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        <ManagementAndGeneralAmt>80722</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>153157</TotalAmt>
        <ProgramServicesAmt>153157</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>4998</ProgramServicesAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>207392</TotalAmt>
        <ProgramServicesAmt>207392</ProgramServicesAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>71909</TotalAmt>
        <ProgramServicesAmt>71909</ProgramServicesAmt>
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      <OccupancyGrp>
        <TotalAmt>95752</TotalAmt>
        <ProgramServicesAmt>95752</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>56888</TotalAmt>
        <ProgramServicesAmt>56888</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>11804</TotalAmt>
        <ProgramServicesAmt>11804</ProgramServicesAmt>
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      <InterestGrp>
        <TotalAmt>328509</TotalAmt>
        <ManagementAndGeneralAmt>328509</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>29248</TotalAmt>
        <ProgramServicesAmt>29248</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>5885</TotalAmt>
        <ProgramServicesAmt>5885</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>STONEWALL LODGE &amp; COTTA</Desc>
        <TotalAmt>87453</TotalAmt>
        <ManagementAndGeneralAmt>87453</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DISC OP HONDO</Desc>
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        <ProgramServicesAmt>25135</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LEASE EXPENSE VEHICLES</Desc>
        <TotalAmt>14769</TotalAmt>
        <ProgramServicesAmt>14769</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL</Desc>
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        <ProgramServicesAmt>14001</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>19716</ProgramServicesAmt>
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        <ProgramServicesAmt>2428041</ProgramServicesAmt>
        <ManagementAndGeneralAmt>531105</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>276937</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>47876</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>108116</EOYAmt>
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        <EOYAmt>-142122</EOYAmt>
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        <EOYAmt>4329923</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>2227</EOYAmt>
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        <EOYAmt>4595374</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>-4006433</EOYAmt>
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        <EOYAmt>-4006433</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <PriorPeriodAdjustmentsAmt>-23841</PriorPeriodAdjustmentsAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus3YearsAmt>2304515</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2968900</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3274992</CurrentTaxYearMinus1YearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>2304515</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2968900</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3319992</CurrentTaxYearMinus1YearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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        <TotalAmt>20000</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <TotalAmt>20000</TotalAmt>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>NURSING &amp; REHABILITATION SERVICES - 6 FACILITIES: KISSITO OPERATES SIX SKILLED NURSING AND REHABILITATION FACILITIES THAT DELIVER EXCEPTIONAL SERVICES LIKE VENTILATOR DEPENDENT CARE, COMPLEX WOUND CARE, ALZHEIMER/DEMENTIA CARE, POST-ACUTE REHABILITATION, ASSISTED LIVING, AND CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS. TWO-THIRDS OF THE PATIENTS KISSITO CARES FOR ARE SHORT-TERM REHABILITATION PATIENTS WITH A PLAN TO RETURN TO HOME. PATIENTS ARE GETTING OLDER; THEY'RE WAITING LONGER TO SEEK HELP; AND DISEASES CONTINUE TO EVOLVE. AS A FORWARD-LOOKING NURSING HOME OPERATOR, WE STRIVE TO MEET THE NEEDS OF TODAY WHILE EVOLVING WITH THE CHANGES SHAPING TOMORROW. HIGH ACUITY SKILLED NURSING - RESPIRATORY CARE CENTER OF EXCELLENCE: AS MORE AND MORE SENIORS AGE IN PLACE, THE ROLE OF THE NURSING HOME IS CHANGING. KISSITO BELIEVES THAT THE ROLE OF A NURSING HOME WILL BE TO CARE FOR THOSE SENIORS WHO NEED EXTENSIVE HIGH-ACUITY SERVICES BOTH SHORT-TERM AND LONG-TERM. IN VIRGINIA, KISSITO HAS TRANSFORMED TWO TRADITIONAL NURSING HOMES INTO HIGH-ACUITY RESPIRATORY CENTERS OF EXCELLENCE. THE CENTERS ARE DESIGNED TO CARE FOR VENTILATOR AND TRACHEOTOMY DEPENDENT PATIENTS. AT THESE FACILITIES WE BOTH WEAN PATIENTS OFF OF THE VENTILATOR SO THEY MAY RETURN TO THEIR COMMUNITY AND WE CARE FOR THOSE ON A VENTILATOR LONG TERM AND PROVIDE A HIGH QUALITY OF LIFE WHILE DOING SO. KISSITO'S RESPIRATORY CENTERS OF EXCELLENCE ARE IN HIGH DEMAND AND RECEIVES PATIENTS FROM THROUGHOUT THE UITEDN STATES. MODEL OF CARE CP2 (COLLABORATE PATIENT CARE PATHWAY): OVER 22 PERCENT OF MEDICARE PATIENTS RELEASED FROM THE HOSPITAL RETURN WITHIN 30 DAYS, AND THE LEADING CAUSE IS THEIR INABILITY TO MANAGE THEIR CONDITION. KISSITO RECOGNIZED THAT PATIENTS AND THEIR FAMILIES COULD BE EMPOWERED TO MAINTAIN THEIR HEALTH AND BREAK THE HOSPITALIZATION CYCLE. WORKING WITH DR. STEVEN R. HAHN OF THE ALBERT EINSTEIN COLLEGE OF MEDICINE, KISSITO DEVELOPED THE COLLABORATIVE PATIENT CARE PATHWAY OR CP2. THIS EVIDENCE-BASED MODEL OF CARE HAS ALREADY BEEN IMPLEMENTED IN MULTIPLE PROVIDER SETTINGS ACROSS THE COUNTRY AND EARLY RESULTS SHOW DRAMATICALLY REDUCED READMISSION RATES WITH PATIENTS ENJOYING LONGER, HEALTHIER, AND HAPPIER LIVES. KISSITO IS COMMITTED TO MAKING CP2 THE STANDARD MODEL OF CARE ACROSS MULTIPLE PROVIDER SETTINGS. HOME AND COMMUNITY BASED SERVICES - PACE AND MFP: KISSITO BELIEVES OUR ELDERLY POPULATION WILL ONCE AGAIN BE CARED FOR AT HOME WITH BETTER OUTCOMES AND AT LOWER COSTS. FEDERALLY FUNDED PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) AND MFP (MONEY FOLLOWS THE PERSON) ARE TWO PROGRAMS KISSITO HAS IMPLEMENTED TO KEEP OR BRING OUR ELDERS HOME TO LIVE AMONGST FAMILY AND FRIENDS. KISSITO BELIEVES HIGH-QUALITY, HOME-CENTERED CARE IS THE WAY OF THE FUTURE AND WE INTEND TO BE AT THE FOREFRONT OF IT. KISSITO AT HOME (MFP): RESEARCH SHOWS THERE ARE FAR TOO MANY ELDERS INSTITUTIONALIZED IN NURSING HOMES, MANY OF WHOM COULD LIVE INDEPENDENTLY IN THE COMMUNITY WITH THE RIGHT HOME AND COMMUNITY BASED SERVICES AVAILABLE TO THEM. KISSITO AT HOME IS A MONEY FOLLOWS THE PERSON PROGRAM DESIGNED TO ALLOW A PERSON LIVING IN A NURSING HOME TO TRANSITION BACK INTO THE COMMUNITY AND HAVE THEIR HOME AND COMMUNITY BASED SERVICES COORDINATED FOR THEM UNTIL THE TRANSITION IS COMPLETE. KISSITO PACE: STAYING INDEPENDENT AND REMAINING AT HOME IS IMPORTANT FOR OUR COMMUNITY'S SENIORS. HOWEVER, SAFETY AND PROPER CARE ARE SERIOUS CONCERNS. KISSITO PACE UNDERSTANDS THIS AND HELPS SENIORS TO STAY HEALTHY AND LIVING AT HOME. SENIORS IN THE KISSITO PACE PROGRAM BENEFIT FROM A WIDE RANGE OF HEALTHCARE SERVICES PROVIDED IN OUR PACE CENTER AND AT HOME, 24 HOURS A DAY, 7 DAYS A WEEK, AND 365 DAYS A YEAR. KISSITO PACE RELIEVES THE BURDEN ON FAMILY CAREGIVERS BY PROVIDING WHEELCHAIR ACCESSIBLE TRANSPORTATION, CARE COORDINATION, AND COMPLETE ACCESS TO HEALTHCARE SERVICES FOR THEIR PARTICIPANTS. ELDER HOUSING: AFFORDABLE HOUSING FOR THE FRAIL AND ELDERLY: KISSITO HAS TAKEN STEPS TO CREATE PARTNERSHIPS AND PROGRAMS THAT ADDRESS THE LACK OF AFFORDABLE ELDER HOUSING AND THE ACCESS OF HOME AND COMMUNITY BASED SERVICES IN OUR COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>SOUTH SUDAN: KISSITO'S PROJECT WAS ACCEPTED INTO THE CONSOLIDATED APPEAL OF THE UNITED NATIONS OFFICE OF COORDINATED HUMANITARIAN AFFAIRS (UNCHA) TO PROVIDE LIFESAVING EMERGENCY NUTRITION SERVICES AND LOCAL HEALTHCARE CAPACITY STRENGTHENING FOR MALNOURISHED MOTHERS AND CHILDREN IN THE STATE OF JONGLEI OF SOUTH SUDAN. THE PROJECT IS BEING FUNDED JOINTLY BY UNOCHA AND PLAN INTERNATIONAL. THIS PROGRAM ENDED IN DECEMBER 31, 2016. VIRGINIA CONSERVATION LEGACY FUND, INC. ("VCLF"): VIRGINIA CONSERVATION LEGACY FUND, INC. ("VCLF") WAS CREATED TO PROMOTE NATURAL RESOURCES STEWARDSHIP THROUGH CONSERVATION, EDUCATION, AND OUTDOOR RECREATION. VCLF PURCHASED THE NATURAL BRIDGE PARK WITH INTENT TO DONATE IT TO THE COMMONWEALTH OF VIRGINIA FOR THE CREATION OF NATURAL BRIDGE STATE PARK. THE PARK, ONCE OWNED BY THOMAS JEFFERSON, OFFERS INTERPRETIVE EDUCATION EXHIBITS, HIKING TRAILS, PICNIC AREAS, AND MANY SPECIAL FAMILY-FRIENDLY EVENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THOMAS M CLARKE, PRESIDENT/CEO AND DIRECTOR IS RELATED BY MARRIAGE TO ANA CLARKE, DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WILL BE REVIEWED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A WRITTEN CONFLICT OF INTEREST DISCLOSURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS DETERMINED BY REFERENCE TO COMPARABILITY DATA AND IS SUBJECT TO REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD, AND TOP MANAGEMENT OF THE COMPANY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ELIMINATION OF DISREGARD ENTITY ACTIVITY 77,305. ELIMINATION OF DISREGARD ENTITY ACTIVITY -1,042,629.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES IN METHOD SINCE PRIOR YEAR.</ExplanationTxt>
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        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AFS OF LOW MOOR INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>358453</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AFS OF FINCASTLE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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        <MethodOfAmountDeterminationTxt>FLAT % OF TOTAL REVENUES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AFS OF LEBANON INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>FLAT % OF TOTAL REVENUES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AFS OF YUMA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>FLAT % OF TOTAL REVENUES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KISSITO PACE OF ROANOKE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>394114</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FLAT % OF TOTAL REVENUES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AFS OF LOW MOOR INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>245058</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>DUE TO SUB</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AFS OF FINCASTLE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>574522</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>DUE TO SUB</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AFS OF BASTIAN INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>368181</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>DUE FROM SUB</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AFS OF HOT SPRINGS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>134313</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>DUE TO SUB</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AFS OF LEBANON INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>172667</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>DUE FROM SUB</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AFS OF YUMA INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>661189</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>DUE TO SUB</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>KISSITO VILLAGE OF ROANOKE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>DUE FROM SUB</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>