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      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>3458190</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3940929</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4232431</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4108061</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4072459</CurrentTaxYear>
        <Total>19812070</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99850</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99510</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00150</InvestmentIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="990C">
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>1658</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>1658</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>C01</Identifier>
        <ReturnReference>Other activities to influence (Part II-B, line 1i)</ReturnReference>
        <Explanation>The organization indirectly engages in lobbying for the general interests of nursing homes in Arkansas through membership in the Arkansas Health Care Association. The amount reported above, $1,658, was derived by multiplying the total dues paid to AHCA during the fiscal year by 27.73%, the percentage of total dues used for lobbying purposes, as reported to member associations by AHCA.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D">
      <Land>
        <OtherCostOrOtherBasis>413725</OtherCostOrOtherBasis>
        <BookValue>413725</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>3110211</OtherCostOrOtherBasis>
        <Depreciation>1427424</Depreciation>
        <BookValue>1682787</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>282605</OtherCostOrOtherBasis>
        <Depreciation>197811</Depreciation>
        <BookValue>84794</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>2181306</TotalOfBookValueLandBuildings>
      <TotRevenueEtcAuditedFinclStmt>4062168</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>4062168</RevenueSubtotal>
      <TotalRevenuePerForm990>4062168</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>3725142</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>3725142</ExpensesSubtotal>
      <TotalExpensesPerForm990>3725142</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="990O">
      <GeneralExplanation>
        <Identifier>O01</Identifier>
        <ReturnReference>Form 990 governing body review Part VI line 11</ReturnReference>
        <Explanation>A full copy of Form 990 is provided for Board review prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O02</Identifier>
        <ReturnReference>CEO executive director top management comp Part VI line 15a</ReturnReference>
        <Explanation>Compensation for top management positions (Administrator and Director of Nursing) are arrived at by board deliberation after inquiries and comparisons with rates paid in comparable institutions in the area.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>O03</Identifier>
        <ReturnReference>Governing documents etc available to public Part VI line 19</ReturnReference>
        <Explanation>Evidence of nonprofit (Sec. 501(c)(3) status, audited financial statements, and Form 990 are available at the offices of the Organization for public inspection during normal business hours.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>