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        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>LTC for elderly -Private Pay &amp; Other</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>8730259</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8730259</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Management Fees</Desc>
        <BusinessCd>531390</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>26606</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Changes in Equity and Joint Venture</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>47657</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>47657</RelatedOrExemptFuncIncomeAmt>
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      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>23576738</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>150326</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
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      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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        <OtherAmt>213576</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>344652</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>309326</ExclusionAmt>
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      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetIncomeFromGamingGrp>
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      <NetIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Receipts from Trusts</Desc>
        <BusinessCd>525920</BusinessCd>
        <TotalRevenueColumnAmt>58723</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>58723</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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      <TotalRevenueGrp>
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        <ExclusionAmt>518375</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
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        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>110595</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110595</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
      </CompDisqualPersonsGrp>
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        <ProgramServicesAmt>10731027</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1320378</ManagementAndGeneralAmt>
        <FundraisingAmt>80960</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>65833</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8779</ManagementAndGeneralAmt>
        <FundraisingAmt>388</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1280422</ProgramServicesAmt>
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        <FundraisingAmt>697</FundraisingAmt>
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      <PayrollTaxesGrp>
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        <FundraisingAmt>11719</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>74964</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>27000</ManagementAndGeneralAmt>
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      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <FundraisingAmt>10500</FundraisingAmt>
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        <FundraisingAmt>12140</FundraisingAmt>
      </AdvertisingGrp>
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        <FundraisingAmt>1568</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <FundraisingAmt>2839</FundraisingAmt>
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      <RoyaltiesGrp>
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        <FundraisingAmt>0</FundraisingAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>997934</ProgramServicesAmt>
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      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>75215</TotalAmt>
        <ManagementAndGeneralAmt>75009</ManagementAndGeneralAmt>
        <FundraisingAmt>206</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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        <FundraisingAmt>0</FundraisingAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>27043</TotalAmt>
        <ProgramServicesAmt>17881</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9093</ManagementAndGeneralAmt>
        <FundraisingAmt>69</FundraisingAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1514826</ProgramServicesAmt>
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        <ProgramServicesAmt>342820</ProgramServicesAmt>
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        <Desc>Professional Fees</Desc>
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        <ProgramServicesAmt>2192979</ProgramServicesAmt>
        <ManagementAndGeneralAmt>373742</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1141246</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>605009</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <ManagementAndGeneralAmt>3140479</ManagementAndGeneralAmt>
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        <EOYAmt>24381</EOYAmt>
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        <EOYAmt>10400</EOYAmt>
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        <EOYAmt>2722142</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>43173</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>601062</EOYAmt>
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        <EOYAmt>21423599</EOYAmt>
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        <EOYAmt>4700639</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>457836</EOYAmt>
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        <EOYAmt>24371431</EOYAmt>
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    <IRS990ScheduleA documentId="R000002" softwareId="14000267" softwareVersionNum="v1.00">
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. However, the Organization is subject to federal income tax on any unrelated business taxable income. The Organization files tax returns in the U.S. federal jurisdiction. With a few exceptions, the Organization is not longer subject to U.S. federal examinations by tax authorities for years before 2011.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Total of: Change in Value of Assets Whose Use is Limited ($4,179), Investment Expenses ($28,300) and Interest Rate Swap Adjustment ($675,505).</ExplanationTxt>
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          <PersonNm>Frederick Fiedler</PersonNm>
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        <RelationshipDescriptionTxt>Board Chair</RelationshipDescriptionTxt>
        <TransactionAmt>402020</TransactionAmt>
        <TransactionDesc>Fred Fiedler is Operating Company President of USI MidWest Insurance Services Erie, PA location. Presbyterian Homes purchases workers compensation, property &amp; liabiltiy and miscellaneous insurance coverages from USI Midwest. The total amount reported represents premiums paid for these products during 2014.</TransactionDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>We are committed to providing a continuum of care consisting of short term rehabilitation, long term skilled care, memory care, personal care and independent living, all within a home-like setting and with a person-centered care philosophy, serving the Presbytery of Lake Erie (Erie, Crawford, Warren, Venango, McKean and Forest counties). Presbyterian Homes operates three skilled nursing facilities, two in Erie, PA (Manchester Commons and Elmwood Gardens) and one in Oil City, PA (Oakwood Heights). Presbyterian Homes also operates two personal care homes, one at Manchester Commons and one at Elmwood Gardens. These facilities continue to provide care even after the resident has exhausted their own resources. Hospice care is provided through a partnership with local hospice providers so that residents and their families have the full assurance of comprehensive care through end of life. In 2014, Presbyterian Homes provided $263,569 in benevolent and uncompensated care.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Presbyterian Homes entered into an agreement with SeniorCare Network, Inc. (SCN), a management and consulting affiliate of Presbyterian Senior Care, to provide management services to Presbyterian Homes for a two-year period that began on January 1, 2012. This agreement was renewed on January 1, 2014 for another one-year period. The agreement stipulates monthly management fees in addition to reimbursement of certain direct expenses. Also, under the agreement, SCN provides a regional manager to oversee the daily operations of the Presbyterian Homes' communities. In October 2014, Presbyterian Homes and Presbyterian Senior Care signed an agreement of affiliation pending review by the Commonwealth's Attorney General's Office. The affiliation was complete effective March 1, 2015.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the Form 990 was provided directly or emailed to each director of the board prior to filing the Form 990. A ten day period is given for review. Any proposed changes or comments received are reviewed by the officers of the organization, after which the document is filed with the Internal Revenue Service.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has a written conflict of interest policy. All officers, directors and key employees are required to complete a conflict of interest questionnaire annually. The questionnaires are then reviewed by the Corporate Compliance Officer who then reports back to the board with any findings and/or corrective actions. To date we have had no unresolved conflict of interest problems.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Presbyterian Homes has a compensation program in place which covers all employees. A regional human resource and management consulting firm provides recommendations to update both the salary structure and adjustments to wages. These recommendations are incorporated into the annual budget which is reviewed and approved by both the finance committee and the board of directors. The compensation for officers is included in this process. Compensation for officers is specifically reviewed and established by the board's executive committee. The Senior Director is an employee of SeniorCare Network, Inc. (SCN), a management and consulting affiliate of Presbyterian SeniorCare. The compensation for the Senior Director is formulated by SCN and reviewed with the board of Presbyterian Homes. No independent board members are compensated in any way.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. We will make copies of requested documents at IRS approved rates per page, or the requestor may come to the offices to review the documents by appointment during normal business hours.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other changes in net assets or fund balances: Change in Value of Assets Whose Use is Limited ($4,179) and Interest Rate Swap Adjustment ($675,505).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization uses BKD, LLC, a regional accounting firm, as their independent auditor. Presbyterian Homes has an audit committee that meets to review the annual audited financial statement with BKD, LLC. They also have a private session, without management present, with the auditors at that meeting. The committee chooses the auditing firm, and approves their fee. A management letter, if there are any management comments, is prepared by BKD, LLC and reviewed with the committee. Corrective action is documented if needed.</ExplanationTxt>
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