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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
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        <CurrentTaxYearMinus3YearsAmt>1614679</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2401540</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3128811</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomePYPct>0.03000</InvestmentIncomePYPct>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME BY YEAR: 2020 14,089 2021 14,807 2022 21,014 2023 160,980 2024 9,155 TOTAL FOR ALL YEARS 220,045</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc3">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ADMINISTRATOR REVIEWS THE FORM 990 WITH THE BOARD OF DIRECTORS BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A NEW CONFLICT OF INTEREST FORM MUST BE COMPLETED EACH YEAR AND THE BOARD OF DIRECTORS REVIEW THE FORMS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION UTILIZES THE ANNUAL WAGE SURVEY COMPLETED BY THE IOWA ASSOCIATON OF HOMES AND SERVICE FOR THE AGING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE MADE AVAILABLE BY MAKING AN APPOINTMENT WITH THE ADMINISTRATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS AVAILABLE UPON RQUEST AT THE NURSING FACILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>