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      <Form990PartVIISectionAGrp>
        <PersonNm>BRITTNEY MOORE</PersonNm>
        <TitleTxt>VP OF HEALTH SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>24.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>31.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>184056</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19046</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EARL SAXON JR</PersonNm>
        <TitleTxt>REGIONAL DIRECTOR OF OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>176195</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19125</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW MCCORMICK</PersonNm>
        <TitleTxt>REGIONAL DIRECTOR OF OPERATIONS</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>158420</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31167</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRYAN BEAMER</PersonNm>
        <TitleTxt>VICE PRESIDENT OF CONSTRUCTION</TitleTxt>
        <AverageHoursPerWeekRt>15.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>45.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>174136</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10050</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>0</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>3010982</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>289787</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DIRECT SUPPLY INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 88201</AddressLine1Txt>
            <CityNm>MILWAUKEE</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>532880201</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION &amp; PURCHASING</ServicesDesc>
        <CompensationAmt>368654</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STONERIDGE FLOORINGMILL CREEK CARPET</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 636</AddressLine1Txt>
            <CityNm>NIXA</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65714</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FLOORING &amp; MILLWORK SERVICES</ServicesDesc>
        <CompensationAmt>318590</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTHCARE SERVICES GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 829677</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191829677</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICE &amp; HOUSEKEEPING</ServicesDesc>
        <CompensationAmt>247755</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>A PLACE FOR MOM INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 913241</AddressLine1Txt>
            <CityNm>DENVER</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>802913241</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PLACEMENT SERVICES</ServicesDesc>
        <CompensationAmt>204701</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DUCKER COMMERCIAL ROOFING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1868</AddressLine1Txt>
            <CityNm>BURLESON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76097</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ROOFER SERVICES</ServicesDesc>
        <CompensationAmt>154932</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>2639</AllOtherContributionsAmt>
      <TotalContributionsAmt>2639</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>ASSISTED LIVING</Desc>
        <BusinessCd>722320</BusinessCd>
        <TotalRevenueColumnAmt>36608906</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36608906</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COMMUNITY FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>701040</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>701040</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>37309946</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>526846</TotalRevenueColumnAmt>
        <ExclusionAmt>526846</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>26033</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>26033</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>26033</TotalRevenueColumnAmt>
        <ExclusionAmt>26033</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2299788</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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        <OtherAmt>51738</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>252422</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>200684</TotalRevenueColumnAmt>
        <ExclusionAmt>200684</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>166550</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>166550</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>753563</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>4170</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>15233717</TotalAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>211166</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1414363</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>1164888</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>2248218</TotalAmt>
        <ManagementAndGeneralAmt>2248218</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>17810</TotalAmt>
        <ProgramServicesAmt>16902</ProgramServicesAmt>
        <ManagementAndGeneralAmt>908</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>11915</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25469</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>18267</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>757643</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>2621696</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1106</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>118891</TotalAmt>
        <ProgramServicesAmt>118891</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>3556519</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>65113</TotalAmt>
        <ProgramServicesAmt>65113</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>47862</TotalAmt>
        <ProgramServicesAmt>47862</ProgramServicesAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>1848500</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
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      <InsuranceGrp>
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        <ProgramServicesAmt>1265213</ProgramServicesAmt>
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        <ProgramServicesAmt>103262</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
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        <ProgramServicesAmt>95037</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BOND ADMIN FEES</Desc>
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        <ManagementAndGeneralAmt>38712</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>35422564</TotalAmt>
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        <ManagementAndGeneralAmt>2461117</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>4511505</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>101375</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>527977</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>35833</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>354064</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>91617259</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>58547577</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>33069682</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>3423662</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>1757101</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>60402528</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>88122381</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>16061346</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13244057</BOYAmt>
        <EOYAmt>16061346</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>104183727</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>2810134</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>7155</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>BETHESDA FOUNDATION</BusinessNameLine1Txt>
        </SupportedOrganizationName>
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        <OrganizationTypeCd>10</OrganizationTypeCd>
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    <IRS990ScheduleC documentId="RetDoc1039600001">
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      <TotalGrassrootsLobbyingGrp>
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        <AffiliatedGroupTotalAmt>0</AffiliatedGroupTotalAmt>
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      <TotalDirectLobbyingGrp>
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        <AffiliatedGroupTotalAmt>1000000</AffiliatedGroupTotalAmt>
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      <GrassrootsNontaxableGrp>
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        <AffiliatedGroupTotalAmt>250000</AffiliatedGroupTotalAmt>
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        <AffiliatedGroupTotalAmt>0</AffiliatedGroupTotalAmt>
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      <AvgLobbyingNontaxableAmountGrp>
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        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
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      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>0</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>0</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>0</CurrentYearMinus1Amt>
        <CurrentYearAmt>0</CurrentYearAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus3Amt>0</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>0</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>0</CurrentYearMinus1Amt>
        <CurrentYearAmt>0</CurrentYearAmt>
      </AvgGrassrootsLobbyingExpendGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-A</FormAndLineReferenceDesc>
        <ExplanationTxt>PER THE IRS INSTRUCTIONS, THE ORGANIZATION IS REQUIRED TO COMPLETE SCHEDULE C BECAUSE THEY HAVE A 501(H) ELECTION IN PLACE. DURING THE YEAR, THE ORGANIZATION DID NOT HAVE ANY LOBBYING ACTIVITY TO REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2322080</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2322080</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>79508416</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>52319391</DepreciationAmt>
        <BookValueAmt>27189025</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>7336705</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6228186</DepreciationAmt>
        <BookValueAmt>1108519</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2450058</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2450058</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>33069682</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>ESCROW</Desc>
        <BookValueAmt>8300</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INTERCOMPANY RECEIVABLES</Desc>
        <BookValueAmt>32637892</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS WHOSE USE IS LIMITED</Desc>
        <BookValueAmt>27756336</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>60402528</TotalBookValueOtherAssetsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANA RASIC</PersonNm>
        <TitleTxt>PRESIDENT, CHAIR &amp; DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>399695</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>7479</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10360</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>38263</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>455797</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATHAN MERRILL</PersonNm>
        <TitleTxt>CFO, TREASURER &amp; DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>269010</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>30000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>12815</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9457</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>38567</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICK SUMMERS</PersonNm>
        <TitleTxt>VICE PRESIDENT &amp; DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>6540</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8452</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>12910</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTI MILLER</PersonNm>
        <TitleTxt>VP OF HUMAN RESOURCES &amp; DIRECTOR</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <TotalCompensationRltdOrgsAmt>247913</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSHUA THOMAS</PersonNm>
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        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>763</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>240388</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRIS GILLEN</PersonNm>
        <TitleTxt>VP OF SALES &amp; MARKETING (PART YEAR)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>181249</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>474</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1121</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>203949</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRITTNEY MOORE</PersonNm>
        <TitleTxt>VP OF HEALTH SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>167985</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>271</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5605</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>13441</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EARL SAXON JR</PersonNm>
        <TitleTxt>REGIONAL DIRECTOR OF OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>170666</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREW MCCORMICK</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRYAN BEAMER</PersonNm>
        <TitleTxt>VICE PRESIDENT OF CONSTRUCTION</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>AUSTIN HARBACH</PersonNm>
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        <OtherCompensationRltdOrgsAmt>139</OtherCompensationRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTEN JACOBY</PersonNm>
        <TitleTxt>REGIONAL VP OF OPS, DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>168117</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1119</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>174484</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COLORADO HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>840752932</BondIssuerEIN>
        <CUSIPNum>19648FJA3</CUSIPNum>
        <BondIssuedDt>2018-12-27</BondIssuedDt>
        <IssuePriceAmt>95743545</IssuePriceAmt>
        <PurposeDesc>IMPROVEMENT AND REFUNDING ISSUES 5/2/2016, 2/7/2014, 9/26/2011</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>1</PoolFinancingInd>
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        <IssuanceCostsFromProceedsAmt>1995402</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>93839755</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2018</SubstantialCompletionYr>
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        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
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        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
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        <BondReferenceCd>A</BondReferenceCd>
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        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
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        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/27/2023</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, COLUMN (I)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BSLC II SCHEDULE K REFLECTS THE PROPORTIONATE AMOUNT OF THE 2018 BOND ISSUE USED BY OR FOR THE BENEFIT OF BSLC II. THE REMAINING PORTION OF THE 2018 BOND ISSUE IS REPORTED ON SCHEDULE K FOR BETHESDA FOUNDATION, A RELATED ENTITY, TO REFLECT THE AMOUNT USED BY OR FOR THE BENEFIT OF BETHESDA FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOTAL PROCEEDS OF ISSUE FOR BOND A REPORTED ON PART II, LINE 3 DIFFERS FROM PART I, COLUMN (E) DUE TO THE INCLUSION OF INVESTMENT EARNINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>STAFF ARE COMPENSATED BY A RELATED ORGANIZATION, BETHESDA FOUNDATION, UNDER A SHARED SERVICES MANAGEMENT AGREEMENT. UNDER THE SHARED SERVICES AGREEMENT, EMPLOYEES SPLIT THEIR TIME BETWEEN BSLC II AND BETHESDA FOUNDATION AND THEREFORE THERE ARE NO EMPLOYEES WHO WORK SOLELY FOR THE FILING ORGANIZATION. BETHESDA FOUNDATION FILES ALL REQUIRED PAYROLL INFORMATION RETURNS AS REQUIRED BY THE IRS. PART IX, LINES 7-10 REPRESENT THE FILING ORGANIZATION'S SHARE OF THE COMPENSATION EXPENSE UNDER THE SHARED SERVICES AGREEMENT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DAN VAGLE AND DALE TURNER - FAMILY RELATIONSHIP. DANA RASIC, NATHAN MERRILL, DALE TURNER, AUSTIN HARBACH, AND TOM WORKMAN - BUSINESS RELATIONSHIP.</ExplanationTxt>
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        <ExplanationTxt>BSLC II'S COMMUNITIES ARE MANAGED BY BETHESDA FOUNDATION UNDER A MANAGEMENT CONTRACT WITH BETHESDA ASSOCIATES. SEE EXPLANATION FOR PART V, LINE 2A. THE OFFICER COMPENSATION UNDER THE COST-SHARING AGREEMENT IS INCLUDED ON PART VII.</ExplanationTxt>
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        <ExplanationTxt>THE BOARD OF DIRECTORS OF BETHESDA FOUNDATION APPOINTS THE DIRECTORS OF BSLC II.</ExplanationTxt>
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        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX PREPARER AND IS REVIEWED IN DETAIL BY THE CFO AND ACCOUNTING MANAGER. THE FINAL VERSION OF THE FORM 990 IS DISTRIBUTED VIA EMAIL TO THE ORGANIZATION'S BOARD OF DIRECTORS. MANAGEMENT ANSWERS ALL QUESTIONS AND INCORPORATES THE CHANGES, IF NECESSARY, INTO THE FORM 990 PRIOR TO FILING.</ExplanationTxt>
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        <ExplanationTxt>CONFLICT OF INTEREST FORMS ARE COMPLETED ANNUALLY BY OFFICERS, DIRECTORS AND KEY EMPLOYEES AND ARE PRESENTED TO THE BOARD FOR APPROVAL. WHEN A POTENTIAL CONFLICT ARISES DURING THE YEAR, THE OFFICER, DIRECTOR OR KEY EMPLOYEE IS RESPONSIBLE FOR UPDATING THE CONFLICT OF INTEREST FORM AND THE REVISED FORM IS PROVIDED TO THE BOARD FOR APPROVAL. SHOULD ANY POTENTIAL CONFLICTS OF INTEREST BE DISCLOSED, THE BOARD MEMBER OR OFFICER WOULD BE ASKED TO REFRAIN FROM PARTICIPATION IN ANY DELIBERATION OR DECISION WITH REGARD TO MATTERS AFFECTED BY THE RELATIONSHIP.</ExplanationTxt>
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        <ExplanationTxt>BSLC II DOES NOT HAVE EMPLOYEES OR OFFICERS THAT RECEIVE COMPENSATION THROUGH BSLC II. ALL FUNCTIONS OF RUNNING BSLC II COMMUNITIES HAVE BEEN DELEGATED TO BETHESDA FOUNDATION UNDER A MANAGEMENT CONTRACT WITH BETHESDA ASSOCIATES. THEREFORE, THESE LINES WERE ANSWERED NO IN ACCORDANCE WITH THE INSTRUCTIONS.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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        <ExplanationTxt>MANY OF THE OFFICERS AND DIRECTORS PROVIDE SERVICES TO AFFILIATED ORGANIZATIONS. THE HOURS SHOWN ARE SPECIFIC TO THIS ORGANIZATION BUT THE COMPENSATION IS TOTAL COMPENSATION FOR SERVICES PROVIDED TO ALL OF THE AFFILIATED ORGANIZATIONS.</ExplanationTxt>
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