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            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AGENCY STAFFING</ServicesDesc>
        <CompensationAmt>103976</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>50652</AllOtherContributionsAmt>
      <NoncashContributionsAmt>1087</NoncashContributionsAmt>
      <TotalContributionsAmt>50652</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT FEES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>4558894</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4558894</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SENIOR CARE NETWORK</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>2520</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2520</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>4561414</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>76623</TotalRevenueColumnAmt>
        <ExclusionAmt>76623</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>18000</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>18000</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>18000</TotalRevenueColumnAmt>
        <ExclusionAmt>18000</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>405002</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>403110</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1892</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1892</TotalRevenueColumnAmt>
        <ExclusionAmt>1892</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC REBATES/REFUNDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>22520</TotalRevenueColumnAmt>
        <ExclusionAmt>22520</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
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        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>9305</TotalRevenueColumnAmt>
        <ExclusionAmt>9305</ExclusionAmt>
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      <OtherRevenueTotalAmt>31825</OtherRevenueTotalAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>128340</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>224037</TotalAmt>
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      <PayrollTaxesGrp>
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        <ManagementAndGeneralAmt>30620</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>22260</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>8764</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>38421</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>458012</ProgramServicesAmt>
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        <ProgramServicesAmt>189068</ProgramServicesAmt>
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        <TotalAmt>530418</TotalAmt>
        <ProgramServicesAmt>530418</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
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        <ProgramServicesAmt>344013</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <Desc>RESIDENT ACTIVITIES</Desc>
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      <ReconcilationRevenueExpnssAmt>-299145</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-58154</NetUnrlzdGainsLossesInvstAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEALS/VENDING - 2011 AMOUNT: $ 15,334. 2012 AMOUNT: $ 16,941. 2013 AMOUNT: $ 12,567. 2014 AMOUNT: $ 9,735. 2015 AMOUNT: $ 9,305. MISCELLANEOUS - 2011 AMOUNT: $ 9,696. 2012 AMOUNT: $ 11,706. 2013 AMOUNT: $ 13,819. 2014 AMOUNT: $ 9,839. 2015 AMOUNT: $ 22,520.</ExplanationTxt>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
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        <BookValueAmt>21080</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>2812364</DepreciationAmt>
        <BookValueAmt>1501554</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>243063</DepreciationAmt>
        <BookValueAmt>9599</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>3012060</DepreciationAmt>
        <BookValueAmt>1250855</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>1073640</DepreciationAmt>
        <BookValueAmt>923506</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3706594</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE DEPOSITS</Desc>
        <Amt>4000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>4000</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE EXEMPTING IT FROM FEDERAL INCOME TAXES IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE ACCOMPANYING STATEMENTS OF ACTIVITIES. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS, EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS AND BELIEVES THAT NO PROVISIONS FOR INCOME TAXES IS NECESSARY, AT THIS TIME, TO COVER ANY UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. LOUIS ALTENHEIM IS A DISTINCTIVE LONG-TERM CARE SENIOR RESIDENCE THAT FOSTERS THE FULLEST, MOST INDEPENDENT LIFE POSSIBLE FOR ITS RESIDENTS. COMMUNITY INVOLVEMENT IS AN INTEGRAL COMPONENT OF FOSTERING A FULL, INDEPENDENT LIFESTYLE AND ST. LOUIS ALTENHEIM SUPPORTS ITS RESIDENTS AND STAFF BY INCORPORATING SOCIALLY RESPONSIBLE ACTIVITIES. ST. LOUIS ALTENHEIM RESIDENTS AND STAFF SUPPORT NUMEROUS VOLUNTEER AND COMMUNITY EFFORTS ON AN ANNUAL BASIS. DURING 2015 OUR SOCIALLY RESPONSIBILITIES ACCUMULATED TO OVER 2,400 VOLUNTEER HOURS FOR 15 DIFFERENT ORGANIZATIONS AND PROGRAMS INCLUDING SLUH SENIOR PROJECTS FOR SIX STUDENTS, SENIOR CONNECTION, PROTESTANT SERVICES, CATHOLIC SERVICES, THE AMERICAN LEGION, AND LUTHERAN SCHOOL OF NURSING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS INITIALLY REVEIEWED BY THE CONTROLLER AFTER PREPARATION BY THE OUTSIDE ACCOUNTING FIRM. A COPY OF THE 990 IS THEN MADE AVAILABLE FOR THE GOVERNING BODY TO REVIEW PRIOR TO FILING WITH IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FOLLOWS AN ANNUAL DISCLOSURE POLICY FOR CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE TOP DAY-TO-DAY MANAGEMENT EMPLOYEES, ANNUALLY PUBLISHED COMPARABLE COMPENSATION DATA FOR THE INDUSTRY IS REVIEWED BY THE GOVERNING BOARD AS PART OF THE ANNUAL COMPENSATION APPROVAL PROCESS. DISCUSSIONS AND RESEARCH PERFORMED DURING THE COMPENSATION PROCESS ARE DULY DOCUMENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE WHICH PROVIDES OVERSIGHT FOR THE REVIEW OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043500001">
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          <BusinessNameLine1Txt>SENIOR CARE NETWORK INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1150 HANLEY INDUSTRIAL COURT</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
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        </USAddress>
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        <PrimaryActivitiesTxt>OPTIMIZING EFFICIENCY IN SENIOR CARE FACILITIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        <ShareOfEOYAssetsAmt>516080</ShareOfEOYAssetsAmt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <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>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>