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        <TotalAmt>51485</TotalAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>453111</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21649</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>353473</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus3YearsAmt>299156</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>50167</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15238</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20463</CurrentTaxYearAmt>
        <TotalAmt>429891</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>6897337</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7794582</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8701184</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10247620</CurrentTaxYearAmt>
        <TotalAmt>40988035</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>7196493</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7844749</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8716422</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>7162</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9682</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15074</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>7162</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9682</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>8726104</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportPY509Pct>0.99850</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III LINE 1D EXCLUDES UNUSUAL GIFTS OF 539,484 FOR DONATED INVENTORY AND FACILITIES. THIS AMOUNT WAS INCLUDED ON THE 2017 990 PART VIII LINE 1G.</ExplanationTxt>
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    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
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        <BookValueAmt>549753</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>6315981</DepreciationAmt>
        <BookValueAmt>27646916</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>2783440</DepreciationAmt>
        <BookValueAmt>1738826</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>29935495</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED SALARIES AND VACATION PAYABL</Desc>
        <Amt>341094</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED REAL ESTATE TAXES</Desc>
        <Amt>133303</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PAYROLL TAXES AND OTHER ACCR</Desc>
        <Amt>110010</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED INTEREST</Desc>
        <Amt>20809</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>605216</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>10283757</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>10283757</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-472763</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-472763</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>9810994</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>11625415</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>472763</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>472763</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>11152652</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>11152652</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON SALE OF FIXED ASSETS -78,453 IMPAIRMENT OF FIXED ASSETS -394,310</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON SALE OF FIXED ASSETS 78,453 IMPAIRMENT OF FIXED ASSETS 394,310</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF FORM 990 WAS GIVEN TO MANAGEMENT AND BOARD MEMBERS. BOARD REVIEWS AND APPROVES FORM 990 AT BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>METHODIST MANOR RETIREMENT COMMUNITY MONITORS THEIR EMPLOYEES' COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ANNUAL REVIEWS AND THROUGH INVESTIGATIONS OF ANY ALLEGATIONS OF POTENTIAL CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINES THE SALARY OF THE ADMINISTRATOR BY DOING AN AREA MARKET SURVEY OF OTHER NURSING HOMES IN THE AREA. THEY COMPARE SALARIES, BENEFITS, AND EXPERIENCE OF THE OTHER ADMINISTRATORS AND FROM THIS SURVEY AND DISCUSSIONS THEY DETERMINE AND SET THE ADMINISTRATOR'S SALARY FOR METHODIST MANOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>METHODIST MANOR RETIREMENT COMMUNITY MAKES ALL OF THEIR GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS AND FORM 990 TAX RETURN AVAILABLE AT ANY TIME TO THE PUBLIC IN THE ADMINISTRATIVE OFFICES LOCATED AT 1206 W 4TH STREET, STORM LAKE, IA 50588.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON SALE OF FIXED ASSETS 78,453 IMPAIRMENT OF FIXED ASSETS 394,310 LOSS ON SALE OF FIXED ASSETS -78,453 IMPAIRMENT OF FIXED ASSETS -394,310</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>