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        <EOYAmt>3338813</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-188667</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>13575</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearAmt>10000</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>2912173</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3217613</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>2932223</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>86852</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>196915</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearAmt>25930</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus2YearsAmt>35692</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>25930</CurrentTaxYearAmt>
        <TotalAmt>104691</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>3183400</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3105604</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2963612</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3253543</CurrentTaxYearAmt>
        <TotalAmt>15934234</TotalAmt>
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      <PublicSupportCY509Pct>0.54200</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.55020</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00660</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00600</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>1</GrantsOtherOrganizationsInd>
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      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>152</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAID DUES TO ORGANIZATIONS WHICH HAVE A PORTION OF THE DUES ATTRIBUTED TO LOBBYING ACTIVITIES.</ExplanationTxt>
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    </IRS990ScheduleC>
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      <AdditionsDuringYearAmt>181371</AdditionsDuringYearAmt>
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        <InvestmentEarningsOrLossesAmt>2408</InvestmentEarningsOrLossesAmt>
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        <InvestmentEarningsOrLossesAmt>3851</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>24710</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
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        <EndYearBalanceAmt>20859</EndYearBalanceAmt>
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        <EndYearBalanceAmt>18978</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>2391</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>22181</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
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      <PrmnntEndowmentBalanceEOYPct>0.52478</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.47522</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>5000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>5000</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>2408034</DepreciationAmt>
        <BookValueAmt>1632675</BookValueAmt>
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      <EquipmentGrp>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>12564</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1814892</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS REPRESENTS RESIDENT TRUST FUNDS KEPT FOR RESIDENTS' SPENDING. THIS IS NOT AN ASSET OF THE MANOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FUNDS ARE TO BE USED FOR IMPROVEMENTS AT WAKONDA HERITAGE MANOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MANOR BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE MANOR WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AVERA SACRED HEART HOSPITAL PROVIDES MANAGEMENT SERVICES TO WAKONDA HERITAGE MANOR. ROBIN STOCKLAND, ADMINISTRATOR, WAS PAID THROUGH AVERA SACRED HEART HOSPITAL AND PRESIDED OVER THE DAY-TO-DAY OPERATIONS OF WAKONDA HERITAGE MANOR. COMPENSATION PROVIDED TO ROBIN FOR SERVICES TO WAKONDA HERITAGE MANOR WAS AS FOLLOWS: ROBIN STOCKLAND: COMPENSATION $53,902 NONTAXABLE BENEFITS $12,033 THE ADMINISTRATOR IS EMPLOYED BY AVERA SACRED HEART HOSPITAL. PERFORMANCE AND SALARY ARE REVIEWED ANNUALLY BY AVERA SACRED HEART HOSPITAL AND THE WAKONDA HERITAGE MANOR BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ADMINISTRATOR REVIEWS THE FORM 990 BEFORE IT IS FILED WITH THE IRS AND PROVIDES A COPY TO THE BOARD PRIOR TO FILING THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MEMBERS OF THE BOARD OF DIRECTORS ARE COVERED BY THE CONFLICT OF INTEREST POLICY. THE FULL BOARD IS RESPONSIBLE FOR DETERMINING WHETHER A CONFLICT EXISTS AND FOR REVIEWING THE ACTUAL CONFLICTS. THE DETERMINATIONS ARE MADE ON A CASE BY CASE BASIS. THE DIRECTORS WITH CONFLICTS ABSTAIN FROM DISCUSSION AND VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ADMINISTRATOR IS THE TOP MANAGEMENT OFFICIAL AND THE TOP FINANCIAL OFFICIAL OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED THERAPY SERVICES: PROGRAM SERVICE EXPENSES 105,685. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,685. NURSING &amp; PHYSICIAN PERSONNEL: PROGRAM SERVICE EXPENSES 170,300. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 170,300. OTHER CONTRACT &amp; CONSULTING FEES: PROGRAM SERVICE EXPENSES 38,618. MANAGEMENT AND GENERAL EXPENSES 87,967. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126,585. PROFESSIONAL &amp; OTHER EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,931. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,931.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST OF AVERA HEALTH FOUNDATION 13,575.</ExplanationTxt>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>