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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13457</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>37401</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>316649</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEATH BODDY</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>217550</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11632</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>33450</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>313632</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY ANTHONE</PersonNm>
        <TitleTxt>CMO</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>309346</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOEL WICHMAN</PersonNm>
        <TitleTxt>DIRECTOR OF FACILITY DEVELOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>165680</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35500</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10661</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>241452</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AARON DUNLAP</PersonNm>
        <TitleTxt>CFA</TitleTxt>
        <BaseCompensationFilingOrgAmt>185828</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9428</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30114</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>240370</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN STUHR</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>175116</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11661</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5305</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>232082</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>VETTER ENTERPRISES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>VETTER ENTERPRISES, LLC IS 75% OWNED BY FAMILY MEMBERS OF JACK VETTER</RelationshipDescriptionTxt>
        <TransactionAmt>372000</TransactionAmt>
        <TransactionDesc>RENT OF OFFICE SPACE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS MAY BY APPROPRIATE RESOLUTION DESIGNATE ONE OR MORE COMMITTEES, EACH OF WHICH SHALL CONSIST OF TWO (2) OR MORE DIRECTORS ELECTED BY THE BOARD OF DIRECTORS, WHICH TO THE EXTENT PROVIDED IN SAID RESOLUTIONS OR IN THE BYLAWS, SHALL HAVE AND MAY EXERCISE WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE POWERS OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE AFFAIRS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>JACK VETTER AND ELDORA VETTER HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM WITH THE ASSISTANCE OF THE CFO, AND IS THEN REVIEWED BY THE CFO. COPIES OF THE REVIEWED RETURN ARE PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POLICY STATES THAT THE BOARD OF DIRECTORS MUST SIGN THE CONFLICT OF INTEREST POLICY AND DISCLOSE ALL CONFLICTS ANNUALLY. THE REMAINING BOARD OF DIRECTORS MEMBERS WILL DETERMINE IF AN INTERESTED MEMBER HAS A CONFLICT OF INTEREST. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THE INTERESTED MEMBER WILL NOT VOTE ON THAT MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>WAGES ARE REVIEWED AND COMPARED WITH INDUSTRY DATA AND OTHER INDEPENDENT LONG-TERM CARE PROVIDERS ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>VETTER SENIOR LIVING DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY IN GAIN OR LOSS OF VETTER HOLDINGS, INC. 4,640,486.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF VETTER SENIOR LIVING'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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          <StateAbbreviationCd>NE</StateAbbreviationCd>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
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          <CityNm>ALLIANCE</CityNm>
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          <ZIPCd>69301</ZIPCd>
        </USAddress>
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      <IdDisregardedEntitiesGrp>
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          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>69301</ZIPCd>
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      <IdDisregardedEntitiesGrp>
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      <IdDisregardedEntitiesGrp>
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      <IdDisregardedEntitiesGrp>
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      <IdDisregardedEntitiesGrp>
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          <CityNm>EMERSON</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68733</ZIPCd>
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      <IdDisregardedEntitiesGrp>
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      <IdDisregardedEntitiesGrp>
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          <CityNm>GENEVA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68361</ZIPCd>
        </USAddress>
        <EIN>611812645</EIN>
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          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL GERING LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>2325 LODGE DR</AddressLine1Txt>
          <CityNm>GERING</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>69341</ZIPCd>
        </USAddress>
        <EIN>611817126</EIN>
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          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL GRAND ISLAND LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3119 W FAIDLEY AVE</AddressLine1Txt>
          <CityNm>GRAND ISLAND</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68803</ZIPCd>
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      <IdDisregardedEntitiesGrp>
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          <AddressLine1Txt>2615 W 11TH ST</AddressLine1Txt>
          <CityNm>KEARNEY</CityNm>
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          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
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          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL LINCOLN SUMNER LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1750 S 20TH ST</AddressLine1Txt>
          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68502</ZIPCd>
        </USAddress>
        <EIN>300964875</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>9438126</TotalIncomeAmt>
        <EndOfYearAssetsAmt>10557519</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL LOUP CITY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1005 N 8TH ST</AddressLine1Txt>
          <CityNm>LOUP CITY</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68853</ZIPCd>
        </USAddress>
        <EIN>352583738</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>2751604</TotalIncomeAmt>
        <EndOfYearAssetsAmt>168042</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL NORFOLK LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1203 N 13TH ST</AddressLine1Txt>
          <CityNm>NORFOLK</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68702</ZIPCd>
        </USAddress>
        <EIN>300965494</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>11547440</TotalIncomeAmt>
        <EndOfYearAssetsAmt>17736624</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL NORTH PLATTE COURT LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4000 W PHILIP AVE</AddressLine1Txt>
          <CityNm>NORTH PLATTE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>69101</ZIPCd>
        </USAddress>
        <EIN>352583599</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>13012561</TotalIncomeAmt>
        <EndOfYearAssetsAmt>4376932</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL NORTH PLATTE ESTATES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3700 W PHILIP AVE</AddressLine1Txt>
          <CityNm>NORTH PLATTE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>69101</ZIPCd>
        </USAddress>
        <EIN>300968051</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>3590714</TotalIncomeAmt>
        <EndOfYearAssetsAmt>12561791</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL OMAHA LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4330 S 144TH ST</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68137</ZIPCd>
        </USAddress>
        <EIN>371848338</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>20019171</TotalIncomeAmt>
        <EndOfYearAssetsAmt>30116177</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL PAPILLION LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>610 S POLK ST</AddressLine1Txt>
          <CityNm>PAPILLION</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68046</ZIPCd>
        </USAddress>
        <EIN>364858444</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>11359395</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1441750</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL RED CLOUD LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>636 N LOCUST</AddressLine1Txt>
          <CityNm>RED CLOUD</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68970</ZIPCd>
        </USAddress>
        <EIN>611815663</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>6866</TotalIncomeAmt>
        <EndOfYearAssetsAmt>252418</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL SEWARD LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>624 PINEWOOD AVE</AddressLine1Txt>
          <CityNm>SEWARD</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68434</ZIPCd>
        </USAddress>
        <EIN>320518584</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>6689490</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1577346</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL SPRINGFIELD CREEKSIDE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1601 S FORT</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65807</ZIPCd>
        </USAddress>
        <EIN>300967430</EIN>
        <PrimaryActivitiesTxt>SENIOR LIVING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <TotalIncomeAmt>4325073</TotalIncomeAmt>
        <EndOfYearAssetsAmt>7432245</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL SPRINGFIELD MANOR LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1707 W ELFINDALE ST</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65807</ZIPCd>
        </USAddress>
        <EIN>611815992</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <TotalIncomeAmt>10899441</TotalIncomeAmt>
        <EndOfYearAssetsAmt>11164307</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL ST EDWARD LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>301 N 13TH ST</AddressLine1Txt>
          <CityNm>ST EDWARD</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68660</ZIPCd>
        </USAddress>
        <EIN>364859287</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>2929758</TotalIncomeAmt>
        <EndOfYearAssetsAmt>5122686</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL ST PAUL LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1405 HERITAGE DR</AddressLine1Txt>
          <CityNm>ST PAUL</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68873</ZIPCd>
        </USAddress>
        <EIN>611815917</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>6004940</TotalIncomeAmt>
        <EndOfYearAssetsAmt>954784</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL VETTER HEALTH SERVICES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>20220 HARNEY ST</AddressLine1Txt>
          <CityNm>ELKHORN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68022</ZIPCd>
        </USAddress>
        <EIN>371845522</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>13315806</TotalIncomeAmt>
        <EndOfYearAssetsAmt>79559637</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL WAHOO LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1400 MARK DR</AddressLine1Txt>
          <CityNm>WAHOO</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68066</ZIPCd>
        </USAddress>
        <EIN>371849602</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>9150473</TotalIncomeAmt>
        <EndOfYearAssetsAmt>3218994</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL NORTH PLATTE REGENCY LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>700 W PHILLIP AVE</AddressLine1Txt>
          <CityNm>NORTH PLATTE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>69101</ZIPCd>
        </USAddress>
        <EIN>843990042</EIN>
        <PrimaryActivitiesTxt>INDEPENDENT LIVING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL SPRINGFIELD ASSISTING LIVING LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1401 W ELFINDALE ST</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65807</ZIPCd>
        </USAddress>
        <EIN>841939413</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <TotalIncomeAmt>3018527</TotalIncomeAmt>
        <EndOfYearAssetsAmt>10742840</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL VETTER HOME HEALTH CARE OF CENTRAL NE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>507 WEST AVE</AddressLine1Txt>
          <CityNm>HOLDREGE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68949</ZIPCd>
        </USAddress>
        <EIN>882457189</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>2596744</TotalIncomeAmt>
        <EndOfYearAssetsAmt>4330</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL VETTER HOME HEALTH CARE OF NORTH PLATTE LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>904 PARKVIEW CT</AddressLine1Txt>
          <CityNm>NORTH PLATTE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>69101</ZIPCd>
        </USAddress>
        <EIN>931718311</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>745577</TotalIncomeAmt>
        <EndOfYearAssetsAmt>8215</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL VETTER HOME HEALTH CARE OF GERING LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1335 M ST STE 100</AddressLine1Txt>
          <CityNm>GERING</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>69341</ZIPCd>
        </USAddress>
        <EIN>933486921</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>3409753</TotalIncomeAmt>
        <EndOfYearAssetsAmt>705985</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BROOKSTONE REHABILITATION LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>20220 HARNEY ST</AddressLine1Txt>
          <CityNm>ELKHORN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68022</ZIPCd>
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        <EIN>933533122</EIN>
        <PrimaryActivitiesTxt>THERAPY SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>11447236</TotalIncomeAmt>
        <EndOfYearAssetsAmt>5123</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VSL GERING II LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2325 LODGE DR</AddressLine1Txt>
          <CityNm>GERING</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68341</ZIPCd>
        </USAddress>
        <EIN>300995540</EIN>
        <PrimaryActivitiesTxt>NURSING HOME SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VETTER HOLDING INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>20220 HARNEY ST</AddressLine1Txt>
          <CityNm>ELKHORN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68022</ZIPCd>
        </USAddress>
        <EIN>470672044</EIN>
        <PrimaryActivitiesTxt>NURSING HOME RENTAL PROPERTY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VETTER SENIOR LIVING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>S</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-83491</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>91863590</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VETTER HOLDINGS INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>13611000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH TRANSFERRED EQUALS FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VETTER HOLDINGS INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>CASH TRANSFERRED EQUALS FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>