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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Travel for companions</FormAndLineReferenceDesc>
        <ExplanationTxt>Travel for companions was provided to Andrew McCormick, Regional Director of Operations and Joshua Thomas, VP of Strategy &amp; Development . This benefit was included in taxable compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>In order to assist in promoting a healthy lifestyle for its employees, the organization reimburses employees up to $40 per month to cover 50% of the cost of a gym membership. These expenses are submitted to management for approval. These reimbursements are taxable to the employee and included in their compensation. William Schwingen, Joshua Thomas and Kris Gillen participated in the program during the year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization and related entities pay discretionary bonuses to their officers, directors, and key employees from time to time. The frequency and amount of the bonuses are determined by the Administrative Committee, CEO, or other management, and based on factors such as overall job performance, substantial extra projects, etc. The organizations do not have any employment contracts which obligate the payment of bonuses in the future.</ExplanationTxt>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Colorado Health Facilities Authority</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>840752932</BondIssuerEIN>
        <CUSIPNum>19648FJA3</CUSIPNum>
        <BondIssuedDt>2018-12-27</BondIssuedDt>
        <IssuePriceAmt>28324417</IssuePriceAmt>
        <PurposeDesc>Improvement and Refunding Issues 5/2/2016, 2/7/2014, 9/26/2011</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>true</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1859484</RetiredAmt>
        <TotalProceedsAmt>28324417</TotalProceedsAmt>
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        <CapitalExpendituresAmt>5007163</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>22831297</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2018</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
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        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <FormAndLineReferenceDesc>Schedule K, Part I, Column (i)</FormAndLineReferenceDesc>
        <ExplanationTxt>The Bethesda Foundation Schedule K reflects the proportionate amount of the 2018 bond issue used by or for the benefit of Bethesda Foundation. The remaining portion of the 2018 bond issue is reported on Schedule K for BSLC II, a related entity, to reflect the amount used by or for the benefit of BSLC II.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: Colorado Health Facilities Authority The calculation for computing no rebate due was performed on 12/27/2023</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>Daniel Vagle and Dale Turner - Family relationship, Dana Rasic, Nathan Merrill, Dale Turner, Austin Harbach, and Tom Workman - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3 Delegation of management duties</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain officer functions for Bethesda Foundation are performed by management of Bethesda Associates under a cost-sharing practice.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by an independent CPA firm and is reviewed in detail by the CFO and Accounting Manager. The final version of the Form 990 is distributed via email to the organization's Board of Directors for review and comments over a two day period prior to filing. Management answers all questions and incorporates the changes, if necessary, into the Form 990 prior to filing. After two days, the review period is closed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest forms are completed annually by officers, directors and key employees and are presented to the board for approval. When a potential conflict arises during the year, the officer, director or key employee is responsible for updating the conflict of interest form and the revised form is provided to the board for approval. Should any potential conflicts of interest be disclosed, the board member or officer would be asked to refrain from participation in any deliberation or decision with regard to matters affected by the relationship.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization utilizes the services of Payscale,Inc. to perform regular independent compensation studies for all officers and key employees and the results are provided to the Administrative committee of the board for review and approval. The approval process is documented in the minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>See narrative for Form 990, Part VI, Line 15a</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's governing documents, conflict of interest policy, and audited financial statements are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Many of the officers and directors provide services to affiliated organizations. The hours shown are specific to this organization but the compensation is total compensation for services provided to all of the affiliated organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Independent Board Members: Board members Daniel Vagle, Dale Turner, Don Morgan and Larry Smith were reasonably compensated solely for services provided in their capacity as members of the governing body. Therefore they are independent members of the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>- Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Other fees - Total Expense: 4057416, Program Service Expense: 4022483, Management and General Expenses: 34933, Fundraising Expenses: ; Intercompany fees - Total Expense: 1858721, Program Service Expense: , Management and General Expenses: 1858721, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in investment in captive insurance held by related organization - 326803;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part IV, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has analyzed its ownership in the foreign partnership and has determined that it does not meet the reporting threshold for filing Form 8865.</ExplanationTxt>
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          <BusinessNameLine1Txt>BSLC Thornton LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>15475 Gleneagle Drive</AddressLine1Txt>
          <CityNm>Colorado Springs</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
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      <IdDisregardedEntitiesGrp>
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          <BusinessNameLine1Txt>BSLC Loveland LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>15476 Gleneagle Drive</AddressLine1Txt>
          <CityNm>Colorado Springs</CityNm>
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        <TotalIncomeAmt>5327343</TotalIncomeAmt>
        <EndOfYearAssetsAmt>17594930</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>Bethesda Foundation</BusinessNameLine1Txt>
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          <CityNm>Colorado Springs</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80921</ZIPCd>
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        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
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        <EndOfYearAssetsAmt>10454618</EndOfYearAssetsAmt>
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          <CityNm>Colorado Springs</CityNm>
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        <TotalIncomeAmt>4427688</TotalIncomeAmt>
        <EndOfYearAssetsAmt>15840152</EndOfYearAssetsAmt>
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      <IdDisregardedEntitiesGrp>
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          <BusinessNameLine1Txt>BSLC Springfield Condos LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>15479 Gleneagle Drive</AddressLine1Txt>
          <CityNm>Colorado Springs</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80921</ZIPCd>
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        <EIN>832109850</EIN>
        <PrimaryActivitiesTxt>Independent Living</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <TotalIncomeAmt>491165</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1780630</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>Bethesda Foundation</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
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          <BusinessNameLine1Txt>Bethesda Gardens Broadmoor LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>15480 Gleneagle Drive</AddressLine1Txt>
          <CityNm>Colorado Springs</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80921</ZIPCd>
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        <EIN>611961515</EIN>
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        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
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        <EndOfYearAssetsAmt>2392073</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>Bethesda Gardens Grand Junction LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>15481 Gleneagle Drive</AddressLine1Txt>
          <CityNm>Colorado Springs</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80921</ZIPCd>
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        <EIN>364964645</EIN>
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        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <TotalIncomeAmt>2756389</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2250006</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>Bethesda Foundation</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>BSLC Phoenix Holdings LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>15482 Gleneagle Drive</AddressLine1Txt>
          <CityNm>Colorado Springs</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80921</ZIPCd>
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        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <TotalIncomeAmt>487713</TotalIncomeAmt>
        <EndOfYearAssetsAmt>5267499</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>Bethesda Foundation</BusinessNameLine1Txt>
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          <AddressLine1Txt>15475 Gleneagle Drive</AddressLine1Txt>
          <CityNm>Colorado Springs</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
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        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Bethesda Foundation</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>BSLC II</BusinessNameLine1Txt>
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          <AddressLine1Txt>15476 Gleneagle Drive</AddressLine1Txt>
          <CityNm>Colorado Springs</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80921</ZIPCd>
        </USAddress>
        <EIN>452666295</EIN>
        <PrimaryActivitiesTxt>Assisted Living</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bethesda Foundation</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Bethesda Christian Broadcasting</BusinessNameLine1Txt>
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          <AddressLine1Txt>15477 Gleneagle Drive</AddressLine1Txt>
          <CityNm>Colorado Springs</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80921</ZIPCd>
        </USAddress>
        <EIN>841162754</EIN>
        <PrimaryActivitiesTxt>Christian Radio</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Bethesda Foundation</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>LifeStream Complete Senior Living Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>11555 West Peoria Avenue</AddressLine1Txt>
          <CityNm>Youngtown</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85363</ZIPCd>
        </USAddress>
        <EIN>237458267</EIN>
        <PrimaryActivitiesTxt>Assisted Living</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>LifeStream Complete Senior Living at Thunderbird Inc</BusinessNameLine1Txt>
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          <CityNm>Youngtown</CityNm>
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          <ZIPCd>85363</ZIPCd>
        </USAddress>
        <EIN>860739097</EIN>
        <PrimaryActivitiesTxt>Assisted Living</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>LifeStream Complete Senior Living at NorthEast Phoenix Inc</BusinessNameLine1Txt>
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          <ZIPCd>85363</ZIPCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>LifeStream Complete Senior Living at Sunridge Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>11555 West Peoria Avenue</AddressLine1Txt>
          <CityNm>Youngtown</CityNm>
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          <BusinessNameLine1Txt>Sun Valley Lodge</BusinessNameLine1Txt>
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          <CityNm>Sun City</CityNm>
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        <PrimaryActivitiesTxt>Assisted Living</PrimaryActivitiesTxt>
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