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      <Desc>MISSION: BETHESDA HEALTH GROUP, INC., AND ITS SUBSIDIARIES MISSION IS TO BE THE PREMIER PROVIDER OF CARE AND SERVICES FOR SENIORS IN THE ST. LOUIS REGION WHILE MAINTAINING FINANCIAL STRENGTH AND PROVIDING FULFILLING CAREER OPPORTUNITIES. VALUES: BETHESDA HEALTH GROUP, INC., AND ITS SUBSIDIARIES ADHERE TO THE FOLLOWING VALUES IN PROVIDING CARE AND SERVICES TO ST. LOUIS SENIORS. DIGNITY: TO TREAT SENIORS AND THEIR FAMILY MEMBERS WITH DIGNITY AND RESPECT. DIVERSITY: TO RECOGNIZE THE UNIQUE QUALITIES OF OUR CONSTITUENTS AND APPRECIATE THEIR CULTURAL DIFFERENCES. GENEROSITY: TO MEET THE NEEDS OF SENIORS WITHOUT REGARD TO THEIR SOCIOECONOMIC STATUS. INTEGRITY: TO FURNISH CARE AND SERVICES WITH INTEGRITY, HONEST AND HIGH ETHICAL STANDARDS. QUALITY: TO PROVIDE SUPERIOR CARE AND SERVICES.BETHESDA HOSTS PUBLIC EDUCATIONAL EVENTS ON IMPORTANT ISSUES, SUCH AS ALZHEIMER'S PREVENTION AND CARE, PROVIDES FREE HEALTH SCREENINGS, AND SEASONAL FLU VACCINES, IN ADDITION TO MANY OTHER SERVICES AS PART OF ITS MISSION TO PROVIDE ESSENTIAL CARE FOR ST. LOUIS SENIORS AND THEIR FAMILIES.BETHESDA ALSO HAS PARTNERED WITH MEALS ON WHEELS OF GREATER ST. LOUIS FOR MORE THAN 25 YEARS TO PROVIDE NUTRITIOUS MEALS TO THE ELDERLY, HANIDCAPPED, AND HOMEBOUND IN THE AREA. EMPLOYEES AND VOLUNTEERS AT BETHESDA DILWORTH PREPARE MORE THAN 1,200 MEALS EACH MONTH FOR SENIORS LIVING IN WEBSTER GROVES, ROCK HILL, SHREWSBURY, BRENTWOOD AND CRESTWOOD. BETHESDA SOUTHGATE ALSO PARTICIPATES BY DELIVERING MORE THAN 800 MEALS MONTHLY TO SENIORS LIVING IN SOUTH ST. LOUIS COUNTY.EVERY YEAR RESIDENTS AND VOLUNTEERS AT BETHESDA GARDENS HOST A BABY SHOWER TO HELP RAISE FUNDS AND COLLECT BABY CLOTHES AND SUPPLIES FOR FAMILIES IN NEED. THE DONATIONS ARE GIVEN TO NURSES FOR NEWBORNS, A NONPROFIT ORGANIZATION THAT PROVIDES A SAFETY NET FOR AT RISK FAMILIES TO PREVENT INFANT MORTALITY, CHILD ABUSE AND NEGLECT.BETHESDA ALSO OFFERS A PROGRAM THAT HAS BEEN DEVELOPED TO EDUCATE THE PUBLIC ON HOW TO BE A SUPPORTIVE FRIEND AND COMPANION TO SOMEONE WHO IS EITHER GRIEVING THE LOSS OF A LOVED ONE OR AFFECTED BY THE LIFE-LIMITING ILLNESS THEMSELVES. ADDITIONALLY, THE PROGRAM DELVES INTO HOW TO SUPPORT THOSE WHO ARE STRUGGLING WITH OTHER INSTANCES OF LOSS FROM DIVORCE TO RECENT UNEMPLOYMENT. THE PROGRAM IS OFFERED TO COMMUNITY ORGANIZATIONS AND CHURCHES THROUGHOUT ST. LOUIS.SINCE OUR FOUNDING MORE THAN A CENTURY AGO, BETHESDA HAS HELPED SENIORS LIVE THE LIVES THEY LOVE. IN KEEPING WITH OUR CHARITABLE COMMITMENT, EACH YEAR BETHESDA PROVIDES MILLIONS OF DOLLARS IN HUMANITARIAN CARE TO THOSE SENIORS WHO HAVE OUTLIVED THEIR ASSETS AND ARE UNABLE TO PAY FOR THE FULL COST OF THE CARE AND SUPPORT THEY RECEIVE FROM US. IN 2010, THE BETHESDA BOARD OF DIRECTORS ESTABLISHED THE JOHN W. ROWE HUMANITARIAN CARE FUND, WHICH PROVIDES CHARITABLE ASSISTANCE TO HUNDREDS OF SENIORS ANNUALLY.EVERY YEAR, BETHESDA HAS CHARITABLE PARTNERSHIPS AND MAKES SIGNIFICANT DONATIONS TO MANY LOCAL ORGANIZATIONS INCLUDING BUT NOT LIMITED TO THE UNITED WAY OF GREATER ST. LOUIS, NATIONAL KIDNEY FOUNDATION, HUMANE SOCIETY OF MISSOURI, AND THE ST. LOUIS AREA BOY AND GIRL SCOUTS OF AMERICA.BETHESDA HEALTH GROUP, INC. EIN 43-0666738FUNCTIONS AS THE PARENT OF THE ORGANIZATION. BETHESDA HEALTH GROUP'S SUBSIDIARIES, WHICH ARE LISTED BELOW, CHARGE BELOW MARKET RATES FOR SERVICES PROVIDED, AND NO ONE HAS EVER BEEN ASKED TO LEAVE A BETHESDA HEALTH GROUP FACILITY DUE TO THE INABILITY TO PAY. IN ADDITION, THE CONSOLIDATED BETHESDA HEALTH GROUP ORGANIZATION PROVIDED APPROXIMATELY $9,444,091 IN CHARITY CARE DURING THE YEAR ENDED JUNE 30, 2019.BETHESDA LONG TERM CARE, INC. EIN 43-1277070OWNS AND OPERATES THREE SKILLED NURSING FACILITIES AND TWO ASSISTED LIVING FACILITIES. PROVIDED 199,313 DAYS OF NURSING CARE IN THE YEAR ENDED JUNE 30, 2019, INCLUDING 84,891 DAYS TO MEDICAID RECIPIENTS. PROVIDED $8,082,011 IN CHARITY CARE IN THE YEAR ENDED JUNE 30, 2019.BETHESDA SENIOR LIVING, INC. EIN 43-1494889OWNS AND OPERATES FIVE INDEPENDENT LIVING CENTERS, HOUSING AN AVERAGE OF 536 RESIDENTS PER DAY IN THE YEAR ENDED JUNE 30, 2019 AND PROVIDED FINANCIAL ASSISTANCE IN THE AMOUNT OF $721,986 IN THE YEAR ENDED JUNE 30, 2019.BETHESDA HEALTH GROUP FOUNDATION, INC. EIN 43-1278967CONDUCTS ACTIVITIES FOR THE BENEFIT OF ALL THE NOT-FOR-PROFIT SUBSIDIARIES OF THE ORGANIZATION AND HAD GROSS DONATIONS OF $437,038 IN THE YEAR ENDED JUNE 30, 2019.BETHESDA SERVICES, INC. EIN 43-1857630PROVIDES HOSPICE AND SENIOR SUPPORT SOLUTION SERVICES TO THE ST. LOUIS COMMUNITY. BETHESDA HOSPICE CARE PROVIDED 12,557 VISITS DURING THE YEAR ENDED JUNE 30, 2019. HOSPICE PROVIDED $0 OF CHARITY CARE AND SENIOR SUPPORT SOLUTIONS PROVIDED $640,094 IN THE YEAR ENDED JUNE 30, 2019.</Desc>
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        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>7565000</RetiredAmt>
        <TotalProceedsAmt>75900000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>399639</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>71290</CreditEnhancementAmt>
        <OtherSpentProceedsAmt>75429071</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2013</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>965000</RetiredAmt>
        <TotalProceedsAmt>40524547</TotalProceedsAmt>
        <InReserveFundAmt>1438533</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>721839</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>1379919</CreditEnhancementAmt>
        <OtherSpentProceedsAmt>36984256</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>0</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>PIPER JAFFRAY</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>20.000000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <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>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE CHAIRMAN, VICE CHAIRMAN, SECRETARY AND TREASURER OF THE BOARD OF DIRECTORS AND ANY OTHER DIRECTORS APPOINTED BY THE CHAIRMAN SUBJECT TO THE APPROVAL OF THE DIRECTORS. THE CHAIRMAN OF THE EXECUTIVE COMMITTEE SHALL BE THE CHAIRMAN OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER AND AUTHORITY TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS AND SHALL SUBMIT MINUTES OF ITS MEETINGS TO THE BOARD OF DIRECTORS AT THE NEXT MEETING OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 WILL BE PROVIDED TO THE FINANCE AND EXECUTIVE COMMITTEES OF THE BOARD OF DIRECTORS FOR DETAIL REVIEW PRIOR TO FILING. IN ADDITION TO THESE DETAILED REVIEWS, A COPY OF THE FORM 990 WILL ALSO BE PROVIDED TO THE ENTIRE BOARD FOR THEIR REVIEW. UPON REQUEST, A PDF COPY OF THE RETURN WILL ALSO BE E-MAILED TO MEMBERS OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DIRECTORS, OFFICERS, BOARD COMMITTEE MEMBERS AND OPERATING OFFICERS ("INSIDERS") OF THE ORGANIZATION ARE REQUIRED TO COMPLETE A "CONFLICT OF INTEREST" FORM ANNUALLY. EACH INSIDER SHALL PROMPTLY AND FULLY DISCLOSE THE EXISTENCE OF ANY POTENTIAL CONFLICTS OF INTEREST. ALL "CONFLICT OF INTEREST" FORMS ARE REPORTED TO THE CEO, CHAIRMAN OF THE BOARD ("CHAIRMAN"), AND THE BOARD. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS FOR A CONSUMMATED TRANSACTION OR ARRANGEMENT, THE BOARD SHALL INVESTIGATE APPROPRIATE STEPS TO MITIGATE OR ELIMINATE THE CONFLICT OF INTEREST. IF IT IS DETERMINED A CONFLICT OF INTEREST EXISTS FOR A PROPOSED TRANSACTION OR ARRANGEMENT, WHICH HAS NOT YET BEEN CONSUMMATED, THE BOARD SHALL AUTHORIZE THE TRANSACTION OR ARRANGEMENT ONLY IF IT IS APPROVED IN ACCORDANCE WITH BETHESDA'S POLICY ON CONFLICTS OF INTEREST ("POLICY"). IF THE CHAIRMAN OR CEO HAS REASONABLE CAUSE TO BELIEVE THAT AN INSIDER HAS FAILED TO COMPLY WITH THE POLICY, THE CHAIRMAN OR CEO SHALL MEET WITH THE INSIDER TO DISCUSS THE ALLEGED FAILURE AND PROVIDE THE INSIDER THE OPPORTUNITY FOR EXPLANATION. IF, AFTER HEARING THE RESPONSE OF THE INSIDER AND MAKING FURTHER INVESTIGATION DEEMED NECESSARY, THE CHAIRMAN OR CEO BELIEVES THAT THE INSIDER VIOLATED THE POLICY, THE MATTER SHALL BE PRESENTED TO THE BOARD TO CONSIDER CORRECTIVE ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HUMAN RESOURCES COMMITTEE OF THE BOARD REGULARLY ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO REVIEW AND ANALYZE THE COMPENSATION AND BENEFITS OF OUR EXECUTIVES COMPARED TO THEIR PEERS IN THE BUSINESS COMMUNITY. THE RESULTS ARE REVIEWED AND APPROVED, WHEN APPROPRIATE, BY THE BOARD OF DIRECTORS. ALSO, A COMPENSATION COMMITTEE OF THE BOARD MEETS ANNUALLY FOR COMPENSATION REVIEWS WITH DOCUMENATION IN THE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF INTEREST RATE SWAPS -2,472,095. CHANGE IN PENSION OBLIGATION -659,715. INTERCOMPANY TRANSFERS 18,656,666.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 12, PART XII, LINE 2C - AUDIT COMMITTEE OVERSIGHT &amp; REVIEW</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS NOT CHANGED ITS PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BETHESDA HEALTH GROUP FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1630 DES PERES RD STE 290</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>431278967</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BETHESDA LONG TERM CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1630 DES PERES RD STE 290</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>431277070</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BETHESDA SENIOR LIVING INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1630 DES PERES RD STE 290</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>431494889</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BETHESDA SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1630 DES PERES RD STE 290</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>431857630</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VILLAGE NORTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11160 VILLAGE NORTH DRIVE</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63136</ZIPCd>
        </USAddress>
        <EIN>431207154</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MARY POORE FOBES TRUST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>135 S LASALLE ST IL4-135-14-19</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60603</ZIPCd>
        </USAddress>
        <EIN>366506983</EIN>
        <PrimaryActivitiesTxt>GENERAL CHARITABLE PURPOSE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>PF</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ST ANDREWS &amp; BETHESDA LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1630 DES PERES RD STE 290</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>830484593</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>228702</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>353599</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>1</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BETHESDA ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1630 DES PERES RD STE 290</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63131</ZIPCd>
        </USAddress>
        <EIN>431302762</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BETHESDA HEALTH GROUP INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>109500</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>