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          <USAddress>
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            <CityNm>MINSTER</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45865</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERAL CONTRAC</ServicesDesc>
        <CompensationAmt>348936</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SENIOR PHARMACY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>34099 MELINZ PARKWAY</AddressLine1Txt>
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            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44095</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY</ServicesDesc>
        <CompensationAmt>184589</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>655370</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>854931</AllOtherContributionsAmt>
      <TotalContributionsAmt>1510301</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>ROOM AND CARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>6867902</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6867902</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LOCHHAVEN APARTMENT RENT</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1882449</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1882449</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SPECIAL TREATMENT</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>160595</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>160595</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>8910946</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>48625</TotalRevenueColumnAmt>
        <ExclusionAmt>48625</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>364270</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
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        <SecuritiesAmt>362317</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
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      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
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        <RelatedOrExemptFuncIncomeAmt>1953</RelatedOrExemptFuncIncomeAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>128</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>128</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>10471953</TotalRevenueColumnAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>103019</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3396188</ProgramServicesAmt>
        <ManagementAndGeneralAmt>279711</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>16240</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>3021</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>21650</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>647316</ProgramServicesAmt>
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        <TotalAmt>72397</TotalAmt>
        <ProgramServicesAmt>72397</ProgramServicesAmt>
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        <ProgramServicesAmt>31799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3576</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>54427</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1111</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
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        <TotalAmt>160565</TotalAmt>
        <ProgramServicesAmt>157354</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>3298</TotalAmt>
        <ProgramServicesAmt>2968</ProgramServicesAmt>
        <ManagementAndGeneralAmt>330</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>160</TotalAmt>
        <ProgramServicesAmt>160</ProgramServicesAmt>
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        <TotalAmt>239653</TotalAmt>
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        <ManagementAndGeneralAmt>4793</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>385768</ProgramServicesAmt>
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        <ProgramServicesAmt>56544</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6359</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>LOCHHAVEN APARTMENT RENT</Desc>
        <TotalAmt>1796413</TotalAmt>
        <ProgramServicesAmt>1682768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113645</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>856384</TotalAmt>
        <ManagementAndGeneralAmt>856384</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES AND DUES</Desc>
        <TotalAmt>417349</TotalAmt>
        <ProgramServicesAmt>417349</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>179712</TotalAmt>
        <ProgramServicesAmt>179712</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>99928</TotalAmt>
        <ProgramServicesAmt>93514</ProgramServicesAmt>
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      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>8139171</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1522899</ManagementAndGeneralAmt>
        <FundraisingAmt>7260</FundraisingAmt>
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        <BOYAmt>444731</BOYAmt>
        <EOYAmt>2920282</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>1211697</EOYAmt>
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        <EOYAmt>5753476</EOYAmt>
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        <BOYAmt>12108873</BOYAmt>
        <EOYAmt>14828146</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>802623</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>82872</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus2YearsAmt>94443</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>148103</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1510301</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>8478628</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8409564</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7918576</CurrentTaxYearMinus1YearAmt>
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      <Total509Grp>
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      <PublicSupportTotal509Amt>43627983</PublicSupportTotal509Amt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus2YearsAmt>37198</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>56196</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48625</CurrentTaxYearAmt>
        <TotalAmt>208588</TotalAmt>
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        <CurrentTaxYearMinus1YearAmt>8122875</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportPY509Pct>0.99540</PublicSupportPY509Pct>
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      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1">
      <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>
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    <IRS990ScheduleD documentId="RetDoc3">
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        <BookValueAmt>98376</BookValueAmt>
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      <EquipmentGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OBLIGATION UNDER INTEREST RATE SWAP</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LIMA CONVALESCENT RESIDENT TRUST</Desc>
        <Amt>14984</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LOCHHAVEN SECURITY DEPOSITS</Desc>
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      <RevenueSubtotalAmt>10471953</RevenueSubtotalAmt>
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      <TotalExpensesPerForm990Amt>9669330</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleK documentId="RetDoc4">
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>VILLAGE OF ELIDA OHIO</BusinessNameLine1Txt>
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        <BondIssuerEIN>346407983</BondIssuerEIN>
        <BondIssuedDt>2018-03-29</BondIssuedDt>
        <IssuePriceAmt>6200000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
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        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
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      <TaxExemptBondsArbitrageGrp>
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        <RebateNotDueYetInd>false</RebateNotDueYetInd>
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        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>VILLAGE OF ELIDA, OHIO SEE PART VI</ExplanationTxt>
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    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc5">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MARGARET WHITLATCH</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionDesc>MARKETING</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS NOT REVIEWED BY THE GOVERNING BODY BEFORE FILING BUT IS REVIEWED BY THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH ALL BOARD MEMBERS AND KEY PERSONNEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY CONSIDERING THE MARKET VALUE OF SERVICES PERFORMED AND A PERFORMANCE REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN EST FAIR VALUE OF INTERST RATE SWAP 0 CONTRACT -318,960 TOTAL -318,960</ExplanationTxt>
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