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        <CurrentTaxYearMinus3YearsAmt>20552299</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22325222</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>29108369</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>27667481</CurrentTaxYearAmt>
        <TotalAmt>121680495</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99362</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99399</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="24020961" softwareVersionNum="2024v5.1">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1679200</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1679200</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>34532030</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>21804123</DepreciationAmt>
        <BookValueAmt>12727907</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>6037326</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5175667</DepreciationAmt>
        <BookValueAmt>861659</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2468311</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1778931</DepreciationAmt>
        <BookValueAmt>689380</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>15958146</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal Income Taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ENTRANCE FEES</Desc>
        <Amt>5342946</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INSURANCE CLAIMS LIABILITY</Desc>
        <Amt>150000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RENT DEPOSITS</Desc>
        <Amt>600855</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD-PARTY PAYORS</Desc>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6093801</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>27681886</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-4570</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>-4570</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>27686456</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>1951</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1951</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>27688407</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>26274300</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>0</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>26274300</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1951</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1951</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>26276251</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN ON DISPOSAL OF PROPERTY &amp; EQUIPMENT - 1951</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN ON DISPOSAL OF PROPERTY &amp; EQUIPMENT - 1951</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONGREGATIONS OF THE LUTHERAN CHURCH-MISSOURI SYNOD AND THE OTHER LUTHERAN CONGREGATIONS IN CAPE GIRADEAU COUNTY, PERRY COUNTY, AND SCOTT COUNTY, MISSOURI, THROUGH THEIR DULY ELECTED REPRESENTATIVES SHALL CONSTITUTE THE MEMBERS OF THE CORPORATION. THE CONGREGATIONS SHALL BECOME A MEMBER UPON APPLICATION BEING RECEIVED BY THE BOARD OF DIRECTORS. EACH MEMBER CONGREGATION MAY ELECT ONE REPRESENTATIVE IF THE CONGREGATION HAS SEVEN HUNDRED-FIFTY (750) COMMUNICANT MEMBERS OR LESS; TWO REPRESENTATIVES IF THE CONGREGATION HAS MORE THAN SEVEN HUNDRED-FIFTY (750) COMMUNICANT MEMBERS, BUT LESS THAN FIFTEEN HUNDRED (1,500) COMMUNICANT MEMBERS; AND THREE REPRESENTATIVES IF THE CONGREGATION HAS MORE THAN FIFTEEN HUNDRED (1,500) COMMUNICANT MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONGREGATIONS OF THE LUTHERAN CHURCH-MISSOURI SYNOD AND THE OTHER LUTHERAN CONGREGATIONS IN CAPE GIRADEAU COUNTY, PERRY COUNTY, AND SCOTT COUNTY, MISSOURI, THROUGH THEIR DULY ELECTED REPRESENTATIVES SHALL CONSTITUTE THE MEMBERS OF THE CORPORATION. THE CONGREGATIONS SHALL BECOME A MEMBER UPON APPLICATION BEING RECEIVED BY THE BOARD OF DIRECTORS. EACH MEMBER CONGREGATION MAY ELECT ONE REPRESENTATIVE IF THE CONGREGATION HAS SEVEN HUNDRED-FIFTY (750) COMMUNICANT MEMBERS OR LESS; TWO REPRESENTATIVES IF THE CONGREGATION HAS MORE THAN SEVEN HUNDRED-FIFTY (750) COMMUNICANT MEMBERS, BUT LESS THAN FIFTEEN HUNDRED (1,500) COMMUNICANT MEMBERS; AND THREE REPRESENTATIVES IF THE CONGREGATION HAS MORE THAN FIFTEEN HUNDRED (1,500) COMMUNICANT MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ORGANIZATION. ONCE THE FORM 990 IS PREPARED BY THE ACCOUNTING FIRM AND REVIEWED BY MANAGEMENT, THE FINAL FORM IS PRESENTED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. QUESTIONS AND COMMENTS RAISED REGARDING THE FINAL FORM 990 ARE ADDRESSED PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO REGULARLY REVIEWS ALL INVOICES FOR PROPER PAYMENT. ANY INVOICES FOR GOODS OR SERVICES PROVIDED BY MEMBERS OF THE GOVERNING BOARD ARE REVIEWED BEFORE APPROVAL FOR PAYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL IS CONDUCTED EACH YEAR IN NOVEMBER BY THE BOARD OF DIRECTORS, PERSONNEL AND FINANCE COMMITTEE FOR THE FOLLOWING YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>HUMAN RESOURCES, THE COO AND THE CFO REVIEW SALARIES FOR ALL EMPLOYEES OTHER THAN THE COO AND CFO. THEY THEN MAKE RECOMMENDATIONS TO THE FINANCE COMMITTEE FOR THE FOLLOWING YEAR. FINAL DECISION IS MADE BY THE GOVERNING BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>