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        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>true</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>true</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>true</SupportedOrgVoiceInvestmentInd>
      </Form990SchAType3SprtOrgAllGrp>
      <Form990SchAType3FuncIntGrp>
        <ActivitiesTestInd>X</ActivitiesTestInd>
        <ActivitiesFurtherExemptPrpsInd>true</ActivitiesFurtherExemptPrpsInd>
        <ActivitiesEngagedOrgInvlmntInd>true</ActivitiesEngagedOrgInvlmntInd>
      </Form990SchAType3FuncIntGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROPERTY, BUSINESS, AND AFFAIRS OF NHREFCO ARE MANAGED AND CONTROLLED BY THE BOARD OF DIRECTORS. THE DIRECTORS WORK CLOSELY WITH THE SUPPORTED ORGANIZATIONS TO IDENTIFY THE SUPPORTED ORGANIZATIONS NEEDS AND TO DEVELOP METHODS BY WHICH NHREFCO CAN BE UTILIZED TO SATISFY THOSE NEEDS. TWO OF THE FIVE DIRECTORS OF NHREFCO ARE ELECTED BY THE SUPPORTED ORGANIZATIONS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>NHREFCO IS ORGANIZED AND OPERATED TO SUPPORT THE CHARITABLE AND EDUCATIONAL PURPOSES OF HOSPITALS, ACADEMIC MEDICAL CENTERS AND MEDICAL RESEARCH ORGANIZATIONS, INCLUDING NATIONAL JEWISH HEALTH ("NJH"), THE SUPPORTED ORGANIZATION. NHREFCO'S PRIMARY ACTIVITY CONSISTS OF PROVIDING AND/OR FACILITATING LOW- COST FINANCING OF FACILITIES AND INFRASTRUCTURE FOR THE SUPPORTED ORGANIZATIONS. SPECIFICALLY, NHREFCO CONSTRUCTS OR ACQUIRES BUILDINGS, PARKING FACILITES AND OTHER INFRASTRUCTURE IMPROVEMENTS AND LEASES THE CONSTRUCTED OR ACQUIRED ASSETS TO THE SUPPORTED ORGANIZATIONS. ALL ASSETS CONSTRUCTED OR ACQUIRED BY NHREFCO ARE FIRST IDENTIFIED BY A SUPPORTED ORGANIZATION THROUGH ITS CAPITAL BUDGETING PROCESS AS NECESSARY TO FACILITATE SUCH SUPPORTED ORGANIZATION'S PURSUIT OF ITS CHARITABLE PURPOSES. THESE ACTIVITES ARE THE ONLY ACTIVITES CONDUCTED BY NHREFCO AND THUS CONSTITUTE "SUBSTANTIALLY ALL" OF THE ACTIVITES CONDUCTED BY NHREFCO.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENTLY, NHREFCO PROVIDES LOW-COST FINANCING BY FINANCING THE CONSTRUCTION OF BUILDINGS AND INFRASTRUCTURE FOR THE NJH-SJH CENTER FOR OUTPATIENT HEALTH. THIS BUILDING WILL BE INTEGRAL TO THE PROMOTION OF THE SUPPORTED ORGANIZATION'S EXEMPT PURPOSE AND WILL BE USED IN THE DAY TO DAY OPERATIONS. BUT FOR THE EXISTENCE AND OPERATION OF NHREFCO, NJH WOULD HOLD THIS PROPERTY OUTRIGHT AND CONTINUE TO USE THE PROPERTY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSE.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>73074522</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2283579</DepreciationAmt>
        <BookValueAmt>70790943</BookValueAmt>
      </BuildingsGrp>
      <TotalBookValueLandBuildingsAmt>70790943</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PREMIUM OF LONG-TERM DEBT</Desc>
        <Amt>6875168</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6875168</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleK documentId="RetDoc3">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COLORADO HEALTH FACILITIES AUTHORIT</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>840752932</BondIssuerEIN>
        <CUSIPNum>19648FMX9</CUSIPNum>
        <BondIssuedDt>2019-10-16</BondIssuedDt>
        <IssuePriceAmt>81136526</IssuePriceAmt>
        <PurposeDesc>NJH-SJH CENTER FOR OUTPATIENT HEALTH</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>81136526</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>992510</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>73074522</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2021</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>COLORADO HEALTH FACILITIES AUTHORITY NJH-SJH CENTER FOR OUTPATIENT HEALTH</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO THE BYLAWS, THE ORGANIZATION SHALL OPERATE EXCLUSIVELY TO SUPPORT THE CHARITABLE AND EDUCATIONAL PURPOSES OF HOSPITALS, ACADEMIC MEDICAL CENTERS AND MEDICAL RESEARCH ORGANIZATIONS BY PROVIDING OR FACILITATING LOW-COST FINANCING OF FACILITIES AND INFRASTRUCTURE FOR THE SUPPORTED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS WHO MAY ELECT MEMBERS PURSUANT TO THE ORGANIZATION'S BYLAWS, THE SUPPORTED ORGANIZATIONS ELECT TWO OF THE FIVE DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED AND REVIEWED BY A THIRD PARTY PREPARER. PRIOR TO FILING, THE FORM 990 IS MADE AVAILABLE TO QUALIFIED REPRESENTATIVES OF EACH OF THE MEMBERS FOR THEIR REVIEW AND COMMENT. A COPY OF THE FINAL RETURN WILL BE MADE AVAILABLE TO THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS ENFORCED THROUGH A SERIES OF PROCEDURES. 1. THE BOARD MEMBERS HAVE A DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS, AND BE GIVEN OPPORTUNITY TO PRESENT ANY FINANCIAL OR PERSONAL CONFLICT OF INTEREST TO THE BOARD. 2. THE BOARD WILL DETERMINE WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. 3. THE BOARD IS REQUIRED TO FOLLOW PROCEDURES THAT INSTRUCT ON HOW TO ADDRESS THE POTENTIAL CONFLICT OF INTEREST. 4. THE BOARD ALSO HAS THE RIGHT TO TAKE DISCIPLINARY AND CORRECTIVE ACTION IN THE EVENT OF VIOLATION OF THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS AVAILABLE TO PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc5">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NJH-SJH CNTER FOR OUTPATIENT HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1475 JACKSON STREET</AddressLine1Txt>
          <CityNm>DENVER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80210</ZIPCd>
        </USAddress>
        <EIN>840752932</EIN>
        <PrimaryActivitiesTxt>LEASE PROP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NHREFCO</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NATIONAL JEWISH HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1475 JACKSON STREET</AddressLine1Txt>
          <CityNm>DENVER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80210</ZIPCd>
        </USAddress>
        <EIN>840752932</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
