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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>971885</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KARE TECHNOLOGIES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4738</AddressLine1Txt>
            <CityNm>HOUSTON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77210</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>814129</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PREMERE REHAB DBA INFINITY REHAB</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8100 SW NYBERG ST SUITE 200</AddressLine1Txt>
            <CityNm>TUALATIN</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>80909</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>691240</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PHARMERICA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 409251</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303849251</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY</ServicesDesc>
        <CompensationAmt>379745</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>LIVING CENTER PATIENT</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>13766042</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13766042</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RETREAT ASST'D LIVING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>4319184</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4319184</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT RENTAL INCOME</Desc>
        <BusinessCd>531110</BusinessCd>
        <TotalRevenueColumnAmt>547790</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>547790</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER RESIDENT SERV.</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>11760</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11760</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>18644776</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>156084</TotalRevenueColumnAmt>
        <ExclusionAmt>156084</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>254424</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>287997</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-33573</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-33573</TotalRevenueColumnAmt>
        <ExclusionAmt>-33573</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC. INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>110553</TotalRevenueColumnAmt>
        <ExclusionAmt>110553</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>110553</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18877840</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18644776</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>233064</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>1506</TotalAmt>
        <ProgramServicesAmt>1506</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>134871</TotalAmt>
        <ProgramServicesAmt>125430</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9441</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>8855534</TotalAmt>
        <ProgramServicesAmt>8297342</ProgramServicesAmt>
        <ManagementAndGeneralAmt>558192</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>76382</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4509</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>661705</TotalAmt>
        <ProgramServicesAmt>625047</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36658</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>538243</TotalAmt>
        <ProgramServicesAmt>507433</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30810</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>55445</ProgramServicesAmt>
        <ManagementAndGeneralAmt>666095</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>7942</TotalAmt>
        <ManagementAndGeneralAmt>7942</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>101829</TotalAmt>
        <ManagementAndGeneralAmt>101829</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>4975</TotalAmt>
        <ManagementAndGeneralAmt>4975</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2225126</TotalAmt>
        <ProgramServicesAmt>2222549</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2577</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>213619</TotalAmt>
        <ProgramServicesAmt>175014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38605</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>606150</TotalAmt>
        <ProgramServicesAmt>46734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>559416</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>444529</TotalAmt>
        <ProgramServicesAmt>388016</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56513</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>7929</TotalAmt>
        <ProgramServicesAmt>4556</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3373</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>2594602</TotalAmt>
        <ProgramServicesAmt>2335142</ProgramServicesAmt>
        <ManagementAndGeneralAmt>259460</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1106448</TotalAmt>
        <ProgramServicesAmt>995803</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110645</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
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        <ProgramServicesAmt>274273</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47586</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD COSTS</Desc>
        <TotalAmt>652853</TotalAmt>
        <ProgramServicesAmt>583889</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68964</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>611043</TotalAmt>
        <ProgramServicesAmt>611043</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>128798</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128798</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>44927</TotalAmt>
        <ProgramServicesAmt>16666</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28261</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>33161</TotalAmt>
        <ProgramServicesAmt>15030</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18131</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>17357300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2742780</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1766920</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>1577534</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>149920</BOYAmt>
        <EOYAmt>166753</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>41348903</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>12725637</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>29522907</BOYAmt>
        <EOYAmt>28623266</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>466014</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
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        <EOYAmt>3282395</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>35882882</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1563856</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>40903078</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
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        <EOYAmt>41576</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>42508510</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>-6933165</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>362793</BOYAmt>
        <EOYAmt>307537</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-5649298</BOYAmt>
        <EOYAmt>-6625628</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>37457928</BOYAmt>
        <EOYAmt>35882882</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-1222240</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>184084</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>61826</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>43446</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2450163</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2769967</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>66531</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>5330107</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>16660632</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15774439</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17007470</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18644776</CurrentTaxYearAmt>
        <TotalAmt>85337063</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>17293192</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19110795</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18544406</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17074001</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18644776</CurrentTaxYearAmt>
        <TotalAmt>90667170</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus3YearsAmt>2058434</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2361697</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>4420131</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus3YearsAmt>2058434</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2361697</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>4420131</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>86247039</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>225473</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>144057</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>117323</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>156084</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus1YearAmt>117323</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>156084</CurrentTaxYearAmt>
        <TotalAmt>809410</TotalAmt>
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      <OtherIncome509Grp>
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        <CurrentTaxYearMinus2YearsAmt>31950</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>115989</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>110553</CurrentTaxYearAmt>
        <TotalAmt>316878</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>17482787</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19371532</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>17307313</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18911413</CurrentTaxYearAmt>
        <TotalAmt>91793458</TotalAmt>
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      <PublicSupportCY509Pct>0.93960</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98930</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00880</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00840</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <CYEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>-5864</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>356929</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <EndYearBalanceAmt>362793</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
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        <EndYearBalanceAmt>362793</EndYearBalanceAmt>
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        <EndYearBalanceAmt>294343</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
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        <BookValueAmt>75000</BookValueAmt>
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      <BuildingsGrp>
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      <OtherAssetsOrgGrp>
        <Desc>TRUST FUNDS</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>SVLC OTHER RESTRICTED FUNDS</Desc>
        <BookValueAmt>28537</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RESERVE FOR REPLACEMENT</Desc>
        <BookValueAmt>130116</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>VSV OTHER RESTRICTED FUNDS</Desc>
        <BookValueAmt>79376</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>3282395</TotalBookValueOtherAssetsAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HOLDS SECURITY DEPOSITS PAID BY RESIDENTS, AS WELL AS FUNDS ON BEHALF OF CERTAIN RESIDENTS, WHICH ARE MAINTAINED FOR THE PERSONAL USE OF THOSE RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO PROVIDE GENERAL SUPPORT TO THE ORGANIZATION AS NEEDED FROM THE EARNINGS. THE ENDOWMENT FUNDS ARE COMPRISED OF DONOR-RESTRICTED FUNDS. $290,000 IS RESTRICTED IN PERPETUITY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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        <PersonNm>DAWNA M CHESHIRE</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3785</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>163592</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COLORADO HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>840752932</BondIssuerEIN>
        <CUSIPNum>19648A5H4</CUSIPNum>
        <BondIssuedDt>2015-12-03</BondIssuedDt>
        <IssuePriceAmt>42276406</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION, REFUNDING OF PRIOR ISSUE</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>42276406</TotalProceedsAmt>
        <InReserveFundAmt>3019007</InReserveFundAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
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        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE PRESIDENT OF THE BOARD, CHAIRMAN OF THE ADMINISTRATIVE COMMITTEE, THE CHAIRMAN OF THE FINANCE COMMITTEE, THE APPOINTED OFFICERS, AND THE CHAIRMAN OF THE STANDING COMMITTEES. THE CHAIRMAN OF THE ADMINISTRATIVE COMMITTEE AND THE CHAIRMAN OF THE FINANCE COMMITTEE SHALL BOTH HOLD THE POSITION OF VICE PRESIDENTS OF THE BOARD OF DIRECTORS AND OFFICE OF EXECUTIVE VICE PRESIDENT. THE EXECUTIVE COMMITTEE SHALL CONDUCT THE AFFAIRS OF THE CORPORATION BETWEEN FULL BOARD MEETINGS AND SHALL HAVE ALL THE AUTHORITY OF THE BOARD OF DIRECTORS, EXCEPT THE AUTHORITY OF THE BOARD OF DIRECTORS IN REFERENCE TO AMENDING, ALTERING, OR REPEALING THE BYLAWS, ELECTING, APPOINTING, OR REMOVING ANY OFFICER OR DIRECTOR OF THE CORPORATION; DISCHARGING OR HIRING OF THE EXECUTIVE DIRECTOR(S); AMENDING THE ARTICLES OF INCORPORATION; RESTATING THE ARTICLES OF INCORPORATION; ADOPTING A PLAN OF MERGER, ADOPTING A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION; AUTHORIZING THE SALE, LEASE, EXCHANGE OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION; AUTHORIZING THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKING PROCEEDINGS, THEREFORE, ADOPTING A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION; OR AMENDING, ALTERING OR REPEALING ANY RESOLUTION OF THE BOARD OF DIRECTORS WHICH, BY ITS TERMS, PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL MEET MONTHLY, EXCEPT FOR THOSE MONTHS WHEN THE FULL BOARD MEETS AND THE ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD OF DIRECTORS AT EACH SUBSEQUENT MEETING OF THE BOARD OF DIRECTORS. ANY BOARD MEMBER MAY ATTEND AN EXECUTIVE COMMITTEE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS UNDER A MANAGEMENT CONTRACT WITH CHRISTIAN LIVING SERVICES, INC DBA CAPPELLA LIVING SOLUTIONS. THE ORGANIZATION PAID CHRISTIAN LIVING SERVICES, INC. $971,885 IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY MANAGEMENT. A COPY IS PROVIDED TO THE BOARD BEFORE IT IS FILED. THE VP OF FINANCE FOR CHRISTIAN LIVING SERVICES, INC DBA CAPPELLA LIVING SOLUTIONS EXAMINES THE 990 FOR ACCURACY OF THE FINANCIAL AND INFORMATIONAL DATA AND DISCUSSES ANY ISSUES WITH THE PREPARER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REMINDED AT MEETINGS TO DISCLOSE ANY CONFLICT OF INTEREST THEY MAY HAVE. NO DIRECTOR OR OFFICER OF THE CORPORATION SHALL ENGAGE IN ANY COURSE OF CONDUCT WHICH MAY RESULT IN A CONFLICT OF INTEREST OR HAVE ANY FINANCIAL INTEREST IN ANY CONTRACTUAL ARRANGEMENT ENTERED INTO BY THE CORPORATION IN CONNECTION WITH THE RENDITION OF SERVICES, THE PROVISIONS OF GOODS OR SUPPLIES, MANAGEMENT OF THE FACILITY, PROCUREMENT OF FURNISHINGS OR EQUIPMENT OR OTHER MATTERS WHATSOVER. WHEN DECISIONS ARE MADE BY THE BOARD, THE PRESIDENT OF THE BOARD WILL ASK IF ANYONE HAS A CONFLICT OF INTEREST ON THAT PARTICULAR ISSUE. IF THAT PERSON DOES, THEY ARE RECUSED FROM VOTING ON THE ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES A ROUTINE COMPETITIVE ANALYSIS OF SALARIES IN THE MARKET TO ENSURE THAT SALARIES PAID TO TOP MANAGEMENT OFFICIALS ARE CONSISTENT WITH THE MARKET. THIS ANALYSIS IS USED FOR ESTABLISHING SALARY GRIDS FOR EACH POSITION. COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS. ALL MANAGEMENT OFFICIALS HIRED ARE APPROVED BY SENIOR MANAGEMENT AND HIRED CONSISTENT WITH ESTABLISHED SALARY GRIDS. DOCUMENTATION FOR THE DELIBERATIONS AND DECISIONS ARE KEPT IN THE BOARD MINUTES. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST, INTERESTED PARTIES MAY USE THE CONTACT INFORMATION LISTED ON PART VI OF FORM 990 TO REQUEST REVIEW OF THESE RECORDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASES SERVICES: PROGRAM SERVICE EXPENSES 2,222,549. MANAGEMENT AND GENERAL EXPENSES 2,577. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,225,126.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>