IS OWNED MORE THAN 35% BY DIRECTORS OF VSL</RelationshipWithOrgTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>10000000</OriginalPrincipalAmt>
        <BalanceDueAmt>4529836</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>4529836</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>VETTER LEASING INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>VETTER LEASING, INC IS 100% OWNED BY JACK VETTER, CHAIRMAN OF THE BOARD</RelationshipDescriptionTxt>
        <TransactionAmt>699470</TransactionAmt>
        <TransactionDesc>AUTO LEASE PAYMENTS</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>VETTER ENTERPRISES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>VETTER ENTERPRISES, LLC IS 75% OWNED BY FAMILY MEMBERS OF JACK VETTER</RelationshipDescriptionTxt>
        <TransactionAmt>365000</TransactionAmt>
        <TransactionDesc>LEASING OF OFFICE SPACE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>VETTER HOLDING INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>VETTER HOLDING, INC. IS OVER 35% OWNED BY DIRECTORS OF VSL</RelationshipDescriptionTxt>
        <TransactionAmt>18360000</TransactionAmt>
        <TransactionDesc>LEASE PAYMENTS OF SENIOR LIVING FACILITIES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>VETTER HOLDING INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>VETTER HOLDING, INC. IS OVER 35% OWNED BY DIRECTORS OF VSL</RelationshipDescriptionTxt>
        <TransactionAmt>183600</TransactionAmt>
        <TransactionDesc>SHARED SERVICES AGREEMENT TO PROVIDE CERTAIN ADMINISTRATIVE AND SUPPORT SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>VETTER HOLDING INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>VETTER HOLDING, INC. IS OVER 35% OWNED BY DIRECTORS OF VSL</RelationshipDescriptionTxt>
        <TransactionAmt>45000</TransactionAmt>
        <TransactionDesc>LEASING OF OFFICE SPACE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JACK VETTER AND ELDORA VETTER HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM WITH THE ASSISTANCE OF THE CFO, AND IS THEN REVIEWED BY THE CFO. COPIES OF THE REVIEWED RETURN ARE PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POLICY STATES THAT THE BOARD OF DIRECTORS MUST SIGN THE CONFLICT OF INTEREST POLICY AND DISCLOSE ALL CONFLICTS ANNUALLY. THE REMAINING BOARD OF DIRECTORS MEMBERS WILL DETERMINE IF AN INTERESTED MEMBER HAS A CONFLICT OF INTEREST. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THE INTERESTED MEMBER WILL NOT VOTE ON THAT MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>WAGES ARE REVIEWED AND COMPARED WITH INDUSTRY DATA AND OTHER INDEPENDENT LONG-TERM CARE PROVIDERS ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>VETTER SENIOR LIVING DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF VETTER SENIOR LIVING'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VETTER HOME HEALTH CARE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 BROOKESTONE MEADOWS PLZ 100</AddressLine1Txt>
          <CityNm>ELKHORN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>680224401</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>HOME HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
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        <USAddress>
          <AddressLine1Txt>150 W 24TH ST</AddressLine1Txt>
          <CityNm>ALLIANCE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>693012156</ZIPCd>
        </USAddress>
        <EIN>825432444</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>1348536</TotalIncomeAmt>
        <EndOfYearAssetsAmt>3379603</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL ALLIANCE LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1633 SWEETWATER PO BOX 950</AddressLine1Txt>
          <CityNm>ALLIANCE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>693010950</ZIPCd>
        </USAddress>
        <EIN>300963042</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>5140543</TotalIncomeAmt>
        <EndOfYearAssetsAmt>6516247</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL BROKEN BOW LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>850 LAUREL PARKWAY DRIVE</AddressLine1Txt>
          <CityNm>BROKEN BOW</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68822</ZIPCd>
        </USAddress>
        <EIN>364855688</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>6159466</TotalIncomeAmt>
        <EndOfYearAssetsAmt>14383054</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL COLUMBUS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4715 38TH ST</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>686011622</ZIPCd>
        </USAddress>
        <EIN>300964463</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>8903791</TotalIncomeAmt>
        <EndOfYearAssetsAmt>374024</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL DAVID CITY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>260 SOUTH TENTH STREET</AddressLine1Txt>
          <CityNm>DAVID CITY</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>686322032</ZIPCd>
        </USAddress>
        <EIN>611811905</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
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        <EndOfYearAssetsAmt>4446329</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL ELKHORN LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>600 BROOKESTONE MEADOWS PLAZA</AddressLine1Txt>
          <CityNm>ELKHORN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>680224401</ZIPCd>
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        <EIN>352581723</EIN>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL EMERSON LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>607 NEBRASKA ST</AddressLine1Txt>
          <CityNm>EMERSON</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>687333627</ZIPCd>
        </USAddress>
        <EIN>611812157</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>2987341</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1911056</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL FAIRBURY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>909 17TH STREET</AddressLine1Txt>
          <CityNm>FAIRBURY</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>683520667</ZIPCd>
        </USAddress>
        <EIN>611812442</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
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          <BusinessNameLine1Txt>VSL GARNETT LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>101 NORTH PINE STREET</AddressLine1Txt>
          <CityNm>GARNETT</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>660321199</ZIPCd>
        </USAddress>
        <EIN>384023801</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
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        <EndOfYearAssetsAmt>1878279</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL GENEVA LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>501 NORTH 13TH STREET</AddressLine1Txt>
          <CityNm>GENEVA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>683611549</ZIPCd>
        </USAddress>
        <EIN>611812645</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
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        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL GERING LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2325 LODGE DRIVE</AddressLine1Txt>
          <CityNm>GERING</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>693416825</ZIPCd>
        </USAddress>
        <EIN>611817126</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>11523814</TotalIncomeAmt>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL GRAND ISLAND LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3119 WEST FAIDLEY AVENUE</AddressLine1Txt>
          <CityNm>GRAND ISLAND</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>688034114</ZIPCd>
        </USAddress>
        <EIN>320515898</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>8928783</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1915911</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL HOOPER LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>400 EAST BIRCHWOOD</AddressLine1Txt>
          <CityNm>HOOPER</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>680313002</ZIPCd>
        </USAddress>
        <EIN>384024243</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>3742937</TotalIncomeAmt>
        <EndOfYearAssetsAmt>3007721</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL IOWA FALLS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2320 WASHINGTON AVENUE</AddressLine1Txt>
          <CityNm>IOWA FALLS</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>501261523</ZIPCd>
        </USAddress>
        <EIN>300965237</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <TotalIncomeAmt>4239707</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2746510</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL KEARNEY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2615 WEST 11TH ST</AddressLine1Txt>
          <CityNm>KEARNEY</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68845</ZIPCd>
        </USAddress>
        <EIN>371849431</EIN>
        <PrimaryActivitiesTxt>NH AND AL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>3514798</TotalIncomeAmt>
        <EndOfYearAssetsAmt>21807672</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL LAKE CITY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1409 WEST MAIN STREET</AddressLine1Txt>
          <CityNm>LAKE CITY</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>514491578</ZIPCd>
        </USAddress>
        <EIN>384024654</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <TotalIncomeAmt>5649225</TotalIncomeAmt>
        <EndOfYearAssetsAmt>8939681</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL LINCOLN SOUTHLAKE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>9401 ANDERMATT DRIVE</AddressLine1Txt>
          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>685269507</ZIPCd>
        </USAddress>
        <EIN>352583045</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>13938219</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1456387</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL LINCOLN SUMNER LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1750 SOUTH 20TH STREET</AddressLine1Txt>
          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>685022611</ZIPCd>
        </USAddress>
        <EIN>300964875</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>8805834</TotalIncomeAmt>
        <EndOfYearAssetsAmt>6576790</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL LOUP CITY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1005 NORTH 8TH STREET</AddressLine1Txt>
          <CityNm>LOUP CITY</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>688538215</ZIPCd>
        </USAddress>
        <EIN>352583738</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>5107391</TotalIncomeAmt>
        <EndOfYearAssetsAmt>5636705</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL NORFOLK LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1203 N 13TH STREET PO BOX 429</AddressLine1Txt>
          <CityNm>NORFOLK</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>687020429</ZIPCd>
        </USAddress>
        <EIN>300965494</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>9763233</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2708262</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL NORTH PLATTE COURT LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4000 WEST PHILIP AVENUE</AddressLine1Txt>
          <CityNm>NORTH PLATTE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>691010305</ZIPCd>
        </USAddress>
        <EIN>352583599</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>13654508</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2022489</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL NORTH PLATTE ESTATES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3700 WEST PHILIP AVENUE</AddressLine1Txt>
          <CityNm>NORTH PLATTE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>691010305</ZIPCd>
        </USAddress>
        <EIN>300968051</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>3040857</TotalIncomeAmt>
        <EndOfYearAssetsAmt>13947772</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL OMAHA LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4330 SOUTH 144TH STREET</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>681371051</ZIPCd>
        </USAddress>
        <EIN>371848338</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>17830164</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2566587</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL PAPILLION LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>610 SOUTH POLK STREET</AddressLine1Txt>
          <CityNm>PAPILLION</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>680462548</ZIPCd>
        </USAddress>
        <EIN>364858444</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>10856437</TotalIncomeAmt>
        <EndOfYearAssetsAmt>-41772</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL RED CLOUD LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>636 NORTH LOCUST</AddressLine1Txt>
          <CityNm>RED CLOUD</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>689702463</ZIPCd>
        </USAddress>
        <EIN>611815663</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>2694049</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2392045</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL SEWARD LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>624 PINEWOOD AVE</AddressLine1Txt>
          <CityNm>SEWARD</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>684341055</ZIPCd>
        </USAddress>
        <EIN>320518584</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>7156214</TotalIncomeAmt>
        <EndOfYearAssetsAmt>804684</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL SPRINGFIELD CREEKSIDE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1601 SOUTH FORT</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>658078401</ZIPCd>
        </USAddress>
        <EIN>300967430</EIN>
        <PrimaryActivitiesTxt>SENIOR LIVING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <TotalIncomeAmt>4722678</TotalIncomeAmt>
        <EndOfYearAssetsAmt>11250204</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL SPRINGFIELD MANOR LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1707 WEST ELFINDALE STREET</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>658071295</ZIPCd>
        </USAddress>
        <EIN>611815992</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <TotalIncomeAmt>9311558</TotalIncomeAmt>
        <EndOfYearAssetsAmt>8372573</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL ST EDWARD LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>301 N 13TH ST</AddressLine1Txt>
          <CityNm>ST EDWARD</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68660</ZIPCd>
        </USAddress>
        <EIN>364859287</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>2968562</TotalIncomeAmt>
        <EndOfYearAssetsAmt>4281990</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL ST PAUL LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1405 HERITAGE DR</AddressLine1Txt>
          <CityNm>SAINT PAUL</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>688733618</ZIPCd>
        </USAddress>
        <EIN>611815917</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>5776226</TotalIncomeAmt>
        <EndOfYearAssetsAmt>234762</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL VETTER HEALTH SERVICES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>20220 HARNEY STREET</AddressLine1Txt>
          <CityNm>ELKHORN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68022</ZIPCd>
        </USAddress>
        <EIN>371845522</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>471284</TotalIncomeAmt>
        <EndOfYearAssetsAmt>-1329808</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL WAHOO LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1400 MARK DRIVE</AddressLine1Txt>
          <CityNm>WAHOO</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>680664023</ZIPCd>
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        <EIN>371849602</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>8437346</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1401643</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL NORTH PLATTE REGENCY LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>700 W PHILLIP AVENUE</AddressLine1Txt>
          <CityNm>NORTH PLATTE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>69101</ZIPCd>
        </USAddress>
        <EIN>843990042</EIN>
        <PrimaryActivitiesTxt>INDEPENDENT LIVING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL SPRINGFIELD ASSISTED LIVING LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1401 WEST ELFINDALE STREET</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>68507</ZIPCd>
        </USAddress>
        <EIN>841939413</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VETTER HOLDING INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>20220 HARNEY STREET</AddressLine1Txt>
          <CityNm>ELKHORN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68022</ZIPCd>
        </USAddress>
        <EIN>470672044</EIN>
        <PrimaryActivitiesTxt>NURSING HOME RENTAL PROPERTY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>S</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>