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        <ManagementAndGeneralAmt>99320</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>47712</ProgramServicesAmt>
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        <ProgramServicesAmt>232040</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>4202</ManagementAndGeneralAmt>
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        <EOYAmt>37500</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>4064996</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>3310486</EOYAmt>
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        <EOYAmt>189363</EOYAmt>
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        <EOYAmt>316000</EOYAmt>
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        <EOYAmt>5623748</EOYAmt>
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        <EOYAmt>267451</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>5646</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>4235582</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>4508679</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>189363</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>1115069</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5769659</BOYAmt>
        <EOYAmt>5623748</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>52407</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>2235</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>430663</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>296841</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>307123</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>341146</CurrentTaxYearAmt>
        <TotalAmt>2122396</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>3773254</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4218506</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4629388</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4891552</CurrentTaxYearAmt>
        <TotalAmt>21068764</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>4302687</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4203917</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4515347</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4936511</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5232698</CurrentTaxYearAmt>
        <TotalAmt>23191160</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus4YearsAmt>1907193</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2093093</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2373072</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2761197</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>2373072</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2761197</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>15912</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>32310</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>53736</CurrentTaxYearAmt>
        <TotalAmt>132810</TotalAmt>
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      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>16333</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14519</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15912</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>32310</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>53736</CurrentTaxYearAmt>
        <TotalAmt>132810</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>4218436</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4531259</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4968821</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5286434</CurrentTaxYearAmt>
        <TotalAmt>23323970</TotalAmt>
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      <PublicSupportCY509Pct>0.47870</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.47110</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00570</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00420</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <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>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
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        <OtherCostOrOtherBasisAmt>5678116</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2973622</DepreciationAmt>
        <BookValueAmt>2765425</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>443842</DepreciationAmt>
        <BookValueAmt>327022</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>647532</DepreciationAmt>
        <BookValueAmt>218039</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3310486</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Bed Licenses</Desc>
        <BookValueAmt>316000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>316000</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5281285</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>4118</OtherRevenueAmt>
      <RevenueNotReportedAmt>4118</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>5277167</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5224760</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5224760</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Line 2b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Richardton Health Center acts as custodian for the funds of the nursing facility residents. These funds are included in cash and accounts payable in the financial statements. Resident trust funds totaled $5,646 at June 30, 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Health Center 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 Health Center 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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Interest of Foundation 4,118.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>There are no committees authorized to act on behalf of the governing board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Administrator reviewed the Form 990. The Board of Directors were provided a copy of the Form 990 prior to the filing of the return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy covers the board, employees and contractors alike. The Administrator reviewed and determined if conflicts exist with employees and contractors. The board reviews and determines if conflicts exist with a board member. The board is responsible for monitoring its members and the board in regards to this policy. If needed, they will seek legal consultation. If a conflict is determined that individual will abstain from voting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents and conflict of interest policy are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contracted Services: Program service expenses 491,433. Management and general expenses 66,110. Fundraising expenses 0. Total expenses 557,543.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Interest of Foundation 4,118. Net Assets Released from Restrictions -1,883.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>