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      <TotalContributionsAmt>147157</TotalContributionsAmt>
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        <BusinessCd>621990</BusinessCd>
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      <InvestmentIncomePYPct>0.00138</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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        <ContributorUSAddress>
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          <State>RESTRICTED</State>
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      <CYMinus4YrEndwmtFundGrp />
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      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Change in valuation of interest in net assets of charitable foundation $(89,189) Change in swap value $152,863.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>use of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Temporarily restricted net assets are used to differentiate resources, the use of which is restricted by donors or grantors to a spcific time period or purpose, from resources on which no restrictions have been placed or that arise from the general operations of the company. Temporarily restricted gifts, grants, bequests, and investment income are recorded as additions to temporarily restricted net assets in the period received, unless the donor-imposed restrictions are met in the same reporting period, in which case the income is reported in unrestricted net assts. Temporarily restricted net assets include a wellness campaign and caring fund, as well as the net assets of the charitable foundation. permanently restricted net assets consist of amounts held in perpetuity or for terms designated by donors. Permanently restricted net assets include building, resident care, educational anc chaplaincy endowments and are included in the net assets of the charitable foundation. Income earned on permanently restricted ent assets was available to fund employee scholarships, facility improvements, chaplain support services, and to subsidize resident care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>other income on return not on financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>Reclassification of contra expense accounts to revenue $104,741</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TROY SNYDER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>176596</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20269</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35478</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>234343</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>County of Ashland Ohio</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>346000122</BondIssuerEIN>
        <CUSIPNum>04117HAV3</CUSIPNum>
        <BondIssuedDt>2010-10-14</BondIssuedDt>
        <IssuePriceAmt>14005000</IssuePriceAmt>
        <PurposeDesc>county of ashland, ohio health</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>3160000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>14005000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>13724900</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>280100</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>2026</UnspentAmt>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>false</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>false</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>true</Form8038TFiledInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>FIRST MERIT BANK</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>16.</TermOfHedgePct>
        <SuperintegratedHedgeInd>true</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Review Process-Form 990, PAGE 6, PART VI, #11B</FormAndLineReferenceDesc>
        <ExplanationTxt>The return was prepared by an outside CPA firm and provided to the organization's CFO for review. A COPY OF THE FORM 990 is SENT TO EACH BOARD MEMBER FOR THEIR REVIEW AND COMMENTS prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Documents Avalaible to the Public-Form 990, PAGE 6, PART VI, #19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Determining Compensation-Form 990, PAGE 6, PART VI, SECTION B, #15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S SALARY, BENEFITS, ETC. MUST BE APPROVED BY THE BOARD. ON AN ANNUAL BASIS, THE BOARD MEETS TO REVIEW THE CEO'S CONTRACT. BASED ON PERFORMANCE, EXPECTATIONS AND THE ECONOMY AN INCREASE MAY BE GRANTED. ANY INCREASE MUST BE SUBMITTED TO THE HUMAN RESOURCES AND FINANCE DEPARTMENTS FOR IMPLEMENTATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Purpose of Bond Issue-schedule k, part i, row a, column f</FormAndLineReferenceDesc>
        <ExplanationTxt>Adjustable rate demand health care facilities revenue bonds series 2005 to retire Brethren Care, Inc.'s series 1999 series bonds and defease brethren care, inc.'s series 1996 bonds.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy-Form 990, PAGE 6, PART VI, SECTION B, #12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BRETHREN CARE, INC. MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REVIEWING, ON AN ANNUAL BASIS, THE POLICY AND HAVING EACH BOARD MEMBER SIGN OFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes in Net Assets-Form 990, Page 12, Part XI, #5</FormAndLineReferenceDesc>
        <ExplanationTxt>change in valuation of interest rate swap agreement $152,863 Change in valuation of interest in net assets of charitable foundation $(89,189).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BRETHREN CARE VILLAGE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2140 CENTER ST</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44805</ZIPCd>
        </USAddress>
        <EIN>474768346</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>-59120</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2527423</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BRETHREN CAR</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BLOOMFIELD INDEPENDENT LIVING LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2140 CENTER ST</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44805</ZIPCd>
        </USAddress>
        <EIN>474789608</EIN>
        <PrimaryActivitiesTxt>COTTAGE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>-1570</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2300631</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BRETHREN CAR</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BCI INVESTMENTS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2140 CENTER ST</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44805</ZIPCd>
        </USAddress>
        <EIN>474801203</EIN>
        <PrimaryActivitiesTxt>INVESTMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>-30629</TotalIncomeAmt>
        <EndOfYearAssetsAmt>3479239</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BRETHREN CAR</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BCI REAL ESTATE HOLDING COMPANY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2140 CENTER ST</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44805</ZIPCd>
        </USAddress>
        <EIN>474793074</EIN>
        <PrimaryActivitiesTxt>HOLDING CO.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>96038</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BRETHREN CAR</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Brethren Care Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2140 Center Street</AddressLine1Txt>
          <CityNm>Ashland</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44805</ZIPCd>
        </USAddress>
        <EIN>341651905</EIN>
        <PrimaryActivitiesTxt>support org</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>type II</PublicCharityStatusTxt>
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      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
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      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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</Return>