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        <Amt>1676</Amt>
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      <TotalLiabilityAmt>11456143</TotalLiabilityAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE HEALTH EDUCATIONAL AND HOUSING FACILITY BOARD OF THE COUNTY OF KNOX</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>621220275</BondIssuerEIN>
        <CUSIPNum>49952MCG9</CUSIPNum>
        <BondIssuedDt>2014-08-20</BondIssuedDt>
        <IssuePriceAmt>127003100</IssuePriceAmt>
        <PurposeDesc>REFUNDING OF 2013 BOND SERIES</PurposeDesc>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
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        <InReserveFundAmt>11022525</InReserveFundAmt>
        <CapitalizedInterestAmt>1081957</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>1941866</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>112756754</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2013</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
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        <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>
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        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, COLUMN (C) - CUSIP NUMBERS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CUSIP NUMBERS FOR THE BOND ISSUE ARE 49952MCG9 AND 49952MCF1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART III, LINE 3A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS DETERMINED THAT THE MANAGEMENT CONTRACT MEETS THE SAFE HARBOR REQUIREMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ENTERED INTO A DEVELOPMENT AND PROJECT MANAGEMENT AGREEMENT WITH PROVISION HEALTH PARTNERS, LLC. THE DUTIES INCLUDE OVERSIGHT OF THE CONSTRUCTION AND DEVELOPMENT OF THE NEW PROPERTY WHICH WILL PROVIDE SERVICES TO PROTON THERAPY PATIENTS. THE ORGANIZATION HAS ALSO ENTERED INTO A MANAGEMENT AGREEMENT WITH PROVISION HEALTH PARTNERS, LLC. THE DUTIES INCLUDE SERVICES RELATED TO LEGAL, FINANCIAL, AND ACCOUNTING AND ADMINISTRATIVE SERVICES IN CONNECTION WITH THE OPERATIONS AT THE FACILITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY IS ORGANIZED AS A LIMITED LIABILITY COMPANY AND THE MEMBERS HAVE VOTING RIGHTS UNDER THE OPERATING AGREEMENT. A MEMBER MAY ONLY BE A QUALIFIED ORGANIZATION WHICH QUALIFIES FOR AN EXEMPTION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE LIMITED LIABILITY COMPANY HAVE RIGHTS UNDER THE OPERATING AGREEMENT TO APPOINT MEMBERS OF THE GOVERNING BODY AND MUST APPROVE THE DISPOSITION OF SUBSTANTIALLY ALL OF THE COMPANY'S ASSETS AS WELL AS ANY MERGERS OR CONSOLIDATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT COPY OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY FOR REVIEW AND COMMENTS BEFORE FILING THE RETURN.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DIRECTORS AND OFFICERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST ON AN ANNUAL BASIS. ALL DIRECTORS AND OFFICERS OF THE COMPANY OR ANY OTHER PERSON EXERCISING GOVERNING POWERS OVER THE COMPANY ARE CONSIDERED TO BE AN INTERESTED PERSON WITH RESPECT TO THE COMPANY. EACH INTERESTED PERSON IS REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST ON AN ANNUAL BASIS. AFTER EACH DISCLOSURE, THE INTERESTED PERSON REMOVES HIMSELF OR HERSELF FROM THE MEETING AND THE REMAINING BOARD MEMBERS DISCUSS AND VOTE ON THE CONFLICT OF INTEREST DETERMINATION, WHICH IS DECIDED BY A MAJORITY VOTE. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD REGARDING THE TRANSACTION OR ARRANGEMENT THEN SHALL REMOVE HIMSELF OR HERSELF FROM THE MEETING TO ALLOW THE BOARD MEMBERS TO VOTE, WITH A MAJORITY VOTE DECIDING IF A CONFLICT EXISTS. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT A POTENTIAL INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE FINANCIAL INTERESTS, THE BOARD SHALL INFORM SUCH PERSON AND ALLOW SUCH PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. AFTER HEARING SUCH PERSON'S EXPLANATION AND AFTER MAKING ANY FURTHER INVESTIGATION WARRANTED BY THE CIRCUMSTANCES, IF THE BOARD DETERMINES BY MAJORITY VOTE, EXCLUDING THE INTERESTED PERSON, THAT SUCH PERSON HAS FAILED TO DISCLOSE A FINANCIAL INTEREST, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS, WHICH MAY INCLUDE SUCH PERSON'S REMOVAL FROM HIS OR HER POSITION AS A DIRECTOR OR OFFICER OF THE COMPANY.</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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER SUPPORTING SERVICES: PROGRAM SERVICE EXPENSES 158,077. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,077. CONSULTING: PROGRAM SERVICE EXPENSES 1,904,316. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,904,316. OSHA COMPLIANCE: PROGRAM SERVICE EXPENSES 901. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 901. PROFESSIONAL PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,554,441. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,554,441. ADMINISTRATIVE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 104,556. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 104,556. RESEARCH SERVICES: PROGRAM SERVICE EXPENSES 26,687. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,687.</ExplanationTxt>
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        <USAddress>
          <AddressLine1Txt>2095 LAKESIDE CENTRE WAY SUITE 101</AddressLine1Txt>
          <CityNm>KNOXVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37922</ZIPCd>
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        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
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          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37909</ZIPCd>
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          <CityNm>KNOXVILLE</CityNm>
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          <ZIPCd>37922</ZIPCd>
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        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>PCPT HAMLIN LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2095 LAKESIDE CENTRE WAY SUITE 101</AddressLine1Txt>
          <CityNm>KNOXVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37922</ZIPCd>
        </USAddress>
        <EIN>364903848</EIN>
        <PrimaryActivitiesTxt>THERAPY CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PCPT DURHAM LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2095 LAKESIDE CENTRE WAY SUITE 101</AddressLine1Txt>
          <CityNm>KNOXVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37922</ZIPCd>
        </USAddress>
        <EIN>384101505</EIN>
        <PrimaryActivitiesTxt>THERAPY CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <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>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
