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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>111600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17334</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID MARCELLINO</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>346850</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35792</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>277932</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1452395</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>195470</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>SODEXO INC &amp; AFFILIATES</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>4880 PAYSPHERE CIRCLE</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60674</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICE</ServicesDesc>
        <CompensationAmt>2224060</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>SELECT REHABILITATION</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 809056</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>606809056</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>1714030</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>RF CONNECT</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>37735 ENTERPRISE CT</AddressLine1>
            <City>FARMINGTON HILLS</City>
            <State>MI</State>
            <ZIPCode>48331</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>WI FI</ServicesDesc>
        <CompensationAmt>179719</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>COMMERCIAL INTERIOR RESOURCES</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>2175 E WEST MAPLE</AddressLine1>
            <City>COMMERCE TWP</City>
            <State>MI</State>
            <ZIPCode>48390</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CARPET INSTALLATION</ServicesDesc>
        <CompensationAmt>163386</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>PULSAR ELECTRONICS</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>3540 BIDDLE AVE</AddressLine1>
            <City>WYANDOTTE</City>
            <State>MI</State>
            <ZIPCode>48192</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ALARM &amp; ELECTRICAL SERVICE</ServicesDesc>
        <CompensationAmt>160136</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>13636</RelatedOrganizationsAmt>
      <NoncashContributionsAmt>13636</NoncashContributionsAmt>
      <TotalContributionsAmt>13636</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>18120063</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18120063</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ASSISTED LIVING</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>1291871</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1291871</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INDEPENDENT LIVING</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>905626</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>905626</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RISK MANAGEMENT REFUND</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>338376</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>338376</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GUEST MEALS &amp; CABLE TV</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>151304</TotalRevenueColumnAmt>
        <ExclusionAmt>151304</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>49432</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>49432</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>20856672</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3576</TotalRevenueColumnAmt>
        <ExclusionAmt>3576</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>192234</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>192905</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-671</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-671</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-15289</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>14618</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>4099</SecuritiesAmt>
        <OtherAmt>16066</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>15784</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>4099</SecuritiesAmt>
        <OtherAmt>282</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>4381</TotalRevenueColumnAmt>
        <ExclusionAmt>4381</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>DEBT FORGIVENESS - BGH</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1990559</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1990559</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>22656</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22656</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>2013215</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>22890809</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22718583</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-15289</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>173879</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>5500</TotalAmt>
        <ProgramServicesAmt>5500</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>197894</TotalAmt>
        <ManagementAndGeneralAmt>197894</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7593828</TotalAmt>
        <ProgramServicesAmt>7150602</ProgramServicesAmt>
        <ManagementAndGeneralAmt>443226</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>140239</TotalAmt>
        <ProgramServicesAmt>137618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2621</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1549726</TotalAmt>
        <ProgramServicesAmt>1478852</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70874</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>571728</TotalAmt>
        <ProgramServicesAmt>525280</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46448</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>536417</TotalAmt>
        <ManagementAndGeneralAmt>536417</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>32169</TotalAmt>
        <ManagementAndGeneralAmt>32169</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>16492</TotalAmt>
        <ManagementAndGeneralAmt>16492</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>1749</TotalAmt>
        <ManagementAndGeneralAmt>1749</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4416480</TotalAmt>
        <ProgramServicesAmt>4374911</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41569</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>50408</TotalAmt>
        <ManagementAndGeneralAmt>50408</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1769276</TotalAmt>
        <ProgramServicesAmt>1704620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64656</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>88845</TotalAmt>
        <ManagementAndGeneralAmt>88845</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>828817</TotalAmt>
        <ProgramServicesAmt>828322</ProgramServicesAmt>
        <ManagementAndGeneralAmt>495</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>9729</TotalAmt>
        <ProgramServicesAmt>8020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1709</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>657846</TotalAmt>
        <ProgramServicesAmt>657846</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1076986</TotalAmt>
        <ProgramServicesAmt>1076986</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>175598</TotalAmt>
        <ProgramServicesAmt>12309</ProgramServicesAmt>
        <ManagementAndGeneralAmt>163289</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>QUALITY ASSURANCE ASSES</Desc>
        <TotalAmt>968352</TotalAmt>
        <ProgramServicesAmt>968352</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>143760</TotalAmt>
        <ProgramServicesAmt>143760</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EDUCATION</Desc>
        <TotalAmt>8835</TotalAmt>
        <ProgramServicesAmt>3724</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5111</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UBI TAX EXPENSE</Desc>
        <TotalAmt>2000</TotalAmt>
        <ManagementAndGeneralAmt>2000</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>77361</TotalAmt>
        <ProgramServicesAmt>23793</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53568</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>20920035</TotalAmt>
        <ProgramServicesAmt>19100495</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1819540</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>419047</BOYAmt>
        <EOYAmt>423676</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1887620</BOYAmt>
        <EOYAmt>2245487</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>30161</BOYAmt>
        <EOYAmt>28116</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>87235</BOYAmt>
        <EOYAmt>64013</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>39040969</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>20350624</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>18733247</BOYAmt>
        <EOYAmt>18690345</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>649193</BOYAmt>
        <EOYAmt>668672</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>21806503</BOYAmt>
        <EOYAmt>22120309</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2183677</BOYAmt>
        <EOYAmt>2200398</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>12447876</BOYAmt>
        <EOYAmt>11538942</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>10406365</BOYAmt>
        <EOYAmt>10260288</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>4743172</BOYAmt>
        <EOYAmt>2831893</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>29781090</BOYAmt>
        <EOYAmt>26831521</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>-7974587</BOYAmt>
        <EOYAmt>-4711212</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-7974587</BOYAmt>
        <EOYAmt>-4711212</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>21806503</BOYAmt>
        <EOYAmt>22120309</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1970774</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>5465</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>1287136</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>74832</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6555</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10999</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>99730</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13636</CurrentTaxYearAmt>
        <TotalAmt>205752</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>20162778</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19715032</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20515146</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19800672</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20856672</CurrentTaxYearAmt>
        <TotalAmt>101050300</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>20237610</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19721587</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20526145</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19900402</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20870308</CurrentTaxYearAmt>
        <TotalAmt>101256052</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>101256052</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>228049</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>134765</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>135314</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>135021</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>135164</CurrentTaxYearAmt>
        <TotalAmt>768313</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>228049</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>134765</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>135314</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>135021</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>135164</CurrentTaxYearAmt>
        <TotalAmt>768313</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearMinus3YearsAmt>18507</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11018</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7241</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>36766</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>20580</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9809</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14023</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6962</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2013215</CurrentTaxYearAmt>
        <TotalAmt>2064589</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>20486239</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19884668</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20686500</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20049626</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23018687</CurrentTaxYearAmt>
        <TotalAmt>104125720</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.97240</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99040</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00740</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00870</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartIVGrp>
        <FormAndLineReferenceDesc>PART III, SECTION B, LINE 12:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION FOR 2009 OTHER INCOME: $20,580 - MISCELLANEOUS $20,580 - TOTAL OTHER INCOME EXPLANATION FOR 2010 OTHER INCOME: $9,809 - MISCELLANEOUS $9,809 - TOTAL OTHER INCOME EXPLANATION FOR 2011 OTHER INCOME: $14,023 - MISCELLANEOUS $14,023 - TOTAL OTHER INCOME EXPLANATION FOR 2012 OTHER INCOME: $6,962 - MISCELLANEOUS $6,962 - TOTAL OTHER INCOME EXPLANATION FOR 2013 OTHER INCOME: $1,990,559 - DEBT FORGIVENESS $22,656 - MISCELLANEOUS $2,013,215 - TOTAL OTHER INCOME</ExplanationTxt>
      </Form990ScheduleAPartIVGrp>
    </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>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>1749</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>1749</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTSFORD CONTINUING CARE CORPORATION PAID DUES TO HEALTH CARE ASSOCIATION OF MICHIGAN (HCAM). HCAM IDENTIFIED THAT 11.1% OF OPERATION DUES AND 25% OF AHCA DUES WERE SPENT ON LOBBYING AND RELATED EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>429384</OtherCostOrOtherBasisAmt>
        <BookValueAmt>429384</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>32322586</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>15514451</DepreciationAmt>
        <BookValueAmt>16808135</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4032803</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3215919</DepreciationAmt>
        <BookValueAmt>816884</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2256196</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1620254</DepreciationAmt>
        <BookValueAmt>635942</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>18690345</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>726392</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFINED BENEFIT AND DEFINED CONTRIBUTION PLAN</Desc>
        <Amt>964206</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PROFESSIONAL LIABILITY AND 3RD PARTY CLAIMS</Desc>
        <Amt>381804</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SECURITY AND OTHER DEPOSITS</Desc>
        <Amt>304491</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CONDO RESERVE</Desc>
        <Amt>455000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2831893</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCOUNTING STANDARD THAT REFERS TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED ON THE CONSOLIDATED FINANCIAL STATEMENTS. ORGANIZATIONS MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE STANDARD ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURES. THE EVALUTED POTENTIAL EXPOSURE RELATED TO UNCERTAIN TAX POSITIONS WAS FOUND TO BE IMMATERIAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNSECURED PAYABLES TO RELATED ORGANIZATIONS - THE FOLLOWING REFLECTS BALANCES OWED TO RELATED ORGANIZATIONS AS OF DECEMBER 31, 2013: DUE TO BOTSFORD HOSPITAL - $692,268 DUE TO ZIEGER HEALTH CARE CORPORATION - $6,054 DUE TO BOTSFORD PROPERTY ASSOCIATION - $27,453 DUE TO CEMS - ($165) DUE TO HEALTHLINK - $782</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER AMOUNTS REFLECT LIABILITIES FOR DEFINED BENEFIT AND DEFINED CONTRIBUTION PLANS, PROFESSIONAL LIABILITY CLAIMS, ESTIMATED THIRD PARTY SETTLEMENTS, RESIDENT DEPOSITS AND CONDO RESERVE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>ZIEGER HEALTH CARE CORPORATION</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>28050 GRAND RIVER AVE</AddressLine1>
          <City>FARMINGTON HILLS</City>
          <State>MI</State>
          <ZIPCode>48336</ZIPCode>
        </USAddress>
        <RecipientEIN>382500428</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5500</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT THE BOTSFORD FOUNDATION WITH AN INTERNAL GRANT.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTSFORD CONTINUING CARE CORPORATION ENSURES THAT FUNDS ARE DISTRIBUTED APPROPRIATELY ACCORDING TO ZIEGER HEALTH CARE CORPORATION'S STRATEGIC BUSINESS PLAN AND IS CONSISTENT WITH CORPORATE POLICIES AND PROCEDURES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR PAUL LACASSE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>471257</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>44740</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15300</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>19420</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>550717</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARGARET LIGHTNER</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER - PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>146694</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>17038</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9522</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22040</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195294</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA VANDECAVEYE</PersonNm>
        <TitleTxt>OFFICER - SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>268408</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>10000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>29413</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15300</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>23052</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>346173</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REGINA DOXTADER</PersonNm>
        <TitleTxt>OFFICER - TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>224201</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>10000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>44576</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>14936</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>22774</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>316487</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID MARCELLINO</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>303470</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>43380</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15300</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>20492</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>382642</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-FIXED PAYMENTS ARE PAID ONLY UPON APPROVAL OF THE BOTSFORD CONTINUING CARE CORPORATION COMPENSATION COMMITTEE AND ARE BASED UPON ESTABLISHED METRICS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>CITY OF FARMINGTON HILLS HOSPITAL FINANCE AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <BondIssuerEIN>521719468</BondIssuerEIN>
        <CUSIPNum>NONEAVAIL</CUSIPNum>
        <BondIssuedDt>2013-04-25</BondIssuedDt>
        <IssuePriceAmt>195103</IssuePriceAmt>
        <PurposeDesc>REFUND BONDS ISSUED 04/03/2008</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>CITY OF FARMINGTON HILLS HOSPITAL FINANCE AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <BondIssuerEIN>521719468</BondIssuerEIN>
        <CUSIPNum>NONEAVAIL</CUSIPNum>
        <BondIssuedDt>2012-05-04</BondIssuedDt>
        <IssuePriceAmt>12197877</IssuePriceAmt>
        <PurposeDesc>REFUND BONDS ISSUED 06/14/1995</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>195103</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>2143</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>192960</OtherSpentProceedsAmt>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>1324796</RetiredAmt>
        <TotalProceedsAmt>12197877</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>87934</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>12109943</OtherSpentProceedsAmt>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K SUPPLENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOND ISSUED 04/25/13 WAS ISSUED TO THE ZIEGER HEALTH CARE CORPORATION OBLIGATED GROUP IN THE AMOUNT OF $13,655,000. THE OBLIGATED GROUP CONSISTS OF ZIEGER HEALTH CARE CORPORATION, BOTSFORD HOSPITAL, BOTSFORD CONTINUING CARE CORPORATION AND COMMUNITY EMERGENCY MEDICAL SERVICES. EACH ENTITY OF THE OBLIGATED GROUP WAS ALLOCATED A PORTION OF THIS DEBT AND THAT AMOUNT IS REFLECTED ON SCHEDULE K, PART I, LINE A(E)AND ON SCHEDULE K, PART II. SCHEDULE K, SUPPLEMENTAL INFORMATION: THE BOND ISSUED 5/4/2012 WAS ISSUED TO THE BOTSFORD OBLIGATED GROUP IN THE AMOUNT OF $37,453,584. THE OBLIGATED GROUP CONSISTS OF BOTSFORD GENERAL HOSPITAL (BGH), BOTSFORD CONTINUING CARE CORPORATION (BCCC), COMMUNITY EMERGENCY MEDICAL SERVICES, AND ZIEGER HEALTH CARE CORPORATION. TWO MEMBERS OF THE OBLIGATED GROUP (BGH AND BCCC) WERE ALLOCATED A PORTION OF THIS DEBT AND THAT AMOUNT IS REFLECTED ON SCHEDULE K, PART I LINE A(E) AND ON SCHEDULE K, PART II.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BECAUSE THEY ARE BOARD MEMBERS OR SHARED OFFICERS OF A TAXABLE ENTITY WITHIN THE BOTSFORD HEALTH CARE SYSTEM. GERSON COOPER DR. PAUL LACASSE LISA VANDECAVEYE REGINA DOXTADER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE CORPORATE MEMBER, ZIEGER HEALTH CARE CORPORATION APPROVED/ELECTS THE GOVERNING BODY OF BOTSFORD CONTINUING CARE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ZIEGER HEALTH CARE CORPORATION IS THE SOLE CORPORATE MEMBER OF BOTSFORD CONTINUING CARE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE CORPORATE MEMBER, ZIEGER HEALTH CARE CORPORATION HAS CERTAIN RESERVED POWERS OVER OPERATIONS AND CAPITAL OF BOTSFORD CONTINUING CARE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 AND ALL RELATED SCHEDULES WERE PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND REVIEWED BY AN OUTSIDE TAX FIRM. A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE OF THE CONFLICT OF INTEREST POLICY BY REVIEW OF THE POLICY ANNUALLY AT THE BOARD MEETING AND MANDATORY SUBMISSION OF CONFLICTS TO THE SECRETARY OF THE ORGANIZATION PER THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION, BENEFITS AND RETIREMENT COMMITTEE (COMMITTEE) OF BOTSFORD HEALTH CARE WILL REVIEW AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS WITH RESPECT TO ALL ASPECTS OF COMPENSATION AND OTHER BENEFITS, INCLUDING, WITHOUT LIMITATIONS, COMPENSATION OF THE CORPORATION'S DIRECTORS, OFFICERS, PHYSICIANS, EMPLOYEES AND CONTRACTORS. THE COMMITTEE RETAINS AN INDEPENDENT COMPENSATION CONSULTANT EACH YEAR TO ASSESS THE COMPETITIVNESS AND REASONABLENESS OF THE TOTAL COMPENSATION PROVIDED TO EXECUTIVES, DIRECTORS AND PHYSICIANS. THE COMPENSATION CONSULTANT ABSTRACTS BASE SALARY, TOTAL CASH COMPENSATION AND BENEFITS DATA FROM MAJOR SURVEYS FOR HEALTHCARE AND OTHER APPROPRIATE INDUSTRIES. THE FAIR MARKET REVIEW IS FOR COMPARABLE POSITIONS IN COMPARABLE ORGANIZATIONS BASED UPON SIZE, TOTAL REVENUES AND OTHER RELEVANT FACTORS. YEARLY, THE CONSULTANT WILL PRESENT A SUMMARY OF FINDINGS AND RECOMMENDATIONS INTENDED TO HELP THE COMMITTEE ESTABLISH THE "REBUTTABLE PRESUMPTION OF REASONABLENESS FOR EXECUTIVES, DIRECTORS AND PHYSICIANS." THE COMMITTEE WILL MAKE RECOMMENDATIONS TO THE VARIOUS BOARDS FOR APPROVAL. NO MEMBER OF THE COMMITTEE WILL EVALUATE ANY COMPENSATION ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST. YEARLY, THE COMMITTEE MEMBERS WILL SIGN A CONFLICT OF INTEREST POLICY. ALL COMMITTEE RECOMMENDATIONS AND ACTIONS ARE ADEQUATELY DOCUMENTED IN COMMITTEE MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS THAT ARE REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC WILL BE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED DIETARY SERVICES: PROGRAM SERVICE EXPENSES 1,962,962. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,962,962. CONTRACTED THERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,754,315. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,754,315. CONTRACTED MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 158,941. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,941. OUTSIDE LAB SERVICES: PROGRAM SERVICE EXPENSES 145,653. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,653. OUTSIDE RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 120,512. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,512. AMBULANCE: PROGRAM SERVICE EXPENSES 88,973. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,973. CONTRACTED NURSING: PROGRAM SERVICE EXPENSES 59,736. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,736. ALL OTHER: PROGRAM SERVICE EXPENSES 83,819. MANAGEMENT AND GENERAL EXPENSES 41,569. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,388.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING ADJUSTMENT 3. LOSS ON EXTINGUISHMENT OF DEBT -280,273. ADD MINIMUM PENSION ADJUSTMENT 1,567,406.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>AUDIT COMMITEE PROCESS THE ORGANIZATION'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THE PROCESS THAT THE AUDIT COMMITTEE FOLLOWS FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>ZIEGER HEALTH CARE CORPORATION</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>28050 GRAND RIVER AVENUE</AddressLine1>
          <City>FARMINGTON HILLS</City>
          <State>MI</State>
          <ZIPCode>48336</ZIPCode>
        </USAddress>
        <EIN>382500428</EIN>
        <PrimaryActivitiesTxt>CENTRALIZED GOVERNANCE AND MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>BOTSFORD GENERAL HOSPITAL</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>28050 GRAND RIVER AVENUE</AddressLine1>
          <City>FARMINGTON HILLS</City>
          <State>MI</State>
          <ZIPCode>48336</ZIPCode>
        </USAddress>
        <EIN>381426919</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>ZIEGER HEALTH CARE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>COMMUNITY EMERGENCY MEDICAL SERVICE INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>25400 W EIGHT MILE ROAD</AddressLine1>
          <City>SOUTHFIELD</City>
          <State>MI</State>
          <ZIPCode>48033</ZIPCode>
        </USAddress>
        <EIN>382410823</EIN>
        <PrimaryActivitiesTxt>EMERGENCY MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>ZIEGER HEALTH CARE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>BOTSFORD CARE PARTNERS LLC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>28050 GRAND RIVER AVENUE</AddressLine1>
          <City>FARMINGTON HILLS</City>
          <State>MI</State>
          <ZIPCode>48336</ZIPCode>
        </USAddress>
        <EIN>454854213</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>BOTSFORD COMMONS PROPERTY ASSOCIATION</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>21400 ARCHWOOD CIRCLE</AddressLine1>
          <City>FARMINGTON HILLS</City>
          <State>MI</State>
          <ZIPCode>48336</ZIPCode>
        </USAddress>
        <EIN>383203663</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>BOTSFORD CONTINUING CARE CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>81206</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>PARASTAR EMERGENCY SYSTEMS INC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>25250 W EIGHT MILE ROAD</AddressLine1>
          <City>SOUTHFIELD</City>
          <State>MI</State>
          <ZIPCode>48034</ZIPCode>
        </USAddress>
        <EIN>382755982</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT AND DISPATCH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>BGH PHYSICIAN PORTFOLIO (CAPTIVE)</BusinessNameLine1>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1>PO BOX 1109 68 WEST BAY ROAD</AddressLine1>
          <City>GEORGETOWN</City>
          <ProvinceOrState>GRAND CAYMAN</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>KY1-1102</PostalCode>
        </ForeignAddress>
        <EIN>381426919</EIN>
        <PrimaryActivitiesTxt>CAPTIVE INSURANCE (CELL)</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>BOTSFORD GENERAL HOSPITAL</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>553998</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>BOTSFORD GENERAL HOSPITAL</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1534992</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>ZIEGER HEALTH CARE CORPORATION</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>1064724</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>BOTSFORD COMMONS PROPERTY ASSOCIATION</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>61149</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>BOTSFORD GENERAL HOSPITAL</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>123188</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>BOTSFORD COMMONS PROPERTY ASSOCIATION</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>279129</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>BOTSFORD GENERAL HOSPITAL</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>338376</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>