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        <OtherCompensationAmt>2280</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER CUSHMAN</PersonNm>
        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>132477</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8437</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHY LOGSDON</PersonNm>
        <TitleTxt>DIRECTOR OF SALES</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>190893</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9591</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PHILLIP K CLARK</PersonNm>
        <TitleTxt>SALES COUNSELOR</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7129</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FAITH FIELDS</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>109492</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6528</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1266166</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>54476</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>UNIDINE</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 102289</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SELECT REHABILITATION</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 71985</AddressLine1Txt>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60694</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT THERAPY SOLUTIONS</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOUTHERN QUALITY CONSTRUCTION</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 887</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>897231</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FOUNTAINS OF HEALTH SERVICES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>18412 EL GRECGO</AddressLine1Txt>
            <CityNm>EDMOND</CityNm>
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            <ZIPCd>73012</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>NURSE STAFFING</ServicesDesc>
        <CompensationAmt>682690</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GABLEGOTWALS</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>110 N ELGIN AVE STE 200</AddressLine1Txt>
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            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>74120</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>390062</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>17</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>39256</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>17216992</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>6725102</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>4202012</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>DEMENTIA FACILITY</Desc>
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        <RelatedOrExemptFuncIncomeAmt>2468081</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>77127</RelatedOrExemptFuncIncomeAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>1212161</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>100</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>235464</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>94353</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>2352526</ProgramServicesAmt>
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        <EOYAmt>2725</EOYAmt>
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        <EOYAmt>19525893</EOYAmt>
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        <EOYAmt>9800</EOYAmt>
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      <PublicSupportPY509Pct>0.96990</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02980</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.03010</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BeginningYearBalanceAmt>382057</BeginningYearBalanceAmt>
        <ContributionsAmt>11993</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>47988</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>417002</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <OtherExpendituresAmt>26270</OtherExpendituresAmt>
        <EndYearBalanceAmt>382057</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>479112</BeginningYearBalanceAmt>
        <ContributionsAmt>12344</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>32533</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>31246</OtherExpendituresAmt>
        <EndYearBalanceAmt>492743</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>428524</BeginningYearBalanceAmt>
        <ContributionsAmt>3321</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>69884</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>22617</OtherExpendituresAmt>
        <EndYearBalanceAmt>479112</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>375410</BeginningYearBalanceAmt>
        <ContributionsAmt>8586</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>66120</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>21592</OtherExpendituresAmt>
        <EndYearBalanceAmt>428524</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <TermEndowmentBalanceEOYPct>1.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2688010</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2688010</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>85739040</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>36897306</DepreciationAmt>
        <BookValueAmt>48841734</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>31919871</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>20751306</DepreciationAmt>
        <BookValueAmt>11168565</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5698386</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4946205</DepreciationAmt>
        <BookValueAmt>752181</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>496245</OtherCostOrOtherBasisAmt>
        <BookValueAmt>496245</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>63946735</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ENTRANCE FEES</Desc>
        <Amt>16278006</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED ENTRANCE FEE REFUNDS</Desc>
        <Amt>6983511</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>23261517</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>29406850</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>90831</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>6000</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>96831</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>29310019</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>42722</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>2587990</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>2630712</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>31940731</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>37702697</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>6000</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>6000</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>37696697</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>42722</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>2587990</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>2630712</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>40327409</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POOLED INVESTMENTS THAT ARE REFLECTED AT NET ASSET VALUE PER SHARE ARE DIRECTED BY OUMF AND CONSIST OF VARIOUS EQUITY SECURITIES, ASSET-BACKED OBLIGATIONS, MUTUAL AND INDEX FUNDS, GOVERNMENT OBLIGATIONS AND CASH EQUIVALENT FUNDS. THE PORTFOLIO AT OUMF IS DESIGNED TO ACHIEVE ENDOWMENT RETURNS CONSISTENT WITH OUMF'S ADOPTED INVESTMENT POLICIES. THESE FUNDS ARE TO BE UTILIZED FOR THE PURPOSES ESTABLISHED WHEN THE FUNDS WERE CREATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESTRUCTURING COSTS 2,352,526. BENEVOLENT FUNDS 235,464.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESTRUCTURING COSTS 2,352,526. BENEVOLENT FUNDS 235,464.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
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        <GrantTypeTxt>PAYMENT ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>5</RecipientCnt>
        <CashGrantAmt>235464</CashGrantAmt>
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    </IRS990ScheduleI>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>RON KELLY</PersonNm>
        <TitleTxt>PRESIDENT, CEO</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>286805</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>KATHY LOGSDON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID RATLIFF</PersonNm>
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      <TaxExemptBondsIssuesGrp>
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      <TaxExemptBondsProceedsGrp>
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        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
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        <ExplanationTxt>ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 02/13/2020 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 02/13/2020 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 02/13/2020 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 02/13/2020 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2017 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2017 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2017 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2017</ExplanationTxt>
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        <ExplanationTxt>A DRAFT OF THE 990 IS PRESENTED TO THE BOARD FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL BEFORE FILING. ONCE THE FINAL VERSION IS COMPLETED, A COPY IS PROVIDED TO ALL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, THE BOARD DISCLOSES ANY RELATIONSHIPS. EMPLOYEE RELATIONSHIPS ARE REVIEWED AND REPORTED TO HUMAN RESOURCES BY DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>15A. THE BOARD CAREFULLY REVIEWED THE SALARY FOR THE CEO/PRESIDENT. 16B. THE CEO/PRESIDENT REVIEWED KEY EMPLOYEES COMPENSATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DOCUMENTS ARE MADE AVAILABLE IN THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION. MONTHLY FINANCIALS ARE PROVIDED TO THE BOARD FINANCE COMMITTEE, THE BOARD OF DIRECTORS AND THE RESIDENT FINANCE COMMITTEE. ADDITIONALLY, A SUMMARY STATEMENT IS MADE AVAILABLE TO ALL RESIDENTS. FINANCIALS ARE ALSO POSTED VIA EMMA FOR PUBLIC DISCLOSURE.</ExplanationTxt>
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