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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>MISSION LINEN SUPPLY</BusinessNameLine1Txt>
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        <CurrentTaxYearMinus2YearsAmt>541462</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>322405</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>655870</CurrentTaxYearAmt>
        <TotalAmt>2399740</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus1YearAmt>24582</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1870327</CurrentTaxYearAmt>
        <TotalAmt>1894909</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>21845803</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24894523</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>28228838</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6112963</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>27352788</CurrentTaxYearAmt>
        <TotalAmt>108434915</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.94130</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.94500</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02210</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02630</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME DEBT EXTINGUISHMENT</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, COLUMN D:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS REPORTED IN PART III, COLUMN D REPRESENT A SHORT YEAR THAT BEGAN ON JULY 1, 2024 AND ENDED ON SEPTEMBER 30, 2024.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
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      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>4048274</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>479137</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>708562</OtherExpendituresAmt>
        <EndYearBalanceAmt>3818849</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3883210</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>214295</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>49231</OtherExpendituresAmt>
        <EndYearBalanceAmt>4048274</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3665920</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>394217</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>176927</OtherExpendituresAmt>
        <EndYearBalanceAmt>3883210</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3252547</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>465137</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>51764</OtherExpendituresAmt>
        <EndYearBalanceAmt>3665920</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3891430</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-544366</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>94517</OtherExpendituresAmt>
        <EndYearBalanceAmt>3252547</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.76983</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.23017</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>1</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>1</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>201489</OtherCostOrOtherBasisAmt>
        <BookValueAmt>201489</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>41359513</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8751999</DepreciationAmt>
        <BookValueAmt>32607514</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2733429</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>646135</DepreciationAmt>
        <BookValueAmt>2087294</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5049189</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3523299</DepreciationAmt>
        <BookValueAmt>1525890</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>99883</OtherCostOrOtherBasisAmt>
        <BookValueAmt>99883</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>36522070</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RESTRICTED COLLATERAL RESERVE ACCOUNT</Desc>
        <BookValueAmt>4272514</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE LEASE ASSETS</Desc>
        <BookValueAmt>258580</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>4531094</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED ORGANIZATIONS</Desc>
        <Amt>320445</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST RATE SWAP - LIABILITY</Desc>
        <Amt>442922</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RELATED PARTY NOTES PAYABLE</Desc>
        <Amt>1500000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT-OF-USE LEASE LIABILITIES</Desc>
        <Amt>263324</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2526691</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>22143403</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>508227</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>90</OtherRevenueAmt>
      <RevenueNotReportedAmt>508317</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>21635086</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>64491</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>5870236</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>5934727</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>27569813</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>28484010</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>28484010</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>64491</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>406516</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>471007</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>28955017</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HOLDS RESIDENT FUNDS IN TRUST. EACH RESIDENT MAY ACCESS THEIR FUNDS AT ANY TIME. RESIDENT FUNDS ARE HELD IN A SEPARATE BANK ACCOUNT FROM OTHER ORGANIZATIONAL ASSETS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE SIX ENDOWMENT FUNDS, ALL OF WHICH REQUIRE THE INCOME FROM THE FUNDS TO BE USED FOR CHARITY CARE OF RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON SALE OF ASSETS 90.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 406,516. CONTRIBUTION REVENUE 3,083,100. GAIN FROM EXTINGUISHMENT OF RELATED PARTY PAYABLE 1,064,130. NET INVESTMENT RETURN 1,316,490.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 406,516.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>1</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>1</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TORSTEN HIRCHE</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>794632</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>371277</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>8798</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13800</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>25753</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1214260</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL CONNELL</PersonNm>
        <TitleTxt>TREASURER &amp; CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>487183</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>58504</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>91935</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13800</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9967</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>661389</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONATUS TANGUAYIM RN</PersonNm>
        <TitleTxt>NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>175981</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7846</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>183827</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>UZODIMMA ENENTA RN</PersonNm>
        <TitleTxt>NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>180330</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180330</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAELYNNE BENHAM-DWYER</PersonNm>
        <TitleTxt>HEALTH CARE ADMINISTRATOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>177222</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1431</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>178653</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING WERE USED BY TRANSFORMING AGE, A RELATED ORGANIZATION, IN DETERMINING THE PRESIDENT &amp; CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT &amp; CEO MAY RECEIVE AN ANNUAL INCENTIVE BONUS FROM TRANSFORMING AGE, A RELATED ORGANIZATION, SUBJECT TO THE SOLE AND COMPLETE DISCRETION OF TRANSFORMING AGE'S BOARD OF DIRECTORS. FINANCIAL PERFORMANCE IS ONE OF THE FACTORS IN DETERMINING THE BONUS. OTHER FACTORS INCLUDE OVERALL MISSION DELIVERY, MISSION GROWTH, AND THE OVERALL ACHIEVEMENTS AND PERFORMANCE OF TRANSFORMING AGE AND ITS SUBSIDIARY ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1873890</ContributionCnt>
        <NoncashContributionsRptF990Amt>3818456</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED IN PART I, COLUMN B REPRESENTS THE POUNDS OF FOOD RECEIVED DURING THE FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MERCY HAS A MANAGEMENT CONTRACT WITH ELDER CARE ALLIANCE, A NON-PROFIT PUBLIC BENEFIT CORPORATION THAT IS THE SOLE CORPORATE MEMBER OF MERCY, TO PROVIDE MANAGEMENT SERVICES INCLUDING, BUT NOT LIMITED TO, MARKETING, HUMAN RESOURCES, ACCOUNTING, INFORMATION TECHNOLOGY SERVICES, RISK MANAGEMENT, CLINICAL OVERSIGHT AND INSURANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ELDER CARE ALLIANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFORMING AGE'S BOARD OF DIRECTORS IS ALSO THE BOARD OF DIRECTORS OF MERCY RETIREMENT AND CARE CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING ACTIONS REGARDING MERCY RETIREMENT AND CARE CENTER ("MRCC") SHALL REQUIRE THE SPECIFIC APPROVAL OF THE FACILITY AND PROGRAM SPONSOR, I.E. THE INDIVIDUALS IN THEIR CANONICAL CAPACITY (OR THEIR DESIGNEES), WHO CONSTITUTE THE INSTITUTE LEADERSHIP TEAM OF THE SISTERS OF MERCY OF THE AMERICAS, A PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH: I) APPROVAL OF ANY MATERIAL CONFLICT-OF-INTEREST, AFFILIATE OR SIMILAR TRANSACTION BETWEEN MRCC, ON THE ONE HAND, AND THE CORPORATION AND/OR AN AFFILIATE OF THE CORPORATION, ON THE OTHER HAND; PROVIDED THAT APPROVAL OF THE FACILITY AND PROGRAM SPONSOR SHALL NOT BE REQUIRED FOR COMMERCIAL TRANSACTIONS BETWEEN MRCC AND THE CORPORATION AND/OR ITS AFFILIATES, IF SUCH TRANSACTION IS ENTERED INTO IN THE ORDINARY COURSE OF BUSINESS AND AT ARM'S LENGTH TERMS AND DOES NOT EXCEED MONETARY LIMITS ESTABLISHED FROM TIME TO TIME BY ELDER CARE ALLIANCE AND APPROVED BY THE FACILITY AND PROGRAM SPONSOR; II) FINAL APPROVAL OF ANY DEFICIT OPERATING AND/OR CAPITAL BUDGET OF MRCC; III) APPROVAL OF ALL UNBUDGETED OPERATING AND CAPITAL EXPENDITURES OF MRCC IN EXCESS OF MONETARY LIMITS ESTABLISHED FROM TIME TO TIME IN ACCORDANCE WITH THE POLICIES AND NORMS OF THE FACILITY AND PROGRAM SPONSOR; IV) APPROVAL OF THE MERGER OR REORGANIZATION OF MRCC; V) APPROVAL OF SALE, TRANSFER OR DISPOSITION OF ALL OR ANY ASSETS OF MRCC IN EXCESS OF MONETARY LIMITS ESTABLISHED FROM TIME TO TIME BY FACILITY AND PROGRAM SPONSOR AND IN ACCORDANCE WITH THE POLICIES AND NORMS OF THE FACILITY AND PROGRAM SPONSOR VI) APPROVAL OF ANY DEBT OR ENCUMBRANCE OF THE CORPORATE REAL ESTATE OF MRCC; VII) APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF MRCC THAT WOULD ALTER THE CORPORATE PURPOSE, AFFILIATION, RESERVED RIGHTS OR ANY SPONSOR RELATIONSHIP OF MRCC; VIII) APPROVAL OF ANY CHANGES TO THE MISSION AND COMMON VALUES STATEMENT OF MRCC; IX) APPROVAL OF ANY REVISION OR AMENDMENT TO THE MRCC STATEMENT OF CATHOLIC IDENTITY; X) APPROVAL OF ALL MATTERS OF MRCC IMPACTING THE CATHOLIC IDENTITY OF MRCC AND ITS PROGRAMS AND SERVICES, INCLUDING, BUT NOT LIMITED TO, ADHERENCE TO AND COMPLIANCE WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE AND THE MRCC STATEMENT OF CATHOLIC IDENTITY; XI) ANY OTHER MATTERS WHICH MAY BE REQUIRED BY CIVIL OR ROMAN CATHOLIC CANON LAW REGARDING MRCC TO BE SUBMITTED TO THE INSTITUTE OF THE SISTERS OF MERCY OF THE AMERICAS, OR WHICH THE MRCC BOARD OF DIRECTORS MAY REQUEST BE SUBMITTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM WAS REVIEWED BY THE CONTROLLER AND THE CFO. IT WAS THEN PROVIDED TO THE BOARD FOR REVIEW BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS, OFFICERS AND EMPLOYEES. ANNUALLY, A CONFLICT OF INTEREST FORM IS DISTRIBUTED TO THE BOARD OF DIRECTORS. THE PRESIDENT &amp; CEO REVIEWS THE COMPLETED FORMS AND IDENTIFIES WHETHER ANY CONFLICTS EXIST. ANY ACTUAL OR PERCEIVED CONFLICT OF INTEREST OF ANY GOVERNING BOARD MEMBER IS DISCLOSED TO THE OTHER BOARD MEMBERS OR HIGHEST LEVEL OF MANAGEMENT (PRESIDENT &amp; CEO) AND MADE A MATTER OF RECORD AT THE SOONEST POSSIBLE TIME. ANY GOVERNING BOARD MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST MAY NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER, AND IS NOT COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW. THE MINUTES OF THE MEETING REFLECT THAT DISCLOSURE WAS MADE, THE ABSTENTION FROM VOTING, AND THE QUORUM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINES 15A AND 15B HAVE BOTH BEEN ANSWERED NO (AS MANDATED BY THE FORM 990 INSTRUCTIONS), AS THE CEO, OFFICERS, AND KEY EMPLOYEES OF THE ORGANIZATION ARE COMPENSATED BY A RELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OFFICERS THAT HAVE COMPENSATION PRESENTED IN PART VII, SECTION A OF THE FORM 990 PROVIDE EXECUTIVE MANAGEMENT SUPPORT AND OVERALL GUIDANCE TO TRANSFORMING AGE AND ITS RELATED AND SUPPORTED AFFILIATES. WE HAVE 3,500 TEAM MEMBERS WHO IGNITE OUR MISSION EVERY DAY AND IMPACT NEARLY 750,000 PEOPLE ANNUALLY. HTTPS://TRANSFORMINGAGE.ORG/PUBLICATIONS/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNREALIZED GAIN ON INTEREST RATE SWAPS 305,683.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
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</Return>