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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.</ExplanationTxt>
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        <ExplanationTxt>PATRICIA KEARNS AND TODD SCHUITEMAN ARE PAID FROM A RELATED ORGANIZATION, QUALITY LIVING, INC. MS. KEARNS SERVES AS CEO OF QUALITY LIVING, INC. AND MR. SCHUITEMAN IS THE CFO. THEIR SALARIES ARE SET BY THE BOARD OF DIRECTORS OF QUALITY LIVING, INC. BASED ON RECOMMENDATIONS FROM THE EXECUTIVE COMMITTEE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE CFO AND THE DIRECTOR OF OPERATIONS OF QUALITY LIVING, INC. WILL REVIEW THE FORM 990 AND RELATED SCHEDULES PRIOR TO FILING THE RETURN.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>LORI SCOTT SERVES AS A MEMBER OF THE BOARD OF DIRECTORS. THE TIME REQUIRED FOR HER DUTIES FOR THIS POSITION AVERAGES 0.1 HOURS PER WEEK. MS. SCOTT ALSO PERFORMS CONSULTING DUTIES FOR QUALITY LIVING, INC. (QLI), A RELATED ORGANIZATION. THE COMPENSATION THAT SHE RECEIVED FROM QLI WAS FOR HER CONSULTING DUTIES, RATHER THAN FOR HER SERVICE ON THIS ORGANIZATION'S BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD MEMBERS OF QUALITY LIVING INC. HEALTH CARE PLAN AND QUALITY LIVING, INC. (QLI), A RELATED ORGANIZATION, ARE THE SAME. THE BOARD HAS AN AUDIT COMMITTEE COMPRISED OF AT LEAST THREE INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS. THE PURPOSE OF THE AUDIT COMMITTEE IS TO ASSIST THE BOARD OF DIRECTORS OF BOTH QLI AND THIS ORGANIZATION WITH THE BOARDS' OVERSIGHT IN ORDER TO HELP ENSURE THE INTEGRITY OF THE FINANCIAL STATEMENTS AND COMPLIANCE WITH REGULATORY AND/OR LEGAL REQUIREMENTS. THE AUDIT COMMITTEE REVIEWS, FOR BOTH ORGANIZATIONS, THE SCOPE AND RESULTS OF THE AUDIT, INTERNAL CONTROL PROCESS, BUSINESS POLICIES AND PROCEDURES, FINANCIAL RECORDS AND REPORTS, THE AUDITOR'S FINDINGS, AND SIGNIFICANT ACCOUNTING POLICIES AND COMMUNICATES ANY CHANGES. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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          <StateAbbreviationCd>NE</StateAbbreviationCd>
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