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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN CARBERRY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARS HEISE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIE SCHWARTZ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEINRICH W BRINKHAUS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIK DILGER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEIDI BARENTHALER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH MULLEN</PersonNm>
        <TitleTxt>COO OF LEGACY LIFECARE MANAGEMENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>297133</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24305</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENIFFER SANTERRE</PersonNm>
        <TitleTxt>CFO OF LEGACY LIFECARE MANAGEMENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>249822</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36101</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARRY BERMAN</PersonNm>
        <TitleTxt>CHIEF PHILANTHROPY OF LEGACY LIFECARE MANAGEMENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>885154</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40376</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BABACAR DIOP</PersonNm>
        <TitleTxt>CEO OF DEUTSCHES ALTENHEIM</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>226636</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30620</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETUEL GUERRIER</PersonNm>
        <TitleTxt>LPN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>229258</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25806</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DORRETH CHAMBERS</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>165880</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22075</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET KATAITO</PersonNm>
        <TitleTxt>LPN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>180534</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21142</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIRGINIA DURU</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>164945</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16148</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA CADASSE</PersonNm>
        <TitleTxt>DIRECTOR OF NURSING</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>150750</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28107</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1118003</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2161869</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>292453</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>33</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHELSEA JEWISH LIFECARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>165 CAPTAINS ROW</AddressLine1Txt>
            <CityNm>CHELSEA</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02150</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>805309</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LC ANDERSON HVACR</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15 SOLDIERS FIELD PLACE</AddressLine1Txt>
            <CityNm>BRIGHTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02315</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HVAC SERVICES</ServicesDesc>
        <CompensationAmt>211157</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RAINTECH SOUND &amp; COMMUNICATIONS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>250 SHELDON RD</AddressLine1Txt>
            <CityNm>MANCHESTER</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06042</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT/COMMUNICATION SERVICES</ServicesDesc>
        <CompensationAmt>149137</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ENCORE FIRE PROTECTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>70 BACON ST</AddressLine1Txt>
            <CityNm>PAWTUCKET</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02860</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FIRE ALARM SERVICES</ServicesDesc>
        <CompensationAmt>129916</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SPERLING INTERACTIVE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10 DERBY SQUARE STE S1</AddressLine1Txt>
            <CityNm>SALEM</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01790</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING/WEB DESIGN</ServicesDesc>
        <CompensationAmt>101765</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>894263</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>213007</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>133646</AllOtherContributionsAmt>
      <TotalContributionsAmt>1240916</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NURSING HOME REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>19887491</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19887491</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ASSISTED LIVING REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>4126137</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4126137</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADULT DAY HEALTH REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>507411</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>507411</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>24521039</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>177341</TotalRevenueColumnAmt>
        <ExclusionAmt>177341</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>487028</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>487028</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>487028</TotalRevenueColumnAmt>
        <ExclusionAmt>487028</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>709</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>709</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>709</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>26427033</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24521748</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>664369</ExclusionAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>13170702</TotalAmt>
        <ProgramServicesAmt>12135307</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1035395</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>849493</TotalAmt>
        <ProgramServicesAmt>782711</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66782</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1056269</TotalAmt>
        <ProgramServicesAmt>973232</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83037</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1201417</TotalAmt>
        <ManagementAndGeneralAmt>1201417</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>33062</TotalAmt>
        <ManagementAndGeneralAmt>33062</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>68855</TotalAmt>
        <ManagementAndGeneralAmt>68855</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>70196</TotalAmt>
        <ManagementAndGeneralAmt>70196</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>25806</TotalAmt>
        <ManagementAndGeneralAmt>25806</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>192127</TotalAmt>
        <ProgramServicesAmt>86076</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106051</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>382482</TotalAmt>
        <ProgramServicesAmt>171358</ProgramServicesAmt>
        <ManagementAndGeneralAmt>211124</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>936868</TotalAmt>
        <ProgramServicesAmt>936868</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>53453</TotalAmt>
        <ProgramServicesAmt>23948</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29505</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>16393</TotalAmt>
        <ProgramServicesAmt>7344</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9049</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>760770</TotalAmt>
        <ProgramServicesAmt>760770</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1279310</TotalAmt>
        <ProgramServicesAmt>1279310</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>304088</TotalAmt>
        <ManagementAndGeneralAmt>304088</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>NURSING FACILITY USER F</Desc>
        <TotalAmt>1023031</TotalAmt>
        <ProgramServicesAmt>1023031</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD EXPENSE</Desc>
        <TotalAmt>805978</TotalAmt>
        <ProgramServicesAmt>805978</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES</Desc>
        <TotalAmt>673489</TotalAmt>
        <ProgramServicesAmt>301733</ProgramServicesAmt>
        <ManagementAndGeneralAmt>371756</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>503434</TotalAmt>
        <ProgramServicesAmt>503434</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1655170</TotalAmt>
        <ProgramServicesAmt>792211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>854959</ManagementAndGeneralAmt>
        <FundraisingAmt>8000</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>25062393</TotalAmt>
        <ProgramServicesAmt>20583311</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4471082</ManagementAndGeneralAmt>
        <FundraisingAmt>8000</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>1071219</BOYAmt>
        <EOYAmt>1180242</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>250004</BOYAmt>
        <EOYAmt>387507</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>48000</BOYAmt>
        <EOYAmt>108780</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>2138703</BOYAmt>
        <EOYAmt>2765211</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>373568</BOYAmt>
        <EOYAmt>398428</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>41769883</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>24915774</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>16613594</BOYAmt>
        <EOYAmt>16854109</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>644350</BOYAmt>
        <EOYAmt>934782</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>5482092</BOYAmt>
        <EOYAmt>5879301</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>10446</BOYAmt>
        <EOYAmt>16658</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>26631976</BOYAmt>
        <EOYAmt>28525018</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1779619</BOYAmt>
        <EOYAmt>2443282</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>176307</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>15592305</BOYAmt>
        <EOYAmt>14501189</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>250004</BOYAmt>
        <EOYAmt>387507</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>149900</BOYAmt>
        <EOYAmt>149900</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1462608</BOYAmt>
        <EOYAmt>1998384</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>19234436</BOYAmt>
        <EOYAmt>19656569</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1617072</BOYAmt>
        <EOYAmt>2713776</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>5780468</BOYAmt>
        <EOYAmt>6154673</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7397540</BOYAmt>
        <EOYAmt>8868449</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>26631976</BOYAmt>
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        <ExplanationTxt>THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT WITH LEGACY LIFECARE MANAGEMENT EFFECTIVE SEPTEMBER 8, 2020. LEGACY LIFECARE MANAGEMENT PROVIDED MANAGEMENT SERVICES WHICH INCLUDED THE FOLLOWING RESPONSIBILITIES: 1) KEY PERSONNEL MANAGEMENT 2) OTHER PERSONNEL OVERSIGHT (EMPLOYEES &amp; ADMINISTRATION) 3) PROVIDER PROGRAMS 4) ACCOUNTING 5) BILLING AND COLLECTION OF ACCOUNTS 6) FACILITY SERVICES 7) MATERIALS AND PROPERTY MANAGEMENT 8) QUALITY CONTROL 9) PUBLIC RELATIONS 10) BUSINESS DEVELOPMENT 11) FUNDRAISING 12) ANNUAL BUDGET 13) EXPENDITURE AND PAYMENT MANAGEMENT 14) BANK ACCOUNT MANAGEMENT 15) OVERSEEING OPERATIONS</ExplanationTxt>
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        <ExplanationTxt>SUBJECT TO THE APPROVAL OF THE SOLE CORPORATE MEMBER, WHICH SUCH APPROVAL SHALL NOT BE UNREASONABLY WITHHELD, THE BOARD SHALL BE RESPONSIBLE FOR THE FOLLOWING: ANY CHANGE IN THE NAME OF THE CORPORATION OR OTHER NAMES UNDER WHICH IT DOES BUSINESS, SUCH AS GERMAN CENTRE FOR EXTENDED CARE, EDELWEISS VILLAGE AND SENIOR PLACE ADULT DAY HEALTH CENTER; DEVELOPMENT OF LONG-TERM STRATEGIC PLANS; CHANGES IN PURPOSE OR MISSION OF THE CORPORATION; THE DISPOSITION OF ASSETS ON DISSOLUTION OF THE CORPORATION; ADOPTION OF POLICIES REGARDING THE INVESTMENTS, ENDOWMENTS, TRUSTS, AND REAL PROPERTY OF THE CORPORATION; ADOPTION OF ANNUAL BUDGETS; EXPANSION OF SERVICES AND DEVELOPMENT OF NEW PROGRAMS; AND DELEGATION OF BOARD-AUTHORIZED ACTIVITIES TO ANY COMMITTEE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE MEETINGS AND WRITTEN ACTIONS OF THE BOARD OF DIRECTORS ARE DOCUMENTED THROUGH MINUTES TAKEN AT EACH BOARD MEETING HELD.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION'S COMPLETE FORM 990 IS REVIEWED BY THE TOP MANAGEMENT AND SOME MEMBERS OF THE BOARD PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
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        <ExplanationTxt>A MEETING OF COMPLIANCE COMMITTEE IS HELD AT LEAST ANNUALLY, MORE FREQUENTLY AS NEEDED AND ALL POTENTIAL AND REPORTED CONFLICTS ARE REVIEWED. ALL PERSONS IN AUTHORITY (STAFF DEPARTMENT HEADS AND HIGHER, INCLUDING TRUSTEES) ARE COVERED UNDER THE POLICY. APPROPRIATE DISCLOSURE, SECURITY OR OTHER RESTRICTIONS ARE IMPOSED ON ANY PERSON DEEMED AS OPERATING WITH AN ACCEPTABLE "CONFLICT OF INTEREST."</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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