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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTEN SANTANGELO</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CURTIS EVANS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LORENA LAZARCHICK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN LOPES</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HOLLY MOYLAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ESPINAL DAMARIS</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalOtherCompensationAmt>497056</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
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      <ContractorCompensationGrp>
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          <BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 WILLOW VALLEY LAKES DRIVE</AddressLine1Txt>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTHPRO HERITAGE</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 69268</AddressLine1Txt>
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            <StateAbbreviationCd>MD</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WEIDENHAMMER SYSTEMS CORP</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>935 BERKSHIRE BLVD</AddressLine1Txt>
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          </USAddress>
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        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>824008</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WOHLSEN CONSTRUCTION COMPANY</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4612</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ST JOSEPH MEDICAL CENTER</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 802 MC A420</AddressLine1Txt>
            <CityNm>HERSHEY</CityNm>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>853420</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <GrossProceedsInvestedInGICInd>1</GrossProceedsInvestedInGICInd>
        <RegulatorySafeHarborStsfdInd>0</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 2, LINE 3 PROCEEDS OF ISSUE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOTAL PROCEEDS OF THE ISSUE ARE $1,918,093 GREATER THAN THE ISSUE PRICE REPORTED ON SCHEDULE K, PART 1, LINE C, COLUMN (E) DUE TO AN ORIGINAL ISSUE PREMIUM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>BARBARA J KLINE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>RESIDENT BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>69960</TransactionAmt>
        <TransactionDesc>PD MONTHLY RESIDENT FEES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>BARLEY SNYDER LLP</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER IS PARTNER LAW FIRM</RelationshipDescriptionTxt>
        <TransactionAmt>86435</TransactionAmt>
        <TransactionDesc>LEGAL SERVICES FEES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOHN W GRUBER MD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>RESIDENT BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>76680</TransactionAmt>
        <TransactionDesc>PD MONTHLY RESIDENT FEES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SAGE AGE STRATEGIES INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER IS FOUNDER/CEO OF CORPORATION</RelationshipDescriptionTxt>
        <TransactionAmt>81876</TransactionAmt>
        <TransactionDesc>CONSULTING SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL COMMUNITY BENEFIT REPORT DIRECT RESIDENT CARE UNCOMPENSATED BENEVOLENT CARE $ 108,958 BAD DEBT $ 27,630 COMMUNITY IMPROVEMENT SERVICES REAL ESTATE TAXES $1,620,013 FINANCIAL AND IN-KIND DONATIONS $ 271,957 PATIENT CARE COMMUNITY SERVICES $ 37,793 COMMUNITY HEALTH EDUCATION $ 15,055 RESIDENT VOLUNTEER CONTRIBUTIONS $ 23,064 COMMUNITY BENEFIT TOTAL FISCAL YEAR 2020 - 2021 $2,104,470</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIVIDUALS ARE ELECTED AND APPOINTED TO THE GOVERNING BODY OF THE HIGHLANDS AT WYOMISSING BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED PRIOR TO FILING BY THE CFO AND STAFF. THE FORM 990 IS REVIEWED BY BOTH THE AUDIT AND RISK COMMITTEE OF THE BOARD OF DIRECTORS AND THE FULL BOARD OF DIRECTORS AND IS APPROVED BY THE FULL BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DIRECTORS, OFFICERS, MEMBERS OF A COMMITTEE AND EXECUTIVE TEAM ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. THERE ARE ALSO PERIODIC REVIEWS PERFORMED TO VERIFY ADHERENCE TO THE CONFLICT OF INTEREST POLICY. IF THE REVIEWER FINDS AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST IT SHALL TAKE APPROPRIATE CORRECTIVE AND/OR DISCIPLINARY ACTION. TRAINING PROVIDED ANNUALLY FOR ALL EMPLOYEES ON CORPORATE COMPLIANCE WHICH INCLUDES CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS AN EXECUTIVE COMPENSATION STUDY DONE BY AN INDEPENDENT THIRD PARTY. THE PERFORMANCE REVIEW COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION AND PERFORMANCE OF ALL KEY MEMBERS OF MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
