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        <Description>NET RESIDENT SERVICE REVENUE</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>15814065</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>15814065</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>15814065</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>96147</TotalRevenueColumn>
        <ExclusionAmount>96147</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>16400</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>16400</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>16400</TotalRevenueColumn>
        <ExclusionAmount>16400</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>GARNISHMENT CHARGES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>415</TotalRevenueColumn>
        <ExclusionAmount>415</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISC</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>4224</TotalRevenueColumn>
        <ExclusionAmount>4224</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>4224</TotalRevenueColumn>
        <ExclusionAmount>4224</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>4639</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>15933496</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>15814065</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>117186</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>0</Total>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>5075465</Total>
        <ProgramServices>4385559</ProgramServices>
        <ManagementAndGeneral>689906</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>54291</Total>
        <ProgramServices>46911</ProgramServices>
        <ManagementAndGeneral>7380</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>550873</Total>
        <ProgramServices>475993</ProgramServices>
        <ManagementAndGeneral>74880</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>368552</Total>
        <ProgramServices>318455</ProgramServices>
        <ManagementAndGeneral>50097</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>694026</Total>
        <ManagementAndGeneral>694026</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>83687</Total>
        <ManagementAndGeneral>83687</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>37364</Total>
        <ManagementAndGeneral>37364</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>264312</Total>
        <ProgramServices>62933</ProgramServices>
        <ManagementAndGeneral>201379</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>393548</Total>
        <ManagementAndGeneral>393548</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>1100919</Total>
        <ProgramServices>616235</ProgramServices>
        <ManagementAndGeneral>484684</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>41716</Total>
        <ProgramServices>14027</ProgramServices>
        <ManagementAndGeneral>27689</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>2103075</Total>
        <ProgramServices>1513885</ProgramServices>
        <ManagementAndGeneral>589190</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>39406</Total>
        <ProgramServices>7176</ProgramServices>
        <ManagementAndGeneral>32230</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>17537</Total>
        <ProgramServices>4288</ProgramServices>
        <ManagementAndGeneral>13249</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>9806101</Total>
        <ProgramServices>7058859</ProgramServices>
        <ManagementAndGeneral>2747242</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>4191540</Total>
        <ProgramServices>3017253</ProgramServices>
        <ManagementAndGeneral>1174287</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>185188</Total>
        <ManagementAndGeneral>185188</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>FOOD</Description>
        <Total>832105</Total>
        <ProgramServices>832105</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ANCILLARY COSTS</Description>
        <Total>759273</Total>
        <ProgramServices>759273</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>121904</Total>
        <ProgramServices>121904</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>26720882</Total>
        <ProgramServices>19234856</ProgramServices>
        <ManagementAndGeneral>7486026</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>2516365</BOY>
        <EOY>1920071</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
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        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>5154564</BOY>
        <EOY>5321290</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
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        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
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        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
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        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>12469</BOY>
        <EOY>18994</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>90779</BOY>
        <EOY>68508</EOY>
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      <LandBuildingsEquipmentBasis>137324702</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>6029409</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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      </LandBuildingsEquipmentBasisNet>
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        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
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        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
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        <EOY>0</EOY>
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      <OtherAssetsTotal>
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      <TotalAssets>
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      <AccountsPayableAccruedExpenses>
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      <GrantsPayable>
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      <DeferredRevenue>
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      <MortNotesPyblSecuredInvestProp>
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      <UnsecuredNotesLoansPayable>
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        <EOY>362777</EOY>
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      <TotalLiabilities>
        <BOY>205161659</BOY>
        <EOY>194565523</EOY>
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      <DoNotFollowSFAS117>X</DoNotFollowSFAS117>
      <CapStckTrstPrinCurrentFunds>
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        <EOY>0</EOY>
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      <PaidInCapSrplsLandBldgEqpFund>
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        <EOY>0</EOY>
      </PaidInCapSrplsLandBldgEqpFund>
      <RetainedEarningsEndowmentEtc>
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      <TotalNetAssetsFundBalances>
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      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
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      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-10787386</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>32025</ReconciliationUnrealizedInvest>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementBoth>X</FinancialStatementBoth>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2245</CurrentTaxYear>
        <Total>2245</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYear>15814065</CurrentTaxYear>
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      <GrossReceiptsFromNonUBI>
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      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
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      <ValueOfSvcsFcltsFurnishdByGovt>
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      </ValueOfSvcsFcltsFurnishdByGovt>
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        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
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        <CurrentTaxYear>15816310</CurrentTaxYear>
        <Total>22275933</Total>
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      <AmtsRecdFromDisqualPersons>
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        <CurrentTaxYear>100</CurrentTaxYear>
        <Total>100</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYear>100</CurrentTaxYear>
        <Total>100</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>22275833</PublicSupportTotal509>
      <GrossInvestmentIncome509>
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        <CurrentTaxYear>96147</CurrentTaxYear>
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      <Post1975UBTI>
        <Total>0</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
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      </NetIncomeFromOtherUBI>
      <OtherIncome509>
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        <CurrentTaxYear>4639</CurrentTaxYear>
        <Total>44380</Total>
      </OtherIncome509>
      <TotalSupportTotal>
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        <CurrentTaxYearMinus2Years>10000</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6487964</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>15917096</CurrentTaxYear>
        <Total>22419560</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99359</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99340</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00443</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00050</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>331</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>331</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1F</ReturnReference>
        <Explanation>6% OF LEADINGAGE MISSSOURI DUES ARE DEDICATED TO LOBBYING.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <CurrentYearMinus4Years />
      <Land>
        <OtherCostOrOtherBasis>7510543</OtherCostOrOtherBasis>
        <BookValue>7510543</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>120347696</OtherCostOrOtherBasis>
        <Depreciation>4976398</Depreciation>
        <BookValue>115371298</BookValue>
      </Buildings>
      <LeaseholdImprovements />
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        <OtherCostOrOtherBasis>2981684</OtherCostOrOtherBasis>
        <Depreciation>463797</Depreciation>
        <BookValue>2517887</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>6484779</OtherCostOrOtherBasis>
        <Depreciation>589215</Depreciation>
        <BookValue>5895564</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>131295292</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>CONTINUING CARE CONTRACT</Description>
        <BookValue>5039106</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>UNAMORTIZED BOND COSTS</Description>
        <BookValue>3346520</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>FUNDS HELD BY FISCAL AGENT</Description>
        <BookValue>24122254</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>32507880</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DEPOSIT AGREEMENTS</Description>
        <Amount>14070</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO PRESBYTERIAN MANORS</Description>
        <Amount>334061</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO PMMA</Description>
        <Amount>14646</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>362777</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>15843617</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>32025</NetUnrealizedGainsInvestments>
      <OtherRevenues>-121904</OtherRevenues>
      <RevenueNotRptdF990>-89879</RevenueNotRptdF990>
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      <OtherExpensesNotIncluded>121904</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>121904</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>26720882</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>UNCERTAIN TAX POSITIONS</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>RECONCILATION OF REVENUE</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 2D</ReturnReference>
        <Explanation>PROVISION FOR UNCOLLECTIBLE ACCOUNTS (121,904)</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>RECONCILIATION OF EXPENSES</Identifier>
        <ReturnReference>SCHEDULE D, PART XII, LINE 4B</ReturnReference>
        <Explanation>PROVISION FOR UNCOLLECTIBLE ACCOUNTS 121,904</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>BRUCE H SHOGREN</NamePerson>
        <Title>PRESIDENT/CEO</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>236385</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>15804</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>3881</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>12390</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>268460</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DOUGLAS YODER</NamePerson>
        <Title>CHIEF OPERATING OFFICER</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>5242</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>156254</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JERRY J DELASHAW</NamePerson>
        <Title>V.P. PROJECT DEVELOPMENT</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>140740</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>8305</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>2345</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>7322</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>158712</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>COMPENSATION FROM A RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990, PART VII, SCHEDULE J, PART I, LINE 3 &amp; PART II</ReturnReference>
        <Explanation>COMPENSATION FOR BRUCE H SHOGREN, PRESIDENT/CEO, IS PROVIDED BY PRESBYTERIAN MANORS OF MID-AMERICA, INC. (PMMA), A RELATED ENTITY. PMMA USES A COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH MR. SHOGREN'S COMPENSATION. THE COMPENSATION FOR ALL OTHER OFFICERS AND KEY EMPLOYEES IS PROVIDED BY PMMA. THE CEO OF PMMA USES COMPARABILITY DATA TO DETERMINE COMPENSATION FOR THE OTHER OFFICERS, KEY EMPLOYEES AND EXECUTIVE DIRECTORS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>INDUSTRIAL DEV AUTHORITY- THE CITY OF KIRKWOOD MO</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>431389515</IssuerEIN>
        <CUSIPNumber>497609AA5</CUSIPNumber>
        <DateIssued>2010-02-10</DateIssued>
        <IssuePrice>176073670</IssuePrice>
        <DescriptionOfPurpose>SEE PART V</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>73555000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>175927033</TotalProceeds>
        <AmountInReserveFund>9581358</AmountInReserveFund>
        <CapitalizedInterest>22991001</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>3485376</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>3110642</WorkingCapitalExpenditures>
        <CapitalExpenditures>123940114</CapitalExpenditures>
        <OtherSpentProceeds>6634707</OtherSpentProceeds>
        <AmountUnspent>3442276</AmountUnspent>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <PrcntgeBondFinancedProp>0.00000</PrcntgeBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>true</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>false</RebateNotDueYet>
        <ExceptionToRebate>false</ExceptionToRebate>
        <NoRebateDue>true</NoRebateDue>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>false</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>DESCRIPTION OF PURPOSE</Identifier>
        <ReturnReference>SCHEDULE K, PART I, LINE A, COLUMN F</ReturnReference>
        <Explanation>CONSTRUCT CCRC, DSR FUNDS, COST OF ISSUE, PORTION OF INTEREST APPROX 29 MONTHS.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>REBATE COMPUTATION PERFORMED</Identifier>
        <ReturnReference>SCHEDULE K, PART IV, LINE 2C</ReturnReference>
        <Explanation>DECEMBER 1, 2013</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DELEGATION OF CONTROL TO A MANAGEMENT COMPANY OR OTHER PERSON</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>GREYSTONE DEVELOPMENT IS MANAGING THE COMMUNITY UNTIL CERTAIN OCCUPANCY GOALS ARE ACHIEVED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>PRESBYTERIAN MANORS OF MID-AMERICA, INC. (PMMA) IS THE SOLE MEMBER OF ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE CFO AND THE ORGANIZATION'S CHAIR OF THE FINANCE COMMITTEE. ANY QUESTIONS OR CONCERNS THE CFO AND THE ORGANIZATION'S CHAIR OF THE FINANCE COMMITTEE HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ANNUALLY, PRESBYTERIAN MANORS OF MID-AMERICA, INC.'S ATTORNEY PRESENTS AND EXPLAINS THE CONFLICT OF INTEREST POLICY TO THE BOARD, THE OFFICERS, AND THE KEY EMPLOYEES. THE TRUSTEES, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS AND SIGN THE POLICY. IF A POSSIBLE CONFLICT OF INTEREST ARISES, IT IS REVIEWED BY THE ATTORNEY AND THE ORGANIZATION'S CEO WHO DETERMINE WHETHER A CONFLICT EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE CONFLICTED INDIVIDUAL IS PROHIBITED FROM VOTING OR BEING INVOLVED IN DISCUSSIONS REGARDING THE CONFLICT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</ReturnReference>
        <Explanation>THE COMPENSATION PAID BY PRESBYTERIAN MANORS OF MID-AMERICA, INC. (PMMA) TO THE CEO IS DETERMINED BY PMMA'S ATTORNEY PROVIDING PMMA'S BOARD OF TRUSTEES WITH COMPARABILITY DATA. DELIBERATION OF THE CEO'S COMPENSATION IS HELD IN EXECUTIVE SESSION AND THEIR DECISION IS DELIVERED TO HUMAN RESOURCES IN A LETTER FROM THE CHAIRMAN OF THE BOARD. THE COMPENSATION FOR ALL OTHER OFFICERS AND KEY EMPLOYEES IS ALSO PROVIDED BY PMMA. THE CEO OF PMMA USES COMPARABILITY DATA TO DETERMINE COMPENSATION FOR THE OTHER OFFICERS, KEY EMPLOYEES AND EXECUTIVE DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>ASHFIELD ACTIVE LIVING &amp; WELLNESS COMMUNITIES, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PRESBYTERIAN MANORS OF MID-AMERICA INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 20440</AddressLine1>
          <City>WICHITA</City>
          <State>KS</State>
          <ZIPCode>672081440</ZIPCode>
        </AddressUS>
        <EIN>480877587</EIN>
        <PrimaryActivities>MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ABERDEEN VILLAGE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 20440</AddressLine1>
          <City>WICHITA</City>
          <State>KS</State>
          <ZIPCode>672081440</ZIPCode>
        </AddressUS>
        <EIN>481210697</EIN>
        <PrimaryActivities>CCRC</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PMMA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PRESBYTERIAN MANORS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 20440</AddressLine1>
          <City>WICHITA</City>
          <State>KS</State>
          <ZIPCode>672081440</ZIPCode>
        </AddressUS>
        <EIN>237154996</EIN>
        <PrimaryActivities>CCRC</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PMMA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SALINA PRESBYTERIAN MANOR ENDOWMENT FUND</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 1337</AddressLine1>
          <City>SALINA</City>
          <State>KS</State>
          <ZIPCode>674021337</ZIPCode>
        </AddressUS>
        <EIN>480937829</EIN>
        <PrimaryActivities>FUNDS MGMT</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PMI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>