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        <ManagementAndGeneralAmt>69227</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>382418</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>190070</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>370076</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>447426</EOYAmt>
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        <EOYAmt>2601901</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>3631757</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>183524</BOYAmt>
        <EOYAmt>116789</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>287376</BOYAmt>
        <EOYAmt>792740</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3140644</BOYAmt>
        <EOYAmt>4541286</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-454571</BOYAmt>
        <EOYAmt>-1939385</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-454571</BOYAmt>
        <EOYAmt>-1939385</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2686073</BOYAmt>
        <EOYAmt>2601901</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-1484814</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>55323</OtherCostOrOtherBasisAmt>
        <BookValueAmt>55323</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>5301870</DepreciationAmt>
        <BookValueAmt>347571</BookValueAmt>
      </BuildingsGrp>
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        <DepreciationAmt>984419</DepreciationAmt>
        <BookValueAmt>44532</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>447426</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <BookValueAmt>151246</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RESIDENT SECURITY DEPOSITS</Desc>
        <BookValueAmt>24440</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM MEDICAID</Desc>
        <BookValueAmt>42533</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSET, FINANCE LEASE</Desc>
        <BookValueAmt>70000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSET, OPERATING LEASE</Desc>
        <BookValueAmt>14820</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>303039</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTY PAYORS</Desc>
        <Amt>545655</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT SECURITY DEPOSITS</Desc>
        <Amt>151245</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES, LESS CURRENT PORTION</Desc>
        <Amt>9191</Amt>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>62738</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITY, LESS CURRENT PORTION</Desc>
        <Amt>17772</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>792740</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>10236681</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>10236681</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>10236681</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>11721495</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>11721495</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>11721495</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOROTHY CORBETT</PersonNm>
        <TitleTxt>ADMINISTRATOR/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>150511</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>150511</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ADMINISTRATOR REVIEWS THE 990 BEFORE SUBMISSION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>YEARLY REVIEW</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER DIRECT EXPENSES: PROGRAM SERVICE EXPENSES 35,000. MANAGEMENT AND GENERAL EXPENSES 190,070. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 225,070. EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 51,828. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,828. DUES &amp; SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 9,290. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,290.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>