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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>385507</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GRAPETREE MEDICAL STAFFING INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1003 23RD STREET</AddressLine1Txt>
            <CityNm>MILFORD</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>51351</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING AGENCY</ServicesDesc>
        <CompensationAmt>366317</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SYSCO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1390 ENCLAVE PARKWAY</AddressLine1Txt>
            <CityNm>HOUSTON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77077</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICES</ServicesDesc>
        <CompensationAmt>287586</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CASCADE HEALTH SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1045 SWIFT AVE</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64116</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSING AGENCY</ServicesDesc>
        <CompensationAmt>256576</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT FEES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>5996782</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5996782</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>5996782</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>14310</TotalRevenueColumnAmt>
        <ExclusionAmt>14310</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossSalesOfInventoryAmt>2153</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>1982</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>171</TotalRevenueColumnAmt>
        <ExclusionAmt>171</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEALS/VENDING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>227844</TotalRevenueColumnAmt>
        <ExclusionAmt>227844</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>BEAUTY SHOP</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>35334</TotalRevenueColumnAmt>
        <ExclusionAmt>35334</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>INSURANCE PROCEEDS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>26251</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25902</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>349</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>75428</TotalRevenueColumnAmt>
        <ExclusionAmt>75428</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>364857</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>6376120</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6022684</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>353436</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>308376</TotalAmt>
        <ManagementAndGeneralAmt>308376</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2511494</TotalAmt>
        <ProgramServicesAmt>2372649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138845</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>5407</TotalAmt>
        <ProgramServicesAmt>1423</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3984</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>244201</TotalAmt>
        <ProgramServicesAmt>212558</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31643</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>193958</TotalAmt>
        <ProgramServicesAmt>184732</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9226</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>217422</TotalAmt>
        <ManagementAndGeneralAmt>217422</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>20536</TotalAmt>
        <ManagementAndGeneralAmt>20536</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>95056</TotalAmt>
        <ManagementAndGeneralAmt>95056</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>943016</TotalAmt>
        <ProgramServicesAmt>902322</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40694</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>90150</TotalAmt>
        <ManagementAndGeneralAmt>90150</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>509423</TotalAmt>
        <ProgramServicesAmt>366618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142805</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>64783</TotalAmt>
        <ProgramServicesAmt>63922</ProgramServicesAmt>
        <ManagementAndGeneralAmt>861</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>393264</TotalAmt>
        <ProgramServicesAmt>388034</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5230</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>26826</TotalAmt>
        <ProgramServicesAmt>9141</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17685</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>4625</TotalAmt>
        <ProgramServicesAmt>125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4500</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>171152</TotalAmt>
        <ProgramServicesAmt>168876</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2276</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>737283</TotalAmt>
        <ProgramServicesAmt>727478</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9805</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>171788</TotalAmt>
        <ProgramServicesAmt>169504</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2284</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DIETARY EXPENSE</Desc>
        <TotalAmt>308982</TotalAmt>
        <ProgramServicesAmt>308982</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>41707</TotalAmt>
        <ProgramServicesAmt>41707</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BEAUTY &amp; BARBER</Desc>
        <TotalAmt>28034</TotalAmt>
        <ProgramServicesAmt>28034</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ACTIVITIES</Desc>
        <TotalAmt>8061</TotalAmt>
        <ProgramServicesAmt>7933</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>7243</TotalAmt>
        <ProgramServicesAmt>1364</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5879</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7102787</TotalAmt>
        <ProgramServicesAmt>5955402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1147385</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>93802</BOYAmt>
        <EOYAmt>103993</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>5683</BOYAmt>
        <EOYAmt>5453</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>440636</BOYAmt>
        <EOYAmt>395633</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>35616</BOYAmt>
        <EOYAmt>30168</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>185667</BOYAmt>
        <EOYAmt>215604</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>21691328</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>12067542</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>10218201</BOYAmt>
        <EOYAmt>9623786</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1123625</BOYAmt>
        <EOYAmt>498061</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>94506</BOYAmt>
        <EOYAmt>300021</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>12197736</BOYAmt>
        <EOYAmt>11172719</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1489091</BOYAmt>
        <EOYAmt>1596180</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>2611249</BOYAmt>
        <EOYAmt>2558695</EOYAmt>
      </DeferredRevenueGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>10038</BOYAmt>
        <EOYAmt>18253</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>6434565</BOYAmt>
        <EOYAmt>6273100</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>150000</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>10694943</BOYAmt>
        <EOYAmt>10446228</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1502793</BOYAmt>
        <EOYAmt>726491</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1502793</BOYAmt>
        <EOYAmt>726491</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>12197736</BOYAmt>
        <EOYAmt>11172719</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-726667</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-49635</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>6442132</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5623043</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4777950</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5062494</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6022684</CurrentTaxYearAmt>
        <TotalAmt>27928303</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearAmt>2153</CurrentTaxYearAmt>
        <TotalAmt>2153</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>6442132</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5623043</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4777950</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5062494</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6024837</CurrentTaxYearAmt>
        <TotalAmt>27930456</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>27930456</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>71555</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>71738</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>62114</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>47766</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14310</CurrentTaxYearAmt>
        <TotalAmt>267483</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>71555</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>71738</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>62114</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>47766</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14310</CurrentTaxYearAmt>
        <TotalAmt>267483</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>425922</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>386817</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>353625</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>461745</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>338955</CurrentTaxYearAmt>
        <TotalAmt>1967064</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>6939609</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6081598</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5193689</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5572005</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6378102</CurrentTaxYearAmt>
        <TotalAmt>30165003</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.92590</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.93070</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00890</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01090</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2013 AMOUNT: $ 56,497. 2014 AMOUNT: $ 39,902. 2015 AMOUNT: $ -3,747. 2016 AMOUNT: $ 120,874. 2017 AMOUNT: $ 23,115. MEAL/VENDING - 2013 AMOUNT: $ 249,281. 2014 AMOUNT: $ 239,871. 2015 AMOUNT: $ 254,511. 2016 AMOUNT: $ 232,224. 2017 AMOUNT: $ 227,844. TRANSPORTATION - 2013 AMOUNT: $ 24,514. 2014 AMOUNT: $ 22,455. 2015 AMOUNT: $ 15,894. 2016 AMOUNT: $ 19,191. 2017 AMOUNT: $ 23,826. LAUNDRY - 2013 AMOUNT: $ 20,526. 2014 AMOUNT: $ 17,833. 2015 AMOUNT: $ 18,111. 2016 AMOUNT: $ 19,063. 2017 AMOUNT: $ 12,975. GUEST ROOM - 2013 AMOUNT: $ 17,935. 2014 AMOUNT: $ 20,135. 2015 AMOUNT: $ 22,220. 2016 AMOUNT: $ 22,421. 2017 AMOUNT: $ 11,470. BEAUTY BARBER - 2013 AMOUNT: $ 57,169. 2014 AMOUNT: $ 46,621. 2015 AMOUNT: $ 41,466. 2016 AMOUNT: $ 39,767. 2017 AMOUNT: $ 35,334. GIFT SHOP - 2015 AMOUNT: $ 2,741. 2016 AMOUNT: $ 2,310. INSURANCE PROCEEDS - 2015 AMOUNT: $ 2,429. 2016 AMOUNT: $ 5,350. 2017 AMOUNT: $ 349. NFRA REVENUE - 2016 AMOUNT: $ 545. 2017 AMOUNT: $ 4,042.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>192239</OtherCostOrOtherBasisAmt>
        <BookValueAmt>192239</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>19287431</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10529027</DepreciationAmt>
        <BookValueAmt>8758404</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>533149</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>353214</DepreciationAmt>
        <BookValueAmt>179935</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1587909</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1185301</DepreciationAmt>
        <BookValueAmt>402608</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>90600</OtherCostOrOtherBasisAmt>
        <BookValueAmt>90600</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9623786</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>6328467</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-49635</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>1982</OtherRevenueAmt>
      <RevenueNotReportedAmt>-47653</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6376120</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6376120</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7104769</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>1982</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1982</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7102787</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7102787</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ESCROW DEPOSITS CONSIST OF AMOUNTS RECEIVED FROM PROSPECTIVE RESIDENTS TO SECURE OR HOLD AN APARTMENT UNIT UNTIL THEY ARE READY TO MOVE IN OR WHEN A UNIT BECOMES AVAILABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GIFT STORE EXPENSES, NETTED WITH REVENUE 1,982.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GIFT STORE EXPENSES, NETTED WITH REVENUE 1,982.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AUGUST 1, 2008, THE FOUNDATION ENTERED INTO A TEN-YEAR MANAGEMENT AGREEMENT WITH LIFE CARE SERVICES, LLC (LCS). UNDER THE TERMS OF THE AGREEMENT, LCS ASSUMES RESPONSIBILITY TO IMPLEMENT THE POLICIES, BUDGET AND GOALS ESTABLISHED BY THE FOUNDATION. LCS WILL PROVIDE MARKETING SOFTWARE, TRAINING, ESTABLISH AND MAINTAIN FINANCIAL SOFTWARE AND ASSIST IN THE RELATED CONTROLS. THE FOUNDATION WILL PAY A MONTHLY MANAGEMENT FEE OF 3.75% OF THE CURRENT MONTH'S GROSS OPERATING REVENUE. THE FOUNDATION SHALL PAY LCS AN INCENTIVE FEE OF $1,000 FOR THE SALE OF EACH APARTMENT UPON CLOSING. THE FOUNDATION SHALL PAY LCS A SERVICE PROVIDER FEE FOR THE USE OF LCS ACCOUNTING, PAYROLL, AND BILLING TECHNOLOGY IN THE AMOUNT OF $600 PER MONTH. IN THE EVENT THIS AGREEMENT IS TERMINATED PRIOR TO FORTY-EIGHT MONTHS, THE REMAINING BALANCE OF THIS SERVICE PROVIDER FEE SHALL BE DUE AND PAYABLE. EITHER PARTY MAY TERMINATE THE AGREEMENT, WITHOUT CAUSE AT ANY TIME BY GIVING THE OTHER PARTY AT LEAST SIX MONTHS WRITTEN NOTICE OF ITS DESIRE TO TERMINATE, AND USING A SCHEDULED SEVERANCE AGREEMENT. THE EXECUTIVE DIRECTOR AND THE HEALTH CENTER ADMINISTRATOR SHALL BE EMPLOYEES OF LCS, AND THE FOUNDATION SHALL REIMBURSE LCS FOR THE EXECUTIVE DIRECTOR'S AND ADMINISTRATOR'S COMPENSATION AND RELATED EXPENSES. THE FOUNDATION PAID MANAGEMENT FEES, THE EXECUTIVE DIRECTOR'S AND ADMINISTRATOR'S COMPENSATION AND EMPLOYEE BENEFITS AND OTHER RELATED EXPENSES TO LCS TOTALING $703,221 AND $560,281 FOR THE YEARS ENDED AUGUST 31, 2018 AND 2017, RESPECTIVELY. ON SEPTEMBER 1, 2017, THE FOUNDATION ENTERED INTO AN ACCOUNTING AGREEMENT WITH LCS. UNDER THE TERMS OF THE AGREEMENT, LCS WILL PROVIDE ACCOUNTING, PAYROLL, ACCOUNTS PAYABLE AND BILLING SERVICES OUTLINED WITHIN THE AGREEMENT UNTIL A TERMINATION DATE THAT COINCIDES WITH THE MANAGEMENT AGREEMENT. FEES FOR LCS' ACCOUNTING SERVICES ARE PAYABLE MONTHLY BEGINNING SEPTEMBER 1, 2017 AT $4,167 PER MONTH. DURING THE 2017 CALENDAR YEAR, THE FOLLOWING INDIVIDUALS WERE COMPENSATED FOR PROVIDING SERVICES TO THE FOUNDATION IN THE FOLLOWING AMOUNTS. THESE FIGURES INCLUDE SALARIES, PAYROLL TAXES AND BENEFITS. PAIGE WHEELER, EXECUTIVE DIRECTOR: $181,746 KRISTEN KALLAS, HEALTH CENTER ADMINISTRATOR: $37,995 JASON GIBSON, EXECUTIVE DIRECTOR: $47,519</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR AND ACCOUNTING DIRECTOR REVIEW FORM 990 AND THEN A COMPLETE COPY IS PROVIDED TO ALL BOARD MEMBERS BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY DISCLOSE CONFLICTS OF INTEREST TO THE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S EXECUTIVE DIRECTOR AND TOP MANAGEMENT OFFICIALS ARE EMPLOYEES OF LIFE CARE SERVICES CORP. LIFE CARE SERVICES IS A MANAGER OF SENIOR LIVING COMMUNITIES. LIFE CARE SERVICES DETERMINES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND HEALTH CARE ADMINISTRATOR. LCS USES COMPARABILITY DATA AND THE EMPLOYEES ANNUAL REVIEW INFORMATION TO DETERMINE COMPENSATION. THE BOARD OF DIRECTORS HAS FINAL APPROVAL OF ANY COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSIDE SERVIES: PROGRAM SERVICE EXPENSES 396,727. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 396,727. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 470,326. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 470,326. CONSULTING: PROGRAM SERVICE EXPENSES 35,269. MANAGEMENT AND GENERAL EXPENSES 40,694. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,963.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 12 PART XII LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESSES HAVE NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PAGE 7 PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES CORP. AND THE FOUNDATION REIMBURSES LIFE CARE SERVICES CORP. FOR THE EXECUTIVE DIRECTOR'S COMPENSATION AND RELATED EXPENSES FOR THEIR MANAGEMENT SERVICES, BUT LIFE CARE SERVICES CORP ISSUES THE W-2S, NOT THE FOUNDATION, SO NO COMPENSATION IS LISTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 10, PART IX, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF LIFE CARE SERVICES CORP. AND THE FOUNDATION REIMBURSES LIFE CARE SERVICES CORP. FOR THE EXECUTIVE DIRECTOR'S COMPENSATION AND RELATED EXPENSES FOR THEIR MANAGEMENT SERVICES, BUT LIFE CARE SERVICES CORP ISSUES THE W-2S, NOT THE FOUNDATION, SO NO COMPENSATION IS LISTED ON PAGE 7 OF FORM 990 ALTHOUGH FISCAL YEAR COMPENSATION IS SHOWN ON PAGE 10, LINE 5 FOR THE REIMBURSED EXPENSE AMOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>MEYER FOUNDATION TRUST</BusinessNameLine1Txt>
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          <AddressLine1Txt>1201 WEST 19TH STREET</AddressLine1Txt>
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