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            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21264</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY PROVIDER</ServicesDesc>
        <CompensationAmt>681718</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FOREFRONT HEALTHCARE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>222622 HARPER AVENUE</AddressLine1Txt>
            <CityNm>SAINT CLAIR SHORES</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48080</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CULINARY MANAGEMENT</ServicesDesc>
        <CompensationAmt>670802</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOBIESKI SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1325 OLD COOCHES BRIDGE ROAD</AddressLine1Txt>
            <CityNm>NEWARK</CityNm>
            <StateAbbreviationCd>DE</StateAbbreviationCd>
            <ZIPCd>19713</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HVAC/PLUMBING</ServicesDesc>
        <CompensationAmt>646850</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RKL LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1800 FRUITVILLE PIKE</AddressLine1Txt>
            <CityNm>LANCASTER</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>17601</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FIN. &amp; CLINICAL CONSULT.</ServicesDesc>
        <CompensationAmt>509300</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JOTTAN INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 UNDERWOOD COURT</AddressLine1Txt>
            <CityNm>DELRAN</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08075</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ROOFING CONTRACTORS</ServicesDesc>
        <CompensationAmt>307326</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>13</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>28836</AllOtherContributionsAmt>
      <TotalContributionsAmt>28836</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>13369822</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13369822</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13369822</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>889660</TotalRevenueColumnAmt>
        <ExclusionAmt>889660</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEMORIAL FUNDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>31598</TotalRevenueColumnAmt>
        <ExclusionAmt>31598</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>REFUNDS &amp; REBATES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>23514</TotalRevenueColumnAmt>
        <ExclusionAmt>23514</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CLAIMS PAYMENTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>14803</TotalRevenueColumnAmt>
        <ExclusionAmt>14803</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>4162</TotalRevenueColumnAmt>
        <ExclusionAmt>4162</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>74077</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>14362395</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13369822</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>963737</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>329037</TotalAmt>
        <ProgramServicesAmt>292843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36194</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6489359</TotalAmt>
        <ProgramServicesAmt>6086165</ProgramServicesAmt>
        <ManagementAndGeneralAmt>403194</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>96796</TotalAmt>
        <ProgramServicesAmt>91361</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5435</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>651438</TotalAmt>
        <ProgramServicesAmt>614356</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37082</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>525279</TotalAmt>
        <ProgramServicesAmt>493213</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32066</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>726235</TotalAmt>
        <ProgramServicesAmt>293833</ProgramServicesAmt>
        <ManagementAndGeneralAmt>432402</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>5841</TotalAmt>
        <ManagementAndGeneralAmt>5841</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>46777</TotalAmt>
        <ManagementAndGeneralAmt>46777</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1069581</TotalAmt>
        <ProgramServicesAmt>870863</ProgramServicesAmt>
        <ManagementAndGeneralAmt>198718</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>60491</TotalAmt>
        <ManagementAndGeneralAmt>60491</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>143471</TotalAmt>
        <ProgramServicesAmt>110839</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32632</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>182214</TotalAmt>
        <ProgramServicesAmt>67534</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114680</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>276655</TotalAmt>
        <ProgramServicesAmt>276655</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>4597</TotalAmt>
        <ProgramServicesAmt>42</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4555</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>154</TotalAmt>
        <ProgramServicesAmt>47</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>676955</TotalAmt>
        <ProgramServicesAmt>676955</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>473558</TotalAmt>
        <ProgramServicesAmt>448558</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25000</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BED TAX</Desc>
        <TotalAmt>930932</TotalAmt>
        <ProgramServicesAmt>930932</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>456788</TotalAmt>
        <ProgramServicesAmt>422781</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34007</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD AND BEVERAGE</Desc>
        <TotalAmt>249260</TotalAmt>
        <ProgramServicesAmt>249260</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICATIONS</Desc>
        <TotalAmt>201917</TotalAmt>
        <ProgramServicesAmt>201917</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>313042</TotalAmt>
        <ProgramServicesAmt>259012</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54030</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>13910377</TotalAmt>
        <ProgramServicesAmt>12387166</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1523211</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <EOYAmt>-1</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1856921</BOYAmt>
        <EOYAmt>872584</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1861712</BOYAmt>
        <EOYAmt>1212713</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>232629</BOYAmt>
        <EOYAmt>221185</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>28285172</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>16804710</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>11227415</BOYAmt>
        <EOYAmt>11480462</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>34153101</BOYAmt>
        <EOYAmt>37648185</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1358330</BOYAmt>
        <EOYAmt>2102423</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>50690108</BOYAmt>
        <EOYAmt>53537551</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>987643</BOYAmt>
        <EOYAmt>998884</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>592833</BOYAmt>
      </GrantsPayableGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>28626</BOYAmt>
        <EOYAmt>25690</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>520914</BOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2130016</BOYAmt>
        <EOYAmt>1024574</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>47230388</BOYAmt>
        <EOYAmt>50977016</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1329704</BOYAmt>
        <EOYAmt>1535961</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>48560092</BOYAmt>
        <EOYAmt>52512977</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>50690108</BOYAmt>
        <EOYAmt>53537551</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>452018</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>2688831</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>865324</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-53288</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1024706</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>143273</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>790136</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>28836</CurrentTaxYearAmt>
        <TotalAmt>1986951</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>13051689</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12828841</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11629735</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12096134</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13369822</CurrentTaxYearAmt>
        <TotalAmt>62976221</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>14076395</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12972114</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11629735</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12886270</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13398658</CurrentTaxYearAmt>
        <TotalAmt>64963172</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>64963172</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>739716</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>888202</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>836229</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>729014</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>889660</CurrentTaxYearAmt>
        <TotalAmt>4082821</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>739716</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>888202</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>836229</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>729014</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>889660</CurrentTaxYearAmt>
        <TotalAmt>4082821</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus3YearsAmt>34274</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>119662</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>415403</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>74077</CurrentTaxYearAmt>
        <TotalAmt>643416</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>14816111</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13894590</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12585626</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14030687</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14362395</CurrentTaxYearAmt>
        <TotalAmt>69689409</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.93220</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.93600</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.05860</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.05570</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 34,274. 2022 AMOUNT: $ 119,662. 2023 AMOUNT: $ 415,403. 2024 AMOUNT: $ 4,162. REFUNDS AND REBATES - 2024 AMOUNT: $ 23,514. MEMORIAL FUNDS - 2024 AMOUNT: $ 31,598. CLAIMS PAYMENTS - 2024 AMOUNT: $ 14,803.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
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        <BookValueAmt>39227</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>12857860</DepreciationAmt>
        <BookValueAmt>10232065</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>3946850</DepreciationAmt>
        <BookValueAmt>911947</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>297223</OtherCostOrOtherBasisAmt>
        <BookValueAmt>297223</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11480462</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>16951161</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2688831</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-100065</OtherRevenueAmt>
      <RevenueNotReportedAmt>2588766</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14362395</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>14362395</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>13863600</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>13863600</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>46777</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>46777</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>13910377</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAINTAINS AN ESCROW ACCOUNT FUND FOR RESIDENT SPENDING ON INCIDENTALS. THE FUNDS ACCOUNT IS RECONCILED ON A MONTHLY BASIS. PROCEDURES FOR DISBURSEMENT VARY DEPENDING ON THE CAPACITY OF THE RESIDENT TO HANDLE HIS OR HER OWN FUNDS AND ARE DELINEATED IN A POLICY MANUAL WHICH IS BASED ON STATE REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT MANAGEMENT FEES -46,777. CHANGE IN VALUE OF BENEFICIAL INTEREST 74,662. PENSION LIABILITY ADJUSTMENT -127,950.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT MANAGEMENT FEES 46,777.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>JEFFREY JAVIER</PersonNm>
        <TitleTxt>RN SUPERVISOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>145158</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2921</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>37513</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>185592</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH SHACKELFORD</PersonNm>
        <TitleTxt>NURSING ADMINISTRATOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>129128</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4055</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33166</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171349</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN ECCLES</PersonNm>
        <TitleTxt>FMR. ADMIN./EXEC DIR. (UNTIL 06/24)</TitleTxt>
        <BaseCompensationFilingOrgAmt>101330</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2630</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10124</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>114084</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT REVIEWS THE FORM 990 FOR DISCREPANCIES FROM THE FINANCIAL STATEMENTS AND REVIEWS ALL OTHER INFORMATION FOR CORRECTNESS. THE 990 IS SENT TO THE BOARD OF TRUSTEES FOR REVIEW AND ONCE APPROVAL IS RECEIVED, THE 990 IS THEN SIGNED BY THE EXECUTIVE DIRECTOR AND FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY QUESTIONNAIRE ANNUALLY. IF ANY CONFLICTS ARE FOUND, THE EXECUTIVE COMMITTEE WILL REVIEW THEM AND REPORT TO THE BOARD, WHO WILL THEN DETERMINE THE NECESSARY STEPS TO TAKE. FOR EXAMPLE, IF A BOARD MEMBER IS DETERMINED TO HAVE A CONFLICT WITH A CLIENT, THAT BOARD MEMBER WILL ABSTAIN FROM A VOTE OF DECISION AFFECTING THAT CLIENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES USES INDUSTRY INFORMATION, CONSULTANT INPUT, AND PERFORMANCE BASED SUPPORT TO DETERMINE THE COMPENSATION FOR THE EXECUTIVE DIRECTOR. ONCE THE ANNUAL APPRAISAL IS COMPLETED, THE ENTIRE BOARD OF TRUSTEES REVIEWS THE INFORMATION AND VOTES COLLECTIVELY ON COMPENSATION. THE EXECUTIVE DIRECTOR REVIEWS COMPARABLE SALARIES WITHIN THE INDUSTRY TO DETERMINE COMPENSATION FOR KEY EMPLOYEES AND OTHER MANAGEMENT STAFF. THE PROCESS IS DESIGNED TO ENSURE SALARIES ARE WITHIN FAIR MARKET RANGE FOR THE INDUSTRY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION IS LISTED ON GUIDESTAR.COM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF BENEFICIAL INTEREST 74,662. PENSION LIABILITY ADJUSTMENT -127,950.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>