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      <Desc>FOR MESSIAH HOME D/B/A MESSIAH LIFEWAYS AT MESSIAH VILLAGE ("MESSIAH VILLAGE") THE FISCAL YEAR ENDING JUNE 30, 2023 CONTINUED TO SEE STAFFING SHORTAGES ESPECIALLY IN NURSING AND PERSONAL CARE. HOWEVER, RESIDENTIAL LIVING (RL) FINISHED THE YEAR ABOVE BUDGET WITH A CUMULATIVE YEAR END OCCUPANCY RATE OF 96.41%, 1.88% ABOVE THE BUDGETED GOAL OF 94.53%. TOTAL MONTHLY FEE REVENUE FOR RESIDENTIAL LIVING WAS $8.2M WHICH WAS $100,000 ABOVE THE BUDGETED GOAL OF $8.1M. AN ACTIVE APPLICANT PIPELINE OF FUTURE RESIDENTS REMAINED STEADY. CONTINUED SCHEDULE O.THE SHORTAGE OF QUALIFIED AND CAPABLE CAREGIVERS, A NATIONAL ISSUE, IN NURSING AND PERSONAL CARE CONTRIBUTED TO IMPACTING OUR ABILITY TO TAKE ADMISSIONS PERIODICALLY THROUGHOUT THE YEAR IN BOTH AREAS. THE CENSUS GOAL FOR THE FISCAL YEAR WAS ADJUSTED ACCORDINGLY.PERSONAL CARE (ENHANCED LIVING) FINISHED THE YEAR WITH A CUMULATIVE OCCUPANCY OF 80.98% AS COMPARED TO A BUDGETED GOAL OF 85.37%. NURSING CARE ENDED THE YEAR WITH A CUMULATIVE OCCUPANCY RATE OF 83.27%, AGAINST THE BUDGETED GOAL OF 91.85%. MESSIAH VILLAGE WAS AWARDED BEST NURSING FACILITY BY THE SENTINEL'S BEST OF CUMBERLAND COUNTY, AND NEWSWEEK (BEST NURSING HOMES) RATING NUMBER 4 IN PA.THE CENTER FOR VITALITY &amp; WELLNESS LOCATED IN VILLAGE SQUARE ENDED THE FISCAL YEAR WITH 1,419 OUTSIDE COMMUNITY MEMBER VISITS. ACTIVE RESIDENT MEMBERS CAME IN AT 117, WITH AN AVERAGE OF 1,024 VISITS PER MONTH. PERSONAL TRAINING AND NUTRITION CONSULTATIONS WERE INTRODUCED AS OFFERINGS BRINGING IN AN AVERAGE OF 50 SESSIONS PER MONTH. THOSE WITH COVERAGE AND BENEFITS THROUGH SILVERSNEAKERS, SILVER FIT AND PRIME MEMBERSHIPS WENT AS HIGH AS 1,826 VISITS (265 MEMBERS PER MONTH). IN TOTAL THERE WERE 368 TOTAL RESIDENT AND COMMUNITY ACTIVE WELLNESS MEMBERS FOR THE 2023 FISCAL YEAR.PATHWAYS INSTITUTE FOR LIFELONG LEARNING ENROLLED 590 MEMBERS IN A VARIETY OF LIFELONG LEARNING COURSES TAUGHT BY PROFESSORS FROM AREA COLLEGES AND UNIVERSITIES AS WELL AS SUCCESSFUL BUSINESS AND CIVIC LEADERS IN THE REGION. PATHWAYS INSTITUTE CONSISTENTLY DRAWS MEMBERSHIP FROM THE SURROUNDING COMMUNITY. LAST YEAR, 249 OUT OF 590 MEMBERS WHO ATTENDED WERE FROM THE CAPITAL REGION, WHILE 73 WERE RESIDENTS OF MESSIAH LIFEWAYS AT MESSIAH VILLAGE. VOLUNTEERS AGAIN PLAYED A VITAL ROLE IN ENHANCING LIFE ON THE MESSIAH VILLAGE CAMPUS. THEIR GENEROSITY AND GIVING OF THEIR TIME AND TALENTS IMPACTS NEARLY EVERY ASPECT OF LIFE AT MESSIAH VILLAGE. THEY HELPED TRANSPORT RESIDENTS TO SALON APPOINTMENTS, RAN AND MAINTAINED BOTH THE PAXTON ST AND KATIE'S CORNER GIFT SHOPS, PLANTED AND WATERED FLOWERS, AND HELPED MAINTAIN OUR BEAUTIFUL CAMPUS, OFFERED THEIR MUSICAL TALENTS IN THE NURSING NEIGHBORHOODS, AND MADE BEAUTIFUL QUILTS AND HAND-CRAFTED ITEMS TO BENEFIT THE AUXILIARY. THROUGH THE FISCAL YEAR, 267 ACTIVE VOLUNTEERS GAVE 12,064 HOURS OF SERVICE TO MESSIAH VILLAGE. A WONDERFUL EFFORT AND MUCH APPRECIATED EFFORT NONETHELESS.TO LEARN MORE, VISIT MESSIAHLIFEWAYS.ORG.</Desc>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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        <CurrentTaxYearAmt>50174798</CurrentTaxYearAmt>
        <TotalAmt>254220498</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.93930</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.93900</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.04020</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.03980</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>BARBER-BEAUTY - 2018 AMOUNT: $ 297,127. 2019 AMOUNT: $ 202,214. 2020 AMOUNT: $ 144,171. 2021 AMOUNT: $ 202,802. 2022 AMOUNT: $ 231,888. DRY CLEANING REVENUE - 2019 AMOUNT: $ 133. 2021 AMOUNT: $ 10. FITNESS AND WELLNESS - 2018 AMOUNT: $ 82,647. 2019 AMOUNT: $ 70,827. 2020 AMOUNT: $ 4,818. 2021 AMOUNT: $ 52,204. 2022 AMOUNT: $ 101,300. INTERDEPARTMENT CHARGES - 2018 AMOUNT: $ 96,367. 2019 AMOUNT: $ 81,906. 2020 AMOUNT: $ 37,160. 2021 AMOUNT: $ 51,960. 2022 AMOUNT: $ 85,400. MEAL REVENUE - 2018 AMOUNT: $ 580,150. 2019 AMOUNT: $ 557,567. 2020 AMOUNT: $ 323,235. 2021 AMOUNT: $ 384,631. 2022 AMOUNT: $ 533,073. OTHER RESIDENT SERVICES - 2019 AMOUNT: $ 51,568. 2020 AMOUNT: $ 57,463. 2021 AMOUNT: $ 90,070. 2022 AMOUNT: $ 93,975. OTHER REVENUE - 2018 AMOUNT: $ 85,000. 2019 AMOUNT: $ 1,683. 2020 AMOUNT: $ 3,869. 2022 AMOUNT: $ 31,917. PASTORAL SERVICE REVENUE - 2019 AMOUNT: $ 88,327. 2020 AMOUNT: $ 89,205. 2021 AMOUNT: $ 84,764. 2022 AMOUNT: $ 5,213. PATHWAYS - 2020 AMOUNT: $ 77,757. 2021 AMOUNT: $ 73,311. 2022 AMOUNT: $ 34,856. TRANSPORTATION - 2018 AMOUNT: $ 104,496. 2019 AMOUNT: $ 56,788. 2020 AMOUNT: $ 4,038. 2021 AMOUNT: $ 7,618. 2022 AMOUNT: $ 12,193.</ExplanationTxt>
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      <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>
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      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>19866026</BeginningYearBalanceAmt>
        <ContributionsAmt>1028718</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2258485</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1463060</OtherExpendituresAmt>
        <EndYearBalanceAmt>21690169</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>24805978</BeginningYearBalanceAmt>
        <ContributionsAmt>225467</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-3843379</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1322040</OtherExpendituresAmt>
        <EndYearBalanceAmt>19866026</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>19640895</BeginningYearBalanceAmt>
        <ContributionsAmt>1225654</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>5042409</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1102980</OtherExpendituresAmt>
        <EndYearBalanceAmt>24805978</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>20335169</BeginningYearBalanceAmt>
        <ContributionsAmt>197168</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>318758</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1210200</OtherExpendituresAmt>
        <EndYearBalanceAmt>19640895</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>18830909</BeginningYearBalanceAmt>
        <ContributionsAmt>1218591</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1285669</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1000000</OtherExpendituresAmt>
        <EndYearBalanceAmt>20335169</EndYearBalanceAmt>
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      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
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        <OtherCostOrOtherBasisAmt>1687156</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1687156</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>152281696</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>68237650</DepreciationAmt>
        <BookValueAmt>84044046</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>36096083</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>27618011</DepreciationAmt>
        <BookValueAmt>8478072</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>8881209</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4821033</DepreciationAmt>
        <BookValueAmt>4060176</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>98269450</TotalBookValueLandBuildingsAmt>
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        <Desc>REFUNDABLE ENTRANCE FEES</Desc>
        <Amt>16548730</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>SPLIT INTEREST OBLIGATIONS</Desc>
        <Amt>214635</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>1069165</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>17832530</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>55940639</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>4409242</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>1397008</OtherRevenueAmt>
      <RevenueNotReportedAmt>5806250</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>50134389</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-248558</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-248558</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>49885831</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>51743444</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>248558</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>248558</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>51494886</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>232543</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>232543</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>51727429</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>MESSIAH LIFEWAYS AT MESSIAH VILLAGE MAINTAINS PERSONAL CARE ACCOUNTS FOR RESIDENTS WHO HAVE EXHAUSTED THEIR FUNDS AND ARE RECEIVING BENEVOLENT CARE OR ARE ON MEDICAL ASSISTANCE. MESSIAH LIFEWAYS AT MESSIAH VILLAGE DEPOSITS FUNDS RECEIVED FOR RESIDENTS' PERSONAL USE IN A COLLECTIVE PATIENT CHECKING ACCOUNT THAT IS KEPT SEPARATE FROM OUR FACILITY'S OPERATING ACCOUNTS AND THERE IS AN INDIVIDUAL ACCOUNTING OF EACH RESIDENT'S SHARE OF THE FUNDS AND INTEREST IN THE ACCOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT RETURN ON THE PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE AVAILABLE FOR TRANSFER TO OPERATIONS TO HELP OFFSET THE COSTS OF BENEVOLENT CARE, LIFELONG LEARNING AND MUSIC THERAPY. THE INVESTMENT POLICY OF MESSIAH HOME ESTABLISHES THE METHOD FOR DETERMINING THE AMOUNT THAT CAN BE TRANSFERRED WHICH MUST BE APPROVED BY THE BOARD PRIOR TO THE BEGINNING OF THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF SPLIT-INTEREST OBLIGATIONS 17,075. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 1,581,116. CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE 31,360. INVESTMENT EXPENSES NETTED TO REVENUES ON THE FINANCIALS -232,543.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES -248,558.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 248,558.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT EXPENSES NETTED TO REVENUES ON THE FINANCIALS 232,543.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>27462</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>242653</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIM VALVO</PersonNm>
        <TitleTxt>VP OF OPERATIONS/VICE CHAIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>40718</BaseCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1632</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3443</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7059</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>44161</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>115328</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>ALICIA TITUS</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
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        <PurposeDesc>SEE PART VI</PurposeDesc>
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      <TaxExemptBondsIssuesGrp>
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        <PurposeDesc>SEE PART VI</PurposeDesc>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>WEST SHORE AREA AUTHORITY - SERIES BC</BusinessNameLine1Txt>
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        <PurposeDesc>SEE PART VI</PurposeDesc>
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        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
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        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>PNC BANK NATIONAL</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>ASSOCIATION</BusinessNameLine2Txt>
        </HedgeProviderName>
        <TermOfHedgePct>4.000000000000</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>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: WEST SHORE AREA AUTHORITY - SERIES A DATE THE REBATE COMPUTATION WAS PERFORMED: 10/25/2021</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, BOND ISSUES:</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) ISSUER NAME: CUMBERLAND COUNTY MUNICIPAL AUTHORITY (F) DESCRIPTION OF PURPOSE: REFINANCE SERIES A 2008 (ISSUE DATE 02/14/08) WHICH WAS FOR CCRC RENOVATION AND COTTAGE EXPANSION (A) ISSUER NAME: WEST SHORE AREA AUTHORITY (F) DESCRIPTION OF PURPOSE: REFINANCE SERIES B 2008 (ISSUE DATE 02/14/08) AND 2009 BANK QUALIFIED DEBT (ISSUED 09/02/09); CAPITAL RENOVATIONS (A) ISSUER NAME: WEST SHORE AREA AUTHORITY (F) DESCRIPTION OF PURPOSE: CONSTRUCTION OF PROJECT ENVISION AND PAYMENT OF PARTIAL COSTS OF ISSUANCE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL PROCEEDS OF ISSUE FOR BONDS A &amp; B REPORTED ON PART II, LINE 3 EXCEED THE ISSUE PRICE LISTED IN PART I DUE TO INVESTMENT EARNINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ADVANTAGECARE REHABILITATION, INC. IS UNDER CONTRACT TO PERFORM ALL REHABILITATIVE SERVICES FOR RESIDENTS OF MESSIAH HOME AND IS UNDER THE SUPERVISION OF THE VP OF OPERATIONS. CURA HOSPITALITY LLC IS UNDER CONTRACT TO PERFORM ALL DINING SERVICES FOR MESSIAH HOME AND IS UNDER THE SUPERVISION OF THE VP OF OPERATIONS. THERE IS A MANAGEMENT AGREEMENT BETWEEN MESSIAH HOME AND ITS PARENT, MESSIAH LIFEWAYS, FOR CERTAIN MANAGEMENT FUNCTIONS, INCLUDING ACCOUNTING, HR, ADMINISTRATION, INFORMATION SERVICES, ETC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MESSIAH LIFEWAYS ("ML") IS THE SOLE MEMBER OF MESSIAH HOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MESSIAH LIFEWAYS IS THE SOLE MEMBER OF MESSIAH HOME AND ELECTS THE BOARD OF DIRECTORS. THE CEO OF ML SERVES AS CHAIR OF THE BOARD AND THE CFO OF ML SERVES AS SECRETARY-TREASURER ACCORDING TO BY-LAWS. A VICE CHAIR IS ELECTED ANNUALLY FROM THE REMAINING BOARD MEMBERS WHICH CURRENTLY INCLUDE 1 INDEPENDENT MEMBER AND 1 ADDITIONAL OFFICER OF ML.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>SOLE MEMBER, MESSIAH LIFEWAYS, MUST APPROVE CERTAIN TRANSACTIONS (IE BORROWING, BUDGETS, PURCHASES, FUNDRAISING, CHANGE IN OPERATIONS ETC), AMENDMENTS TO ARTICLES AND BYLAWS ETC. AS LISTED IN ARTICLE IV SECTION 4.2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT REVIEWED THE FORM 990 IN DETAIL. THE FORM 990 WAS THEN POSTED ON THE BOARD WEBSITE FOR MEMBER ACCESS AND REVIEW. DURING THEIR NOVEMBER MEETING OF THE FINANCE &amp; SHARED SERVICES COMMITTEE OF THE MESSIAH LIFEWAYS BOARD, THE FORMS 990 OF MESSIAH LIFEWAYS AND EACH OF ITS CONTROLLED ENTITIES WERE REVIEWED BEFORE BEING FILED WITH THE IRS. THE REVIEW WAS LED BY THE CFO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY BOARD MEMBERS AND EXECUTIVE TEAM AFFIRM IN WRITING THEIR AWARENESS AND COMPLIANCE WITH THE CODE OF ETHICS AND CONDUCT POLICY AND CONFLICT OF INTEREST POLICY. ALL ARE ASKED TO DISCLOSE ANY CONFLICTS OF INTEREST AND AGREE TO REFRAIN FROM PARTICIPATING IN ANY DELIBERATIONS, DECISIONS, OR VOTING RELATING TO THE MATTER. THE POLICY IS MONITORED BY MANAGEMENT OF MESSIAH LIFEWAYS. CORPORATE COMPLIANCE &amp; RISK MANAGEMENT VERIFIES THAT ALL FORMS ARE COMPLETED AND SIGNED ANNUALLY. ANY VIOLATIONS OF THE POLICY WILL BE HANDLED AS DEEMED NECESSARY IN ACCORDANCE WITH THE POLICY. ANY MEMBER WHO INTENTIONALLY VIOLATES THE POLICY MAY BE REMOVED FROM THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MESSIAH LIFEWAYS BOARD OF DIRECTORS HAS A "PRESIDENTIAL RELATIONS COMMITTEE" WHICH CONDUCTS AN ANNUAL REVIEW OF THE PRESIDENT. THIS COMMITTEE HAS THE SAME COMPOSITION AS THE EXECUTIVE COMMITTEE. IN ADDITION TO ESTABLISHING THIS COMMITTEE THE BOARD HAS ESTABLISHED A POLICY TO GUIDE THE WORK OF THE COMMITTEE. THE PURPOSE OF THE COMMITTEE IS TO CONDUCT THE ANNUAL PERFORMANCE EVALUATION OF THE PRESIDENT, REVIEW PAST GOALS AND ESTABLISH FUTURE GOALS, SHARE A SUMMARY OF THE EVALUATION WITH THE FULL BOARD, AND RECOMMEND TERMS OF COMPENSATION TO THE FULL BOARD. IN DETERMINING COMPENSATION, THE BOARD REVIEWS SALARY DATA FROM VARIOUS SOURCES SUCH AS TRADE ASSOCIATION AND HEALTHCARE ALLIANCES. THEIR REVIEW IS DOCUMENTED IN THE BOARD MINUTES. REGARDING OTHER OFFICERS OF THE ORGANIZATION, THE PRESIDENT CONDUCTS AN ANNUAL PERFORMANCE EVALUATION. IN DETERMINING THE OFFICERS' COMPENSATION, THE PRESIDENT REVIEWS SALARY DATA FROM APPROPRIATE TRADE ASSOCIATIONS AND ALLIANCES. THE BOARD OF DIRECTORS GIVES FINAL APPROVAL OF THE COMPENSATION OF THESE OFFICERS INDIRECTLY THROUGH REVIEW AND APPROVAL OF THE ANNUAL BUDGET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE FOR INSPECTION UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON ITS WEBSITE (WWW.MESSIAHLIFEWAYS.ORG), AND UPON REQUEST. ADDITIONALLY THE FINANCIAL STATEMENTS ARE INCORPORATED INTO THE DISCLOSURE STATEMENT PREPARED FOR MESSIAH HOME AND MESSIAH FAMILY SERVICES, AS REQUIRED BY THE DEPARTMENT OF INSURANCE. MESSIAH ALSO POSTS THE AUDITED STATEMENTS OUT TO THE EMMA WEBSITE (WWW.EMMA.MSRB.ORG)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALISA MILLER, INTERIM CFO, RECEIVES COMPENSATION FROM KAIROS HEALTH SYSTEMS, INC. THIS CORPORATION IS REIMBURSED FOR SERVICES ALISA MILLER PROVIDES TO MESSIAH GROUP. THE AMOUNT REIMBURSED DURING THE FISCAL YEAR 2022-23 WAS $91,974.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>MAINTENANCE AGREEMENTS: PROGRAM SERVICE EXPENSES 268,701. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 268,701. CONSULTING: PROGRAM SERVICE EXPENSES 112,719. MANAGEMENT AND GENERAL EXPENSES 2,746. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 115,465. OUTSIDE LABOR: PROGRAM SERVICE EXPENSES 9,009,731. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,009,731. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 62,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE 31,360. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 1,581,116. CHANGE IN VALUE OF SPLIT-INTEREST OBLIGATIONS 17,075.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MESSIAH FAMILY SERVICES DBA MESSIAH LIFEWAYS AT MOUNT JOY COUNTRY HOMES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 MT ALLEN DRIVE</AddressLine1Txt>
          <CityNm>MECHANICSBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17055</ZIPCd>
        </USAddress>
        <EIN>231484171</EIN>
        <PrimaryActivitiesTxt>HOUSING FOR SENIOR ADULTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MESSIAH LIFEWAYS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MESSIAH LIFEWAYS COMMUNITY SUPPORT SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 MT ALLEN DRIVE</AddressLine1Txt>
          <CityNm>MECHANICSBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17055</ZIPCd>
        </USAddress>
        <EIN>320375859</EIN>
        <PrimaryActivitiesTxt>SENIOR HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MESSIAH LIFEWAYS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MESSIAH LIFEWAYS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 MT ALLEN DRIVE</AddressLine1Txt>
          <CityNm>MECHANICSBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>17055</ZIPCd>
        </USAddress>
        <EIN>352443724</EIN>
        <PrimaryActivitiesTxt>SENIOR HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
