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            <BusinessNameLine1Txt>ST ANDREW'S RESOURCES FOR SENIOR SYSTEM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1001 CRAIG ROAD STE 200</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63146</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT FEES</ServicesDesc>
        <CompensationAmt>645698</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JW BOMMARITO CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>403 AXMINISTER DRIVE</AddressLine1Txt>
            <CityNm>FENTON</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63026</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>523070</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PERFORMANCE FOOD GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 74999</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60675</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICES</ServicesDesc>
        <CompensationAmt>423695</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT CARE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>9136997</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9136997</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>THERAPY SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>285788</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>285788</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>9422785</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>19393</TotalRevenueColumnAmt>
        <ExclusionAmt>19393</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>11061</TotalRevenueColumnAmt>
        <ExclusionAmt>11061</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <OtherRevenueMiscGrp>
        <Desc>INSURANCE PROCEEDS- LO</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>21029</TotalRevenueColumnAmt>
        <ExclusionAmt>21029</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CC REBATES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>17286</TotalRevenueColumnAmt>
        <ExclusionAmt>17286</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>COMMUNITY FEE AMORTIZA</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>15740</TotalRevenueColumnAmt>
        <ExclusionAmt>15740</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>8972</TotalRevenueColumnAmt>
        <ExclusionAmt>8972</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>63027</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>9516266</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9422785</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>93481</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>736</TotalAmt>
        <ProgramServicesAmt>736</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3654752</TotalAmt>
        <ProgramServicesAmt>3414889</ProgramServicesAmt>
        <ManagementAndGeneralAmt>239863</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>29267</TotalAmt>
        <ProgramServicesAmt>24877</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4390</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>700805</TotalAmt>
        <ProgramServicesAmt>595684</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105121</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>304017</TotalAmt>
        <ProgramServicesAmt>258414</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45603</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>473793</TotalAmt>
        <ProgramServicesAmt>402724</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71069</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>10888</TotalAmt>
        <ProgramServicesAmt>9255</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1633</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>53151</TotalAmt>
        <ManagementAndGeneralAmt>53151</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2722817</TotalAmt>
        <ProgramServicesAmt>2704625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18192</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>307393</TotalAmt>
        <ProgramServicesAmt>261284</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46109</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1459626</TotalAmt>
        <ProgramServicesAmt>1349802</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109824</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>290075</TotalAmt>
        <ProgramServicesAmt>256811</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33264</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>409607</TotalAmt>
        <ProgramServicesAmt>348166</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61441</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>11331</TotalAmt>
        <ProgramServicesAmt>11046</ProgramServicesAmt>
        <ManagementAndGeneralAmt>285</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1954</TotalAmt>
        <ProgramServicesAmt>1661</ProgramServicesAmt>
        <ManagementAndGeneralAmt>293</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1801879</TotalAmt>
        <ProgramServicesAmt>1689071</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112808</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1497845</TotalAmt>
        <ProgramServicesAmt>1273168</ProgramServicesAmt>
        <ManagementAndGeneralAmt>224677</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>256928</TotalAmt>
        <ProgramServicesAmt>218389</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38539</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>NFRA / NFAC FEES</Desc>
        <TotalAmt>454119</TotalAmt>
        <ProgramServicesAmt>386001</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68118</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EMPLOYEE SCREENING AND</Desc>
        <TotalAmt>81809</TotalAmt>
        <ProgramServicesAmt>69538</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12271</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>41385</TotalAmt>
        <ProgramServicesAmt>41385</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UNRECOVERED COST BASIS</Desc>
        <TotalAmt>21340</TotalAmt>
        <ManagementAndGeneralAmt>21340</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>12961</TotalAmt>
        <ProgramServicesAmt>11016</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1945</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>14598478</TotalAmt>
        <ProgramServicesAmt>13328542</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1269936</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>292637</BOYAmt>
        <EOYAmt>154157</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>7671671</BOYAmt>
        <EOYAmt>10658</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>645479</BOYAmt>
        <EOYAmt>1503980</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>19392</BOYAmt>
        <EOYAmt>17178</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>52944</BOYAmt>
        <EOYAmt>23240</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>39436030</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5323399</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>27841391</BOYAmt>
        <EOYAmt>34112631</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>676677</BOYAmt>
        <EOYAmt>20416</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>527706</BOYAmt>
        <EOYAmt>527706</EOYAmt>
      </IntangibleAssetsGrp>
      <TotalAssetsGrp>
        <BOYAmt>37727897</BOYAmt>
        <EOYAmt>36369966</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2868741</BOYAmt>
        <EOYAmt>2992165</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>106749</BOYAmt>
        <EOYAmt>178438</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>34143582</BOYAmt>
        <EOYAmt>33791202</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>6007</BOYAmt>
        <EOYAmt>10658</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>350000</BOYAmt>
        <EOYAmt>475000</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>351013</BOYAmt>
        <EOYAmt>4102161</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>37826092</BOYAmt>
        <EOYAmt>41549624</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-98195</BOYAmt>
        <EOYAmt>-5179658</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-98195</BOYAmt>
        <EOYAmt>-5179658</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>37727897</BOYAmt>
        <EOYAmt>36369966</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-5082212</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>749</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>13329</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>518370</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3040337</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17760</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>3589796</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>7162189</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7550645</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7215272</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8096971</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9422785</CurrentTaxYearAmt>
        <TotalAmt>39447862</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus1YearAmt>9338</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8972</CurrentTaxYearAmt>
        <TotalAmt>18310</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>7175518</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8069015</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10255609</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8124069</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9431757</CurrentTaxYearAmt>
        <TotalAmt>43055968</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>43055968</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>1625</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>38</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>430</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>769</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>30454</CurrentTaxYearAmt>
        <TotalAmt>33316</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>1625</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>38</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>430</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>769</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>30454</CurrentTaxYearAmt>
        <TotalAmt>33316</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>11023</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15858</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>48299</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>25754</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>54055</CurrentTaxYearAmt>
        <TotalAmt>154989</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>7188166</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8084911</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10304338</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8150592</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9516266</CurrentTaxYearAmt>
        <TotalAmt>43244273</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99560</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.96970</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00080</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00030</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>BARBER BEAUTY - 2018 AMOUNT: $ 7,422. 2019 AMOUNT: $ 5,759. 2020 AMOUNT: $ 3,518. OTHER INCOME - 2018 AMOUNT: $ 3,601. 2019 AMOUNT: $ 2,335. 2020 AMOUNT: $ 28,181. 2021 AMOUNT: $ 25,754. 2022 AMOUNT: $ 5,490. TELECOMMUNICATIONS/PENDANT SERVICES - 2019 AMOUNT: $ 2,091. 2020 AMOUNT: $ 3,009. TRANSPORTATION - 2019 AMOUNT: $ 613. 2020 AMOUNT: $ 195. GUEST SUITES - 2019 AMOUNT: $ 5,060. RECOVERY OF BAD DEBT - 2020 AMOUNT: $ 13,396. COMMUNITY FEE AMORTIZATION INCOME - 2022 AMOUNT: $ 15,740. INSURANCE PROCEDDS - 2022 AMOUNT: $ 21,029. CC REBATES - 2022 AMOUNT: $ 11,796.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>370000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>370000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>36245028</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4531610</DepreciationAmt>
        <BookValueAmt>31713418</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>99660</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>32613</DepreciationAmt>
        <BookValueAmt>67047</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2699833</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>759176</DepreciationAmt>
        <BookValueAmt>1940657</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>21509</OtherCostOrOtherBasisAmt>
        <BookValueAmt>21509</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>34112631</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>4102161</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>4102161</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>9475630</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>749</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>749</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>9474881</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>41385</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>41385</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>9516266</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14557093</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>14557093</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>41385</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>41385</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>14598478</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HOLDS FUNDS AS A CUSTODIAN FOR RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE, NETTED WITH REVENUE ON FS 41,385.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE, NETTED WITH REVENUE ON FS 41,385.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>414951</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH GIRARDI</PersonNm>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3711</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7584</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>272080</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAUREEN DUNN</PersonNm>
        <TitleTxt>CPSO</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>2899</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>7584</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>168652</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN LEONARD</PersonNm>
        <TitleTxt>CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>149461</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2690</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7584</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>159735</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION USES THE FOLLOWING FACTORS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT: OFFICIAL COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.</ExplanationTxt>
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          <BusinessNameLine1Txt>THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF ST LOUIS MISSOURI</BusinessNameLine1Txt>
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        <BondIssuerEIN>431170145</BondIssuerEIN>
        <CUSIPNum>791524CU3</CUSIPNum>
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        <PoolFinancingInd>0</PoolFinancingInd>
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        <BondReferenceCd>A</BondReferenceCd>
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        <CreditEnhancementAmt>126872</CreditEnhancementAmt>
        <CapitalExpendituresAmt>27991762</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>6728895</OtherSpentProceedsAmt>
        <UnspentAmt>20416</UnspentAmt>
        <SubstantialCompletionYr>2023</SubstantialCompletionYr>
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        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
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        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
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        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
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        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENTERED INTO A MANAGEMENT CONTRACT WITH ST. ANDREW'S RESOURCES FOR SENIORS SYSTEM (STARSS).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS. THE MEMBERS OF THE CORPORATION SHALL BE THE URSULINE SISTERS EUREKA MEMBER CORPORATION, A MISSOURI NONPROFIT CORPORATION, AND ST. ANDREW'S RESOURCES FOR SENIORS SYSTEM, A MISSOURI NONPROFIT CORPORATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. ANDREW'S MEMBER HAS THE EXCLUSIVE POWER TO APPOINT ONE MORE THAN HALF OF THE VOTING DIRECTORS OF THE CORPORATION AND REMOVE SUCH VOTING DIRECTORS, WITH OR WITHOUT CAUSE, AT ANY TIME.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>MEMBERS ARE REQUIRED TO APPROVE CERTAIN TRANSACTIONS SET FORTH IN THE BY-LAWS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>A DRAFT OF FORM 990 IS REVIEWED BY THE CFO FOR ACCURACY AND EMAILED TO BOTH THE ADMINISTRATION AND FINANCE COMMITTEE AND THE ENTIRE BOARD OF DIRECTORS. THE FINAL FORM 990 IS EMAILED TO THE CFO FOR REVIEW AND SIGNATURE.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>AN ANNUAL CONFLICT OF INTEREST DISCLOSURE IS COMPLETED BY EACH BOARD OF DIRECTORS MEMBER, SUBMITTED AND REVIEWED BY THE ENTIRE BOARD. IF ANY CONFLICTS ARISE WITH ANY MEMBER, THAT MEMBER IS THEN EXCLUDED IN ANY VOTING FOR APPLICABLE SUBJECT AREAS. THERE IS ALSO A CORPORATE COMPLIANCE POLICY WHICH IS REVIEWED WITH ALL EMPLOYEES ANNUALLY AND PERIODICALLY AUDITED WITH RESPECT TO OPERATIONAL COMPLIANCE. A TAX PREPARATION QUESTIONNAIRE IS ALSO COMPLETED BY EACH BOARD OF DIRECTORS MEMBER AND KEY EMPLOYEES BEFORE FILING IN ORDER TO ENSURE THAT THE DETAILS OF ANY CONFLICTS OR RELATIONSHIPS THAT MIGHT CAUSE CONFLICTS ARE IDENTIFIED.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION DOES NOT COMPENSATE ANY TOP MANAGEMENT OFFICIALS. A RELATED ORGANIZATION COMPENSATES THE CEO, EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>BUILDING SERVICES: PROGRAM SERVICE EXPENSES 90,676. MANAGEMENT AND GENERAL EXPENSES 16,002. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,678. THERAPY/HEALTH CARE SERVICES: PROGRAM SERVICE EXPENSES 2,601,539. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,601,539. CONSULTING FEES: PROGRAM SERVICE EXPENSES 12,410. MANAGEMENT AND GENERAL EXPENSES 2,190. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,600.</ExplanationTxt>
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      <SupplementalInformationDetail>
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          <AddressLine1Txt>1001 CRAIG ROAD SUITE 200</AddressLine1Txt>
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          <BusinessNameLine1Txt>ST ANDREW'S ASSISTED LIVING OF BRIDGETON</BusinessNameLine1Txt>
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          <AddressLine1Txt>1001 CRAIG ROAD SUITE 200</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
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        <EIN>431744746</EIN>
        <PrimaryActivitiesTxt>RETIREMENT HOME</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST ANDREW'S AT HOME SERVICES LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1001 CRAIG ROAD SUITE 200</AddressLine1Txt>
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          <ZIPCd>63146</ZIPCd>
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        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>ST ANDREW'S AT NEW FLORENCE</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SASC LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>1001 CRAIG ROAD SUITE 200</AddressLine1Txt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ST ANDREW'S REAL ESTATE TRUST</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1001 CRAIG ROAD SUITE 200</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63146</ZIPCd>
        </USAddress>
        <EIN>616580349</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</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>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
