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      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Helm Mechanical</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2279 East Yellow Creek Road</AddressLine1Txt>
            <CityNm>Freeport</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61032</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Maintenance</ServicesDesc>
        <CompensationAmt>833568</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Shepard Construction Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2400 Coltonville Road</AddressLine1Txt>
            <CityNm>Sycamore</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60178</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Construction</ServicesDesc>
        <CompensationAmt>412253</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SCP IT Services Intermediate Holdco</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>230 East Lincoln Highway</AddressLine1Txt>
            <CityNm>Dekalb</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60115</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT Consulting</ServicesDesc>
        <CompensationAmt>126536</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>United Methodist Home and Services</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1801 West Warner Avenue Suite 101</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60613</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Nurse Staffing</ServicesDesc>
        <CompensationAmt>931351</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>219917</AllOtherContributionsAmt>
      <TotalContributionsAmt>219917</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Rental Income</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>16984747</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16984747</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Entrance Fees - Current</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1222551</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1222551</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Entrance Fees - Term</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>357500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>357500</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>18564798</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>204930</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>204930</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1787607</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1375105</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>412502</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>412502</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>412502</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>19402147</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19182230</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>450546</TotalAmt>
        <ProgramServicesAmt>174385</ProgramServicesAmt>
        <ManagementAndGeneralAmt>276161</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>8505090</TotalAmt>
        <ProgramServicesAmt>7747881</ProgramServicesAmt>
        <ManagementAndGeneralAmt>757209</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>238203</TotalAmt>
        <ProgramServicesAmt>211981</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26222</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>832577</TotalAmt>
        <ProgramServicesAmt>729177</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103400</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>662705</TotalAmt>
        <ProgramServicesAmt>591791</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70914</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>61125</TotalAmt>
        <ManagementAndGeneralAmt>61125</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>169482</TotalAmt>
        <ManagementAndGeneralAmt>169482</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>51535</TotalAmt>
        <ManagementAndGeneralAmt>51535</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1539991</TotalAmt>
        <ProgramServicesAmt>1533538</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6453</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>27301</TotalAmt>
        <ManagementAndGeneralAmt>27301</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>5620</TotalAmt>
        <ManagementAndGeneralAmt>5620</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>248591</TotalAmt>
        <ManagementAndGeneralAmt>248591</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1764584</TotalAmt>
        <ProgramServicesAmt>1688568</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76016</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>18484</TotalAmt>
        <ProgramServicesAmt>8886</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9598</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>100005</TotalAmt>
        <ProgramServicesAmt>97505</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2500</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2353459</TotalAmt>
        <ProgramServicesAmt>2294623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58836</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>339723</TotalAmt>
        <ProgramServicesAmt>331230</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8493</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
        <TotalAmt>691743</TotalAmt>
        <ProgramServicesAmt>668193</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23550</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Food</Desc>
        <TotalAmt>900855</TotalAmt>
        <ProgramServicesAmt>900855</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs</Desc>
        <TotalAmt>613435</TotalAmt>
        <ProgramServicesAmt>598099</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15336</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Miscellaneous</Desc>
        <TotalAmt>119736</TotalAmt>
        <ProgramServicesAmt>31190</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88546</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>688464</TotalAmt>
        <ProgramServicesAmt>158032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>530432</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>20383254</TotalAmt>
        <ProgramServicesAmt>17765934</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2617320</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3765940</BOYAmt>
        <EOYAmt>2909944</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>813525</BOYAmt>
        <EOYAmt>1066708</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>63610</BOYAmt>
        <EOYAmt>32953</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>273511</BOYAmt>
        <EOYAmt>280922</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>77348775</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>41745766</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>36348831</BOYAmt>
        <EOYAmt>35603009</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>5280389</BOYAmt>
        <EOYAmt>5101543</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>46545806</BOYAmt>
        <EOYAmt>44995079</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2743880</BOYAmt>
        <EOYAmt>2692898</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>8080651</BOYAmt>
        <EOYAmt>7644660</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>3455845</BOYAmt>
        <EOYAmt>3286647</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1985000</BOYAmt>
        <EOYAmt>1995000</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>16265376</BOYAmt>
        <EOYAmt>15619205</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>29626279</BOYAmt>
        <EOYAmt>28702562</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>654151</BOYAmt>
        <EOYAmt>673312</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>30280430</BOYAmt>
        <EOYAmt>29375874</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>46545806</BOYAmt>
        <EOYAmt>44995079</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-981107</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>76551</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>360025</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>275374</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>228545</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>217334</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>219917</CurrentTaxYearAmt>
        <TotalAmt>1301195</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>15214477</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15138543</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15947424</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17444245</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18564798</CurrentTaxYearAmt>
        <TotalAmt>82309487</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>15574502</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15413917</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16175969</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17661579</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18784715</CurrentTaxYearAmt>
        <TotalAmt>83610682</TotalAmt>
      </Total509Grp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>83610682</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>65100</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>143512</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>142232</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>257773</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>204930</CurrentTaxYearAmt>
        <TotalAmt>813547</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>65100</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>143512</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>142232</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>257773</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>204930</CurrentTaxYearAmt>
        <TotalAmt>813547</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>15639602</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15557429</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16318201</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17919352</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18989645</CurrentTaxYearAmt>
        <TotalAmt>84424229</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99040</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>3208947</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>3208947</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>65776040</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>65776040</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>1599607</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>1599607</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>6764181</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>41745766</DepreciationAmt>
        <BookValueAmt>-34981585</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>35603009</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Entrance Fee Deposits</Desc>
        <Amt>1995000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1995000</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>19771439</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>76551</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>76551</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>19694888</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-292741</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-292741</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>19402147</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>20675995</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>292741</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>292741</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>20383254</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>20383254</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d-Other expenses included on Sch D but not on 990</FormAndLineReferenceDesc>
        <ExplanationTxt>The auditors classified write-down in rent charges due to life-care agreements as an expense versus classifying it as an offset to revenue. For tax returns, these offsets were treated as a revenue reduction.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY LYNCH</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>239478</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>18000</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>7172</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>264650</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LYNN BLACKBURN</PersonNm>
        <TitleTxt>HC Administrator</TitleTxt>
        <BaseCompensationFilingOrgAmt>156141</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>6796</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>167937</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHEN CICHY</PersonNm>
        <TitleTxt>Ex Chief Executive Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>120520</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8441</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>128961</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH HOPPENWORTH</PersonNm>
        <TitleTxt>Ex HC Administrator</TitleTxt>
        <BaseCompensationFilingOrgAmt>75966</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>75000</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8197</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>159163</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>City of DeKalb Series 2015B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>366005843</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2015-07-30</BondIssuedDt>
        <IssuePriceAmt>3750000</IssuePriceAmt>
        <PurposeDesc>Building Expansion</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>City of DeKalb Series 2015C</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>366005843</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2015-07-30</BondIssuedDt>
        <IssuePriceAmt>1000000</IssuePriceAmt>
        <PurposeDesc>Building Expansion</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1022495</RetiredAmt>
        <TotalProceedsAmt>3750000</TotalProceedsAmt>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>272665</RetiredAmt>
        <TotalProceedsAmt>1000000</TotalProceedsAmt>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors will receive a copy of the Form 990 return. A review was delegated to the executive committee what has full powers, duties, responsibilities, and authority of the board with respect to financial matters.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The policy requires board members to disclose to the board of directors when a conflict may exist. The organization tracks payments made to officers and directors for services or materials provided or sold to the organization. The board reviews circumstances for any such payments to verify compliance with the conflict of interest policy. Annually, board members and employees certify that they comply with the conflict of interest policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The executive committee anually determines the compensation for the Chief Exectutive Officer. The committee uses various tools to determine compensation including a salary and beneit report issued annually by AAHSA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Management utilizes multiple tools to set compensation for its employees including guides issues by AAHSA as well as utilizing outside organizations that specialize in compensation structure. These tools are then utilized in combination with individual employee performance reviews to set employee compensation each year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>All governing documents including copies of tax returns and financial statement audits are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>