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        <ManagementAndGeneralAmt>20424</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>216149</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <ReconcilationRevenueExpnssAmt>-683570</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-240440</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus3YearsAmt>3327</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2815</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2650</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1188</CurrentTaxYearAmt>
        <TotalAmt>20463</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>19636950</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19772584</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20519519</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>19992976</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>19640277</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19775399</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20522169</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>19994164</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus1YearAmt>89407</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>25455</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>89407</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>95683</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>1261855</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>21351702</CurrentTaxYearAmt>
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      <PublicSupportCY509Pct>0.96150</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97360</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00250</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00190</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
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        <BookValueAmt>494000</BookValueAmt>
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        <BookValueAmt>1764713</BookValueAmt>
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        <DepreciationAmt>201028</DepreciationAmt>
        <BookValueAmt>1000</BookValueAmt>
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        <Desc>BOND INTEREST PAYABLE</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>-240440</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-111365</OtherRevenueAmt>
      <RevenueNotReportedAmt>-351805</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>21294332</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>21294332</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>21866537</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>21866537</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>111365</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>21977902</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS THE CUSTODIAN FOR RESIDENT TRUST FUNDS FOR SOME OF THE FACILITIES' RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SENIOR CHOICE ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAX AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD AT DECEMBER 31, 2015 AND 2014.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS FROM LEGAL SETTLEMENT -111,365.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS FROM LEGAL SETTLEMENT 111,365.</ExplanationTxt>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CAMBRIA COUNTY INDUSTRIAL</BusinessNameLine1Txt>
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        <BondIssuedDt>2006-07-01</BondIssuedDt>
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        <PurposeDesc>EXCHANGE OF 1996 BONDS</PurposeDesc>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
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        <OtherSpentProceedsAmt>22455000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2006</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DENISE MCQUOWN-HATTER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>PRESIDENT OF AFFINITY HEALTH SERVICES, INC.</RelationshipDescriptionTxt>
        <TransactionAmt>577198</TransactionAmt>
        <TransactionDesc>MANAGEMENT FEES &amp; CONSULTING SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS MANAGED BY AFFINITY HEALTH SERVICES, INC., WHICH PROVIDES EXECUTIVE, FINANCIAL AND GENERAL OVERSIGHT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S PROCESS TO REVIEW FORM 990 CONSISTENTS OF COPIES OF FORM 990 BEING PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND HIGH LEVEL POSITIONS SIGN AND UPDATE CONFLICT OF INTEREST FORMS ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,009,053. MANAGEMENT AND GENERAL EXPENSES 141,509. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,150,562. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 597,418. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 597,418. CONSULTANTS: PROGRAM SERVICE EXPENSES 12,594. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,594. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 26,074. MANAGEMENT AND GENERAL EXPENSES 14,840. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,914.</ExplanationTxt>
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  </ReturnData>
</Return>