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      <Form990PartVIISectionAGrp>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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        <Desc>Creekstone</Desc>
        <BusinessCd>623000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>5381775</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <CompCurrentOfcrDirectorsGrp>
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      <PayrollTaxesGrp>
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        <ManagementAndGeneralAmt>2926</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>31356</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>896515</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>9714</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1325</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>30183</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>972156</ProgramServicesAmt>
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        <ProgramServicesAmt>213341</ProgramServicesAmt>
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        <ProgramServicesAmt>659453</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Linens</Desc>
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        <ProgramServicesAmt>110367</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>66959</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Resident Entertainment</Desc>
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        <ProgramServicesAmt>5200</ProgramServicesAmt>
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        <ProgramServicesAmt>13572671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2054710</ManagementAndGeneralAmt>
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        <EOYAmt>1617414</EOYAmt>
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        <EOYAmt>197410</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Line 2b:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The endowment funds held by the organization's affiliate, Rochester Presbyterian Home Foundation, Inc., are intended to support the mission of Rochester Presbyterian Home, Inc., primarily the subsidy for low income elders and the capital needs to maintain and improve the buildings.</ExplanationTxt>
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      <IndependentConsultantInd>X</IndependentConsultantInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anne Gallese</PersonNm>
        <TitleTxt>Executive Director</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A draft copy of the Form 990 was distributed to the members of the board for comment before filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The board members review and sign the conflict of interest policy annually. The Executive Director and Board review relationships for potential conflicts before relationships are established. Potential board members have been rejected for potential conflicts for interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive committee meets to review the Executive Director's compensation package. They review compensation levels for comparable organizations. They meet with the Executive Director to review the goals and accomplishments of the prior year and set goals for the upcoming year. The Executive committee approves the average merit pay increase for all employees. Each Service Director recommends any merit increase for employees under their supervision at the mandatory annual review. The Executive Director reviews and approves merit increases for Service Directors. She has authority to approve merit increases within the parameters of the budget approved by the Board of Trustees. Any pay increases beyond that level would be referred to the Executive committee for approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Pension and Postretirement Benefit Changes 2,334,151. Net Periodic Benefit Income Other Than Service Cost 153,410.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
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          <AddressLine1Txt>256 Thurston Road</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14619</ZIPCd>
        </USAddress>
        <EIN>161586435</EIN>
        <PrimaryActivitiesTxt>Solicit, receive and maintain a fund for the benefit of RPH, Inc.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12(a)</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
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        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>256 Thurston Road</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14619</ZIPCd>
        </USAddress>
        <EIN>464189027</EIN>
        <PrimaryActivitiesTxt>Provide a loving home for elders where they are honored and cared</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12(b)</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RPH-East Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>256 Thurston Road</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14619</ZIPCd>
        </USAddress>
        <EIN>472394624</EIN>
        <PrimaryActivitiesTxt>Provide a loving home for elders where they are honored and cared</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12(b)</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      </IdRelatedTaxExemptOrgGrp>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
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          <BusinessNameLine1Txt>Rochester Presbyterian Home Foundation Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>1000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash Loan</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
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