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      <Form990PartVIISectionAGrp>
        <PersonNm>Marsha Fiske</PersonNm>
        <TitleTxt>Former President</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael D Francis</PersonNm>
        <TitleTxt>Former President</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Stevan Goldman</PersonNm>
        <TitleTxt>Governor</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>James Gurland</PersonNm>
        <TitleTxt>Former President</TitleTxt>
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        <PersonNm>Stephanie Harris Morgan</PersonNm>
        <TitleTxt>Governor</TitleTxt>
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        <PersonNm>Roger Jacobs</PersonNm>
        <TitleTxt>Governor</TitleTxt>
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        <PersonNm>Sharon Kepniss</PersonNm>
        <TitleTxt>Governor</TitleTxt>
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        <PersonNm>Dan Klinger</PersonNm>
        <TitleTxt>Governor</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Honey S Miller</PersonNm>
        <TitleTxt>Women's League Co-President</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Avivith Oppenheim</PersonNm>
        <TitleTxt>Governor</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dara Orbach</PersonNm>
        <TitleTxt>Governor</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Pogany</PersonNm>
        <TitleTxt>Governor</TitleTxt>
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        <PersonNm>Wendy Prager</PersonNm>
        <TitleTxt>Governor</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Arthur Schechner</PersonNm>
        <TitleTxt>Former President</TitleTxt>
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        <PersonNm>Carol Sidman</PersonNm>
        <TitleTxt>Governor</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Vicki Squires</PersonNm>
        <TitleTxt>Governor</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gary Wayne</PersonNm>
        <TitleTxt>Governor</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAY BLAU</PersonNm>
        <TitleTxt>GOVERNOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NATALIE PECK</PersonNm>
        <TitleTxt>GOVERNOR</TitleTxt>
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        <PersonNm>JULIE SOBEL KAPLAN</PersonNm>
        <TitleTxt>GOVERNOR</TitleTxt>
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        <PersonNm>Susan L Grosser</PersonNm>
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        <PersonNm>David Stafford</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
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        <PersonNm>Joshua Schor MD</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
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        <PersonNm>Ann Berry</PersonNm>
        <TitleTxt>Director of Nursing</TitleTxt>
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        <PersonNm>Colleen Thompson Connors</PersonNm>
        <TitleTxt>Assistant Executive</TitleTxt>
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        <PersonNm>Severina Bion</PersonNm>
        <TitleTxt>Nursing Supervisor</TitleTxt>
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          <USAddress>
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            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Unidine Lifestyles</PersonNm>
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            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>OMNICARE CBC WHIPPANY NJ</PersonNm>
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          <USAddress>
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          <USAddress>
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            <CityNm>HAMBURG</CityNm>
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          <USAddress>
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        <BusinessCd>623000</BusinessCd>
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      <OtherRevenueMiscGrp>
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        <ProgramServicesAmt>487082</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>86048</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>46853</ManagementAndGeneralAmt>
        <FundraisingAmt>66861</FundraisingAmt>
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        <ManagementAndGeneralAmt>38562</ManagementAndGeneralAmt>
        <FundraisingAmt>4112</FundraisingAmt>
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      <OtherExpensesGrp>
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      <PublicSupportCY509Pct>0.97205</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97719</PublicSupportPY509Pct>
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    <IRS990ScheduleB documentId="IRS990ScheduleB" />
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT SECURITY DEPOSITS</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST RATE SWAP LIABILITIES</Desc>
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      </OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>-2687400</NetUnrealizedGainsInvstAmt>
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      <RevenueNotReportedFinclStmtAmt>73897</RevenueNotReportedFinclStmtAmt>
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      <ExpensesSubtotalAmt>33517723</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>33517723</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE INTENTION OF DOI TO GROW THE FUNDS AT LEAST AT THE RATE OF INFLATION AND TO USE GAINS/EARNINGS IN EXCESS OF THAT AS NEEDED FOR APPROPRIATE PROGRAMS. DOI has adopted investment and spending policies for endowment assets that attempt to provide funding for major capital projects or appropriate programs while seeking to maintain the purchasing power of the endowment assets. Endowment assets include those assets of donor-restricted fund that DOI must hold in perpetuity. Under this policy, as approved by the Board of Governors, the endowment assets are invested in a manner that is intended to produce results that match or exceed a blended benchmark of domestic and international equities, cash, hedge funds, fixed income and inflation hedging investments while assuming a moderate level of investment risk. DOI expects its endowment funds, over time, to provide an average rate of return of approximately 6.5 percent annually. Actual returns in any given year may vary from this amount. DOI has a policy of using its funds for major projects as approved by its Board of Governors. In emergency situations, funds may be used to cover operating deficits if approved by the Board of Governors. For permanently restricted funds, it is the intention of DOI to use gains/earnings in excess of historical contributions for appropriate programs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DOI is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on their exempt income under Section 501(a) of the Internal Revenue Code. Management has determined that there are no uncertain tax positions at December 31, 2018 and 2017. DOI did not have any income tax related penalties or interest for the periods reported on these financial statements. In addition, DOI has not generated any revenue unrelated to their mission which would be subject to unrelated business income taxes for the year ended December 31, 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>ADJUSTMENT FOR POST RETIREMENT MEDICAL PLAN OF $43,432 AND UNREALIZED GAIN ON INTEREST RATE SWAPS OF $417,575.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART IV, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>DOI MAINTAINS PERSONAL NEED ACCOUNTS ON BEHALF OF SOME PATIENTS. FUNDS ARE WITHDRAWN AS NEEDED TO PROVIDE FOR COSTS OF CARE.</ExplanationTxt>
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        <Event1Nm>GOLF TOURNAMENT</Event1Nm>
        <GrossReceiptsEvent1Amt>269267</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>144733</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>124534</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>1848</CashPrizesEvent1Amt>
        <NonCashPrizesEvent1Amt>5501</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>98366</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>1952</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>375</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>16492</OtherDirectExpensesEvent1Amt>
        <Event2Nm>Casino Night</Event2Nm>
        <GrossReceiptsEvent2Amt>81077</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>43024</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>38053</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>5912</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>21102</RentFacilityCostsEvent2Amt>
        <EntertainmentEvent2Amt>7514</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>3525</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>84358</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>56827</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>27531</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>27531</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>434702</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>244584</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>190118</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>1848</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>11413</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>119468</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>1952</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>7889</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>47548</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>190118</DirectExpenseSummaryEventsAmt>
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    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Susan L Grosser</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>314913</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5400</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>496</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>320809</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Stafford</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>154008</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1561</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6972</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>162541</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joshua Schor MD</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>188268</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4207</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>450</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>192925</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ann Berry</PersonNm>
        <TitleTxt>Director of Nursing</TitleTxt>
        <BaseCompensationFilingOrgAmt>168852</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3290</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>435</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>172577</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COLORADO EDUCATIONAL AND CULTURAL FACILITES AUTH</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>840896727</BondIssuerEIN>
        <CUSIPNum>196458U68</CUSIPNum>
        <BondIssuedDt>2006-01-19</BondIssuedDt>
        <IssuePriceAmt>10000000</IssuePriceAmt>
        <PurposeDesc>NURSING HOME EXPANSION</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>2035000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>10000000</TotalProceedsAmt>
        <InReserveFundAmt>17243</InReserveFundAmt>
        <CapitalizedInterestAmt>383000</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>124300</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>9475457</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2006</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>MORGAN STANLEY</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>25.</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
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    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PLANNED SECURITY SVCS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER - M. FRANCIS</RelationshipDescriptionTxt>
        <TransactionAmt>143192</TransactionAmt>
        <TransactionDesc>SECURITY SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 15A&amp;B</FormAndLineReferenceDesc>
        <ExplanationTxt>A salary review for the Executive Director is conducted annually, comparing the salary to others in organizations of similar size and complexity. In addition, there is an annual review by an external organization. The President, with input from the officers, approves compensation changes. As to other officers and key employees, the Executive Director decides on any compensation changes and they are reviewed annually by an external organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS SUCH AS THE CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS ARE AVAILABLE ON WRITTEN REQUEST TO THE BUSINESS OFFICE. THE ORGANIZATION WILL RESPOND TO SUCH REQUESTS WITHIN FIVE BUSINESS DAYS. FOR WALK-INS THE REPORTS ARE AVAILABLE DURING REGULAR BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH GOVERNOR ANNUALLY SUBMITS A REPORT TO THE PRESIDENT OF THE CORPORATION LISTING ALL TRANSACTIONS, DIRECTLY OR INDIRECTLY, BETWEEN SUCH GOVERNOR AND THE ORGANIZATION. ALL GOVERNORS MUST SUBMIT A REPORT IMMEDIATELY UPON ELECTION TO THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PROVIDED TO THE EXECUTIVE COMMITTEE AND FULL BOARD OF GOVERNORS FOR THEIR REVIEW. ONCE THE 990 HAS BEEN APPROVED BY THE FULL BOARD, IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ADJUSTMENT FOR POST RETIREMENT MEDICAL PLAN OF $43,432 AND UNREALIZED GAIN ON INTEREST RATE SWAPS OF $417,575.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:DIETARY SERVICES TOTAL FEES:2087030</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:THERAPY SERVICES TOTAL FEES:1951964</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:MEDICAL SERVICES TOTAL FEES:132575</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:RECREATIONAL SERVICES TOTAL FEES:55879</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PAYROLL PROCESSING TOTAL FEES:47221</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:RELIGIOUS SERVICES TOTAL FEES:17500</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER FEES TOTAL FEES:6767</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>