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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN ROONEY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.70</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH SAPORITO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.70</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GT SWEENEY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.70</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BISHOP GERALD WALSH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.70</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR PATRICIA TOOKER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.70</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CYNTHIA ROBERTI</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.70</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE B KASEGRANDE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.10</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.70</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LORRI A SENK</PersonNm>
        <TitleTxt>PRESIDENT/CEO THRU 06/24</TitleTxt>
        <AverageHoursPerWeekRt>18.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>37.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>324999</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>156526</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNMARIE COVONE</PersonNm>
        <TitleTxt>EXECUTIVE VP/CFO</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>38.30</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1366434</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>369602</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT LARUE</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>38.30</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1977036</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>439006</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EILEEN DRISCOLL</PersonNm>
        <TitleTxt>SENIOR VP FOR NURSING THRU 01/24</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>221277</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4051</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MITCHELL MARSH</PersonNm>
        <TitleTxt>SENIOR VP RESIDENTIAL SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>306802</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARTINE PAUL-THEOGENE</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>220278</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24891</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN MULLEN</PersonNm>
        <TitleTxt>LPN</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>206958</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23386</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY A JOHNSON</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>190430</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21519</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARRY DE LEEUWERK</PersonNm>
        <TitleTxt>FORMER SENIOR VP FOR FINANCE/CFO</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>317458</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1677</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1788202</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>3343470</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1040658</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>50</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THERADYNAMICS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>225 CROSSWAYS PARK DRIVE</AddressLine1Txt>
            <CityNm>WOODBURY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11797</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REHABILITATION SERIVCES</ServicesDesc>
        <CompensationAmt>2606987</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MORRISON MGMT SPECIALISTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 102289</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30368</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICE</ServicesDesc>
        <CompensationAmt>2475764</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASCEN WORKFORCE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 201245</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75329</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING AGENCY SERVICES</ServicesDesc>
        <CompensationAmt>1557149</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>205 LEXINGTON AVENUE 2ND AVENUE</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10016</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADMINISTRATIVE SERIVICES</ServicesDesc>
        <CompensationAmt>1279206</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PARISH PROPERTY MANAGEMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11 SEVENTH STREET</AddressLine1Txt>
            <CityNm>PELHAM</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10803</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BUSINESS MANAGEMENT CONSULTANT</ServicesDesc>
        <CompensationAmt>1152413</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>20</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>1249576</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>729053</AllOtherContributionsAmt>
      <TotalContributionsAmt>1978629</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>23904356</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23904356</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>15450846</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15450846</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PATIENT REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>10817599</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10817599</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>7125907</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7125907</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>57298708</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>16501</TotalRevenueColumnAmt>
        <ExclusionAmt>16501</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>287223</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>287223</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>287223</TotalRevenueColumnAmt>
        <ExclusionAmt>287223</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>27998</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>27302</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>696</TotalRevenueColumnAmt>
        <ExclusionAmt>696</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>132991</TotalRevenueColumnAmt>
        <ExclusionAmt>132991</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>REBATES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>29108</TotalRevenueColumnAmt>
        <ExclusionAmt>29108</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8736</TotalRevenueColumnAmt>
        <ExclusionAmt>8736</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>7989</TotalRevenueColumnAmt>
        <ExclusionAmt>7989</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>178824</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>59760581</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>57298708</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>483244</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>454246</TotalAmt>
        <ProgramServicesAmt>426387</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27859</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>47541</TotalAmt>
        <ManagementAndGeneralAmt>47541</ManagementAndGeneralAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>24808641</TotalAmt>
        <ProgramServicesAmt>23330162</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1478479</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>1849275</TotalAmt>
        <ProgramServicesAmt>1735858</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113417</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>6658201</TotalAmt>
        <ProgramServicesAmt>6251423</ProgramServicesAmt>
        <ManagementAndGeneralAmt>406778</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>2262279</TotalAmt>
        <ProgramServicesAmt>2123532</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138747</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>3070100</TotalAmt>
        <ManagementAndGeneralAmt>3070100</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>369578</TotalAmt>
        <ManagementAndGeneralAmt>369578</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>83140</TotalAmt>
        <ManagementAndGeneralAmt>83140</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>46028</TotalAmt>
        <ManagementAndGeneralAmt>46028</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>10431054</TotalAmt>
        <ProgramServicesAmt>9050498</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1380556</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>8729</TotalAmt>
        <ManagementAndGeneralAmt>8729</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>935035</TotalAmt>
        <ProgramServicesAmt>586735</ProgramServicesAmt>
        <ManagementAndGeneralAmt>348300</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1271597</TotalAmt>
        <ProgramServicesAmt>1163147</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108450</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>1766</TotalAmt>
        <ProgramServicesAmt>228</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1538</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>99466</TotalAmt>
        <ProgramServicesAmt>99466</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1603748</TotalAmt>
        <ProgramServicesAmt>1603748</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1708491</TotalAmt>
        <ManagementAndGeneralAmt>1708491</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>NEW YORK STATE ASSMTS.</Desc>
        <TotalAmt>2249393</TotalAmt>
        <ProgramServicesAmt>2249393</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>1788301</TotalAmt>
        <ManagementAndGeneralAmt>1788301</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD EXPENSES</Desc>
        <TotalAmt>1640908</TotalAmt>
        <ProgramServicesAmt>1640908</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>914321</TotalAmt>
        <ProgramServicesAmt>914321</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>326249</TotalAmt>
        <ProgramServicesAmt>266831</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59418</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>62628087</TotalAmt>
        <ProgramServicesAmt>51442637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11185450</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3740405</BOYAmt>
        <EOYAmt>1577611</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4841200</BOYAmt>
        <EOYAmt>5610754</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>36450</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6219115</BOYAmt>
        <EOYAmt>8184417</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>304383</BOYAmt>
        <EOYAmt>321272</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>465383</BOYAmt>
        <EOYAmt>281387</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>69066052</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>58691940</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <BOYAmt>3332289</BOYAmt>
        <EOYAmt>6167192</EOYAmt>
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        <EOYAmt>26038735</EOYAmt>
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        <EOYAmt>47296147</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-13890126</BOYAmt>
        <EOYAmt>-14779402</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>28853497</BOYAmt>
        <EOYAmt>32516745</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-2867506</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-3169</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>1981399</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <CurrentTaxYearMinus3YearsAmt>1447682</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearAmt>1978629</CurrentTaxYearAmt>
        <TotalAmt>10374159</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>42263652</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47232599</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>52008685</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>57298708</CurrentTaxYearAmt>
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        <TotalAmt>169725</TotalAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>43711334</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47660286</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>53901014</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>59447062</CurrentTaxYearAmt>
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      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>252237486</PublicSupportTotal509Amt>
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        <CurrentTaxYearMinus4YearsAmt>46887</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>62998</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>208550</CurrentTaxYearMinus2YearsAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>62998</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>208550</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>190972</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>303724</CurrentTaxYearAmt>
        <TotalAmt>813131</TotalAmt>
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        <CurrentTaxYearMinus4YearsAmt>220420</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>127189</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3207401</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>152795</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>37097</CurrentTaxYearAmt>
        <TotalAmt>3744902</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>47785097</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>43901521</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>51076237</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>54244781</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>59787883</CurrentTaxYearAmt>
        <TotalAmt>256795519</TotalAmt>
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      <PublicSupportCY509Pct>0.98230</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98110</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00320</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00230</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
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        <ExplanationTxt>BEAUTY SHOP - 2022 AMOUNT: $ 2,142. MEDICAL RECORDS - 2022 AMOUNT: $ 4,309. 2023 AMOUNT: $ 8,728. CAFETERIA GUEST MEALS - 2022 AMOUNT: $ 27,849. OTHER INCOME - 2022 AMOUNT: $ 94,879. 2023 AMOUNT: $ 25,389. 2024 AMOUNT: $ 7,317. WORKERS COMPENSATION SETTLEMENT - 2022 AMOUNT: $ 2,965,864. CAFETERIA - 2020 AMOUNT: $ 220,420. 2021 AMOUNT: $ 127,189. 2022 AMOUNT: $ 112,358. 2023 AMOUNT: $ 118,678. REBATES - 2024 AMOUNT: $ 29,108. INSURANCE REIMBURSEMENT - 2024 AMOUNT: $ 672.</ExplanationTxt>
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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>
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      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>46028</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>46028</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID BY THE ORGANIZATION TO PROFESSIONAL ASSOCIATIONS AND SIMILAR ORGANIZATIONS ATTRIBUTABLE TO LOBBYING ACTIVITIES.</ExplanationTxt>
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      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
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        <BookValueAmt>193180</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>45574606</DepreciationAmt>
        <BookValueAmt>7898599</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>10994652</DepreciationAmt>
        <BookValueAmt>2258551</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2146464</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2122682</DepreciationAmt>
        <BookValueAmt>23782</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>10374112</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSIT</Desc>
        <BookValueAmt>129565</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECOVERY RECEIVABLE</Desc>
        <BookValueAmt>2622341</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES</Desc>
        <BookValueAmt>1689883</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM THIRD PARTY PAYORS</Desc>
        <BookValueAmt>1725403</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>6167192</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASSET RETIREMENT OBLIGATION</Desc>
        <Amt>1407764</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>WORKERS COMP SETTLEMENT</Desc>
        <Amt>217500</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
        <Amt>12442727</Amt>
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        <Amt>3032201</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LOANS PAYABLE TO RELATED PARTIES</Desc>
        <Amt>3000000</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>2940432</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>59760581</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>59714957</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>27302</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>27302</ExpensesNotReportedAmt>
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      <OtherExpensesNotIncludedAmt>2940432</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>2940432</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>62628087</TotalExpensesPerForm990Amt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>RECLASS ATI CREDIT TO PART VIII, LINE 1E 1,152,131. RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 1,788,301.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASS ATI CREDIT TO PART VIII, LINE 1E 1,152,131. RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 1,788,301.</ExplanationTxt>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>29329</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>2416042</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>354035</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNMARIE COVONE</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>155876</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>481525</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>GARRY DE LEEUWERK</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsFilingOrgAmt>1677</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>319135</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>232927</CompReportPrior990FilingOrgAmt>
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        <PersonNm>MITCHELL MARSH</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>306802</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARTINE PAUL-THEOGENE</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>220278</BaseCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAUREEN MULLEN</PersonNm>
        <TitleTxt>LPN</TitleTxt>
        <BaseCompensationFilingOrgAmt>206958</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>230344</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EILEEN DRISCOLL</PersonNm>
        <TitleTxt>SENIOR VP FOR NURSING THRU 01/24</TitleTxt>
        <BaseCompensationFilingOrgAmt>59210</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANCY A JOHNSON</PersonNm>
        <TitleTxt>RN</TitleTxt>
        <BaseCompensationFilingOrgAmt>190430</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>LORRI A. SENK, GARRY DE LEEUWERK, AND EILEEN DRISCOLL RECEIVED SEVERANCE PAYMENTS FROM EGER HEALTH CARE AND REHABILITATION CENTER IN THE AMOUNT OF $136,391, $232,927, AND $162,067, RESPECTIVELY, WHICH WAS INCLUDED IN THEIR 2024 W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAID DISCRETIONARY BONUSES TO CERTAIN INDIVIDUALS LISTED IN PART II AS REPORTED IN COLUMN B(II) FOR THE APPLICABLE INDIVIDUALS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A MANAGEMENT AGREEMENT FOR CERTAIN ADMINISTRATIVE AND CONSULTING SERVICES WITH CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE. CATHOLIC HEALTH CARE SYSTEM SHALL PROVIDE HUMAN RESOURCES, IT SERVICES, FINANCE SERVICES, LEGAL SERVICES, COMPLIANCE, AND SUPPLY CHAIN MANAGEMENT TO THE ORGANIZATION. ANNMARIE COVONE AND SCOTT LA RUE (OFFICERS OF THE FILING ORGANIZATION) WERE PAID BY CATHOLIC HEALTH CARE SYSTEM. THEIR 2024 COMPENSATION IS REPORTED IN PART VII, SECTION A AND SCHEDULE J, PART II. CATHOLIC HEALTH CARE SYSTEM WAS PAID $3,070,100 FOR SERVICES PROVIDED IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THIS CORPORATION SHALL BE THE CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AT LEAST THREE OF THE TRUSTEES SHALL BE ELECTED BY THE MEMBER FROM NOMINEES SUBMITTED BY EGER LUTHERAN HOMES AND SERVICES, INC.,(ELHH) TWO SHALL BE ELECTED FROM THE LEADERSHIP OF ARCHCARE AND TWO SHALL BE NON-AFFILIATED WITH EITHER ELHH OR ARCHCARE AND ELECTED BY ARCHCARE AS INDEPENDENT TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER HAS THE RIGHT TO AMEND THE BY-LAWS AND CERTIFICATE OF INCORPORATION AND APPROVE SUBSTANTIAL TRANSACTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>EGER HEALTH CARE AND REHABILITATION CENTER HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD FOR APPROVAL. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER FOR REVIEW. IF NECESSARY, ANY CONFLICTS OF INTEREST ARE THEN REVIEWED AND DISCUSSED BY THE ORGANIZATION'S BOARD OF TRUSTEES. AN INTERESTED PERSON MUST LEAVE THE MEETING DURING THE DISCUSSION OF THAT MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT AND CANNOT VOTE ON THE MATTER. THE MINUTES OF THE BOARD MUST CONTAIN THE FOLLOWING WITH REGARD TO CONSIDERATION OF ANY MATTER INVOLVING A CONFLICT OF INTEREST THE BOARD MINUTES MUST STATE WHICH TRUSTEES WERE PRESENT FOR THE DISCUSSION AND VOTE, THE CONTENT OF THE DISCUSSION AND ANY ROLL CALL OF THE VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WAS A SUBSIDIARY WITHIN THE EGER LUTHERAN HOMES AND SERVICES, INC., A TAX-EXEMPT HEALTHCARE SYSTEM COMPOSED OF A NURSING HOME AND OTHER ENTITIES WHOSE PURPOSE IS TO SERVE THE COMMUNITY ("SYSTEM"). THE SYSTEM HAS AN EXECUTIVE COMMITTEE ("COMMITTEE") OF THE BOARD OF TRUSTEES. THE COMPENSATION AND BENEFITS OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE REVIEWED BY THE COMMITTEE TO ENSURE FAIR MARKET VALUE COMPENSATION IS PAID. WHERE APPROPRIATE, THE BOARD REVIEWS EXTERNAL COMPARABLE DATA AND SEEKS ADVICE OF THE COMMITTEE TO ENSURE TOTAL COMPENSATION OF THIS INDIVIDUAL IS REASONABLE AT FAIR MARKET VALUE. OTHER MEMBERS OF MANAGEMENT, INCLUDING, BUT NOT LIMITED TO, THESE REPORTED ON FORM 990 ARE REVIEWED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE VICE PRESIDENT OF HUMAN RESOURCES, IN ACCORDANCE WITH JOB PERFORMANCE AND CURRENT FAIR MARKET VALUE SALARY DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS ALSO POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FORM 1023, FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 35,582. MANAGEMENT AND GENERAL EXPENSES 13,628. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,210. CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 137,304. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,304. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 11,102. MANAGEMENT AND GENERAL EXPENSES 38,522. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,624. TEMPORARY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,330. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,330. PHYSICIAN FEES, RNS, LPNS: PROGRAM SERVICE EXPENSES 4,160,687. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,160,687. PHYSICAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 93,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,500. FOOD SERVICES: PROGRAM SERVICE EXPENSES 1,115,481. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,115,481. ENGINEERING SERVICES: PROGRAM SERVICE EXPENSES 810,027. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 810,027. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 359,370. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 359,370. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 143,800. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 143,800. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 1,228,587. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,228,587. SOCIAL SERVICES: PROGRAM SERVICE EXPENSES 14,248. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,248. PASTORAL CARE SERVICES: PROGRAM SERVICE EXPENSES 800. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 800. INFORMATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 710,221. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 710,221. HUMAN RESOURCE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 45,066. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,066. FINANCE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 425,485. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 425,485. SPEECH THERAPY SERVICES: PROGRAM SERVICE EXPENSES 260,898. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 260,898. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 292,995. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 292,995. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 518,147. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 518,147. RECREATION THERAPY SERVICES: PROGRAM SERVICE EXPENSES 5,274. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,274.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ASSET RETIREMENT OBLIGATION ACCRETION EXPENSE -31,764. EQUITY TRANSFER FROM CATHOLIC MANAGED LONG TERM CARE 2,000,000. EQUITY TRANSFER FROM CATHOLIC HEALTH CARE SYSTEM 13,163.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>ARCHCARE COMMUNITY SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10016</ZIPCd>
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        <EIN>813563801</EIN>
        <PrimaryActivitiesTxt>PROVIDE COMMUNITY AND PASTORAL SERVICES AND SUPPORTIVE HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BENEFICE ADVANTAGE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10016</ZIPCd>
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        <EIN>134201050</EIN>
        <PrimaryActivitiesTxt>DORMANT/PROVIDE ADMIN., BENEFITS COORDINATING AND OTHER SERVICES TO ARCHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 1</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>BROOKLYN VISITING NURSE FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10016</ZIPCd>
        </USAddress>
        <EIN>113312248</EIN>
        <PrimaryActivitiesTxt>DORMANT/RAISE FUNDS FOR AFFILIATED ORGANIZATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <AddressLine1Txt>1740 EASTCHESTER ROAD</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10461</ZIPCd>
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        <EIN>133259649</EIN>
        <PrimaryActivitiesTxt>SUPPORT CALVARY HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CALVARY HOLDING COMPANY INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>1740 EASTCHESTER ROAD</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10461</ZIPCd>
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        <EIN>061531426</EIN>
        <PrimaryActivitiesTxt>SUPPORT THE CALVARY HOSPITAL AND ITS AFFILIATED ORGANIZATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CALVARY HOSPITAL INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1740 EASTCHESTER ROAD</AddressLine1Txt>
          <CityNm>BRONX</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10461</ZIPCd>
        </USAddress>
        <EIN>131740274</EIN>
        <PrimaryActivitiesTxt>OPERATE A TAX EXEMPT HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE FOUNDATION OF THE ARCHDIOCESE OF NY INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10016</ZIPCd>
        </USAddress>
        <EIN>134054158</EIN>
        <PrimaryActivitiesTxt>PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10016</ZIPCd>
        </USAddress>
        <EIN>133896624</EIN>
        <PrimaryActivitiesTxt>MGT SVCS FOR HEALTH-RELATED FACILITIES IN THE ARCHDIOCESE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PROVIDENCE HEALTH SERVICES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CATHOLIC MANAGED LONG TERM CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10016</ZIPCd>
        </USAddress>
        <EIN>208180809</EIN>
        <PrimaryActivitiesTxt>OPERATE A MANAGED LONG TERM CARE PLAN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CATHOLIC RESOURCES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10016</ZIPCd>
        </USAddress>
        <EIN>261306110</EIN>
        <PrimaryActivitiesTxt>PROVIDE PARISH OUTREACH SERVICES &amp; SOCIAL &amp; HEALTH CARE SERVICE INFORMATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DOMINICAN SISTERS FAMILY HEALTH SERVICE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>299 NORTH HIGHLAND AVENUE</AddressLine1Txt>
          <CityNm>OSSINING</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10562</ZIPCd>
        </USAddress>
        <EIN>131740242</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH AGENCY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EMPIRE STATE HOME CARE SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>15 METROTECH CENTER 11 FL</AddressLine1Txt>
          <CityNm>BROOKLYN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11201</ZIPCd>
        </USAddress>
        <EIN>113618585</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FAMILY HOME HEALTH CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>65 SOUTH BROADWAY</AddressLine1Txt>
          <CityNm>TARRYTOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10591</ZIPCd>
        </USAddress>
        <EIN>133831377</EIN>
        <PrimaryActivitiesTxt>HOME CARE</PrimaryActivitiesTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DOMINICAN SISTERS FAMILY HEALTH SERVICE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FERNCLIFF NURSING HOME COMPANY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>21 FERNCLIFF DRIVE</AddressLine1Txt>
          <CityNm>RHINEBECK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12572</ZIPCd>
        </USAddress>
        <EIN>141514053</EIN>
        <PrimaryActivitiesTxt>OPERATE SKILLED NURSING FACILITY &amp; ADULT HEALTH CARE PROGRAM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KATERI RESIDENCE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <EIN>133086309</EIN>
        <PrimaryActivitiesTxt>DORMANT/OPERATE SKILLED NURSING FACILITY &amp; REHABILITATION FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MARY MANNING WALSH NURSING HOME COMPANY INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1339 YORK AVENUE</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>100214707</ZIPCd>
        </USAddress>
        <EIN>136220617</EIN>
        <PrimaryActivitiesTxt>OPERATE SKILLED NURSING FACILITY &amp; REHABILITATION FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OUR LADY OF MERCY FUND OF NEW YORK NY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10016</ZIPCd>
        </USAddress>
        <EIN>133452084</EIN>
        <PrimaryActivitiesTxt>DORMANT/PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES</PrimaryActivitiesTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OUR LADY OF MERCY HEALTHCARE SYSTEM INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OUR LADY OF MERCY HEALTHCARE SYSTEM INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        </USAddress>
        <EIN>133395946</EIN>
        <PrimaryActivitiesTxt>DORMANT/PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PROVIDENCE HEALTH SERVICES</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1011 1ST AVENUE</AddressLine1Txt>
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        </USAddress>
        <EIN>133354940</EIN>
        <PrimaryActivitiesTxt>SPONSOR OF CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE</PrimaryActivitiesTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PROVIDENCE REST</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3304 WATERBURY AVENUE</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST TERESA'S NURSING HOME INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
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        <EIN>237012219</EIN>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST THERESA'S RESIDENCE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
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        <EIN>133110063</EIN>
        <PrimaryActivitiesTxt>DORMANT/INTERMEDIATE CARE FACILITY FOR DEVELOPMENTALLY DISABLED</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST VINCENT DE PAUL RESIDENCE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>900 INTERVALE AVENUE</AddressLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>TERENCE CARDINAL COOKE HEALTH CARE CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>1249 FIFTH AVENUE</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ULSTER HOME CARE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 1850</AddressLine1Txt>
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        </USAddress>
        <EIN>141702962</EIN>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ULSTER HOME HEALTH SERVICES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 1850</AddressLine1Txt>
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        <EIN>141513989</EIN>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UMC INC</BusinessNameLine1Txt>
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        </USAddress>
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        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FLOOR</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10016</ZIPCd>
        </USAddress>
        <EIN>113574017</EIN>
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        <PublicCharityStatusTxt>PF</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VISITING NURSE ASSOCIATION OF BROOKLYN INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10016</ZIPCd>
        </USAddress>
        <EIN>111977434</EIN>
        <PrimaryActivitiesTxt>DORMANT/HOME HEALTH CARE</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>PF</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>VISITING NURSE REGIONAL HEALTH CARE SYSTEM INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARMEL RICHMOND NURSING HOME INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>88 OLD TOWN ROAD</AddressLine1Txt>
          <CityNm>STATEN ISLAND</CityNm>
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          <ZIPCd>10304</ZIPCd>
        </USAddress>
        <EIN>132720248</EIN>
        <PrimaryActivitiesTxt>OPERATE SKILLED NURSING FACILITY</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EGER LUTHERAN HOMES AND SERVICES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>140 MEISNER AVENUE</AddressLine1Txt>
          <CityNm>STATEN ISLAND</CityNm>
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          <ZIPCd>10306</ZIPCd>
        </USAddress>
        <EIN>135564936</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EGER HARBOR HOUSE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>110 MEISNER AVEUNE</AddressLine1Txt>
          <CityNm>STATEN ISLAND</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10306</ZIPCd>
        </USAddress>
        <EIN>133999654</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EGER LUTHERAN HOMES AND SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>