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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RANDY MCGRANE</PersonNm>
        <TitleTxt>DIRECTOR END 02/24</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REV LOWELL NELSON</PersonNm>
        <TitleTxt>DIRECTOR END 03/24</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD J SYMIC</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMY RUNGE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>32.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>274950</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NORA HANNAH</PersonNm>
        <TitleTxt>CHIEF ENGAGEMENT OFFICER BEG 10/23</TitleTxt>
        <AverageHoursPerWeekRt>34.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>22500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN COUTURE</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>32.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>325817</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52814</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY THOMPSON</PersonNm>
        <TitleTxt>CHIEF EXPERIENCE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>32.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>236752</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43202</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WENDY NORMAN</PersonNm>
        <TitleTxt>SVP HR G DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>32.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>231836</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13784</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KARI DAVIS-CURRY</PersonNm>
        <TitleTxt>VP COMMUNITY OPS</TitleTxt>
        <AverageHoursPerWeekRt>34.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>169977</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10824</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN FREDERICK</PersonNm>
        <TitleTxt>DIR OF SALES &amp; BUS DEV</TitleTxt>
        <AverageHoursPerWeekRt>34.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>175988</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7546</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE MARTINEZ</PersonNm>
        <TitleTxt>VP COMMUNITY OPS</TitleTxt>
        <AverageHoursPerWeekRt>34.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>207131</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10312</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NEAL SMITH</PersonNm>
        <TitleTxt>VP OF FACILITIES &amp; CONSTRUCTION MANAGEMENT</TitleTxt>
        <AverageHoursPerWeekRt>34.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>199136</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13879</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YUNXIANG LI</PersonNm>
        <TitleTxt>VP OF ACCOUNTING &amp; FINANCIAL REPORTING</TitleTxt>
        <AverageHoursPerWeekRt>34.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>158254</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17688</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON GRAMBOW</PersonNm>
        <TitleTxt>FORMER CFO</TitleTxt>
        <AverageHoursPerWeekRt>32.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>113217</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2455</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAHLYA VISINTAINER</PersonNm>
        <TitleTxt>FORMER COO</TitleTxt>
        <AverageHoursPerWeekRt>32.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>6.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>158246</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3292</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2943465</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>260025</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>36</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Porter Capital Corporation</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15169 N Scottsdale Road</AddressLine1Txt>
            <AddressLine2Txt>Suite 205</AddressLine2Txt>
            <CityNm>Scottsdale</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85255</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>1082662</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SELECT REHABILITATION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 71985</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606941985</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY</ServicesDesc>
        <CompensationAmt>866546</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Belmontez Construction LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9299 W Olive Ave</AddressLine1Txt>
            <AddressLine2Txt>Suite 505</AddressLine2Txt>
            <CityNm>PEORIA</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85345</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>716370</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OUTDOOR SYSTEMS MANAGEMENT LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8399 E Indian School Rd Ste</AddressLine1Txt>
            <CityNm>SCOTTSDALE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85251</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MAINTENANCE</ServicesDesc>
        <CompensationAmt>526385</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Albrecht and Son LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11126 W Winsconsin Ave 5</AddressLine1Txt>
            <CityNm>YOUNGTOWN</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85363</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>512848</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>3914765</RelatedOrganizationsAmt>
      <TotalContributionsAmt>3914765</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>LIFE CARE COMMUNITIES</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>8441289</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8441289</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LAND LEASE</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>1076204</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1076204</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH AND WELLBEING</Desc>
        <BusinessCd>511710</BusinessCd>
        <TotalRevenueColumnAmt>61775</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>61775</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>30203</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30203</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>9609471</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2654472</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>655508</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1998964</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>703456</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>703456</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>703456</TotalRevenueColumnAmt>
        <ExclusionAmt>703456</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>26379773</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>21842866</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>4536907</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>4536907</TotalRevenueColumnAmt>
        <ExclusionAmt>4536907</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>LATE FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4000</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>EXPENSE RECAPTURE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3489</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3489</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>GAIN ON EQUITY INVESTEE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>-92000</TotalRevenueColumnAmt>
        <ExclusionAmt>-92000</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>-84511</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>21334560</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>655508</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>7147327</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>2076606</TotalAmt>
        <ProgramServicesAmt>2076606</ProgramServicesAmt>
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        <TotalAmt>1997995</TotalAmt>
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        <TotalAmt>5561963</TotalAmt>
        <ProgramServicesAmt>5377681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>184282</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>173085</ProgramServicesAmt>
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        <TotalAmt>1331042</TotalAmt>
        <ProgramServicesAmt>1331042</ProgramServicesAmt>
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        <TotalAmt>525588</TotalAmt>
        <ProgramServicesAmt>417285</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108303</ManagementAndGeneralAmt>
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        <TotalAmt>662418</TotalAmt>
        <ManagementAndGeneralAmt>662418</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>112371</TotalAmt>
        <ManagementAndGeneralAmt>112371</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>98755</TotalAmt>
        <ManagementAndGeneralAmt>98755</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>1595198</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>346465</TotalAmt>
        <ProgramServicesAmt>267441</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>667723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91814</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>718366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86999</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>122142</ProgramServicesAmt>
        <ManagementAndGeneralAmt>636959</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>126009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65990</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>367799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8000</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2141598</ProgramServicesAmt>
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        <ProgramServicesAmt>725633</ProgramServicesAmt>
        <ManagementAndGeneralAmt>360598</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>305973</ManagementAndGeneralAmt>
      </InsuranceGrp>
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        <Desc>LICENSES, DUES, SUBSCRIPTIONS</Desc>
        <TotalAmt>119691</TotalAmt>
        <ProgramServicesAmt>72775</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46916</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>54817</TotalAmt>
        <ProgramServicesAmt>26597</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28220</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>21187144</TotalAmt>
        <ProgramServicesAmt>16642744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4544400</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>273921</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>3439833</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>206619</BOYAmt>
        <EOYAmt>522583</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>28445294</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>16916</BOYAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>279954</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WENDY NORMAN</PersonNm>
        <TitleTxt>SVP HR G DEVELOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>231836</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6338</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7446</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>245620</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KARI DAVIS-CURRY</PersonNm>
        <TitleTxt>VP COMMUNITY OPS</TitleTxt>
        <BaseCompensationFilingOrgAmt>169977</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10824</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180801</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHLEEN FREDERICK</PersonNm>
        <TitleTxt>DIR OF SALES &amp; BUS DEV</TitleTxt>
        <BaseCompensationFilingOrgAmt>175988</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5534</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2012</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>183534</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE MARTINEZ</PersonNm>
        <TitleTxt>VP COMMUNITY OPS</TitleTxt>
        <BaseCompensationFilingOrgAmt>207131</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>8363</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1949</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NEAL SMITH</PersonNm>
        <TitleTxt>VP OF FACILITIES &amp; CONSTRUCTION MANAGEMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>199136</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>213015</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YUNXIANG LI</PersonNm>
        <TitleTxt>VP OF ACCOUNTING &amp; FINANCIAL REPORTING</TitleTxt>
        <BaseCompensationFilingOrgAmt>158254</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6767</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10921</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>175942</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>SOME OFFICERS AND KEY EMPLOYEES PARTICIPATE IN A BOARD ENDORSED 457(B) PLAN. A NON-QUALIFIED 457(F) PLAN IS BOARD ENDORSED FOR CERTAIN EXECUTIVES. THIS PLAN CARRIES A SUBSTANTIAL RISK OF FORFEITURE IN THAT VESTING ONLY OCCURS THE EARLIER OF 5 YEARS FROM THE DATE OF DEPOSIT, AGE 60 OR RULE OF 80 (AGE AND SERVICE EQUALS 80 OR MORE). ALL DEPOSITS ARE EMPLOYER CONTRIBUTIONS. SHOULD A PARTICIPANT VOLUNTARILY TERMINATE EMPLOYMENT PRIOR TO A DEPOSIT VESTING, THE DEPOSIT IS FORFEITED. ALL DEPOSITS ARE PAID OUT AND TAXED UPON VESTING. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN IN 2023 WITH THE FOLLOWING EMPLOYER CONTRIBUTIONS FROM A RELATED ORGANIZATION: - JOSEPH E. LA RUE - $61,500 - JOHN COUTURE - $27,026 - KIMBERLEY THOMPSON - $22,783 JOSEPH LA RUE RECEIVED DISTRIBUTIONS WHICH WERE REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARY AND BENEFITS INFORMATION DISCLOSED ON SCHEDULE J, PART II, REPRESENTS THE AGGREGATE COMPENSATION TO INDIVIDUALS FOR THEIR SERVICES TO SUN HEALTH SERVICES, SUN HEALTH FOUNDATION, SUN HEALTH PARTNERS, SUN HEALTH SENIOR LIVING, LA LOMA SENIOR LIVING, SUN HEALTH COLONNADE AND GRANDVIEW TERRACE; THE LATTER THREE BEING THREE DISTINCT CONTINUING CARE RETIREMENT COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK1" softwareId="23017437" softwareVersionNum="2023v6.0">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF GLENDALE ARIZONA</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>521767454</BondIssuerEIN>
        <CUSIPNum>378287AX4</CUSIPNum>
        <BondIssuedDt>2019-11-01</BondIssuedDt>
        <IssuePriceAmt>107149811</IssuePriceAmt>
        <PurposeDesc>FINANCE NEW MONEY PROJECTS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>107167226</TotalProceedsAmt>
        <CapitalizedInterestAmt>1632851</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>1394856</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>38264250</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>65645074</OtherSpentProceedsAmt>
        <UnspentAmt>230196</UnspentAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCE NEW MONEY PROJECTS, CURRENT REFUND SERIES 2015 BONDS, PAY OFF LOAN AND LINE OF CREDIT. A PORTION OF THE BOND ISSUE FINANCES THE CURRENT REFUNDING OF THE BORROWER'S SERIES 2015 BONDS ISSUED ON 12/18/2015. A PORTION OF THE BOND ISSUE PAID OFF THE NORTHERN TRUST LOAN DATED 07/01/2017 AND THE BANKERS TRUST LOC DATED 03/09/2016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II REPORTING OF LIABILITIES BY RELATED ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>SUN HEALTH SERVICES IS REPORTING THE ENTIRE TAX-EXEMPT BOND LIABILITY ON SCHEDULE K THAT HAS BEEN ALLOCATED AMONG A GROUP OF RELATED ORGANIZATIONS AS PERMITTED BY THE FORM 990, SCHEDULE K INSTRUCTIONS. THE END OF YEAR ALLOCATION OF TAX-EXEMPT BOND LIABILITY IS AS FOLLOWS: LA LOMA SENIOR LIVING EIN: 86-1028348 TAX-EXEMPT BOND LIABILITY: $41,606,814 SUN HEALTH GRANDVIEW TERRACE EIN: 83-2576991 TAX-EXEMPT BOND LIABILITY: $20,296,682 SUN HEALTH COLONNADE EIN: 45-3137352 TAX-EXEMPT BOND LIABILITY: $17,856,591</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3 TOTAL PROCEEDS OF ISSUE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIFFERENCE BETWEEN PART I (E) AND PART II, LINE 4 IS DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part III, Line 7 PRIVATE SECURITY OR PAYMENT TEST</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRANSACTIONS OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2b EXCEPTION TO REBATE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CURRENT REFUNDING PORTION OF THE BONDS SATISFIED THE 6 MONTH REBATE EXCEPTION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1 ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE ORGANIZATIONS ARE ENGAGED IN PROMOTING/ENHANCING THE DELIVERY OF HEALTH CARE IN ARIZONA. THE THREE PILLARS OF CONNECTEDNESS INCLUDE: - SUN HEALTH FOUNDATION, WHERE EVERY DOLLAR DONATED GOES DIRECTLY TO LIFE-GIVING SERVICES AT DEL E WEBB HOSPITAL, BANNER BOSWELL MEDICAL CENTER, BANNER SUN HEALTH RESEARCH INSTITUTE AND WELLNESS PROGRAMS FOR THE COMMUNITY. - SUN HEALTH COMMUNITIES OFFER ALL RESIDENTS LIFETIME ACCESS TO HEALTHCARE. WE ALSO GO BEYOND THE BORDERS OF EACH CAMPUS AND INCLUDE AT-HOME SERVICES FOR MEMBERS AS WELL. OUR COMMUNITIES ARE HOME - IN EVERY SENSE OF THE WORD. - SUN HEALTH WELLNESS ROUNDS OUT OUR PHENOMENAL CARE BY PROVIDING PROGRAMS, CLASSES AND SERVICES FOR THE WHOLE COMMUNITY. A HEALTHY, VIBRANT COMMUNITY MEANS HEALTHY, VIBRANT FAMILIES, WORKFORCE AND ECONOMY. FOR MORE THAN 50 YEARS, SUN HEALTH HAS BEEN A BEACON OF HEALTH AND WELLNESS IN THE WEST VALLEY. WE WILL CONTINUE TO PROVIDE SUPPORT INSPIRED, EMPOWERED LIVING AND TRANSFORMATIONAL, SUPERIOR HEALTHCARE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>TRUE TO OUR MISSION, THESE COMMUNITIES NOT ONLY PROVIDE CARE FOR RESIDENTS BUT ALSO MEMBERS OF THE COMMUNITY WITH LIVING EXPERIENCES FOR INDEPENDENT LIVING, ASSISTED LIVING, MEMORY SUPPORT, CUSTODIAL CARE AND SKILLED AND REHABILITATION NURSING CARE. WE ARE TRULY EMBEDDED IN THE COMMUNITIES WE SERVE. OUR LARGEST COMMUNITY AT LA LOMA VIDA IS BREAKING THE MOLD OF SENIOR LIVING WITH A MASTER PLAN THAT INCLUDES MULTI-GENERATIONAL RESIDENCES, HISTORICAL SITES AND MUSEUM, FUTURE RETAIL AND DINING OPTIONS, RECREATION AND WELLNESS CENTERS AND MEDICAL OFFICES. OUR VISION IS IN THE NAME: VIDA - LIFE, BRINGING GENERATIONS TOGETHER IN THE COMMUNITY TO LEARN FROM ONE ANOTHER, SHARE IN EXPERIENCES AND GROW TOGETHER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4b PROGRAM SERVICE ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR FLAGSHIP CAMPAIGN, GENEROSITY FOR GENERATIONS OFFERS LIFE-CHANGING OPPORTUNITIES FOR GIVERS AND LIFE-CHANGING SUPPORT FOR RECIPIENTS BY ENSURING THE CONTINUATION OF SUPERIOR HEALTH CARE AND QUALITY-OF-LIFE ENHANCEMENTS FOR THE WEST VALLEY. WE KNOW THAT BY MAKING IMPROVEMENTS IN HEALTHCARE TODAY WILL CHANGE THE COURSE OF WELLNESS FOR GENERATIONS TO COME. TO DATE, GENEROSITY FOR GENERATIONS HAS EXCEEDED THE GOAL WITH GIFTS TOTALING OVER $54 MILLION, COMPRISED OF OVER 4,200 DONORS MAKING OVER 10,000 GIFTS TOGETHER TO FUND VITAL HEALTHCARE INITIATIVES AT BANNER HOSPITALS IN OUR COMMUNITY. SUN HEALTH HAS CAREFULLY AND THOUGHTFULLY NURTURED OUR VISION TO PROVIDE SUPERIOR HEALTHCARE TO THE COMMUNITIES WE SERVE. WE ARE LASER-FOCUSED ON OUR GOAL TO FUND: - EMERGENCY DEPARTMENT AND PATIENT CARE TRANSFORMATION - COMMUNITY HEALTH AND WELLNESS - SERVICE ENHANCEMENTS FOR WOMEN AND INFANTS - SPINE HEALTH AND ORTHOPEDICS - ADVANCED TECHNOLOGY FOR CANCER-FIGHTING TREATMENT AND CARE - CANCER-FIGHTING TREATMENT AND CARE ADVANCEMENT AND MORE FINALLY, BECAUSE COMMUNITY HEALTH - MENTALLY, PHYSICALLY, FINANCIALLY AND EMOTIONALLY IS OUR PRIORITY, THROUGH OUR FOUNDATION, WE AWARD HUNDREDS OF THOUSANDS OF DOLLARS IN EDUCATIONAL SCHOLARSHIPS. THE AWARDS GO TO INDIVIDUALS WHO ARE PURSUING AN EDUCATION IN HEALTHCARE. BUT THAT'S NOT ALL. THROUGH OUR THREE COMMUNITIES, THE RESIDENTS DONATE TO A SCHOLARSHIP FUND THAT IS AWARDED TO EMPLOYEES OF SUN HEALTH WITH NO RESTRICTION THAT THEY CONTINUE TO WORK FOR US POST-GRADUATION. IT'S ONE OF THE MANY WAYS WE STRIVE TO BE GOOD COMMUNITY STEWARDS AND EDUCATE THOSE AROUND US.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4c PROGRAM SERVICE ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>WE USE A MULTI-PRONGED APPROACH THAT SERVES LOCAL MEDICAL CENTER PATIENTS AGED 55 AND OLDER WITH EDUCATION, SUPPORT AND TRAINING TO ELEVATE THEIR OVERALL FITNESS, HEALTH AND WELL-BEING THROUGH CLASSES AND PRESENTATIONS (IN-PERSON AND ONLINE), HANDS-ON ASSISTANCE AND CONSULTATIVE SERVICES. EVEN MORE, SUN HEALTH PROVIDES DEEPER, MORE TARGETED EDUCATION AND SUPPORT FOR: - PRE-DIABETES - DIABETES - CANCER - DEMENTIA - RESPIRATORY CONDITIONS - ATRIAL FIBRILLATION - HEART FAILURE - HEART ATTACK - HYPERTENSION - KIDNEY DISEASE - NUTRITION - FITNESS - BALANCE AND MOBILITY - WEIGHT MANAGEMENT - MEMORY CARE NAVIGATION - CARE TRANSITIONS - WELLNESS ADVOCATES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 443,850 including grants of $) THE CARE TRANSITIONS PROGRAM SERVES LOCAL MEDICAL CENTER PATIENTS AGE FIFTY-FIVE AND UP BY GIVING INDIVIDUALS THE SUPPORT, GUIDANCE AND RESOURCES TO TRANSITION FROM THE HOSPITAL SETTING AND/OR COPING WITH CHRONIC HEALTH ISSUES. THE PROGRAM CONTRIBUTES A SIGNIFICANT REDUCTION IN HOSPITAL READMISSIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 3a UNRELATED BUSINESS INCOME</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL UNRELATED BUSINESS INCOME IS RELATED TO SUN HEALTH SERVICES' INTEREST IN ALTERNATIVE INVESTMENT PARTNERSHIPS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS ARE RATIFIED BY SUN HEALTH FOUNDATION'S BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANT, FORVIS MAZARS, LLP. THE RETURN IS THEN REVIEWED BY THE FINANCE AND INVESTMENT COMMITTEE AND PROVIDED TO THE BOARD FOR COMMENTS PRIOR TO THE FILING DEADLINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS, BOARD MEMBERS, AND MANAGEMENT STAFF ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST QUESTIONNAIRE FOR BOARD AND MANAGEMENT REVIEW AS APPROPRIATE. THE QUESTIONNAIRE PROVIDES SPECIFIC INSTRUCTIONS THAT THE FORM MUST BE UPDATED IF ANY SITUATION ARISES DURING THE YEAR THAT MIGHT CONSTITUTE A CONFLICT. THE AUDIT COMMITTEE HAS RESPONSIBILITY FOR INTERVENING, IF NECESSARY, ON CONFLICT OF INTEREST MATTERS. ANY INDIVIDUAL FOUND TO BE IN CONFLICT WILL ABSTAIN FROM THE DECISION MAKING PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS MANAGEMENT REVIEW COMMITTEE, AS PROVIDED IN THE ORGANIZATION'S BYLAWS, HAS A RESPONSIBILITY FOR THE COMPENSATION OF ALL SENIOR MANAGEMENT. ANNUALLY, SALARIES OF SENIOR MANAGEMENT ARE REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS. THE DELIBERATION AND DECISION OF COMPENSATION ARRANGEMENTS WAS CONTEMPORANEOUSLY SUBSTANTIATED IN THE ORGANIZATION'S MINUTES. SUN HEALTH SERVICES RETAINS AN INDEPENDENT CONSULTANT, USI INSURANCE, IN ASSESSING ITS EXECUTIVE COMPENSATION POLICIES AND PRACTICES. THE COMPENSATION PROCESS WAS LAST UNDERTAKEN IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS HISTORICALLY HAVE BEEN MADE AVAILABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN DEFINED BENEFIT PLAN - -2500000;</ExplanationTxt>
      </SupplementalInformationDetail>
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