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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22938</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA FRITZINGER</PersonNm>
        <TitleTxt>VP OF HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>159247</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16029</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REGINA FARRELL</PersonNm>
        <TitleTxt>VP OF HEALTH CENTER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>194589</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14405</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN KOTSATSO</PersonNm>
        <TitleTxt>MARKETING SALES REP</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>145332</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICK BALL</PersonNm>
        <TitleTxt>SALES REPRESENTATIVE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14244</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1443161</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>144027</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MOSSREHAB</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>60 E TOWNSHIP LINE ROAD</AddressLine1Txt>
            <CityNm>ELKINS PARK</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19027</ZIPCd>
          </USAddress>
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        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>710563</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIDINE CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 102289</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30368</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DINING SERVICES</ServicesDesc>
        <CompensationAmt>603903</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>E3</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2161 WEBER ROAD</AddressLine1Txt>
            <CityNm>LANSDALE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19446</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT CONSULTING</ServicesDesc>
        <CompensationAmt>526321</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VARSITY MARKETING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>532 N FRONT STREET</AddressLine1Txt>
            <CityNm>WORMLEYBURG</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17043</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING</ServicesDesc>
        <CompensationAmt>397363</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WILLIAMS ELECTRIC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>418 S STONE RIDGE DRIVE</AddressLine1Txt>
            <CityNm>LANSDALE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19446</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELECTRICIAN</ServicesDesc>
        <CompensationAmt>236000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2403714</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>5108399</AllOtherContributionsAmt>
      <TotalContributionsAmt>7512113</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET RESIDENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>34438289</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34438289</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>34438289</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>500709</TotalRevenueColumnAmt>
        <ExclusionAmt>500709</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>4507</TotalRevenueColumnAmt>
        <ExclusionAmt>4507</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <GrossRentsGrp>
        <RealAmt>50687</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>38183</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>12504</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>12504</TotalRevenueColumnAmt>
        <ExclusionAmt>12504</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>871385</SecuritiesAmt>
        <OtherAmt>12205</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>410448</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>460937</SecuritiesAmt>
        <OtherAmt>12205</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>473142</TotalRevenueColumnAmt>
        <ExclusionAmt>473142</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>42941264</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34438289</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>990862</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>113613</TotalAmt>
        <ProgramServicesAmt>113613</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>792780</TotalAmt>
        <ManagementAndGeneralAmt>792780</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
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        <ManagementAndGeneralAmt>1528136</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>286774</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1104459</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>781322</ProgramServicesAmt>
        <ManagementAndGeneralAmt>151295</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>44992</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>79700</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>120184</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1065436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>595034</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>483870</TotalAmt>
        <ManagementAndGeneralAmt>483870</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>4053521</TotalAmt>
        <ProgramServicesAmt>3169875</ProgramServicesAmt>
        <ManagementAndGeneralAmt>883646</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>2495</TotalAmt>
        <ProgramServicesAmt>2495</ProgramServicesAmt>
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      <OccupancyGrp>
        <TotalAmt>2487074</TotalAmt>
        <ProgramServicesAmt>2487074</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>53140</TotalAmt>
        <ProgramServicesAmt>33973</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19167</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>32032</TotalAmt>
        <ProgramServicesAmt>7786</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24246</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>3210773</TotalAmt>
        <ProgramServicesAmt>3210773</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>10268487</TotalAmt>
        <ProgramServicesAmt>10268487</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>392679</TotalAmt>
        <ProgramServicesAmt>392679</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>756085</TotalAmt>
        <ProgramServicesAmt>734704</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21381</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
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        <ProgramServicesAmt>324867</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1695</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>EMPLOYEE APPRECIATION</Desc>
        <TotalAmt>299454</TotalAmt>
        <ProgramServicesAmt>78466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>220988</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PAYROLL CHARGES</Desc>
        <TotalAmt>132253</TotalAmt>
        <ManagementAndGeneralAmt>132253</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>138802</TotalAmt>
        <ProgramServicesAmt>22511</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77833</ManagementAndGeneralAmt>
        <FundraisingAmt>38458</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>40777022</TotalAmt>
        <ProgramServicesAmt>35308471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5430093</ManagementAndGeneralAmt>
        <FundraisingAmt>38458</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>5379442</BOYAmt>
        <EOYAmt>2980415</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2759326</BOYAmt>
        <EOYAmt>6682871</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>3440763</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>245924</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>1029329</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>202627755</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>100253403</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>45575983</EOYAmt>
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        <EOYAmt>160208688</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>5474194</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>65654414</EOYAmt>
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        <EOYAmt>72900412</EOYAmt>
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        <EOYAmt>437943</EOYAmt>
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        <EOYAmt>26189694</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>166335966</BOYAmt>
        <EOYAmt>170656657</EOYAmt>
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        <EOYAmt>-14377357</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>3929388</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>-10447969</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>160208688</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>1</FSAuditedInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>22077</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>105800</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2697</CurrentTaxYearMinus1YearAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>31119734</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>32388500</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>35644688</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>42506305</CurrentTaxYearAmt>
        <TotalAmt>171523306</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98190</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98010</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01730</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01860</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>SALES TAX DISCOUNT - 2017 AMOUNT: $ 189. REBATES CREDITS - 2018 AMOUNT: $ 3,883. 2019 AMOUNT: $ 6. INSURANCE CLAIM INCOME - 2017 AMOUNT: $ 11,547. 2018 AMOUNT: $ 18,117. BENEVOLENT CARE - 2019 AMOUNT: $ 102,776. MISCELLANEOUS - 2018 AMOUNT: $ 77. 2019 AMOUNT: $ 3,018. 2020 AMOUNT: $ 2,697. NATIONAL EQUIPMENT REBATE - 2017 AMOUNT: $ 803. TILE REPAIR - 2017 AMOUNT: $ 500.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2966001</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2966001</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>166109617</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>87617352</DepreciationAmt>
        <BookValueAmt>78492265</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>12537563</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4508123</DepreciationAmt>
        <BookValueAmt>8029440</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>21014574</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10248877</DepreciationAmt>
        <BookValueAmt>10765697</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>100253403</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE DEPOSITS</Desc>
        <Amt>1208151</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ENTRY FEES</Desc>
        <Amt>23707254</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS</Desc>
        <Amt>1274289</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>26189694</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>45427808</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2131223</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>317138</OtherRevenueAmt>
      <RevenueNotReportedAmt>2448361</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>42979447</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-38183</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-38183</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>42941264</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>40714992</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>51583</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>51583</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>40663409</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>113613</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>113613</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>40777022</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 430,751. BENEVOLENT CARE AND MONTHLY FEE SUBSIDY FOR RESIDENTS -113,613.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES -38,183.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 38,183. CHANGE IN VALUE OF ANNUITIES 13,400.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEVOLENT CARE AND MONTHLY FEE SUBSIDY FOR RESIDENTS 113,613.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>BENEVOLENT CARE AND MONTHY FEE SUBSIDIES</GrantTypeTxt>
        <RecipientCnt>3</RecipientCnt>
        <CashGrantAmt>113613</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECERTIFICATION OF BENEVOLENT CARE IS PERFORMED AT LEAST ANNUALLY. SUBSIDY FOR BENEVOLENT CARE OR SUBSIDY TO MONTHLY FEE IS CREDITED DIRECTLY TO THE MONTHLY INVOICE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <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>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL NORDEMAN</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>328408</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>75000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30928</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>451336</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN WISNIEWSKI</PersonNm>
        <TitleTxt>VP OF FINANCE/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>197961</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10002</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18481</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>246444</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REGINA FARRELL</PersonNm>
        <TitleTxt>VP OF HEALTH CENTER</TitleTxt>
        <BaseCompensationFilingOrgAmt>174589</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14405</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>208994</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARLON BACK</PersonNm>
        <TitleTxt>VP OF MAINTENANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>137761</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8116</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14822</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180699</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICK BALL</PersonNm>
        <TitleTxt>SALES REPRESENTATIVE</TitleTxt>
        <BaseCompensationFilingOrgAmt>164863</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6531</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7713</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>179107</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BARBARA FRITZINGER</PersonNm>
        <TitleTxt>VP OF HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>139247</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11429</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4600</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>175276</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PAYMENT OF BONUSES IN ANY GIVEN YEAR IS CONTINGENT UPON SATISFACTORY FINANCIAL PERFORMANCE, AS DETERMINED BY THE BOARD OF DIRECTORS. FOR EXTRAORDINARY MANAGEMENT PERFORMANCE AS MEASURED BY FINANCIAL OR QUALITATIVE RESULTS, THE BOARD MAY AUTHORIZE AT THE END OF ANY GIVEN YEAR AN ADDITIONAL AMOUNT TO SUPPLEMENT THE BUDGETED BONUS POOL FOR THE YEAR. IF FINANCIAL PERFORMANCE IS LESS THAN BUDGET, THE BOARD MAY AUTHORIZE A PARTIAL PAYMENT OF THE BUDGETED BONUS AMOUNT BASED UPON PARTIAL ATTAINMENT OF OVERALL FINANCIAL AND QUALITATIVE GOALS. ACCRUED BONUSES WERE PAID TO THE MANAGEMENT TEAM IN 2021 THAT WERE BASED ON EACH MANAGER'S PERFORMANCE. PAUL NORDEMAN, THE PRESIDENT/CEO, DETERMINED AND APPROVED THE BONUSES FOR THE MANAGEMENT TEAM AND HIS OWN BONUS WAS DETERMINED AND APPROVED BY THE BOARD. THE PROCESS IS DOCUMENTED BY A BOARD APPROVED POLICY AND THE PAYOUTS ARE DOCUMENTED IN INDIVIDUAL MEMOS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>MONTGOMERY COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>232245725</BondIssuerEIN>
        <CUSIPNum>613609F92</CUSIPNum>
        <BondIssuedDt>2018-11-08</BondIssuedDt>
        <IssuePriceAmt>87230000</IssuePriceAmt>
        <PurposeDesc>CURRENTLY REFUND PRIOR ISSUED BONDS, CAPITAL IMPROVEMENTS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>15450000</RetiredAmt>
        <TotalProceedsAmt>90542475</TotalProceedsAmt>
        <InReserveFundAmt>4142149</InReserveFundAmt>
        <CapitalizedInterestAmt>1429261</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>1350276</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>54018691</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>29597591</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</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 II, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GROSS PROCEEDS DIFFER FROM THE STATED BOND VALUES DUE TO BOND PREMIUM INCLUDED AT ISSUANCE AS WELL AS INVESTMENT INCOME EARNINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>FLICK SENIOR DINING RUNS THE DINING AT MEADOWOOD. GENESIS RUNS THE THERAPY PROVIDED AT MEADOWOOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO AND CONTROLLER COORDINATED OBTAINING RESPONSES TO QUESTIONS ON THE FORM 990 AND QUERIED THE APPROPRIATE PARTIES. THE DRAFT WAS REVIEWED BY THE CFO. THE FINAL VERSION WAS REVIEWED WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND SUMMARIZED TO THE FULL BOARD, WHO ALSO RECEIVED A FULL COPY OF THE FINAL VERSION BEFORE THE RETURN IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCORDING TO OUR CONFLICT OF INTEREST POLICY, EVERY TRUSTEE AND SENIOR STAFF MEMBER (STRATEGIC TEAM) WILL COMPLETE AN "ANNUAL CONFLICT OF INTEREST AND DISCLOSURE OF RELATED ACTIVITIES STATEMENT." THE PURPOSE OF THE STATEMENT IS TO DISCLOSE ANY INTEREST THAT MAY CREATE A CONFLICT OF INTEREST IN LIGHT OF THE RELATIONSHIP WITH MEADOWOOD. THE EXECUTIVE ASSISTANT TO THE CEO REVIEWS ALL SIGNED CONFLICT OF INTEREST FORMS. IF ANY INTEREST IS DISCLOSED ON THE STATEMENTS AND IS DEEMED TO BE A CONCERN BY STAFF OR BOARD MEMBERS, THE BOARD WILL REVIEW THE POTENTIAL CONFLICT AND RECOMMEND ACTION TO MITIGATE THE CONFLICT OR END THE RELATIONSHIP THAT HAS CAUSED THE CONFLICT. FAMILY AND BUSINESS RELATIONSHIPS ARE MENTIONED AS SOURCES OF CONFLICT IN THE POLICY STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AT YEAR-END, THE PRESIDENT/CEO SUBMITS HIS ASSESSMENT OF HIS ACHIEVEMENT OF HIS GOALS AND ANY OTHER PERTINENT INFORMATION REGARDING HIS RESPONSIBILITIES FOR THE PREVIOUS YEAR TO THE EXECUTIVE COMMITTEE (EC). THE VP OF HUMAN RESOURCES (HR) SUBMITS CURRENT COMPARATIVE WAGE INFORMATION REGARDING OTHER CEOS TO THE EC. THE EC REVIEWS THE CEO'S ASSESSMENT, HR DATA AND, AS NECESSARY, SOLICITS OTHER INFORMATION OR COMMENTS FROM THE STAFF. THE EC MAKES A RECOMMENDATION TO THE BOARD CONCERNING THE CEO'S REVIEW AND THE FOLLOWING YEAR'S COMPENSATION. THE BOARD MEETS IN EXECUTIVE SESSION, REVIEWS THE ENTIRE PROCESS, MAKES A FINAL EVALUATION AND DETERMINES THE NEXT YEAR'S COMPENSATION. THIS PROCESS AND EXECUTIVE SESSION ARE DOCUMENTED IN MEETING MINUTES. THE BOARD CHAIR DELIVERS THE BOARD'S DECISION TO THE CEO. MARKET RATE COMPARISONS ARE ALSO OBTAINED FOR ALL KEY STAFF POSITIONS AND COMMUNICATED TO THE CEO AS PART OF THE ANNUAL REVIEW PROCESS, WHICH ALSO INCLUDES A SELF-EVALUATION, EVALUATION BY THE CEO, AND GOAL SETTING. THE VP OF HUMAN RESOURCES ENSURES THAT THE PROPER RATES ARE PAID. DOCUMENTATION IS IN THE FORM OF A WRITTEN REVIEW. THIS REVIEW WAS LAST DONE IN JANUARY 2020 FOR ALL RELEVANT STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ANNUAL DISCLOSURE STATEMENT INCLUDES THE AUDITED FINANCIAL STATEMENTS AND IS PROVIDED TO ALL PROSPECTIVE RESIDENTS. IT IS ALSO AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AND IN THE COMMUNITY'S LIBRARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS 430,751. CHANGE IN VALUE OF ANNUITIES -13,400.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEADOWOOD LIFE PLAN AT HOME LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3205 SKIPPACK PIKE</AddressLine1Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>194900670</ZIPCd>
        </USAddress>
        <EIN>812582891</EIN>
        <PrimaryActivitiesTxt>PROVIDES HOME CARE SERVICES TO ITS MEMBERS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>260865</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1153368</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEADOWOOD CORPORATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
