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      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>US Foods Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 198421</AddressLine1Txt>
            <CityNm>Atlanta</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303848421</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Food Supplier</ServicesDesc>
        <CompensationAmt>1254782</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Marsh McLennan Agency</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 744833</AddressLine1Txt>
            <CityNm>Atlanta</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303744833</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Insurance Broker</ServicesDesc>
        <CompensationAmt>1068709</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Nexaff Group LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 75410</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60675</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Agency-Nursing</ServicesDesc>
        <CompensationAmt>713377</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Polaris Pharmacy Service LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2900 NW 60th Street</AddressLine1Txt>
            <CityNm>Fort Lauderdale</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33309</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Pharmacy</ServicesDesc>
        <CompensationAmt>610663</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Gomez Ceramic Tiles LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2424 N Forsyth Road</AddressLine1Txt>
            <CityNm>Orlando</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32807</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Contract Services</ServicesDesc>
        <CompensationAmt>442963</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>449484</AllOtherContributionsAmt>
      <TotalContributionsAmt>449484</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Health Care Revenue</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>15912672</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15912672</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Monthly Service Fees</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>10818679</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10818679</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Earned Entrance Fees</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>2769523</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2769523</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>29500874</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>693539</TotalRevenueColumnAmt>
        <ExclusionAmt>693539</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>75989</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>75989</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>75989</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>75989</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Interest Rate Swap</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>4636665</TotalRevenueColumnAmt>
        <ExclusionAmt>4636665</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>111961</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>111961</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Food Service</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>121673</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>121673</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>46920</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>46920</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>4917219</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>35637105</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29857417</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>5330204</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1182357</TotalAmt>
        <ProgramServicesAmt>593543</ProgramServicesAmt>
        <ManagementAndGeneralAmt>588814</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>13706722</TotalAmt>
        <ProgramServicesAmt>13448023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>258699</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>88139</TotalAmt>
        <ProgramServicesAmt>60043</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28096</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1341269</TotalAmt>
        <ProgramServicesAmt>1185082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>156187</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1139799</TotalAmt>
        <ProgramServicesAmt>1025031</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114768</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>216819</TotalAmt>
        <ProgramServicesAmt>150100</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66719</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>40953</TotalAmt>
        <ManagementAndGeneralAmt>40953</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>917801</TotalAmt>
        <ManagementAndGeneralAmt>917801</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <AdvertisingGrp>
        <TotalAmt>168773</TotalAmt>
        <ProgramServicesAmt>168773</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>233409</TotalAmt>
        <ProgramServicesAmt>196926</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36483</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1937294</TotalAmt>
        <ProgramServicesAmt>1794990</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142304</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>12608</TotalAmt>
        <ProgramServicesAmt>3565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9043</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>36505</TotalAmt>
        <ProgramServicesAmt>11873</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24632</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1398878</TotalAmt>
        <ManagementAndGeneralAmt>1398878</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2472997</TotalAmt>
        <ProgramServicesAmt>2421946</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51051</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1016062</TotalAmt>
        <ProgramServicesAmt>766330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>249732</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Health Care Cost</Desc>
        <TotalAmt>2062287</TotalAmt>
        <ProgramServicesAmt>2062287</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Food China Utensils</Desc>
        <TotalAmt>1383681</TotalAmt>
        <ProgramServicesAmt>1383681</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Contr &amp; Consulting Services</Desc>
        <TotalAmt>981622</TotalAmt>
        <ProgramServicesAmt>863330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>118292</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SuppliesChemHouskpngLinen</Desc>
        <TotalAmt>529685</TotalAmt>
        <ProgramServicesAmt>529685</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1833048</TotalAmt>
        <ProgramServicesAmt>1619522</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213526</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>32700708</TotalAmt>
        <ProgramServicesAmt>28284730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4415978</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1090130</BOYAmt>
        <EOYAmt>837731</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2981535</BOYAmt>
        <EOYAmt>2929944</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>44365</BOYAmt>
        <EOYAmt>61001</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>79018</BOYAmt>
        <EOYAmt>128162</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>84326911</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>37410436</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>47147609</BOYAmt>
        <EOYAmt>46916475</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>22746061</BOYAmt>
        <EOYAmt>19282240</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>471466</BOYAmt>
        <EOYAmt>420416</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>5472710</BOYAmt>
        <EOYAmt>4763924</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>80032894</BOYAmt>
        <EOYAmt>75339893</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3139181</BOYAmt>
        <EOYAmt>4812935</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
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        <EOYAmt>12769381</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>46243000</BOYAmt>
        <EOYAmt>44103000</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1886648</BOYAmt>
        <EOYAmt>3072796</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>68530035</BOYAmt>
        <EOYAmt>64758112</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>11502859</BOYAmt>
        <EOYAmt>10581781</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11502859</BOYAmt>
        <EOYAmt>10581781</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>80032894</BOYAmt>
        <EOYAmt>75339893</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>2936397</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-3857475</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus3YearsAmt>1732</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1259484</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>911877</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>449484</CurrentTaxYearAmt>
        <TotalAmt>2622577</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>30629595</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>31791724</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>30926202</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>28171116</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>29500874</CurrentTaxYearAmt>
        <TotalAmt>151019511</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>30629595</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>31793456</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>32185686</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>29082993</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>29950358</CurrentTaxYearAmt>
        <TotalAmt>153642088</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>153642088</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>527361</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>642457</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2011898</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3486214</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>693539</CurrentTaxYearAmt>
        <TotalAmt>7361469</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>527361</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>642457</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2011898</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3486214</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>693539</CurrentTaxYearAmt>
        <TotalAmt>7361469</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>46112</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>120341</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>249487</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>321152</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>356543</CurrentTaxYearAmt>
        <TotalAmt>1093635</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>31203068</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>32556254</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>34447071</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>32890359</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>31000440</CurrentTaxYearAmt>
        <TotalAmt>162097192</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.94780</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.94600</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.05000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.04000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
      <AgentTrusteeEtcInd>true</AgentTrusteeEtcInd>
      <BeginningBalanceAmt>102812</BeginningBalanceAmt>
      <EndingBalanceAmt>102812</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>4291725</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4291725</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>64406377</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>31926165</DepreciationAmt>
        <BookValueAmt>32480212</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>9511339</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2881040</DepreciationAmt>
        <BookValueAmt>6630299</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>76468</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>55764</DepreciationAmt>
        <BookValueAmt>20704</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>6041002</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2547467</DepreciationAmt>
        <BookValueAmt>3493535</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>46916475</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Interest Rec</Desc>
        <BookValueAmt>4311876</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Deferred Exp</Desc>
        <BookValueAmt>404558</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Deposits</Desc>
        <BookValueAmt>47490</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>4763924</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due tofrom Related Party</Desc>
        <Amt>1199473</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Entrance Fee Deposits</Desc>
        <Amt>1678000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Wait List Deposits</Desc>
        <Amt>110000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease Liability</Desc>
        <Amt>85323</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3072796</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Agent not reporting amounts on 990 (Part IV, line 1b)</FormAndLineReferenceDesc>
        <ExplanationTxt>Resident trust account for residents residing in the Skilled Nursing Facility.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>true</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>true</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alicia Labrecque</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>371472</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>201410</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6529</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>579411</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kerry Gerrity</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>276027</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>76714</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>11612</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>364353</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Charity Hathorne CPA</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>197859</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>58875</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2714</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>259448</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Murphy</PersonNm>
        <TitleTxt>Marketing Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>87533</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>108120</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>10251</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>205904</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Amy Dickens</PersonNm>
        <TitleTxt>Dir of Nursing</TitleTxt>
        <BaseCompensationFilingOrgAmt>149444</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>12000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>8633</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>170077</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Catherine Henderson</PersonNm>
        <TitleTxt>SNF Administrator</TitleTxt>
        <BaseCompensationFilingOrgAmt>136403</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>8345</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>154748</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="990K">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>2015 Org Cty Hlth Fac Rev</BusinessNameLine1Txt>
        </IssuerName>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2015-12-03</BondIssuedDt>
        <IssuePriceAmt>39044000</IssuePriceAmt>
        <PurposeDesc>Refi bonds &amp; cap improvements</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>2016 Org Cty Hlth Fac Rev</BusinessNameLine1Txt>
        </IssuerName>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2016-10-19</BondIssuedDt>
        <IssuePriceAmt>18555000</IssuePriceAmt>
        <PurposeDesc>Refi bonds &amp; cap improvements</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>34679121</RetiredAmt>
        <TotalProceedsAmt>42715765</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>474684</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>5000000</CapitalExpendituresAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>21591644</RetiredAmt>
        <TotalProceedsAmt>18262320</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>292680</IssuanceCostsFromProceedsAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>false</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>false</EngageBondCounselResearchInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>false</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>false</EngageBondCounselResearchInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>true</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>Truist Bank</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>15</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <RegulatorySafeHarborStsfdInd>false</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>true</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>Truist Bank</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>20</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <RegulatorySafeHarborStsfdInd>false</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General Explanation Attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>Arbitrage Rebate Calculation Date: March 31, 2020</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Member election for additional members Part VI line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Resident Council and the Evangelical Lutheran Council in America each may nominate two members of the Board of Directors. The members are voted into membership by current Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing body decisions Part VI line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Florida Office of Insurance Regulation OIR is to receive any changes to the Board of Directors within ten days of the date upon which Orlando Lutheran Towers, Inc. receives its notice of change. Additions to the Board of Directors are subject to approval by the OIR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of the board of directors receive a copy of the final form 990 for review before it is filed. The Chief Financial Officer conducts a comprehensive review of the return before it is filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The board members file an annual code of conduct and conflict of interest statement with OLTs compliance officer. The CEO, COO, CFO, Directors, Key Employees, Marketing Department, Information Technology, and any other employee designated by the CEO must complete and sign a conflict of interest statement during new hire orientation and annually. If an actual conflict of interest is identified, key employees must complete and submit a conflict of interest disclosure form to their supervisor or the compliance officer. Any board members with conflicts of interest may be permitted to participate in discussions and are prohibited from voting on the issues that result in the conflict.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The president, vice president and treasurer/secretary of the board of directors conduct a detailed review and approval process to ensure that compensation paid to the organizations senior level management is fair and reasonable for the services rendered. All decision makers are independent with respect to the compensation arrangement being considered and rely on comparability data that demonstrates the fair market value of the compensation. Compensation studies prepared by independent consulting firms are utilized to determine fair market value. The organization retains appropriate documentation in the board minutes to support the compensation decisions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The president, vice president and treasurer/secretary of the board of directors conduct a detailed review and approval process to ensure that compensation paid to the Organizations senior level management is fair and reasonable for the services rendered. All decision makers are independent with respect to the compensation arrangement being considered and rely on comparability data that demonstrates the fair market value of the compensation. Compensation studies prepared by independent consulting firms are utilized to determine fair market value. The organization retains appropriate documentation in the Board minutes to support the compensation decisions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Articles of incorporation are available for public inspection upon request and through www.sunbiz.org, the Florida state division of corporations website. Financial statements are available through the Florida office of insurance regulation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Towers Home Care &amp; Rehab Svc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>300 E Church St</AddressLine1Txt>
          <CityNm>Orlando</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32801</ZIPCd>
        </USAddress>
        <EIN>593719465</EIN>
        <PrimaryActivitiesTxt>Home Health Agency</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Orlando Lutheran Towers Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Orlando Lutheran Towers Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>300 E Church St</AddressLine1Txt>
          <CityNm>Orlando</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32801</ZIPCd>
        </USAddress>
        <EIN>593268359</EIN>
        <PrimaryActivitiesTxt>Support to OLT residents</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Orlando Lutheran Towers Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Towers Home Care &amp; Rehab Svc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>r</TransactionTypeTxt>
        <InvolvedAmt>355973</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Orlando Lutheran Towers Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>c</TransactionTypeTxt>
        <InvolvedAmt>1828</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>