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      <Desc>BETHESDA HEALTH GROUP, INC., AND ITS SUBSIDIARIES MISSION IS TO BE THE PREMIER PROVIDER OF CARE AND SERVICES FOR SENIORS IN THE ST. LOUIS REGION WHILE MAINTAINING FINANCIAL STRENGTH AND PROVIDING FULFILLING CAREER OPPORTUNITIES. VALUES: BETHESDA HEALTH GROUP, INC., AND ITS SUBSIDIARIES ADHERE TO THE FOLLOWING VALUES IN PROVIDING CARE AND SERVICES TO ST. LOUIS SENIORS. DIGNITY: TO TREAT SENIORS AND THEIR FAMILY MEMBERS WITH DIGNITY AND RESPECT. DIVERSITY: TO RECOGNIZE THE UNIQUE QUALITIES OF OUR CONSTITUENTS AND APPRECIATE THEIR CULTURAL DIFFERENCES. GENEROSITY: TO MEET THE NEEDS OF SENIORS WITHOUT REGARD TO THEIR SOCIOECONOMIC STATUS. INTEGRITY: TO FURNISH CARE AND SERVICES WITH INTEGRITY, HONEST AND HIGH ETHICAL STANDARDS. QUALITY: TO PROVIDE SUPERIOR CARE AND SERVICES IN A PLACE SENIORS CALL HOME.BETHESDA HOSTS PUBLIC EDUCATIONAL EVENTS ON IMPORTANT ISSUES, SUCH AS ALZHEIMER'S PREVENTION AND CARE, PROVIDES FREE HEALTH SCREENINGS, AND SEASONAL FLU VACCINES, IN ADDITION TO MANY OTHER SERVICES AS PART OF ITS MISSION TO PROVIDE ESSENTIAL CARE FOR ST. LOUIS SENIORS AND THEIR FAMILIES.BETHESDA ALSO HAS PARTNERED WITH MEALS ON WHEELS OF GREATER ST. LOUIS FOR MORE THAN 25 YEARS TO PROVIDE NUTRITIOUS MEALS TO THE ELDERLY, HANIDCAPPED, AND HOMEBOUND IN THE AREA. EMPLOYEES AND VOLUNTEERS AT BETHESDA DILWORTH PREPARE MORE THAN 1,200 MEALS EACH MONTH FOR SENIORS LIVING IN WEBSTER GROVES, ROCK HILL, SHREWSBURY, BRENTWOOD AND CRESTWOOD. BETHESDA SOUTHGATE ALSO PARTICIPATES BY DELIVERING MORE THAN 800 MEALS MONTHLY TO SENIORS LIVING IN SOUTH ST. LOUIS COUNTY.EVERY YEAR RESIDENTS AND VOLUNTEERS AT BETHESDA GARDENS HOST A BABY SHOWER TO HELP RAISE FUNDS AND COLLECT BABY CLOTHES AND SUPPLIES FOR FAMILIES IN NEED. THE DONATIONS ARE GIVEN TO NURSES FOR NEWBORNS, A NONPROFIT ORGANIZATION THAT PROVIDES A SAFETY NET FOR AT RISK FAMILIES TO PREVENT INFANT MORTALITY, CHILD ABUSE AND NEGLECT.BETHESDA ALSO OFFERS A PROGRAM THAT HAS BEEN DEVELOPED TO EDUCATE THE PUBLIC ON HOW TO BE A SUPPORTIVE FRIEND AND COMPANION TO SOMEONE WHO IS EITHER GRIEVING THE LOSS OF A LOVED ONE OR AFFECTED BY THE LIFE-LIMITING ILLNESS THEMSELVES. ADDITIONALLY, THE PROGRAM DELVES INTO HOW TO SUPPORT THOSE WHO ARE STRUGGLING WITH OTHER INSTANCES OF LOSS FROM DIVORCE TO RECENT UNEMPLOYMENT. THE PROGRAM IS OFFERED TO COMMUNITY ORGANIZATIONS AND CHURCHES THROUGHOUT ST. LOUIS.SINCE OUR FOUNDING MORE THAN A CENTURY AGO, BETHESDA HAS HELPED SENIORS LIVE THE LIVES THEY LOVE. IN KEEPING WITH OUR CHARITABLE COMMITMENT, EACH YEAR BETHESDA PROVIDES MILLIONS OF DOLLARS IN HUMANITARIAN CARE TO THOSE SENIORS WHO HAVE OUTLIVED THEIR ASSETS AND ARE UNABLE TO PAY FOR THE FULL COST OF THE CARE AND SUPPORT THEY RECEIVE FROM US. IN 2010, THE BETHESDA BOARD OF DIRECTORS ESTABLISHED THE JOHN W. ROWE HUMANITARIAN CARE FUND, WHICH PROVIDES CHARITABLE ASSISTANCE TO HUNDREDS OF SENIORS ANNUALLY. EVERY YEAR, BETHESDA HAS CHARITABLE PARTNERSHIPS AND MAKES SIGNIFICANT DONATIONS TO MANY LOCAL ORGANIZATIONS INCLUDING BUT NOT LIMITED TO THE UNITED WAY OF GREATER ST. LOUIS, NATIONAL KIDNEY FOUNDATION, HUMANE SOCIETY OF MISSOURI, AND THE ST. LOUIS AREA BOY AND GIRL SCOUTS OF AMERICA.BETHESDA HEALTH GROUP, INC. EIN 43-0666738FUNCTIONS AS THE PARENT OF THE ORGANIZATION. BETHESDA HEALTH GROUPS SUBSIDIARIES, WHICH ARE LISTED BELOW, CHARGE BELOW MARKET RATES FOR SERVICES PROVIDED, AND NO ONE HAS EVER BEEN ASKED TO LEAVE A BETHESDA HEALTH GROUP FACILITY DUE TO THE INABILITY TO PAY. IN ADDITION, THE BETHESDA HEALTH GROUP ORGANIZATION PROVIDED APPROXIMATELY $12,000,000 IN CHARITY CARE DURING THE YEAR ENDED JUNE 30, 2015.BETHESDA LONG TERM CARE, INC. EIN 43-1277070OWNS AND OPERATES THREE SKILLED NURSING FACILITIES. PROVIDED 192,532 DAYS OF NURSING CARE IN THE YEAR ENDED JUNE 30, 2015, INCLUDING 94,620 DAYS TO MEDICAID RECIPIENTS. PROVIDED $9,978,887 IN CHARITY CARE IN 2015.BETHESDA SENIOR LIVING, INC. EIN 43-1494889OWNS AND OPERATES FOUR INDEPENDENT LIVING CENTERS, HOUSING AN AVERAGE OF 519 RESIDENTS PER DAY IN THE YEAR ENDED JUNE 30, 2015, AND PROVIDED FINANCIAL ASSISTANCE IN THE AMOUNT OF $1,165,611 IN THE YEAR ENDED JUNE 30, 2015. BETHESDA HEALTH GROUP FOUNDATION, INC. EIN 43-1278967CONDUCTS ACTIVITIES FOR THE BENEFIT OF ALL THE NOT-FOR-PROFIT SUBSIDIARIES OF THE ORGANIZATION AND COLLECTED DONATIONS OF $638,837 IN THE YEAR ENDED JUNE 30, 2015.BETHESDA SERVICES, INC. EIN 43-1857630PROVIDES HOSPICE, SENIOR THERAPY AND SENIOR SUPPORT SOLUTION SERVICES TO THE ST. LOUIS COMMUNITY. BETHESDA HOSPICE CARE PROVIDED 19,098 VISITS DURING THE YEAR ENDED JUNE 30, 2015. HOSPICE PROVIDED $886,218 OF CHARITY CARE AND SENIOR THERAPY PROVIDED $41,642 IN THE YEAR ENDED JUNE 30, 2015.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GARY L MAYES</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.80</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN KLINGLER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.80</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD C MUELLER JR</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.20</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>R KENNETH BASS JR</PersonNm>
        <TitleTxt>SVP, SENIOR LIVING</TitleTxt>
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        <OtherCompensationAmt>22378</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALPHONSE D POELKER</PersonNm>
        <TitleTxt>SVP, LONG TERM CARE</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>244859</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21548</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHERINE E JOSLIN</PersonNm>
        <TitleTxt>SVP, HR &amp; MARKETING</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA P KAPSAR</PersonNm>
        <TitleTxt>SVP, CORPORATE COMPLIANCE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1654</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY D HICKMAN</PersonNm>
        <TitleTxt>SVP, ADMIN SERVICES &amp; CIO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>32.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROGER BYRNE</PersonNm>
        <TitleTxt>EVP &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>8.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>32.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>220644</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA F DEMPSKI</PersonNm>
        <TitleTxt>VP, FUND DEVELOPMENT</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>32.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMY J TRAU</PersonNm>
        <TitleTxt>VP, HOME &amp; COMMUNITY BASED SERVICES</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>32.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN CURRY</PersonNm>
        <TitleTxt>VP &amp; CORP COMPLIANCE AS OF 9/2/2014</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>32.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MURIEL VAN OORDT</PersonNm>
        <TitleTxt>VP &amp; SR ADMINISTRATOR LTC</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>32.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE CROUCH</PersonNm>
        <TitleTxt>VP &amp; SR ADMINISTRATOR LTC</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>32.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVONE O'LEARY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFRY WALDMAN</PersonNm>
        <TitleTxt>VP &amp; DIRECTOR MARKETING</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>32.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE GLASS</PersonNm>
        <TitleTxt>VP HCBS</TitleTxt>
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          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>SAINT LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63150</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INTERLOCK PHARMACY SYSTEMS INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>COLUMBUS</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43271</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BARTELS-MISSEY</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3486 TELEGRAPH ROAD</AddressLine1Txt>
            <CityNm>ARNOLD</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63010</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8251 MARYLAND AVE STE 300</AddressLine1Txt>
            <CityNm>SAINT LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63105</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PARIC CORPORATION</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 790100</AddressLine1Txt>
            <CityNm>SAINT LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63179</ZIPCd>
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      <GrossAmountSalesAssetsGrp>
        <OtherAmt>6957</OtherAmt>
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        <ExclusionAmt>6957</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueMiscGrp>
        <Desc>MANAGEMENT FEE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>248253</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>11538</TotalRevenueColumnAmt>
        <ExclusionAmt>11538</ExclusionAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>18495</ExclusionAmt>
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        <ProgramServicesAmt>50908</ProgramServicesAmt>
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        <ProgramServicesAmt>77653</ProgramServicesAmt>
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        <ProgramServicesAmt>227170</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>239084</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>64530</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>197789</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>482863</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>81778</ProgramServicesAmt>
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        <ProgramServicesAmt>2681033</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>103274</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>10481</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6252924</ProgramServicesAmt>
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        <EOYAmt>306019</EOYAmt>
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        <EOYAmt>1944562</EOYAmt>
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        <EOYAmt>151225</EOYAmt>
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        <EOYAmt>2836136</EOYAmt>
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        <EOYAmt>7929381</EOYAmt>
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        <EOYAmt>74520000</EOYAmt>
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        <EOYAmt>44231973</EOYAmt>
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        <NontaxableBenefitsFilingOrgAmt>3864</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171189</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY PAYS THE DUES AND AMOUNTS FOR FIVE SELECT SENIOR OFFICERS OF THE CORPORATION. THE DUES ARE INCLUDED IN TAXABLE WAGES OF EACH INDIVIDUAL. THE MEMBERSHIP PROVIDES MARKETING BENEFITS AND REFERRAL SOURCES TO OUR ORGANIZATION FOR ALL SERVICES COVERED IN OUR MISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDED BONUSES TO MANAGEMENT PERSONNEL BASED ON THE ATTAINMENT OF INDIVIDUAL AND ORGANIZATIONAL GOALS, WHICH ARE FINANCIAL AND OPERATIONAL IN NATURE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>HEALTH AND EDUCATION FACILITIES AUTHORITY OF THE STATE OF MISSOURI</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>431178966</BondIssuerEIN>
        <CUSIPNum>60637AED0</CUSIPNum>
        <BondIssuedDt>2013-06-27</BondIssuedDt>
        <IssuePriceAmt>75900000</IssuePriceAmt>
        <PurposeDesc>EXPANSION OF FACILITIES AND REFUND OUTSTANDING BONDS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1380000</RetiredAmt>
        <TotalProceedsAmt>75900000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>399639</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>71290</CreditEnhancementAmt>
        <OtherSpentProceedsAmt>75429071</OtherSpentProceedsAmt>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>0</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>PIPER JAFFRAY</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>20.000000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PAGE 1, PART II, LINE 14</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ISSUE REFUNDED THE OUTSTANDING SERIES 2009 BONDS ISSUED ON 12/1/2009.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 WILL BE PROVIDED TO THE FINANCE AND EXECUTIVE COMMITTEES OF THE BOARD OF DIRECTORS FOR DETAIL REVIEW PRIOR TO FILING. IN ADDITION TO THESE DETAILED REVIEWS, A COPY OF THE FORM 990 WILL ALSO BE PROVIDED TO THE ENTIRE BOARD FOR THEIR REVIEW. UPON REQUEST, A PDF COPY OF THE RETURN WILL ALSO BE E-MAILED TO MEMBERS OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DIRECTORS, OFFICERS, BOARD COMMITTEE MEMBERS AND OPERATING OFFICERS ("INSIDERS") OF THE ORGANIZATION ARE REQUIRED TO COMPLETE A "CONFLICT OF INTEREST" FORM ANNUALLY. EACH INSIDER SHALL PROMPTLY AND FULLY DISCLOSE THE EXISTENCE OF ANY POTENTIAL CONFLICTS OF INTEREST. ALL "CONFLICT OF INTEREST" FORMS ARE REPORTED TO THE CEO, CHAIRMAN OF THE BOARD ("CHAIRMAN"), AND THE BOARD. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS FOR A CONSUMMATED TRANSACTION OR ARRANGEMENT, THE BOARD SHALL INVESTIGATE APPROPRIATE STEPS TO MITIGATE OR ELIMINATE THE CONFLICT OF INTEREST. IF IT IS DETERMINED A CONFLICT OF INTEREST EXISTS FOR A PROPOSED TRANSACTION OR ARRANGEMENT, WHICH HAS NOT YET BEEN CONSUMMATED, THE BOARD SHALL AUTHORIZE THE TRANSACTION OR ARRANGEMENT ONLY IF IT IS APPROVED IN ACCORDANCE WITH BETHESDA'S POLICY ON CONFLICTS OF INTEREST ("POLICY"). IF THE CHAIRMAN OR CEO HAS REASONABLE CAUSE TO BELIEVE THAT AN INSIDER HAS FAILED TO COMPLY WITH THE POLICY, THE CHAIRMAN OR CEO SHALL MEET WITH THE INSIDER TO DISCUSS THE ALLEGED FAILURE AND PROVIDE THE INSIDER THE OPPORTUNITY FOR EXPLANATION. IF, AFTER HEARING THE RESPONSE OF THE INSIDER AND MAKING FURTHER INVESTIGATION DEEMED NECESSARY, THE CHAIRMAN OR CEO BELIEVES THAT THE INSIDER VIOLATED THE POLICY, THE MATTER SHALL BE PRESENTED TO THE BOARD TO CONSIDER CORRECTIVE ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HUMAN RESOURCES COMMITTEE OF THE BOARD REGULARLY ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW AND ANALYZE THE COMPENSATION AND BENEFITS OF OUR EXECUTIVES COMPARED TO THEIR PEERS IN THE BUSINESS COMMUNITY. THE RESULTS ARE REVIEWED AND APPROVED, WHEN APPROPRIATE, BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET LOSS ARISING DURING THE PERIOD- PENSION PLAN 204,048. CHANGE IN VALUE OF INTEREST RATE SWAPS -914,621.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 12, PART XII, LINE 2C - AUDIT COMMITTEE OVERSIGHT &amp; REVIEW</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS NOT CHANGED ITS PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BETHESDA HEALTH GROUP FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1630 DES PERES RD STE 290</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>431278967</EIN>
        <PrimaryActivitiesTxt>HEALTH SERV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BETHESDA LONG TERM CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1630 DES PERES RD STE 290</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>431277070</EIN>
        <PrimaryActivitiesTxt>HEALTH SERV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BETHESDA SENIOR LIVING INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1630 DES PERES RD STE 290</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>431494889</EIN>
        <PrimaryActivitiesTxt>HEALTH SERV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BETHESDA SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1630 DES PERES RD STE 290</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>431857630</EIN>
        <PrimaryActivitiesTxt>HEALTH SERV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VILLAGE NORTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4901 FOREST PARK AVE STE 1200</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63108</ZIPCd>
        </USAddress>
        <EIN>431207154</EIN>
        <PrimaryActivitiesTxt>HEALTH SERV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 9</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MARY POORE FOBES TRUST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>135 S LASALLE ST IL4-135-14-19</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60603</ZIPCd>
        </USAddress>
        <EIN>366506983</EIN>
        <PrimaryActivitiesTxt>GENERAL CHARITABLE PURPOSE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>PF</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ST ANDREWS &amp; BETHESDA LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1630 DES PERES RD STE 290</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>830484593</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>194729</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>490986</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BETHESDA ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1630 DES PERES RD STE 290</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>431302762</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BETHESDA HEALTH GROUP INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>109500</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>