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        <PersonNm>GRACE N NGUHMBI</PersonNm>
        <TitleTxt>NURSE SUPERVISOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>129429</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20500</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARRON M LESAGE</PersonNm>
        <TitleTxt>UNIT MANAGER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>116346</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2409</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN N NDOLO</PersonNm>
        <TitleTxt>LPN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>109909</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15900</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>634776</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>333242</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>100309</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>13</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REHABCARE GROUP INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>680 SOUTH 4TH STREET</AddressLine1Txt>
            <CityNm>LOUISVILLE</CityNm>
            <StateAbbreviationCd>KY</StateAbbreviationCd>
            <ZIPCd>40402</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REHABILITATION SVCS</ServicesDesc>
        <CompensationAmt>1436499</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>505823</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 409251</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30384</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY SERVICE</ServicesDesc>
        <CompensationAmt>505823</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>498132</GovernmentGrantsAmt>
      <TotalContributionsAmt>498132</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NURSING CARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>18524598</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18524598</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ASSISTED LIVING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>2840650</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2840650</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HOME CARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1422409</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1422409</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADULT DAY CARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1183778</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1183778</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>23971435</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>20026</TotalRevenueColumnAmt>
        <ExclusionAmt>20026</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>21950</TotalRevenueColumnAmt>
        <ExclusionAmt>21950</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>TELEPHONE &amp; TV REHAB</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>19690</TotalRevenueColumnAmt>
        <ExclusionAmt>19690</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>41640</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>24531233</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23971435</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>61666</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>10774123</TotalAmt>
        <ProgramServicesAmt>10227092</ProgramServicesAmt>
        <ManagementAndGeneralAmt>547031</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>70611</TotalAmt>
        <ProgramServicesAmt>36811</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33800</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1408140</TotalAmt>
        <ProgramServicesAmt>979025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>429115</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>803878</TotalAmt>
        <ProgramServicesAmt>767463</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36415</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1605756</TotalAmt>
        <ProgramServicesAmt>24000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1581756</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>98319</TotalAmt>
        <ProgramServicesAmt>7442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90877</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>199816</TotalAmt>
        <ManagementAndGeneralAmt>199816</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1869008</TotalAmt>
        <ProgramServicesAmt>1699994</ProgramServicesAmt>
        <ManagementAndGeneralAmt>169014</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>19027</TotalAmt>
        <ProgramServicesAmt>354</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18673</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>724870</TotalAmt>
        <ProgramServicesAmt>563959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160911</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>137382</TotalAmt>
        <ProgramServicesAmt>5563</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131819</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>3728832</TotalAmt>
        <ProgramServicesAmt>3478913</ProgramServicesAmt>
        <ManagementAndGeneralAmt>249919</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>9974</TotalAmt>
        <ProgramServicesAmt>9807</ProgramServicesAmt>
        <ManagementAndGeneralAmt>167</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>7934</TotalAmt>
        <ProgramServicesAmt>4739</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3195</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>24071</TotalAmt>
        <ProgramServicesAmt>24071</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>376123</TotalAmt>
        <ProgramServicesAmt>376123</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>235183</TotalAmt>
        <ProgramServicesAmt>23001</ProgramServicesAmt>
        <ManagementAndGeneralAmt>212182</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>844467</TotalAmt>
        <ProgramServicesAmt>844467</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>612893</TotalAmt>
        <ProgramServicesAmt>612893</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ASSESSMENT</Desc>
        <TotalAmt>491510</TotalAmt>
        <ManagementAndGeneralAmt>491510</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>297522</TotalAmt>
        <ProgramServicesAmt>297522</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>154737</TotalAmt>
        <ProgramServicesAmt>103980</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50757</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>24494176</TotalAmt>
        <ProgramServicesAmt>20087219</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4406957</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>3650</BOYAmt>
        <EOYAmt>2105</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4157532</BOYAmt>
        <EOYAmt>7726843</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>3286907</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>141413</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>212911</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>5958345</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1647452</BOYAmt>
        <EOYAmt>1385937</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>891221</EOYAmt>
      </InvestmentsPubTradedSecGrp>
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        <EOYAmt>87411</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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      <DeferredRevenueGrp>
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        <EOYAmt>450350</EOYAmt>
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        <EOYAmt>2953850</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>3726570</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>9801862</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>3932886</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3895829</BOYAmt>
        <EOYAmt>3932886</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>10278219</BOYAmt>
        <EOYAmt>13734748</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>37057</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>19419</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19522</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1151</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>498132</CurrentTaxYearAmt>
        <TotalAmt>557711</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>19062601</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20287859</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23244549</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23971435</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>19082020</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20307381</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23245700</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24469567</CurrentTaxYearAmt>
        <TotalAmt>106066625</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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        <CurrentTaxYearMinus3YearsAmt>11300</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15484</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>32784</TotalAmt>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus3YearsAmt>11300</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15484</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus4YearsAmt>10683</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9202</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12267</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16577</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20026</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>9202</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12267</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16577</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20026</CurrentTaxYearAmt>
        <TotalAmt>68755</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>87703</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>83112</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>62354</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>87659</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>41640</CurrentTaxYearAmt>
        <TotalAmt>362468</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>19060343</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19174334</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20382002</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23349936</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24531233</CurrentTaxYearAmt>
        <TotalAmt>106497848</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99560</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99470</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00060</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00080</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2015 AMOUNT: $ 87,703. 2016 AMOUNT: $ 83,112. 2017 AMOUNT: $ 62,354. 2018 AMOUNT: $ 87,659. 2019 AMOUNT: $ 41,640.</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">
      <AgentTrusteeEtcInd>1</AgentTrusteeEtcInd>
      <BeginningBalanceAmt>185614</BeginningBalanceAmt>
      <AdditionsDuringYearAmt>1072365</AdditionsDuringYearAmt>
      <DistributionsDuringYearAmt>1106212</DistributionsDuringYearAmt>
      <EndingBalanceAmt>151767</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>0</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>10000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>10000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2071817</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1544673</DepreciationAmt>
        <BookValueAmt>527144</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3251391</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2493237</DepreciationAmt>
        <BookValueAmt>758154</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>625137</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>534498</DepreciationAmt>
        <BookValueAmt>90639</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1385937</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTY</Desc>
        <Amt>3726570</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3726570</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>24233711</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>-297522</OtherRevenueAmt>
      <RevenueNotReportedAmt>-297522</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24531233</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>24531233</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>24196654</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>24196654</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>297522</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>297522</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>24494176</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT CONSIDERED TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE CODE. THE ORGANIZATION IS REQUIRED TO REPORT UNRELATED BUSINESS INCOME TO THE INTERNAL REVENUE SERVICE AND THE MARYLAND TAXING AUTHORITY. THE ORGANIZATION DID NOT HAVE ANY SIGNIFICANT UNRELATED BUSINESS INCOME FOR THE YEAR ENDED JUNE 30, 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE PER ASC 606</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM RELATED BAD DEBT EXPENSE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SERVES AS CUSTODIAN FOR RESIDENTS WHO ARE UNABLE TO MANAGE THEIR OWN FINANCES. RESIDENTS CONTACT THE INDIVIDUAL CUSTODIAN OF THEIR ACCOUNT WHEN FUNDS ARE NEEDED TO REQUEST DISBURSEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PersonNm>TERRY WEAVER</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>MICHELE J BUSCHER</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENISE MCCANN</PersonNm>
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        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO AND VICE PRESIDENTS MAY RECEIVE INCENTIVE COMPENSATION AT THE DISCRETION OF THE BOARD BASED ON A NUMBER OF FACTORS SURROUNDING THE ORGANIZATION'S FINANCIAL HEALTH AS WELL AS QUALITY AND STRATEGIC INDICATORS.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTROL OVER MANAGEMENT DUTIES IS DELAGATED TO FAMILY OF CARE ALLIANCE, INC. (90-0860390), A RELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>FAMILY OF CARE ALLIANCE INC. (90-0860390), A MARYLAND NONSTOCK CORPORATION, IS THE SOLE MEMBER OF CHARLES COUNTY NURSING &amp; REHABILITATION CENTER, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER, FAMILY OF CARE ALLIANCE, ELECTS ALL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS RESERVED THE FOLLOWING POWERS AND SHALL REQUIRE THE AFFIRMATIVE VOTE OR WRITTEN CONSENT OF THE SOLE MEMBER: 1. APPROVAL OF ANY AMENDMENT, ALTERATION, REPEAL OR ADOPTION OF CHANGES TO THE BY-LAWS OR THE CHARTER. 2. ADOPTION, APPROVAL OR REPEAL OF ANY PLAN OF DISSOLUTION, OR MERGER. 3. ADOPTION, APPROVAL, OR REPEAL OF ANY MATERIAL CHANGES IN OPERATIONS INCLUDING WITHOUT LIMITATION, ANY CHANGE OR OMISSION THAT WOULD RESULT IN THE LOSS OF OR NEGATIVE IMPACT ON ANY OF THE CORPORATION'S LICENSES, PERMITS, CERTIFICATES OF NEED OR THE LIKE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO WILL COMPARE THE DRAFT FORM 990 TO THE PREVIOUS YEAR'S RETURN IN DETAIL, LOOKING FOR ANY SIGNIFICANT DIFFERENCES OR OMISSIONS. THE CFO ALSO TRACES AMOUNTS TO THE AUDITED FINANCIAL STATEMENTS AND TRIAL BALANCE. THE CFO THEN REVIEWS THE 990 WITH THE CEO BEFORE IT IS PRESENTED TO THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES FOR APPROVAL BEFORE BEING FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT THAT AFFIRMS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE BOARD AS A WHOLE MONITORS THE POLICY. ANY BOARD MEMBER, OFFICER, OR KEY EMPLOYEE WHO IS INVOLVED IN A CONFLICT SITUATION WILL REMOVE HIMSELF OR HERSELF FROM ANY DECISION-MAKING REGARDING THE CONFLICT. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR FISCAL YEAR END.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <CityNm>LA PLATA</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20626</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>FUNDRAISING FOR RELATED ENTITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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        <PrimaryActivitiesTxt>FUNDRAISING AND SUPPORT FOR AFFILIATED ORGANIZATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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</Return>