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      <MissionDesc>PROVIDE QUALITY PROGRAMS AND FACILITIES TO HELP THE INDIVIDUALS WITH INTELLECTUAL DEVELOPMENTAL DISABILITIES ENTRUSTED TO OUR CARE LIVE WITH PURPOSE, DIGNITY AND TO PROVIDE OPPORTUNITIES TO GROW AND FUNCTION AT THEIR FULL POTENTIAL AND AS INDEPENDENTLY AS POSSIBLE.</MissionDesc>
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      <Desc>MERAKEY ALLEGHENY VALLEY SCHOOL (MERAKEY AVS) HAS EARNED AN EXEMPLARY REPUTATION AS A LEADING PROVIDER OF SERVICES FOR PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDD). MERAKEY AVS PROVIDES NURTURING ENVIRONMENTS, ENRICHMENT ACTIVITIES AND COMMUNITY ENGAGEMENT PROGRAMS WHILE CARING FOR THE DAILY NEEDS OF THOSE WE SUPPORT.GUIDING MERAKEY AVS ARE THE FOLLOWING:OUR PURPOSE: PUTTING OUR HEART AND SOUL INTO EXCEPTIONAL CARE.OUR VISION: TO BE A NATIONALLY RECOGNIZED PROVIDER OF THE HIGHEST QUALITY HEALTH AND HUMAN SERVICES.OUR CORE VALUES: COMPASSION, DIVERSITY, INTEGRITY, SAFETY, TRUST AND QUALITYMERAKEY AVS IS A NON-PROFIT ORGANIZATION THAT PROVIDES A FULL RANGE OF SERVICES, SUPPORTS, AND LIVING ARRANGEMENTS TO MORE THAN 700 ADULTS WITH VARYING LEVELS OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. MOST OF THE PEOPLE WE SUPPORT ARE DIAGNOSED WITH SEVERE OR PROFOUND IDD, HAVE MULTIPLE PHYSICAL DISABILITIES AND EXTENSIVE MEDICAL COMPLICATIONS. WE CARE FOR SOME OF OUR COMMUNITY'S MOST VULNERABLE ADULTS AND PROVIDE SUPPORT FOR THOSE WITH SOCIAL, EMOTIONAL AND/OR PSYCHOLOGICAL NEEDS.PROGRAMS AND SERVICES RANGE FROM PHYSICAL, OCCUPATIONAL, AND COMMUNICATION THERAPIES TO VOCATIONAL TRAINING AND EMPLOYMENT SUPPORT. THERAPEUTIC ACTIVITIES AND DEVELOPMENTAL TRAINING FOCUS ON SENSORY, ENVIRONMENTAL AND PRE-VOCATIONAL SKILL DEVELOPMENT. AN INDIVIDUALIZED/PERSON-CENTERED PLAN OF CARE IS DEVELOPED FOR EACH PERSON WITH THE GOAL OF ACHIEVING HIS/HER HIGHEST LEVEL OF INDEPENDENCE, WHILE ENHANCING THEIR QUALITY OF LIFE. MERAKEY AVS OPERATES FACILITIES INCLUDING HOMES, CAMPUS LIVING, APARTMENTS, AND LIFE SHARING PROGRAMS IN NINE PENNSYLVANIA COUNTIES: ALLEGHENY, BEAVER, BUCKS, BUTLER, DAUPHIN, LEBANON, MERCER, MONTGOMERY, AND PHILADELPHIA. MERAKEY AVS HAS SPECIALIZED PROGRAMS THAT RESPOND TO THE UNIQUE NEEDS OF THE PEOPLE WE SUPPORT SUCH AS: MEMORY CARE, COMMUNICATION TECHNOLOGY, SENSORY NEEDS, AND TECHNOLOGY HOMES. MERAKEY AVS HAS BEEN PROVIDING CARE FOR INDIVIDUALS WITH IDD SINCE ITS FOUNDING IN 1960. IN 2008, ALLEGHENY VALLEY SCHOOL BECAME AN AFFILIATE OF MERAKEY, A NONPROFIT, TAX-EXEMPT CORPORATION THAT SERVES AS THE PARENT ORGANIZATION OF ITS NONPROFIT AND FOR-PROFIT AFFILIATED ORGANIZATIONS. IN ALL THAT WE DO, WE AIM TO PROVIDE QUALITY PROGRAMS AND FACILITIES TO HELP INDIVIDUALS WITH IDD ENTRUSTED TO OUR CARE TO LIVE WITH PURPOSE AND DIGNITY, AND TO PROVIDE OPPORTUNITIES AND CHOICES TO HELP THEM GROW AND FUNCTION AT THEIR FULL POTENTIAL AS INDEPENDENTLY AS POSSIBLE.MERAKEY CONTINUES ITS COMMITMENT TO THE PREVENTION OF ABUSE THROUGH ALL AREAS OF OPERATIONS INCLUDING POLICIES, SCREENING, HIRING, TRAINING, SUPERVISION AND MONITORING, ADMINISTRATIVE POLICIES, AND CONSUMER PARTICIPATION THROUGH OUR PRAESIDIUM ACCREDITATION. PROVIDING THE HIGHEST QUALITY SERVICES AND A ZERO-TOLERANCE ENVIRONMENT FOR ABUSE OF ANY KIND FOR THOSE WITHIN OUR CARE IS THE HIGHEST PRIORITY. INDIVIDUALS AND STAFF MEMBERS ATTENDED AND PARTICIPATED IN MANY COMMUNITY ACTIVITIES:- SPRING MIRACLE LEAGUE (BASEBALL) SEASON 109 INDIVIDUALS COMPLETED A 2-MONTH SEASON IN MOON AND CRANBERRY TOWNSHIP. COMMUNITY VOLUNTEERS ASSISTED AT EACH GAME. VOLUNTEERS WERE FROM MIDDLE AND HIGH SCHOOL AS WELL AS ADULTS FROM THE COMMUNITY AND MERAKEY AVS.- FALL MIRACLE LEAGUE BASEBALL: 65 INDIVIDUALS PARTICIPATED IN A 6-WEEK SEASON AT MOON AND CRANBERRY TOWNSHIP PUBLIC PARKS. VOLUNTEERS THAT HELP EACH WEEK WERE FROM MIDDLE AND HIGH SCHOOL, FAMILY, FRIENDS, MIRACLE LEAGUE ORGANIZERS, AND ECSI COMPANY.- INDIVIDUALS VISITED ENRICHMENT VENUES SUCH AS THE CARNEGIE MUSEUMS, PHIPPS CONSERVATORY, NATIONAL AVIARY, AND THE PITTSBURGH ZOO AND PPG AQUARIUM.- INDIVIDUALS AND STAFF, AS WELL AS MERAKEY EMPLOYEES VISITED KENNYWOOD, IDLEWILD, AND SANDCASTLE AMUSEMENT PARKS. - MANY AVS INDIVIDUALS ARE MEMBERS OF THE COMMUNITY BRIDGE BUILDING NETWORK AND THE MCKEES ROCKS ROTARY CLUB. WE REACH OUT TO LOCAL AREA BUSINESSES AND NON-PROFITS WITH THE PURPOSE OF MAKING AND EXPANDING COMMUNITY PARTNERSHIPS.- ADDITIONAL OUTINGS INCLUDED ERIE ZOO AND TWO SENSORY-FRIENDLY PITTSBURGH ORCHESTRA PERFORMANCES VIA DONATED TICKETS. - BI-WEEKLY PARTICIPATION IN PROGRAM CENTER ACTIVITIES AND CLASSES SUCH AS COMPUTERS, FOOD PREPARATION, MUSIC THERAPY AND MORE.- THERE WERE ALSO MANY HOLIDAY LIGHTS DRIVE-THRU EXPERIENCES AVAILABLE FOR ALL PENNSYLVANIA SITES. THE MERAKEY IDD FALL COSTUME VIRTUAL DANCE PARTY WAS HELD IN OCTOBER. NEARLY 100 LOCATIONS ACROSS MERAKEY IDD DRESSED IN COSTUME AND JOINED THE 90-MINUTE ONLINE DANCE PARTY PACKED WITH GAMES, DANCING, AND SPECIAL MESSAGES.- IN-PERSON HOLIDAY GATHERINGS AND PARTIES AT MERAKEY AVS CAMPUSES, HOMES, AND PROGRAM CENTERS.- ATTENDING LOCAL SPORTING EVENTS LIKE HOCKEY, BASEBALL, AND SOCCER GAMES.- VIRTUAL DANCES FOR ALL OF IDD THROUGHOUT MERAKEY. MORE THAN 150 PEOPLE PARTICIPATED IN THE VIRTUAL IDD DANCES. - VARIOUS DAY TRIPS TO LOCAL ATTRACTIONS WHICH WERE COUPLED WITH LEARNING OPPORTUNITIES. PARTICIPATION IN VIRTUAL AND IN-PERSON COMMUNITY EVENTS.- PET THERAPY WITH LOCAL ORGANIZATIONS.- VACATIONS WITH THEIR HOUSEMATES TO PLACES LIKE THE POCONO MOUNTAINS, GENEVA LAKE, MYRTLE BEACH, AND NIAGARA FALLS.- HOLIDAY VISITS FROM LOCAL ROTARY GROUPS AND COMPANIES.- VISITS TO FAVORITE RESTAURANTS, MOVIE THEATERS, CONCERTS AND PARKS.- VOLUNTEERING AND ATTENDING SUMMER CAMPS WITH INDIVIDUALS FROM SIMILAR ORGANIZATIONS.- PARTICIPATING IN AND ATTENDING MANY PITTSBURGH VINTAGE GRAND PRIX EVENTS.- HOLDING THEMED CAMPS AND CELEBRATIONS AT MERAKEY AVS PROGRAM CENTERS AND CAMPUSES.MERAKEY AVS' DEVELOPMENT DEPARTMENT IS ASSISTING STAFF DEVELOPMENT WITH EMPLOYEE ENGAGEMENT EVENTS IN EASTERN AND CENTRAL PA. THESE WORKSHOPS ARE FUNDED BY THE MERAKEY FOUNDATION AND ARE PART OF THE PASSION AMBASSADOR PROGRAM THROUGHOUT THE STATE.WE SUPPORT INDIVIDUALS FOSTERING NEW AND ONGOING SOCIAL RELATIONSHIPS. MERAKEY AVS CONTINUES TO EXPAND ACCESS TO TECHNOLOGY TO ENSURE THAT INDIVIDUALS CAN CONTINUE TO ENGAGE MEANINGFULLY WITH FAMILY, FRIENDS, AND THE COMMUNITY. MERAKEY AVS HAS INCREASED ACCESS TO TELEHEALTH WHICH HELPS TO PROVIDE EXCEPTIONAL CARE TO THE PEOPLE WE SUPPORT, AND TO PROVIDE ACCESS TO THE MANY MEDICAL PROVIDERS NEEDED TO ENSURE THEY ARE PROVIDED WITH THE BEST CARE POSSIBLE. USING THE RESULTS OF THE ANNUAL COMPANY-WIDE SURVEY ABOUT IMPROVING THE EMPLOYEE EXPERIENCE, MERAKEY AVS HAS AND WILL CONTINUE TO OFFER EMPLOYEE BENEFITS INCLUDING FLEXIBLE PAYMENT OPTIONS, PROGRAMS THAT REDUCE THE COST FOR PERSONAL CARE PROVIDERS, A FREE LEARNING PLATFORM TO IMPROVE SKILLS THAT SUPPORT THEIR CURRENT JOB ROLE AND MORE. MERAKEY AVS HAS PROVIDED EMPLOYEES WITH OFF-SITE WORKSHOPS GEARED TOWARD HOW EACH OF US CAN MAINTAIN OUR PASSION AND ENERGY IN THE WORKPLACE. UNDERSTANDING AND WORKING TOWARD A MORE INCLUSIVE CULTURE IS A CRITICAL CHALLENGE IN HUMAN SERVICES TODAY. WE HAVE A PASSION TO HELP PEOPLE AND TO MAKE THE WORLD A BETTER PLACE. USING AN INTERACTIVE FORMAT, WE LOOKED AT THE BEST PART OF OUR WORK, THE BEST PART OF EACH OF US, AND SHARED STORIES OF HOPE AND JOY. WE LEARNED TO THINK ABOUT WAYS TO STAY ENERGIZED AND TO LEARN NEW STRATEGIES TO REMAIN ENGAGED. THE PASSION AMBASSADOR PROGRAM CONTINUES TO ENCOURAGE TEAMS TO INCORPORATE TRUST AND COMPASSION IN THEIR WORKPLACE.</Desc>
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        <BeginningYearBalanceAmt>756441</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>756441</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>756441</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>756441</EndYearBalanceAmt>
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      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>8541355</OtherCostOrOtherBasisAmt>
        <BookValueAmt>8541355</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>58947703</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>31270300</DepreciationAmt>
        <BookValueAmt>27677403</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>7074681</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6331732</DepreciationAmt>
        <BookValueAmt>742949</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>14907384</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8869741</DepreciationAmt>
        <BookValueAmt>6037643</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>42999350</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>4715020</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEFERRED FINANCING FEE</Desc>
        <BookValueAmt>621743</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM CORPORATE</Desc>
        <BookValueAmt>17810402</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE</Desc>
        <BookValueAmt>2806178</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>25953343</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CLIENT FUND</Desc>
        <Amt>167889</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO MEDICAL ASSISTANCE</Desc>
        <Amt>4446150</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER CURRENT LIABILITIES</Desc>
        <Amt>24101</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT OF USE</Desc>
        <Amt>3049823</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INVENTORY ORDER ACCRUAL</Desc>
        <Amt>919</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO FUNDER</Desc>
        <Amt>4034372</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>11723254</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>177340280</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>177340280</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>1554202</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1554202</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>178894482</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>181822814</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>181822814</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>181822814</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>AVS HAS A BENEFICIAL INTEREST ASSET, INCLUDED IN OTHER ASSETS AND THE RELATED NET ASSETS WITH DONOR RESTRICTIONS, AS AVS IS AN INCOME BENEFICIARY OF THE EAMON FOUNDATION (FORMERLY KNOWN AS AVS FOUNDATION), AN UNRELATED ENTITY. AVS HAS NO DIRECT RIGHTS OR OBLIGATIONS TO EAMON FOUNDATION'S ASSETS, LIABILITIES OR NET ASSETS. THE RELATED INCOME FROM THIS INVESTMENT IS RESTRICTED FOR FUTURE CAPITAL ASSET PURCHASES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AVS FOLLOWS GUIDANCE THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING ISSUES RELATING TO FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT. THIS GUIDANCE PROVIDES THAT THE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION CAN ONLY BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THE POSITION IS "MORE-LIKELY-THAN-NOT" TO BE SUSTAINED IF THE POSITION WERE TO BE CHALLENGED BY A TAXING AUTHORITY. THE ASSESSMENT OF THE TAX POSITION IS BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT THE TAX POSITION MAY BE CHALLENGED. AVS HAS PROCESSES PRESENTLY IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME; TO DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT HAS NEXUS; AND TO IDENTIFY AND EVALUATE OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. AVS HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESTRICTED CONTRIBUTIONS 1,554,202.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>JOSEPH MARTZ</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DERRICK YACOVELLI</PersonNm>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>781977</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THEODORE DALLAS</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6775</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>19411</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>726522</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEAH PASON</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17561</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELISE TRETOLA</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6774</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>473827</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CYNTHIA HAMILTON</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA WATTERS</PersonNm>
        <TitleTxt>NURSE</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN KLINGENSMITH</PersonNm>
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        <PersonNm>VERONICA ERATH</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ORGANIZATION DOES NOT DIRECTLY PAY ITS OFFICERS AND DIRECTORS. ALL COMPENSATION TO THE OFFICERS AND DIRECTORS REPORTED ON PART VII OF THE FORM 990 WAS PAID BY A RELATED ORGANIZATION, MERAKEY USA. MERAKEY USA UNDERTAKES A THOROUGH PROCESS TO ENSURE THAT THE EXECUTIVE COMPENSATION IT PAYS TO ITS TOP MANAGEMENT OFFICIALS IS REASONABLE GIVEN THE MARKET IN WHICH THE ORGANIZATION OPERATES. MERAKEY USA CHECKS THE FOLLOWING BOXES FOR SCHEDULE J, PART I, QUESTION 3 ON ITS FORM 990: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OF COMPENSATION COMMITTEE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING DIRECTORS AND OFFICERS PARTICIPATED IN A 457(F) NONQUALIFIED RETIREMENT PLAN IN FY2024: JOSEPH MARTZ - $ 253,607 DERRICK YACOVELLI - $ 121,250 THEODORE DALLAS - $ 115,690 LEAH PASON - $ 66,150 ELISE TRETOLA - $ 51,354</ExplanationTxt>
      </SupplementalInformationDetail>
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        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
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        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
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        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>MORGAN STANLEY</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>CAPITAL SERVICES</BusinessNameLine2Txt>
        </HedgeProviderName>
        <TermOfHedgePct>18.000000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>MERAKEY USA USES A CASH MANAGEMENT SYSTEM THAT ISSUES ALL FORMS 1099 THROUGH THE PARENT ORGANIZATION FOR ALL SUBSIDIARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>NHS-AVS, LLC IS THE SOLE MEMBER OF THIS ORGANIZATION. NHS-AVS, LLC HAS AS ITS SOLE MEMBER MERAKEY USA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE MEMBER, MERAKEY USA, HAS THE POWER TO APPOINT BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MERAKEY USA IS THE PARENT CORPORATION AND SHALL HAVE THE POWER TO RECOMMEND AND REVIEW, AS APPROPRIATE, AND APPROVE CERTAIN MATTERS. ARTICLES OF INCORPORATION MAY BE AMENDED BY VOTE OF THE SOLE MEMBER OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 WAS PREPARED BY THE ORGANIZATION'S TAX DEPARTMENT. COMMENTS AND THE 990 WERE REVIEWED BY SENIOR MANAGEMENT. THE FORM 990 WAS THEN SENT TO EACH BOARD MEMBER FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ANNUAL QUESTIONNAIRE IS SENT TO AND COMPLETED BY EACH DIRECTOR. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST IS REQUIRED TO RECUSE HIMSELF/HERSELF FROM ANY DISCUSSIONS, NEGOTIATIONS, DELIBERATIONS OR DECISION MAKING INVOLVING THE TRANSACTION CAUSING THE CONFLICT. ALL CONFLICTS OF INTEREST INVOLVING DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REVIEWED BY GENERAL COUNSEL. THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE ORGANIZATION'S OFFICE OF QUALITY AND COMPLIANCE AND ANY POTENTIAL CONFLICTS ARE INVESTIGATED IMMEDIATELY. ANY DISCLOSED RELATIONSHIPS ARE COMMUNICATED TO THE CORPORATE CONTROLLER FOR PURPOSE OF THE AUDIT, COMPLETING FORM 990 AND FOR ANY POSSIBLE INTERNAL CONTROL ISSUES THAT MAY TAKE PLACE DUE TO THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INTEGRAL PART OF THE ORGANIZATION'S EXECUTIVE RETENTION STRATEGY IS MAINTAINING A COMPREHENSIVE, COMPETITIVE COMPENSATION PROGRAM FOR KEY LEADERSHIP PERSONNEL. TO ENSURE THAT ITS PROGRAM AND PRACTICES ARE MEETING THIS OBJECTIVE, THE COMPENSATION COMMITTEE OF THE MERAKEY USA BOARD OF DIRECTORS ENGAGED A CONSULTANT TO REVIEW THE PROGRAM STRUCTURE, CURRENT PAY AND REWARD LEVELS AND RELATED ADMINISTRATIVE PRACTICES. SPECIFICALLY, THE CONSULTANTS WERE ASKED TO IDENTIFY AND REPORT ON CURRENT EXECUTIVE COMPENSATION LEVELS AND PRACTICES AND PROGRAMMING TRENDS AMONG MISSION SIMILAR ORGANIZATIONS OF LIKE SIZE AND OPERATIONAL SCOPE, ASSESS CURRENT MERAKEY USA EXECUTIVE PAY LEVELS AND PRACTICES IN LIGHT OF PREVAILING INDUSTRY NORMS AND, IN LIGHT OF CONTINUING IRS AND SPONSORING AGENCY SCRUTINY OF EXECUTIVE PAY LEVELS AND PRACTICES IN TAX-EXEMPT ORGANIZATIONS TO DETERMINE REASONABLENESS OF EXECUTIVE PAY UNDER IRC SECTION 4958 GUIDELINES. THE COMPENSATION COMMITTEE USED THIS INFORMATION TO APPROVE THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER AND DETERMINE THE COMPENSATION OF OTHER KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTIONS FOR PPE 809,835. CHANGE IN BENEFICIAL INTEREST IN EAMON FOUNDATION 703,978. NET ASSETS RELEASED FROM RESTRICTIONS -1,293,659.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>MERAKEY WOODHAVEN</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY ALLOS</BusinessNameLine1Txt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY IDD PHILADELPHIA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>222454140</EIN>
        <PrimaryActivitiesTxt>IDD SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY PHILADELPHIA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY MARYLAND</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>264213384</EIN>
        <PrimaryActivitiesTxt>FOSTER CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY PENNSYLVANIA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NHS II PROPERTIES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>300204506</EIN>
        <PrimaryActivitiesTxt>HOLDS TITLE TO PROPERTIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTHWESTERN PROPERTIES CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>220018629</EIN>
        <PrimaryActivitiesTxt>HOLDS TITLE TO PROPERTIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FRESH START FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232805137</EIN>
        <PrimaryActivitiesTxt>VETERANS RESIDENTIAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY MIDWEST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>471282192</EIN>
        <PrimaryActivitiesTxt>BH &amp; IDD SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SMALL HANDS BIG HEARTS PEDIATRIC THERAPY MANAGEMENT LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>270267711</EIN>
        <PrimaryActivitiesTxt>PEDIATRIC THERAPY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY ALLOS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SENTRY MANAGEMENT SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>753242490</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTHWESTERN ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232443521</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE AMICA COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232461337</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTHWESTERN MANAGEMENT SERVICES COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232144909</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LIFE TREE PHARMACY SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>202433174</EIN>
        <PrimaryActivitiesTxt>PHARMACY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HOUSE NEXT DOOR INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232093671</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTHWESTERN INTRASYSTEMS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232461336</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LUMICARE INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>233084216</EIN>
        <PrimaryActivitiesTxt>HEALTH CONSULTING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FRESH START NOW INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232589841</EIN>
        <PrimaryActivitiesTxt>RECOVERY HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>