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        <ServicesDesc>Dietary Services</ServicesDesc>
        <CompensationAmt>183694</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Royal Terrace</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>201 E Flaming Rd</AddressLine1Txt>
            <CityNm>Olathe</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66061</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Skilled Nursing Services</ServicesDesc>
        <CompensationAmt>138910</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>1126517</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>38550</AllOtherContributionsAmt>
      <TotalContributionsAmt>1165067</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net skilled nursing se</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>7578339</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7578339</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GERTI education &amp; cons</Desc>
        <BusinessCd>611430</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>69589</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>13039</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13039</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>34152</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34152</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>7695119</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>852</TotalRevenueColumnAmt>
        <ExclusionAmt>852</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>60803</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>15228</FundraisingDirectExpensesAmt>
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        <TotalRevenueColumnAmt>45575</TotalRevenueColumnAmt>
        <ExclusionAmt>45575</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>412219</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>412219</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>9318832</TotalRevenueColumnAmt>
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        <ExclusionAmt>46427</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>461498</TotalAmt>
        <ProgramServicesAmt>153757</ProgramServicesAmt>
        <ManagementAndGeneralAmt>307741</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4474679</ProgramServicesAmt>
        <ManagementAndGeneralAmt>376981</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>98894</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>921093</TotalAmt>
        <ProgramServicesAmt>831795</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89298</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>421607</TotalAmt>
        <ProgramServicesAmt>367498</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54109</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>73193</TotalAmt>
        <ProgramServicesAmt>12613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60580</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>24761</TotalAmt>
        <ProgramServicesAmt>7767</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16994</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <InformationTechnologyGrp>
        <TotalAmt>92929</TotalAmt>
        <ProgramServicesAmt>4578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88351</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>314086</TotalAmt>
        <ProgramServicesAmt>282677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31409</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>13193</TotalAmt>
        <ProgramServicesAmt>7122</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6071</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>12459</TotalAmt>
        <ProgramServicesAmt>4276</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8183</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>109303</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12145</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>61857</TotalAmt>
        <ProgramServicesAmt>61857</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>1212442</TotalAmt>
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        <ManagementAndGeneralAmt>30701</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>420210</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37184</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Food</Desc>
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        <ProgramServicesAmt>368845</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Other insurance related</Desc>
        <TotalAmt>298553</TotalAmt>
        <ProgramServicesAmt>298553</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>96558</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>248018</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>854868</EOYAmt>
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        <EOYAmt>78506</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>791572</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>1474658</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>2266230</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-830475</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>1181868</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1229201</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1236182</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1225871</CurrentTaxYearAmt>
        <TotalAmt>6129758</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>8896090</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8542451</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8336621</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8294880</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7695119</CurrentTaxYearAmt>
        <TotalAmt>41765161</TotalAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>9724319</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9565822</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9531062</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8920990</CurrentTaxYearAmt>
        <TotalAmt>47894919</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus4YearsAmt>4186</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1684</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1392</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1149</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>852</CurrentTaxYearAmt>
        <TotalAmt>9263</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>1684</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1392</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1149</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>852</CurrentTaxYearAmt>
        <TotalAmt>9263</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>10156912</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9726003</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9567214</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9532211</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8921842</CurrentTaxYearAmt>
        <TotalAmt>47904182</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99980</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99970</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00020</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00030</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>398016</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>139194</DepreciationAmt>
        <BookValueAmt>258822</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>822583</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>591095</DepreciationAmt>
        <BookValueAmt>231488</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>490310</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>9236682</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>9236682</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>82150</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>82150</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>9318832</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10149307</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>10149307</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>10149307</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Investment income 851. Noncapital grants and contributions, net of fundraising expense 66,823. Net assets released from restricted used for acquisition of PP&amp;E 14,476.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>Denim &amp; Dazzle</Event1Nm>
        <GrossReceiptsEvent1Amt>60803</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>60803</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>15228</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>60803</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>60803</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>15228</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>15228</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>45575</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Chris Osborn</PersonNm>
        <TitleTxt>COO through Nov. 2015/ Interim CEO a</TitleTxt>
        <BaseCompensationFilingOrgAmt>120688</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4836</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28233</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>153757</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>K J Langlais</PersonNm>
        <TitleTxt>CEO through November 2015</TitleTxt>
        <BaseCompensationFilingOrgAmt>132394</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>17071</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4974</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9097</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>163536</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>K.J. Langlais received $17,071 in severance payments.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Evergreen Living Innovations, Inc. began offering hospice care services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Tom Dupriest and Jessica Dupriest, Directors, are married.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is reviewed and approved by the Board of Directors prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's conflict of interest policy states periodic reviews of the policy should be conducted.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the chief executive officer is determined and approved by the Board of Directors. All other compensation is approved by the chief executive officer.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its organizing documents and IRS Form 990 available upon specific written request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The audit is reviewed and approved by the Board. The auditor is selected by the finance committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule A, Part III, Sec. A, Line 1e</FormAndLineReferenceDesc>
        <ExplanationTxt>Total of 2015 gifts, grants, contributions and membership fees received is comprised of the following: Fundraising contributions $60,803 Gifts &amp; donations $38,550 Government grants $14,476 Johnson County subsidies $1,112,042</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>