<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2023-10-04T08:06:11-05:00</ReturnTs>
    <TaxPeriodEndDt>2022-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>390859910</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BAKER TILLY US LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1570 FRUITVILLE PIKE SUITE 400</AddressLine1Txt>
        <CityNm>LANCASTER</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>17601</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>237404857</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>LEBANON VALLEY BRETHREN HOME</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>LEBA</BusinessNameControlTxt>
      <PhoneNum>7178385406</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1200 GRUBB ROAD</AddressLine1Txt>
        <CityNm>PALMYRA</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>17078</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>HENRY BRUBAKER</PersonNm>
      <PersonTitleTxt>VP FINANCE/CFO</PersonTitleTxt>
      <PhoneNum>7178385406</PhoneNum>
      <SignatureDt>2023-10-02</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>HENRY</PersonFirstNm>
        <PersonLastNm>BRUBAKER</PersonLastNm>
      </PersonFullName>
      <SSN>XXX-XX-XXXX</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>0</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>KERRI N BOGDA CPA</PreparerPersonNm>
      <PTIN>P00760402</PTIN>
      <PhoneNum>7177404863</PhoneNum>
      <PreparationDt>2023-10-02</PreparationDt>
      <SelfEmployedInd>X</SelfEmployedInd>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>2</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="10">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>LONDONDERRY VILLAGE</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>JEFFREY SHIREMAN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1200 GRUBB ROAD</AddressLine1Txt>
        <CityNm>PALMYRA</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>17078</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>29551165</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.LONDONDERRYVILLAGE.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1974</FormationYr>
      <LegalDomicileStateCd>PA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>CONTINUING CARE RETIREMENT COMMUNITY PROVIDING HOUSING, HEALTH CARE, AND RELATED SERVICES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>15</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>15</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>273</TotalEmployeeCnt>
      <TotalVolunteersCnt>175</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>1710965</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>620000</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>22556774</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>22857813</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>1839567</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>635870</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>257816</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>261246</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>26365122</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>24374929</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>340138</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>266735</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>13132861</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>12535352</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>201057</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>12587562</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>12435311</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>26060561</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>25237398</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>304561</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-862469</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>78609610</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>81652298</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>55737054</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>63266816</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>22872556</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>18385482</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE LEBANON VALLEY BRETHREN HOME, AN OUTREACH MINISTRY OF THE CHURCH OF THE BRETHREN, IS COMMITTED TO PROVIDING INDEPENDENT LIVING HOUSING, HIGH-QUALITY HEALTH CARE, AND SUPPORTIVE SERVICES FOR ELDERLY PERSONS IN AN ATTITUDE OF LOVE AND SERVANTHOOD.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>21765399</ExpenseAmt>
      <GrantAmt>266735</GrantAmt>
      <RevenueAmt>22857813</RevenueAmt>
      <Desc>NURSING CARE IN 2022, THE NURSING CENTER OF THE LEBANON VALLEY BRETHREN HOME (D/B/A LONDONDERRY VILLAGE) EXPERIENCED A LONG-AWAITED TRANSITION AS THE COVID-19 PANDEMIC FINALLY STARTED TO WANE. AT THE BEGINNING OF THE YEAR, THE NURSING CENTER STRUGGLED TO DEAL WITH A STAFF EXODUS THAT HAD OCCURRED IN LATE 2021 DUE TO THE GOVERNMENT MANDATE ON COVID-19 VACCINATIONS FOR STAFF. AS THE YEAR PROGRESSED, THE FACILITY WAS ABLE TO HIRE MORE NURSING AIDES AND NURSES ONTO THE PAYROLL, AND SIMULTANEOUSLY WE WERE ABLE TO GREATLY REDUCE OUR UTILIZATION OF AGENCY NURSING STAFF, WHICH WAS A BOON FOR BOTH QUALITY AND EXPENSE CONTROL. DESPITE THE STAFFING CHALLENGES, OUR NURSING FACILITY RETAINED ITS #1 POSITION IN THE LEBANON COUNTY RANKINGS FOR STAFFING (AS MEASURED BY DEPARTMENT OF HEALTH FORMULAS). BECAUSE OF THE IMPROVEMENTS IN HIRING NURSING PERSONNEL, THE BOARD OF DIRECTORS AUTHORIZED THE REMOVAL OF A MORATORIUM ON OUTSIDE ADMISSIONS TO NURSING CARE, AND WE WERE ABLE TO ONCE AGAIN CONSIDER REFERRALS (WHO WERE NOT LV RESIDENTS) FROM OUR NEIGHBORING HOSPITALS. AS THE MONTHS WENT BY, THE NURSING CARE CENTER EXPERIENCED FEWER CASES OF COVID-19 (IN BOTH RESIDENTS AND STAFF), AND THE SEVERITY OF THOSE CASES ALSO DECREASED. BEGINNING IN 2022, THE ORGANIZATION EMBARKED ON A SERIES OF RENOVATIONS TO ITS ORIGINAL FOUR GREEN HOUSES, ALL OF WHOM WERE OVER FIFTEEN YEARS IN AGE. THE NURSING CENSUS WAS INTENTIONALLY REDUCED AS WE TOOK INDIVIDUAL GREEN HOUSES OFF-LINE TO ACCOMPLISH THE RENOVATIONS. AS IN 2021, THE ANNUAL PA DEPARTMENT OF HEALTH INSPECTION OF THE NURSING CARE FACILITY WAS VERY POSITIVE, WITH JUST A FEW MINOR DEFICIENCIES AND WITH THE RETENTION OF OUR 5-STAR CMS QUALITY RATING. OUR GOAL FOR 2023 WILL BE TO COMPLETE OUR RENOVATIONS AND RETURN TO HAVING ALL SIX OF OUR GREEN HOUSES FULLY OCCUPIED. PERSONAL CARE - IN THE PERSONAL CARE UNIT, THE ONGOING PANDEMIC CONTINUED TO AFFECT EVERYDAY LIFE FOR THE PC RESIDENTS DURING 2022. VISITATION RESTRICTIONS WERE REMOVED AS THE PANDEMIC STARTED TO EBB, BUT RESIDENTS WERE STILL REQUIRED TO ADHERE TO SOCIAL DISTANCING REGULATIONS IN THE DINING ROOM. FOLLOWING THE TREND FROM 2021, THE DEMAND FOR PERSONAL CARE SERVICES IMPROVED AND STAYED STRONG FOR MOST OF THE YEAR. THE ANNUAL INSPECTION BY THE DEPARTMENT OF HUMAN SERVICES WENT VERY WELL, WITH JUST A FEW MINOR PAPERWORK CORRECTIONS. MANAGEMENT BEGAN INTENSIVE PLANNING TO RENOVATE AND EXPAND THE CAPACITY OF THE PERSONAL CARE UNIT; ARCHITECTURAL DRAWINGS SHOULD BE COMPLETED IN 2023 AND CONSTRUCTION IS LIKELY TO COMMENCE BY EARLY 2024. MOST OF THE PC ROOMS WILL BE EXPANDED FROM STUDIO UNITS TO ONE BEDROOM SUITES. INDEPENDENT LIVING THE INDEPENDENT LIVING COMMUNITY IS NOT SUBJECT TO THE SAME KIND OF REGULATORY OVERSIGHT AS OUR NURSING AND PERSONAL CARE UNITS, AND IT THEREFORE WAS ABLE TO START RECOVERING FROM THE PANDEMIC RESTRICTIONS MUCH EARLIER. THROUGHOUT 2022, RESIDENT ACTIVITIES AND INTERACTIONS WERE ON THE RISE, AND THIS MOMENTUM ACCELERATED IN THE THIRD QUARTER OF 2022 AS REQUIRED "MASKING" IN COMMON AREAS WAS DISCONTINUED. AS IN OUR HEALTH CARE UNITS, THE PREVALENCE AND SEVERITY OF COVID-19 CASES DECREASED AMONG THE INDEPENDENT LIVING COMMUNITY DURING 2022. NEW ADMISSIONS AND FUTURE SALES REMAINED STRONG AS A VIBRANT REAL ESTATE MARKET AIDED OUR PROSPECTS IN SELLING THEIR HOMES FOR RECORD-HIGH PRICES. THE COMMUNITY "TURNED-OVER" MORE THAN 50 HOUSING UNITS DURING THE YEAR A RECORD FOR THE ORGANIZATION. LONDONDERRY VILLAGE CONTINUED ITS PURSUIT OF LAND DEVELOPMENT APPROVALS FOR OUR NEW "FOX RUN" EXPANSION ON OUR SOUTH CAMPUS. AT THIS TIME, IT APPEARS THAT BOTH THE APPROVALS AND THE START OF CONSTRUCTION WILL TAKE PLACE BY MIDYEAR OF 2023. FOX RUN SALES INTEREST REMAINS VERY HIGH, WITH THE MAJORITY OF PHASE 1 CARRIAGE HOMES AND TOWNHOMES ALREADY RESERVED. GIVEN ITS STRONG HISTORY OF OPERATIONS, LONDONDERRY VILLAGE RETAINED ITS BBB INVESTMENT RATING THROUGH THE FITCH RATINGS SERVICE, WHICH IS A RARE HONOR THAT ONLY ABOUT 10% OF ALL RETIREMENT COMMUNITIES COULD QUALIFY FOR.</Desc>
      <TotalProgramServiceExpensesAmt>21765399</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039700001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039700001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>1</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">1</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc1053100001">1</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>0</InvestTaxExemptBondsInd>
      <EscrowAccountInd>0</EscrowAccountInd>
      <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>36</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>273</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>15</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>15</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>HENRY BRUBAKER VP OF FINANCE CFO</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>7178385406</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1200 GRUBB ROAD</AddressLine1Txt>
          <CityNm>PALMYRA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17078</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG MOYER</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES SNELL</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR DENNIS GINGRICH</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROY MEYER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD BYLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JETHRO DAVIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WENDIE DI MATTEO-HOLSINGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND FLAGG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT FORTNA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REV BELITA MITCHELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA PINTARCH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE PORTER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS SHENK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REV RONALD LUDWICK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN TILLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY SHIREMAN</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>252891</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43991</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY BRUBAKER</PersonNm>
        <TitleTxt>VP FINANCE/CFO</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>143406</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30646</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER GINDER</PersonNm>
        <TitleTxt>VP HEALTH SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>150127</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19531</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBRA O'DONNELL</PersonNm>
        <TitleTxt>RN NURSE MANAGER</TitleTxt>
        <AverageHoursPerWeekRt>41.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>116620</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21896</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE FEGLEY</PersonNm>
        <TitleTxt>DIRECTOR OF NURSING</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>107890</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8506</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA MORGANTHALL</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>105757</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30287</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCIS GLYNN</PersonNm>
        <TitleTxt>DIRECTOR OF ENVIRONMENTAL SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>101218</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23287</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>977909</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>178144</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SHOPE'S GARDENS CONST INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>53 NORTH CHARLOTTE ST</AddressLine1Txt>
            <CityNm>MANHEIM</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17545</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>1305365</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MORRISON LIVING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>400 NORTH RIDGE ROAD</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30350</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT CONTRACT/DINING SERVICES</ServicesDesc>
        <CompensationAmt>1015413</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RM KITCHENS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2035 HORSESHOE PIKE</AddressLine1Txt>
            <CityNm>ANNVILLE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17003</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CABINET/COUNTERTOP BUILD &amp; INSTALL</ServicesDesc>
        <CompensationAmt>474463</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SYMBRIA REHAB</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>28100 TORCH PARKWAY SUITE 600</AddressLine1Txt>
            <CityNm>WARRENVILLE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60555</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>432564</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLWEINS CARPET ONE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1475 EAST MAIN STREET</AddressLine1Txt>
            <CityNm>ANNVILLE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17003</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FLOORING SUPPLIER &amp; INSTALLATION SVC</ServicesDesc>
        <CompensationAmt>428197</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>61517</FundraisingAmt>
      <GovernmentGrantsAmt>95018</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>463465</AllOtherContributionsAmt>
      <TotalContributionsAmt>620000</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET RESIDENT SVC REV</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>22550137</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22550137</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PA NURSING HOME ASSESSMT</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>307676</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>307676</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>22857813</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>255263</TotalRevenueColumnAmt>
        <ExclusionAmt>255263</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>27527</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>35248</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-7721</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-7721</TotalRevenueColumnAmt>
        <ExclusionAmt>-7721</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>5404987</SecuritiesAmt>
        <OtherAmt>21210</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>5045590</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>359397</SecuritiesAmt>
        <OtherAmt>21210</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>380607</TotalRevenueColumnAmt>
        <ExclusionAmt>380607</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>27625</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>61517</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>38153</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-10528</TotalRevenueColumnAmt>
        <ExclusionAmt>-10528</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GrossSalesOfInventoryAmt>68182</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>57245</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>10937</TotalRevenueColumnAmt>
        <ExclusionAmt>10937</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>FOOD SERVICES</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>124367</TotalRevenueColumnAmt>
        <ExclusionAmt>124367</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>BARBER SHOP</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>81203</TotalRevenueColumnAmt>
        <ExclusionAmt>81203</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>RESIDENT FACILITIES RENTAL</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>56741</TotalRevenueColumnAmt>
        <ExclusionAmt>56741</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>6247</TotalRevenueColumnAmt>
        <ExclusionAmt>6247</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>268558</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>24374929</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22857813</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>897116</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>266735</TotalAmt>
        <ProgramServicesAmt>266735</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>640592</TotalAmt>
        <ProgramServicesAmt>169658</ProgramServicesAmt>
        <ManagementAndGeneralAmt>470934</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>8985341</TotalAmt>
        <ProgramServicesAmt>7959421</ProgramServicesAmt>
        <ManagementAndGeneralAmt>899144</ManagementAndGeneralAmt>
        <FundraisingAmt>126776</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>450794</TotalAmt>
        <ProgramServicesAmt>422525</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21407</ManagementAndGeneralAmt>
        <FundraisingAmt>6862</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1747624</TotalAmt>
        <ProgramServicesAmt>1418215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>305780</ManagementAndGeneralAmt>
        <FundraisingAmt>23629</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>711001</TotalAmt>
        <ProgramServicesAmt>606321</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95224</ManagementAndGeneralAmt>
        <FundraisingAmt>9456</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>26368</TotalAmt>
        <ProgramServicesAmt>26368</ProgramServicesAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>5560</TotalAmt>
        <ManagementAndGeneralAmt>5560</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>82435</TotalAmt>
        <ManagementAndGeneralAmt>82435</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>1745</TotalAmt>
        <ManagementAndGeneralAmt>1745</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>77990</TotalAmt>
        <ManagementAndGeneralAmt>77990</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1680889</TotalAmt>
        <ProgramServicesAmt>1531808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149081</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>146163</TotalAmt>
        <ManagementAndGeneralAmt>146163</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>93169</TotalAmt>
        <ProgramServicesAmt>14184</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78985</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>302600</TotalAmt>
        <ProgramServicesAmt>52127</ProgramServicesAmt>
        <ManagementAndGeneralAmt>250473</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2457706</TotalAmt>
        <ProgramServicesAmt>2428801</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28905</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>66969</TotalAmt>
        <ProgramServicesAmt>63648</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3321</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>215</TotalAmt>
        <ManagementAndGeneralAmt>215</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>627058</TotalAmt>
        <ProgramServicesAmt>627058</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>4554206</TotalAmt>
        <ProgramServicesAmt>4434852</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104159</ManagementAndGeneralAmt>
        <FundraisingAmt>15195</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>295604</TotalAmt>
        <ManagementAndGeneralAmt>295604</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD SERVICE COSTS</Desc>
        <TotalAmt>661281</TotalAmt>
        <ProgramServicesAmt>661161</ProgramServicesAmt>
        <ManagementAndGeneralAmt>120</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT REPAIRS/RENTA</Desc>
        <TotalAmt>269207</TotalAmt>
        <ProgramServicesAmt>254436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14771</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>207886</TotalAmt>
        <ProgramServicesAmt>196489</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11397</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMMUNICATIONS</Desc>
        <TotalAmt>169092</TotalAmt>
        <ProgramServicesAmt>77056</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92036</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>709168</TotalAmt>
        <ProgramServicesAmt>554536</ProgramServicesAmt>
        <ManagementAndGeneralAmt>135493</ManagementAndGeneralAmt>
        <FundraisingAmt>19139</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>25237398</TotalAmt>
        <ProgramServicesAmt>21765399</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3270942</ManagementAndGeneralAmt>
        <FundraisingAmt>201057</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1782</BOYAmt>
        <EOYAmt>1678</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3380598</BOYAmt>
        <EOYAmt>4927261</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>294302</BOYAmt>
        <EOYAmt>135702</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1137342</BOYAmt>
        <EOYAmt>1295372</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1164732</BOYAmt>
        <EOYAmt>1248217</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>113736073</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>66398725</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>47486313</BOYAmt>
        <EOYAmt>47337348</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>22123427</BOYAmt>
        <EOYAmt>18753953</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>3021114</BOYAmt>
        <EOYAmt>7952767</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>78609610</BOYAmt>
        <EOYAmt>81652298</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1234454</BOYAmt>
        <EOYAmt>1327624</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>21002770</BOYAmt>
        <EOYAmt>23198224</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>20979508</BOYAmt>
        <EOYAmt>20457093</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>12520322</BOYAmt>
        <EOYAmt>18283875</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>55737054</BOYAmt>
        <EOYAmt>63266816</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>17990866</BOYAmt>
        <EOYAmt>14060408</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>4881690</BOYAmt>
        <EOYAmt>4325074</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>22872556</BOYAmt>
        <EOYAmt>18385482</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>78609610</BOYAmt>
        <EOYAmt>81652298</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-862469</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-3884644</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>260039</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>2500467</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1031376</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2117871</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1710965</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>620000</CurrentTaxYearAmt>
        <TotalAmt>7980679</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>22069827</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>22488786</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>21825903</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>22556774</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22857813</CurrentTaxYearAmt>
        <TotalAmt>111799103</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>24570294</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>23520162</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23943774</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>24267739</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23477813</CurrentTaxYearAmt>
        <TotalAmt>119779782</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>26373</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>89832</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>101937</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11235</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15532</CurrentTaxYearAmt>
        <TotalAmt>244909</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>26373</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>89832</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>101937</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11235</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15532</CurrentTaxYearAmt>
        <TotalAmt>244909</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>119534873</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>651854</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>992772</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>978527</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1389389</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>282790</CurrentTaxYearAmt>
        <TotalAmt>4295332</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>651854</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>992772</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>978527</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1389389</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>282790</CurrentTaxYearAmt>
        <TotalAmt>4295332</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearMinus4YearsAmt>354049</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>444046</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>307271</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>280138</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>273752</CurrentTaxYearAmt>
        <TotalAmt>1659256</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>96620</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>52204</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22449</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>72573</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>90613</CurrentTaxYearAmt>
        <TotalAmt>334459</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>25672817</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>25009184</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25252021</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26009839</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24124968</CurrentTaxYearAmt>
        <TotalAmt>126068829</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.94820</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.94610</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.03410</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.03510</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2018 AMOUNT: $ 37,562. 2019 AMOUNT: $ 17,217. 2020 AMOUNT: $ 5,669. 2021 AMOUNT: $ 4,217. 2022 AMOUNT: $ 2,667. PR EVENT FEES - 2018 AMOUNT: $ 6,138. 2019 AMOUNT: $ 6,559. 2020 AMOUNT: $ 365. FUNDRAISING REVENUE - 2018 AMOUNT: $ 33,896. 2019 AMOUNT: $ 28,428. 2020 AMOUNT: $ 16,415. 2021 AMOUNT: $ 25,505. 2022 AMOUNT: $ 27,625. RESIDENT FACILITIES - 2018 AMOUNT: $ 19,024. 2021 AMOUNT: $ 19,415. 2022 AMOUNT: $ 56,741. MANAGED CARE PARTICIPATION FEE - 2021 AMOUNT: $ 23,436. 2022 AMOUNT: $ 3,580.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>1745</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>1745</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAYS DUES TO NATIONAL (LEADINGAGE) AND STATE (LEADINGAGE PA) ASSOCIATIONS. A PORTION OF THE STATE AND NATIONAL ORGANIZATION'S DUES ARE USED FOR LOBBYING PURPOSES. THE $1,745 REPORTED AS LOBBYING EXPENDITURES IS THE TOTAL OF LEADINGAGE'S DUES THAT WERE USED FOR LOBBYING PURPOSES BY NATIONAL LEADINGAGE AND LEADINGAGE PA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>2787934</BeginningYearBalanceAmt>
        <ContributionsAmt>91515</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-461116</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>88984</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>7295</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2322054</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2398435</BeginningYearBalanceAmt>
        <ContributionsAmt>247106</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>255089</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>105103</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>7593</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2787934</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2084901</BeginningYearBalanceAmt>
        <ContributionsAmt>136820</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>280602</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>97554</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>6334</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2398435</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1815339</BeginningYearBalanceAmt>
        <ContributionsAmt>12500</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>356020</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>92730</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>6228</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>2084901</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1951085</BeginningYearBalanceAmt>
        <ContributionsAmt>17166</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-109889</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>35715</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>7308</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>1815339</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>1.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.00000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>777519</OtherCostOrOtherBasisAmt>
        <BookValueAmt>777519</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>76360921</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>41052545</DepreciationAmt>
        <BookValueAmt>35308376</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>34116568</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>24747876</DepreciationAmt>
        <BookValueAmt>9368692</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2481065</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>598304</DepreciationAmt>
        <BookValueAmt>1882761</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>47337348</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN PERPETUAL TRUSTS</Desc>
        <BookValueAmt>2137218</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET</Desc>
        <BookValueAmt>4691382</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>1124167</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>7952767</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE FEES AND DEPOSITS</Desc>
        <Amt>12944144</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CHARITABLE GIFT ANNUITY OBLIGATIONS</Desc>
        <Amt>23056</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT SECURITY DEPOSITS</Desc>
        <Amt>607354</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCING LEASE LIABILITIES</Desc>
        <Amt>4709321</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>18283875</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>20611058</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-3884644</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-9873</OtherRevenueAmt>
      <RevenueNotReportedAmt>-3894517</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24505575</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-130646</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-130646</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>24374929</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>25098132</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>130646</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>130646</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>24967486</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>269912</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>269912</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>25237398</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENDOWMENT FUND IS INTENDED TO ASSIST NURSING, PERSONAL CARE AND INDEPENDENT LIVING RESIDENTS WHO ARE NO LONGER ABLE TO AFFORD THEIR OWN CARE. IT IS ALSO USED TO COVER THE DIFFERENCE BETWEEN GOVERNMENT PAYMENTS FOR CARE AND THE COST OF DELIVERING THE CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEVOLENT CARE -266,735. CHANGE IN VALUE OF SPLIT INTEREST -478,701. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 738,740. INTEREST EXPENSE FOR DONOR RESTRICTED ASSETS -3,177.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES -35,248. CONVENIENCE STORE PURCHASES -57,245. FUNDRAISING EXPENSES -38,153.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 35,248. CONVENIENCE STORE PURCHASES 57,245. FUNDRAISING EXPENSES 38,153.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEVOLENT CARE NETTED AGAINST REVENUE 266,735. INTEREST EXPENSE FOR DONOR RESTRICTED ASSETS 3,177.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>CHICKEN BBQ/AUCTION</Event1Nm>
        <GrossReceiptsEvent1Amt>37163</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>16759</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>20404</GrossRevenueEvent1Amt>
        <FoodAndBeverageEvent1Amt>7558</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>1202</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>9953</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GOOD SAMARITAN DINNER</Event2Nm>
        <GrossReceiptsEvent2Amt>21675</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>18770</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>2905</GrossRevenueEvent2Amt>
        <FoodAndBeverageEvent2Amt>2320</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>3028</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>831</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>3</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>30304</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>25988</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>4316</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>6828</RentFcltyCostsOtherEventsAmt>
        <EntertainmentOtherEventsAmt>750</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>5683</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>89142</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>61517</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>27625</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>6828</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>9878</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>4980</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>16467</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>38153</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-10528</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>BENEVOLENT CARE - PERSONAL CARE</GrantTypeTxt>
        <RecipientCnt>6</RecipientCnt>
        <CashGrantAmt>151331</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>BENEVOLENT CARE - INDEPENDENT LIVING</GrantTypeTxt>
        <RecipientCnt>8</RecipientCnt>
        <CashGrantAmt>115404</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESIDENTS WHO NEED FINANCIAL ASSISTANCE SUBMIT AN APPLICATION TO THE FINANCE OFFICE. FINANCIAL INFORMATION OF THE RESIDENT IS REVIEWED AND CONFIRMED. BASED UPON THE INFORMATION SUBMITTED, THE ADMINISTRATOR THEN MAKES A DECISION AS TO WHETHER FINANCIAL ASSISTANCE WILL BE PROVIDED. THE ADMINISTRATOR PROVIDES INFORMATION TO THE FINANCE COMMITTEE OF THE BOARD WITH RESPECT TO THE TOTAL ASSISTANCE THAT HAS BEEN AWARDED. THE RESIDENTS WHO RECEIVE THE BENEVOLENT CARE REMAIN ANONYMOUS TO THE FINANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>JEFFREY SHIREMAN</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>229630</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23261</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>30481</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13510</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>296882</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>23261</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HENRY BRUBAKER</PersonNm>
        <TitleTxt>VP FINANCE/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>143406</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17209</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13437</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>174052</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER GINDER</PersonNm>
        <TitleTxt>VP HEALTH SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>145127</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17435</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2096</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>169658</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>WEST CORNWALL TWP MUNICIPAL AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>251640412</BondIssuerEIN>
        <CUSIPNum>95235TAT0</CUSIPNum>
        <BondIssuedDt>2021-03-30</BondIssuedDt>
        <IssuePriceAmt>41260503</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>420000</RetiredAmt>
        <TotalProceedsAmt>41260503</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>495063</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>1854708</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>19202492</OtherSpentProceedsAmt>
        <UnspentAmt>19708240</UnspentAmt>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>0</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>1</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>1</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.02400</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.02400</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, LINE A, COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) THE CURRENT REFUNDING OF (1) THE AUTHORITY'S SENIOR LIVING FACILITY REVENUE BONDS (LEBANON VALLEY BRETHREN HOME PROJECT), SERIES OF 2006; (2) THE AUTHORITY'S REVENUE NOTE, (LEBANON VALLEY BRETHREN HOME PROJECT) SERIES B OF 2015, AS AMENDED AND SUPPLEMENTED; (3) THE AUTHORITY'S REVENUE NOTE, (LEBANON VALLEY BRETHREN HOME PROJECT) SERIES OF 2016, AS AMENDED AND SUPPLEMENTED AND (4) AN OUTSTANDING CONSTRUCTION LOAN INCURRED BY THE CORPORATION ; (B) THE DESIGN, ACQUISITION, CONSTRUCTION, INSTALLATION AND EQUIPPING OF (1) ELEVEN TOWNHOMES AND COTTAGES; (2) TWENTY-FOUR HYBRID APARTMENTS; AND (3) A CLUBHOUSE CONTAINING SOCIAL ACTIVITIES SPACE AND A KITCHEN TO SERVE THE NEW RESIDENTIAL UNITS;AND (4) AN OUTSTANDING CONSTRUCTION LOAN; AND (C) THE PAYMENT OF CERTAIN OF THE COSTS AND EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE OF THE BONDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BEFORE IT IS SUBMITTED TO THE IRS, FORM 990 WILL BE REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD AT EITHER A REGULARLY SCHEDULED MEETING OR A SPECIALLY CALLED MEETING. THE REVIEW WILL BE CONDUCTED BY THE CEO AND THE CFO. THE REVIEW USUALLY CONSISTS OF LINE BY LINE ASSESSMENT AND DISCUSSION OF ALL RELEVANT SECTIONS AND LINE ITEMS. THE ENTIRE BOARD THEN RECEIVES A COPY OF THE FINAL 990 BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST STATEMENTS, REQUIRED ANNUALLY OF GOVERNING BODY MEMBERS, OFFICERS AND KEY EMPLOYEES, ARE REVIEWED BY THE CHIEF FINANCIAL OFFICER. GOVERNING BODY MEMBERS AND KEY EMPLOYEES ARE EXPECTED TO DIVULGE ANY POTENTIAL CONFLICT OF INTEREST THEY MIGHT HAVE IN A GIVEN TRANSACTION, NOTIFY THE DECISION-MAKERS INVOLVED IN THAT TRANSACTION, AND REMOVE THEMSELVES FROM ANY DECISION-MAKING ROLE IN THE TRANSACTION. DETERMINATION OF CONFLICTS ON THE LEVEL OF THE GOVERNING BODY WILL BE MADE BY THE GOVERNING BODY. DETERMINATION OF CONFLICTS ON THE LEVEL OF KEY EMPLOYEE WILL BE DETERMINED BY THE CEO, OR IF THE CEO IS INVOLVED IN THE CONFLICT, THROUGH AN ANONYMOUS HOTLINE TO THE CORPORATE COMPLIANCE OFFICER, WHO HAS DIRECT REPORTING ACCESS TO THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS USES A CEO EVALUATION TOOL THAT IS COMPLETED BY BOARD MEMBERS AND GATHERS OTHER FEEDBACK RELATIVE TO THE PERFORMANCE OF THE CEO. THE COLLECTED INFORMATION IS CONSIDERED BY THE BOARD'S EXECUTIVE COMMITTEE. REPRESENTATIVES FROM THE EXECUTIVE COMMITTEE REVIEW THE RESULTS WITH THE CEO. THE LEADINGAGE PA ANNUAL WAGE SURVEY IS USED FOR DETERMINING COMPARABLE SALARIES FOR THE EXECUTIVE MANAGEMENT. SALARIES OF SIMILAR POSITIONS LOCATED IN CENTRAL PENNSYLVANIA ARE USED AS A FAIR VALUE COMPARISON. THE ENTIRE PROCESS ALONG WITH ANY COMPARABLE DATA USED IN SETTING COMPENSATION LEVELS IS RECORDED IN THE MINUTES OF THE EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ADDITIONALLY, AUDITED FINANCIAL STATEMENTS ARE AVAILABLE WITH THE ANNUAL DISCLOSURE STATEMENT REQUIRED BY THE PENNSYLVANIA DEPARTMENT OF INSURANCE, ALSO AVAILABLE UPON REQUEST BY ANY MEMBER OF THE PUBLIC. THE DISCLOSURE STATEMENT IS ALSO MADE AVAILABLE TO ALL CURRENT LVBH COMMUNITY RESIDENTS IN THE COMMUNITY CENTER READING ROOM, AND TO ALL INCOMING RESIDENTIAL LIVING RESIDENTS AS THEY ARE MOVING INTO THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -478,701. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 738,740.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
