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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ED OLIVEROS</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.4</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL PSOTA</PersonNm>
        <TitleTxt>ceo</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>11.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30024</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEE HEINBAUGH</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>72922</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOROTHEA KOSTOLICH</PersonNm>
        <TitleTxt>DIR of clinical OPERATIONS</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>119991</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4897</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>360106</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>34921</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>BETTENDORF</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52722</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>REMEDI SENIORCARE OHIO</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>OH</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>OH</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HW CO</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44122</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AUDIT &amp; CONSULTING</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>1560</MembershipDuesAmt>
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      <TotalContributionsAmt>1187710</TotalContributionsAmt>
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        <RelatedOrExemptFuncIncomeAmt>13003322</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <InvestmentIncomeGrp>
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      <OtherExpensesGrp>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <Desc>RELATED PARTY RECEIVABLE</Desc>
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        <Desc>PATIENT FUNDS</Desc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART IV, #2B</FormAndLineReferenceDesc>
        <ExplanationTxt>Medicaid residents can request, and in certain cases, West Side Deutscher Frauen Verein is required to maintain their personal funds in a custodian account. These custodial accounts are accounted for separately and are maintained by the nursing facility on the residents behalf. The custodial accounts are listed on the balance sheet of form 990, Part X, Line 21 as custodial account liabilities.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>participate in, receive payment from, supplemental nonqualified retirement</FormAndLineReferenceDesc>
        <ExplanationTxt>Current CEO is a participant in the organization's nonqualified deferred compensation plan. Contribution amounted to $9,101 .</ExplanationTxt>
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    <IRS990ScheduleL documentId="IRS990ScheduleL">
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          <PersonNm>john kedzior</PersonNm>
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        <RelationshipDescriptionTxt>board director</RelationshipDescriptionTxt>
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        <TransactionDesc>legal services</TransactionDesc>
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      <BusTrInvolveInterestedPrsnGrp>
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        <TransactionDesc>legal services</TransactionDesc>
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      <BusTrInvolveInterestedPrsnGrp>
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          <PersonNm>JEFF WARNKIN</PersonNm>
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        <RelationshipDescriptionTxt>BOARD DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>16401</TransactionAmt>
        <TransactionDesc>INVESTMENT SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION A, #6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBER CLASSES THE ORGANIZATION HAS ONE CLASS OF VOTING MEMBERS. THE BOARD OF DIRECTORS, IN ITS DISCRETION MAY, FROM TIME TO TIME, DETERMINE THE QUALIFICATION OF THE MEMBERS IN ACCORDANCE WITH THE CODE OF REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION A, #7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS WHO MAY ELECT MEMEBERS THE ORGANIZATION HAS ONE CLASS OF VOTING MEMBERS. THEY HAVE THE RIGHT TO VOTE TO ELECT THE GOVERNING BODY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION A, #7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY DECISION APPROVAL THE VOTING MEMBERS HAVE APPROVAL RIGHTS OVER ANY AMENDMENT MADE TO THE ORGANIZATION'S GOVERNING DOCUMENTS AND CHANGING OF THE INDEPENDENT AUDITOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION B, #11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS BOARD MEMBERS ARE GIVEN THE OPPORTUNITY TO REVIEW AND COMMENT OF THE FORM 990 PRIOR TO FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION B, #12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY THE BOARD DISCUSSES THE MATTER WHEN A POTENTIAL CONFLICT ARISES. THE INDIVIDUAL WITH THE CONFLICT IS NOT PERMITTED TO PARTICIPATE IN THE DISCUSSION OR APPROVAL OF THE TRANSACTION. THE DECISION OF ENGAGING IN THE TRANSACTION IS MADE BY BOARD MEMBERS WHO ARE INDEPENDENT OF THE INDIVIDUAL WITH THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION B, #15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR DETERMINING COMPENSATION THE EXECUTIVE COMMITTEE OF THE ALTENHEIM BOARD OF DIRECTORS CONDUCTS AN ANNUAL REVIEW OF THE CEO'S PERFORMANCE AND COMPENSATION AND makes A REPORT, INCLUDING A COMPENSATION RECOMMENDATION, TO THE FULL BOARD. THE FULL BOARD THEN VOTES TO APPROVE THE COMMITTEE'S RECOMMENDATION. A PART OF THE EXECUTIVE COMMITTEE'S PROCESS IS THE REVIEW OF INDUSTRY SALARY AND BENEFITS BENCHMARKING REPORTS FOR THE CEO POSITION. THE CEO CONDUCTS AN ANNUAL PERFORMANCE AND COMPENSATION REVIEW OF THE ALTENHEIM CFO AND OTHER ALTENHEIM EMPLOYEES AND SETS THEIR COMPENSATION WITH THE ADVICE AND COUNSEL OF THE BOARD'S EXECUTIVE COMMITTEE. ALL COMPENSATION DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION A, #2</FormAndLineReferenceDesc>
        <ExplanationTxt>FAMILY OR BUSINESS RELATIONSHIP JOHN KEDZIOR AND DAVE KNOWLES HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 6, PART VI, SECTION C, #19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS AVAILABLE TO PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AFTER THE APPROVAL OF THE GOVERNING MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>ALTENHEIM PROPERTIES inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <CityNm>STRONGSVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44136</ZIPCd>
        </USAddress>
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          <AddressLine1Txt>18627 SHURMER ROAD</AddressLine1Txt>
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        </USAddress>
        <EIN>341647102</EIN>
        <PrimaryActivitiesTxt>SUPPORT SVCS</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A-TYPE II</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>WSDFV</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
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      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>altenheim properties inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>d</TransactionTypeTxt>
        <InvolvedAmt>8680000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>fmv</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>altenheim properties inc</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>fmv</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>