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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1192048</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>126254</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIDINE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1000 WASHINGTON ST 510</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02118</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICES</ServicesDesc>
        <CompensationAmt>2983006</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GENESIS REHABILITATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 821322</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19175</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY</ServicesDesc>
        <CompensationAmt>1390346</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SECURITY ABSTRACT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1592 SUMNEYTOWN PIKE</AddressLine1Txt>
            <CityNm>LANDSDALE</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19446</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>191588</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GOOD PLUMBING HEATING AIR CONDITIONING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>737 HAGEY CENTER DRIVE</AddressLine1Txt>
            <CityNm>SOUDERTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18964</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MAINTENANCE</ServicesDesc>
        <CompensationAmt>179475</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CONTRACT PHARMACY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>125 TITUS AVENUE</AddressLine1Txt>
            <CityNm>WARRINGTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18976</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY</ServicesDesc>
        <CompensationAmt>176201</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>16</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>11207</AllOtherContributionsAmt>
      <TotalContributionsAmt>11207</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET RESIDENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>20917156</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20917156</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>20917156</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>77559</TotalRevenueColumnAmt>
        <ExclusionAmt>77559</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>355</TotalRevenueColumnAmt>
        <ExclusionAmt>355</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <GrossRentsGrp>
        <RealAmt>294500</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>270501</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>23999</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>23999</TotalRevenueColumnAmt>
        <ExclusionAmt>23999</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>700000</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>638592</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>61408</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>61408</TotalRevenueColumnAmt>
        <ExclusionAmt>61408</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>38961</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>21207</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>17754</TotalRevenueColumnAmt>
        <ExclusionAmt>17754</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>COVID STIMULUS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>649739</TotalRevenueColumnAmt>
        <ExclusionAmt>649739</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>LAUNDRY REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>85397</TotalRevenueColumnAmt>
        <ExclusionAmt>85397</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>BARBER &amp; BEAUTY REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>84395</TotalRevenueColumnAmt>
        <ExclusionAmt>84395</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>56815</TotalRevenueColumnAmt>
        <ExclusionAmt>56815</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>876346</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>21985784</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20917156</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1057421</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>671044</TotalAmt>
        <ManagementAndGeneralAmt>671044</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7247531</TotalAmt>
        <ProgramServicesAmt>6413674</ProgramServicesAmt>
        <ManagementAndGeneralAmt>833857</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>154390</TotalAmt>
        <ProgramServicesAmt>152487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1903</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>720104</TotalAmt>
        <ProgramServicesAmt>645191</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74913</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>584719</TotalAmt>
        <ProgramServicesAmt>442460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142259</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>102166</TotalAmt>
        <ManagementAndGeneralAmt>102166</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>58850</TotalAmt>
        <ManagementAndGeneralAmt>58850</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>1241</TotalAmt>
        <ManagementAndGeneralAmt>1241</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>5352560</TotalAmt>
        <ProgramServicesAmt>5043903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>308657</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>76182</TotalAmt>
        <ManagementAndGeneralAmt>76182</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>264402</TotalAmt>
        <ProgramServicesAmt>107043</ProgramServicesAmt>
        <ManagementAndGeneralAmt>157359</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>140202</TotalAmt>
        <ManagementAndGeneralAmt>140202</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1216123</TotalAmt>
        <ProgramServicesAmt>1216123</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>26663</TotalAmt>
        <ProgramServicesAmt>21679</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4984</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>10397</TotalAmt>
        <ManagementAndGeneralAmt>10397</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>582690</TotalAmt>
        <ProgramServicesAmt>523182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59508</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2280101</TotalAmt>
        <ProgramServicesAmt>2044540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>235561</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>155926</TotalAmt>
        <ProgramServicesAmt>155926</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>COVID EXPENSES</Desc>
        <TotalAmt>509475</TotalAmt>
        <ProgramServicesAmt>509475</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>490792</TotalAmt>
        <ProgramServicesAmt>490792</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS</Desc>
        <TotalAmt>178399</TotalAmt>
        <ProgramServicesAmt>178399</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>177455</TotalAmt>
        <ManagementAndGeneralAmt>177455</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>510069</TotalAmt>
        <ProgramServicesAmt>294928</ProgramServicesAmt>
        <ManagementAndGeneralAmt>215141</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>21511481</TotalAmt>
        <ProgramServicesAmt>18239802</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3271679</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>400</BOYAmt>
        <EOYAmt>400</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>972659</BOYAmt>
        <EOYAmt>2060753</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2277639</BOYAmt>
        <EOYAmt>2401162</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>25786</BOYAmt>
        <EOYAmt>48232</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>192412</BOYAmt>
        <EOYAmt>138364</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>59009586</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>19950984</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>39097383</BOYAmt>
        <EOYAmt>39058602</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>4548039</BOYAmt>
        <EOYAmt>3944453</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>475401</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>47589719</BOYAmt>
        <EOYAmt>47651966</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>890033</BOYAmt>
        <EOYAmt>1517906</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>343050</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>17017067</BOYAmt>
        <EOYAmt>16368614</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>903825</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
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        <EOYAmt>15307937</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>34333236</BOYAmt>
        <EOYAmt>34441332</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>13256483</BOYAmt>
        <EOYAmt>13210634</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13256483</BOYAmt>
        <EOYAmt>13210634</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>47589719</BOYAmt>
        <EOYAmt>47651966</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>474303</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-44751</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-475401</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>16140</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>65173</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8895</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11207</CurrentTaxYearAmt>
        <TotalAmt>402496</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>17704329</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18716369</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20251488</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20917156</CurrentTaxYearAmt>
        <TotalAmt>94702460</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>17414199</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>17720469</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18781542</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20260383</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20928363</CurrentTaxYearAmt>
        <TotalAmt>95104956</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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        <TotalAmt>1065</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus3YearsAmt>1065</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>1065</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>95103891</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>178568</CurrentTaxYearMinus4YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>506723</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus1YearAmt>506723</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>175122</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>193981</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>236951</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>915307</CurrentTaxYearAmt>
        <TotalAmt>1725417</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>18101463</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19125340</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>21004057</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22216084</CurrentTaxYearAmt>
        <TotalAmt>98243767</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.96800</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97640</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01440</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01320</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS REVENUE - 2015 AMOUNT: $ 14,470. 2016 AMOUNT: $ 11,332. 2017 AMOUNT: $ 6,719. 2018 AMOUNT: $ 4,647. 2019 AMOUNT: $ 694. STORE INVENTORY - 2015 AMOUNT: $ 42,857. 2016 AMOUNT: $ 35,306. 2017 AMOUNT: $ 38,551. 2018 AMOUNT: $ 34,910. 2019 AMOUNT: $ 38,961. TRANSPORTATION REVENUE - 2015 AMOUNT: $ 6,191. 2016 AMOUNT: $ 7,084. 2017 AMOUNT: $ 5,360. 2018 AMOUNT: $ 4,682. 2019 AMOUNT: $ 4,392. LAUNDRY REVENUE - 2015 AMOUNT: $ 46,021. 2016 AMOUNT: $ 7,538. 2017 AMOUNT: $ 9,318. 2018 AMOUNT: $ 6,326. 2019 AMOUNT: $ 85,397. GUEST QUARTERS MEALS - 2015 AMOUNT: $ 25,600. 2016 AMOUNT: $ 19,907. 2017 AMOUNT: $ 20,607. 2018 AMOUNT: $ 26,458. 2019 AMOUNT: $ 20,417. TELEPHONE REVENUE - 2015 AMOUNT: $ 24,700. 2016 AMOUNT: $ 23,150. 2017 AMOUNT: $ 26,110. 2018 AMOUNT: $ 32,708. 2019 AMOUNT: $ 31,312. BARBER AND BEAUTY SHOP - 2015 AMOUNT: $ 44,217. 2016 AMOUNT: $ 70,805. 2017 AMOUNT: $ 87,316. 2018 AMOUNT: $ 127,220. 2019 AMOUNT: $ 84,395. COVID STIMULUS - 2019 AMOUNT: $ 649,739.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>1241</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>1241</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A MEMBER OF AND PAYS DUES TO LEADINGAGE AND LEADINGAGE PA, TWO ORGANIZATIONS WHICH ADVOCATE FOR SENIOR CITIZENS. A PORTION OF THE DUES IS ALLOCATED TO LOBBYING EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1507117</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1507117</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>56291887</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>19002564</DepreciationAmt>
        <BookValueAmt>37289323</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1210582</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>948420</DepreciationAmt>
        <BookValueAmt>262162</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>39058602</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE FEES AND DEPOSITS</Desc>
        <Amt>801009</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED REVENUE - ENTRANCE FEES</Desc>
        <Amt>14506928</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>15307937</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>22232741</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-44751</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-44751</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>22277492</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-291708</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-291708</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>21985784</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>21803189</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>291708</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>291708</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>21511481</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>21511481</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES -270,501. COST OF GOODS SOLD -21,207.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 270,501. COST OF GOODS SOLD 21,207.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <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>TIMOTHY MURPHY</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>207375</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20648</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12442</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6441</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>246906</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MCLAIN</PersonNm>
        <TitleTxt>VP/CFO (UNTIL MARCH 2020)</TitleTxt>
        <BaseCompensationFilingOrgAmt>181159</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>17523</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14392</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>223074</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT PARVIN</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>153719</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15854</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10174</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11566</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191313</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIN TROUT</PersonNm>
        <TitleTxt>MARKETING DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>75112</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>85500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9540</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11387</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>181539</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS AN INCENTIVE COMPENSATION PLAN FOR A SELECT GROUP OF EXECUTIVES WHICH IS BASED ON QUANTITATIVE AND QUALITATIVE GOALS, INCLUDING MEETING OR EXCEEDING BUDGETED AMOUNTS, RESIDENT AND EMPLOYEE SATISFACTION, SURVEY COMPARISONS, COMPLIANCE WITH REGULATIONS AND ADHERENCE TO STRATEGIC PLANNING. THE INCENTIVE COMPENSATION CANNOT EXCEED 15% OF THE INDIVIDUAL'S BASE COMPENSATION. THE ORGANIZATION HAS AN INCENTIVE COMPENSATION PLAN FOR MARKETING TEAM MEMBERS WHICH IS BASED ON QUANTITATIVE GOALS RELATED TO THE FILLING OF THE IL, SNF, PC, AND MSF UNITS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NORTH PENN HEALTH HOSPITAL AND EDUCATIONAL AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>232130191</BondIssuerEIN>
        <BondIssuedDt>2004-07-22</BondIssuedDt>
        <IssuePriceAmt>10000000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION AND REFINANCING</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NORTH PENN HEALTH HOSPITAL AND EDUCATIONAL AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>232130191</BondIssuerEIN>
        <BondIssuedDt>2007-03-21</BondIssuedDt>
        <IssuePriceAmt>4885000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION AND REFINANCING</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HATFIELD TOWNSHIP INDUSTRIAL DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>232622492</BondIssuerEIN>
        <BondIssuedDt>2015-01-29</BondIssuedDt>
        <IssuePriceAmt>2500000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION AND RENOVATIONS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HATFIELD TOWNSHIP INDUSTRIAL DEVELOPMENT AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>232622492</BondIssuerEIN>
        <BondIssuedDt>2014-12-22</BondIssuedDt>
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        <PurposeDesc>CONSTRUCTION AND RENOVATIONS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <CapitalExpendituresAmt>1315000</CapitalExpendituresAmt>
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        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>3560781</RetiredAmt>
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        <InReserveFundAmt>221783</InReserveFundAmt>
        <OtherSpentProceedsAmt>4685000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2007</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
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        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
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        <CapitalExpendituresAmt>2500000</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
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        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
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        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
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        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
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        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
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        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
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        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
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        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
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        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
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        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
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        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
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        <ExceptionToRebateInd>1</ExceptionToRebateInd>
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        <VariableRateIssueInd>1</VariableRateIssueInd>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
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        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
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        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <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>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CEO WILL PERFORM AN INITIAL REVIEW OF THE FORM 990. UPON HIS APPROVAL, THE BOARD OF DIRECTORS WILL RECEIVE COPIES OF THE RETURN BEFORE THE RETURN IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>1. DIRECTORS ATTEST UPON ELECTION TO THE BOARD AND ANNUALLY THEREAFTER THAT THEY ARE NOT DELIBERATELY ENGAGED IN ANY ACTIVITIES WHICH CREATE A CONFLICT OF INTEREST. DIRECTORS ATTEST UPON ELECTION TO THE BOARD AND ANNUALLY THEREAFTER THAT THEY WILL DISCLOSE SUCH A CONFLICT OF INTEREST SHOULD IT ARISE. SUCH ATTESTATION IS DOCUMENTED ON THE "INDIVIDUAL STATEMENT REGARDING CONFLICT OF INTEREST" FORM. 2. EXECUTED ATTESTATIONS ARE FILED IN THE BOARD OF DIRECTORS FILE. 3. SHOULD A DIRECTOR (OR ANYONE ELSE) BELIEVE THAT THERE EXISTS A CONFLICT OF INTEREST OR A POTENTIAL FOR A CONFLICT OF INTEREST BETWEEN THE INTERESTS OF ELM TERRACE GARDENS AND ANY OTHER INTEREST A DIRECTOR MAY HAVE, SUCH IS BROUGHT TO THE ATTENTION OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IN WRITING. 4. THE EXECUTIVE COMMITTEE EVALUATES THE CONFLICT OR POTENTIAL CONFLICT TO DETERMINE WHETHER IT UNDERMINES THE DIRECTOR'S ABILITY TO SERVE. 5. SHOULD THE BOARD DETERMINE THAT THE DIRECTOR NOT BE REMOVED FROM OFFICE, THE DIRECTOR ABSTAINS FROM DISCUSSION OF AND VOTING ON ANY MATTER RELATED TO THE CONFLICT OR POTENTIAL CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES THE PENNSYLVANIA LEADINGAGE SALARY SURVEY FOR SOUTHEASTERN PENNSYLVANIA AS WELL AS THE NY, NJ, AND PA REGIONAL LEADINGAGE AND HCS CCRC COMPENSATION SURVEYS IN DETERMINING ALL EMPLOYEE COMPENSATION. ALL COMPENSATION DECISIONS ARE DETERMINED TAKING INTO CONSIDERATION FAIR MARKET RANGES FOR THE INDUSTRY. THE COMPENSATION OF THE PRESIDENT IS APPROVED BY THE BOARD. THE PRESIDENT, IN TURN, DETERMINES COMPENSATION FOR OTHER KEY EMPLOYEES. ALL DECISIONS ARE DOCUMENTED, INCLUDING THE AWARDING OF INCENTIVE BONUSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENT IS INCLUDED IN THE DISCLOSURE STATEMENT PROVIDED TO EXISTING AND PROSPECTIVE RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>FLIK CONTRACT: PROGRAM SERVICE EXPENSES 3,221,238. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,221,238. OCCUPATIONAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 527,815. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 527,815. PHYSICAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 650,608. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 650,608. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 612,557. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 612,557. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 31,685. MANAGEMENT AND GENERAL EXPENSES 308,657. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 340,342.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN ACCOUNTING STANDARD -475,401.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>