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        <PersonNm>RORY KELLEHER</PersonNm>
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        <PersonNm>MSGR JOSEPH LAMORTE</PersonNm>
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        <PersonNm>RICHARD PARK MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CYNTHIA ROBERT</PersonNm>
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        <PersonNm>KATHRYN ROONEY</PersonNm>
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        <PersonNm>JOSEPH SAPORITO</PersonNm>
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        <PersonNm>GT SWEENEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR PATRICIA TOOKER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BISHOP GERALD WALSH</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT P LA RUE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANNMARIE COVONE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MITZE A AMOROSO</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH D STRUM</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY JOHNSON</PersonNm>
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        <PersonNm>GEMMA AUGUSTINE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY D LEVINE</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>32</IndivRcvdGreaterThan100KCnt>
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          <BusinessName>
            <BusinessNameLine1Txt>INDEED INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1270</AddressLine1Txt>
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            <StateAbbreviationCd>NJ</StateAbbreviationCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IHEARTMEDIA</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>BOSTON</CityNm>
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            <ZIPCd>02241</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AUDACY OPERATIONS INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 74079</AddressLine1Txt>
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            <StateAbbreviationCd>OH</StateAbbreviationCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JEFFREY A SACHS ASSOCIATES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>60 ERIE AVENUE</AddressLine1Txt>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11509</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MOBILE HEALTH MEDICAL SERVICES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 980</AddressLine1Txt>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10008</ZIPCd>
          </USAddress>
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      <TotalContributionsAmt>3080789</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>INSURANCE PREMIUMS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>30645826</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MGMT SERVICE ASSESSMENTS</Desc>
        <BusinessCd>561000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>30035989</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>8726772</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>235962</RelatedOrExemptFuncIncomeAmt>
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        <Desc>RENTAL INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>49715</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>625218</TotalRevenueColumnAmt>
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        <ExclusionAmt>77564</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>72500</ProgramServicesAmt>
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        <ProgramServicesAmt>66894</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>271991</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>478660</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>60669</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>282980</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>260329</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>29900045</ProgramServicesAmt>
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        <ProgramServicesAmt>63117</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>495152</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>227820</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>38</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>39521052</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15950928</ManagementAndGeneralAmt>
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        <EOYAmt>3171818</EOYAmt>
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        <EOYAmt>10943829</EOYAmt>
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        <EOYAmt>3126231</EOYAmt>
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        <EOYAmt>267740</EOYAmt>
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        <EOYAmt>363979</EOYAmt>
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        <EOYAmt>45276803</EOYAmt>
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        <EOYAmt>63150400</EOYAmt>
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        <EOYAmt>3508726</EOYAmt>
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        <EOYAmt>9976108</EOYAmt>
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        <EOYAmt>3425453</EOYAmt>
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        <EOYAmt>29245644</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>56788750</BOYAmt>
        <EOYAmt>46155931</EOYAmt>
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        <BOYAmt>4934307</BOYAmt>
        <EOYAmt>16994469</EOYAmt>
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        <NontaxableBenefitsFilingOrgAmt>1299</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>330681</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY D LEVINE</PersonNm>
        <TitleTxt>AVP FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>288927</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>320338</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GEMMA AUGUSTINE</PersonNm>
        <TitleTxt>AVP FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>288061</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14514</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>318975</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SCOTT P. LA RUE AND ANNMARIE COVONE PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE DISTRIBUTED $205,783 TO SCOTT AND $114,139 TO ANNMARIE IN THEIR 2024 W-2S.</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 I, ITEM C</FormAndLineReferenceDesc>
        <ExplanationTxt>DBA: CATHOLIC HEALTH CARE SYSTEM OF THE ARCHDIOCESE OF NEW YORK</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CATHOLIC SPECIAL NEEDS PLAN LLC D/B/A ARCHCARE ADVANTAGE CEASED OPERATIONS IN 2024 AS IT DECIDED TO NOT RENEW THEIR CONTRACT WITH MEDICARE TO PROVIDE MANAGED CARE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDENCE HEALTH SERVICES (PROVIDENCE) IS THE SPONSOR (THE SPONSOR) OF CATHOLIC HEALTH CARE SYSTEM (CHCS) AND THE CHCS ENTITIES AND IS THE SOLE CORPORATE MEMBER OF CHCS (MEMBER).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE "MEMBER" HAS THE RIGHT TO APPOINT AND REMOVE WITH OR WITHOUT CAUSE THE MEMBERS OF THE BOARD OF TRUSTEES OF CHCS AND THE CHAIRMAN OF THE BOARD OF TRUSTEES OF CHCS; PROVIDED THAT PROVIDENCE MAY CONSIDER CANDIDATES NOMINATED BY THE BOARD OF TRUSTEES OF CHCS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>RESERVED POWERS OF PROVIDENCE: A.PROVIDENCE SHALL HAVE SOLE AUTHORITY WITH RESPECT TO THE FOLLOWING MATTERS: (I)AMENDMENT TO THE CERTIFICATE OF INCORPORATION OF CHCS; (II)AMENDMENT TO THE BYLAWS OF CHCS; AND (III)A CHANGE IN THE MISSION OF CHCS; (IV)APPOINTMENT AND REMOVAL WITH OR WITHOUT CAUSE OF THE MEMBERS OF THE BOARD OF TRUSTEES OF CHCS AND THE CHAIRMAN OF THE BOARD OF TRUSTEES OF CHCS; PROVIDED THAT PROVIDENCE MAY CONSIDER CANDIDATES NOMINATED BY THE BOARD OF TRUSTEES OF CHCS. B.PROVIDENCE SHALL HAVE SOLE AUTHORITY OVER THE FOLLOWING MATTERS BUT MAY CONSIDER THE RECOMMENDATIONS OF THE CHCS BOARD OF TRUSTEES IN RESPECT THEREOF: (I)ANY CHCS REAL PROPERTY TRANSACTION OR CAPITAL PROJECTS INVOLVING THE SALE, PLEDGE, TRANSFER OR OTHER ENCUMBRANCE OF REAL PROPERTY OR OTHER FIXED ASSETS OF CHCS EQUAL TO OR ABOVE A VALUE OF $400,000; (V)ANY LEASE OF REAL PROPERTY FOR A PERIOD EQUAL TO OR GREATER THAN NINE (9) YEARS; (VI)ANY DEBT INCURRENCE BY CHCS IN AN AMOUNT EQUAL TO OR GREATER THAN $400,000 SECURED BY THE PROPERTY, REVENUES, OR OTHER ASSETS OF CHCS OR A CHCS INSTITUTION, AND ANY UNSECURED DEBT INCURRENCE BY ANY ONE OF OR GROUP OF THE CHCS ENTITIES, IN AN AMOUNT GREATER THAN $3,000,000; (VII)THE ESTABLISHMENT OF A NEW RELATED ENTITY BY CHCS; (VIII)ANY DISPOSITION OF ARTIFACTS OF SIGNIFICANT HISTORICAL OR ARTISTIC VALUE; (IX)APPROVAL OF ANY MERGER, CONSOLIDATION, PURCHASE OR JOINT OPERATING AGREEMENT INVOLVING THE CORPORATION; AND (X)APPROVAL OF ANY PLAN OF DISSOLUTION OR LIQUIDATION OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>CATHOLIC HEALTH CARE SYSTEM D/B/A ARCHCARE 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 MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POLICY ON CONFLICTS OF INTEREST IS DESIGNED TO PROVIDE GUIDANCE TO ALL MEMBERS OF THE BOARD, THE OFFICERS OF THE ORGANIZATION, AND TO ALL PERSONS EMPLOYED BY THE ORGANIZATION. A BOARD MEMBER OR OFFICER MUST DISCLOSE ANY CONFLICT OF INTEREST OF WHICH HE OR SHE HAS KNOWLEDGE: (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING HIS OR HER DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE OF THE BOARD; (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE ORGANIZATION; (C) AS SOON AS POSSIBLE AFTER THE BOARD MEMBER OR OFFICER SHALL LEARN OF A CONFLICT OF INTEREST IN ANY OTHER CONTEXT. DISCLOSURE OF THE MATERIAL FACTS SURROUNDING THE BOARD MEMBER OR OFFICER'S CONFLICT OF INTEREST SHALL BE MADE TO THE SECRETARY OF THE BOARD OF MANAGERS OR, IN THE CASE OF A COMMITTEE, TO THE CHAIRPERSON OF THAT COMMITTEE (WHO SHALL NOTIFY THE SECRETARY). THE SECRETARY OR COMMITTEE CHAIRPERSON MUST INFORM THE OTHER MEMBERS OF THE BOARD OR COMMITTEES PRIOR TO ANY ACTION THEREON. FAILURE TO DISCLOSE ADEQUATELY A POTENTIAL OR ACTUAL CONFLICT OF INTEREST MUST CONSTITUTE CAUSE FOR REMOVAL FROM THE BOARD. FOLLOWING RECEIPT OF INFORMATION CONCERNING A CONTRACT OR TRANSACTION INVOLVING A POTENTIAL CONFLICT OF INTEREST, THE BOARD SHALL CONSIDER THE MATERIAL FACTS CONCERNING THE PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED. (A) AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE MUST LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. AN INTERESTED BOARD MEMBER MAY NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD OR COMMITTEE AT WHICH DISCUSSION OR A VOTE ON THE TRANSACTION OR ARRANGEMENT TAKES PLACE. (B) AN INTERESTED BOARD MEMBER OR OFFICER SHALL NOT USE PERSONAL INFLUENCE WITH REGARD TO THE BOARD'S DETERMINATION THAT A CONFLICT EXISTS OR THE BOARD'S VOTE ON THE MATTER. (C) IF APPROPRIATE, THE CHAIRPERSON SHALL APPOINT A DISINTERESTED PERSON OR A COMMITTEE OF THE BOARD TO CONDUCT AN ASSESSMENT OF FAIR MARKET VALUE FOR A PARTICULAR TRANSACTION, OR TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. (D) THE BOARD SHALL APPROVE ONLY THOSE CONTRACTS OR TRANSACTIONS IN WHICH THE TERMS ARE FAIR AND REASONABLE TO THE ORGANIZATION AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF THE ORGANIZATION. THE MINUTES OF THE BOARD AND OF ALL COMMITTEES WITH BOARD DELEGATED POWERS SHALL CONTAIN THE FOLLOWING WITH REGARD TO CONSIDERATION OF ANY MATTER INVOLVING A CONFLICT OF INTEREST: (A) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL OR OTHER INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE CONFLICT OF INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; (B) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, A SUMMARY OF THE CONTENT OF THE DISCUSSION, INCLUDING CONSIDERATION OF ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT AND THE NATURE OF AND SOURCE OF ANY DATA RELIED UPON IN MAKING AN ASSESSMENT OF FAIR MARKET VALUE, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; AND (C) IN ANY CASE WHEN THE BOARD APPROVES AN ARRANGEMENT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, THE MINUTES OF THE MEETING SHALL SET FORTH THE BASIS FOR THE BOARD'S DECISION. AN EMPLOYEE OF THE ORGANIZATION WITH A POTENTIAL CONFLICT OF INTEREST IN A PARTICULAR MATTER SHALL PROMPTLY AND FULLY DISCLOSE THE POTENTIAL CONFLICT TO HIS OR HER SUPERVISOR. THE EMPLOYEE SHALL THEREAFTER REFRAIN FROM PARTICIPATING IN ANY DECISIONS RELATING TO THE MATTER AND FOLLOW THE DIRECTION OF THE SUPERVISOR AS TO HOW THE ORGANIZATION'S DECISIONS WHICH ARE THE SUBJECT OF THE CONFLICT WILL BE DETERMINED. THE COMPLIANCE DIRECTOR OF THE ORGANIZATION SHALL BE RESPONSIBLE FOR DETERMINING THE PROPER WAY FOR THE ORGANIZATION TO HANDLE THE ORGANIZATION'S DECISIONS WHICH INVOLVE UNRESOLVED EMPLOYEE CONFLICTS OF INTEREST. IN MAKING SUCH DETERMINATIONS, THE COMPLIANCE DIRECTOR OF THE ORGANIZATION MAY CONSULT WITH LEGAL COUNSEL, AS APPROPRIATE. THE COMPLIANCE DIRECTOR OF THE ORGANIZATION SHALL REPORT TO THE BOARD AT LEAST ANNUALLY CONCERNING EMPLOYEE CONFLICTS OF INTEREST WHICH HAVE BEEN DISCLOSED AND CONTRACTS AND TRANSACTIONS INVOLVING EMPLOYEE CONFLICTS WHICH THE SECRETARY OF THE ORGANIZATION'S BOARD OF MANAGERS HAS APPROVED. EACH BOARD MEMBER, OFFICER, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEE OF THE ORGANIZATION SHALL SIGN A STATEMENT WITHIN 30 DAYS OF ASSUMING SUCH RESPONSIBILITY, AND ANNUALLY THEREAFTER, AFFIRMING THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT THE ORGANIZATION CANNOT ENGAGE IN A TRANSACTION OR ENTER INTO A COMPENSATION ARRANGEMENT WITH BOARD MEMBERS, OFFICERS, SENIOR STAFF MEMBERS, OR OTHERS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION THAT PROVIDES AN ECONOMIC BENEFIT TO SUCH PERSON IN EXCESS OF THE CONSIDERATION OR SERVICES THAT THE ORGANIZATION RECEIVES IN RETURN. IN ADDITION, THOSE INDIVIDUALS COMPLETING THE STATEMENT ARE ALSO REQUIRED TO DISCLOSE PERSONAL OR OTHER BUSINESS INTERESTS THAT COULD GIVE RISE TO CONFLICTS WITH THEIR ROLE WITH ARCHCARE. THESE STATEMENTS ARE SUMMARIZED AND PROVIDED TO THE GOVERNING BODY ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION UNDERTAKES A RIGOROUS PROCESS TO ENSURE THAT ITS EXECUTIVE COMPENSATION IS REASONABLE AND COMPETITIVE. TOWARD THAT END, THE BOARD OF TRUSTEES HAS A COMPENSATION COMMITTEE OF INDEPENDENT PERSONS THAT HAVE NO PERSONAL INTEREST IN ANY PROPOSED COMPENSATION ARRANGEMENT. THE BOARD ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT WHO CONDUCTED INDEPENDENT RESEARCH AND UTILIZED A WIDE RANGE OF INDUSTRY DATA TO DEVELOP COMPARABILITY OR BENCHMARKING DATA FOR APPROPRIATE LEVELS OF COMPENSATION FOR TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES. THE CONSULTANT PROJECTED THE DATA FOR THE FOLLOWING THREE YEARS FOR EACH SALARY LEVEL. THE COMPENSATION COMMITTEE, TAKING THE CONSULTANT'S RECOMMENDATIONS UNDER ADVISEMENT, HELD A MEETING AT WHICH CONTEMPORANEOUS MINUTES WERE KEPT AND AT THAT MEETING DETERMINED TO MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES THEN CONSIDERED AND APPROVED THE RECOMMENDATIONS OF THE COMPENSATION COMMITTEE, WHICH APPROVAL WAS RECORDED IN THE MINUTES OF THE MEETING OF THE BOARD OF TRUSTEES. IN 2024, THE CONSULTANT UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE OF TOP MANAGEMENT, OFFICERS, AND KEY EMPLOYEES FOLLOWING THE METHOD DESCRIBED ABOVE. IN ADDITION, THE ORGANIZATION UPDATED ITS REVIEW OF THE COMPENSATION STRUCTURE FOR ALL OTHER POSITIONS (NON-UNION).</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 POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY TRANSFERS BETWEEN AFFILIATES -11,324,465. PENSION LIABILITY ADJUSTMENT 5,378,772.</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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        <EndOfYearAssetsAmt>13794890</EndOfYearAssetsAmt>
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        <PrimaryActivitiesTxt>DORMANT/PROVIDE ADMIN., BENEFITS COORDINATING AND OTHER SERVICES TO ARCHCARE</PrimaryActivitiesTxt>
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          <ZIPCd>10461</ZIPCd>
        </USAddress>
        <EIN>061531426</EIN>
        <PrimaryActivitiesTxt>TO SUPPORT CALVARY HOSPITAL AND ITS AFFILIATED ORGANIZATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CALVARY HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <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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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CARMEL RICHMOND NURSING HOME INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>88 OLD TOWN ROAD</AddressLine1Txt>
          <CityNm>STATEN ISLAND</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>103044299</ZIPCd>
        </USAddress>
        <EIN>132720248</EIN>
        <PrimaryActivitiesTxt>OPERATE SKILLED NURSING FACILITY &amp; REHABILITATION FACILITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</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 AVENUE 2ND FLOOR</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>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CATHOLIC MANAGED LONG TERM CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVENUE 2ND FLOOR</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>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <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>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DOMINICAN SISTERS FAMILY HEALTH SERVICE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>299 NORTH HIGHLAND AVENUE</AddressLine1Txt>
          <CityNm>OSSINING</CityNm>
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          <ZIPCd>10562</ZIPCd>
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        <EIN>131740242</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH AGENCY</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>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EMPIRE STATE HOME CARE SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>15 METROTECH CENTER NO 11TH FL</AddressLine1Txt>
          <CityNm>BROOKLYN</CityNm>
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          <ZIPCd>11201</ZIPCd>
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        <EIN>133618585</EIN>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FAMILY HOME HEALTH CARE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>65 SOUTH BROADWAY</AddressLine1Txt>
          <CityNm>TARRYTOWN</CityNm>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DOMINICAN SISTERS FAMILY HEALTH SERVICE INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FERNCLIFF NURSING HOME COMPANY INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>21 FERNCLIFF DRIVE</AddressLine1Txt>
          <CityNm>RHINEBECK</CityNm>
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        <EIN>141514053</EIN>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>KATERI RESIDENCE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <EIN>133086309</EIN>
        <PrimaryActivitiesTxt>DORMANT/OPERATE SKILLED NURSING FACILITY &amp; REHABILITATION FACILITY</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <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>
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          <ZIPCd>10021</ZIPCd>
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        <EIN>136220617</EIN>
        <PrimaryActivitiesTxt>OPERATE SKILLED NURSING FACILITY &amp; REHABILITATION FACILITY</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OUR LADY OF MERCY FUND OF NEW YORK NY</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>133452084</EIN>
        <PrimaryActivitiesTxt>DORMANT/PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>OUR LADY OF MERCY HEALTHCARE SYSTEM INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <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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        </USAddress>
        <EIN>133395946</EIN>
        <PrimaryActivitiesTxt>DORMANT/PROVIDE FUNDS TO SUPPORT THE MISSION OF CHCS FACILITIES</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>1</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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      <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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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST THERESA'S RESIDENCE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
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        </USAddress>
        <EIN>133110063</EIN>
        <PrimaryActivitiesTxt>DORMANT/INTERMEDIATE CARE FACILITY FOR DEVELOPMENTALLY DISABLED</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST VINCENT DE PAUL RESIDENCE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>900 INTERVALE AVENUE</AddressLine1Txt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>TERENCE CARDINAL COOKE HEALTH CARE CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1249 FIFTH AVENUE</AddressLine1Txt>
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        <EIN>133007801</EIN>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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        <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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        </USAddress>
        <EIN>111977434</EIN>
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        <PublicCharityStatusTxt>PF</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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        <DisregardedEntityName>
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        <USAddress>
          <AddressLine1Txt>205 LEXINGTON AVE 2ND FL</AddressLine1Txt>
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        <EIN>113574017</EIN>
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          <BusinessNameLine1Txt>CATHOLIC HEALTH CARE SYSTEM DBA ARCHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ULSTER HOME CARE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 1850</AddressLine1Txt>
          <CityNm>KINGSTON</CityNm>
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          <ZIPCd>12402</ZIPCd>
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        <EIN>141702962</EIN>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UMC INC</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ULSTER HOME HEALTH SERVICES INC</BusinessNameLine1Txt>
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        <USAddress>
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        </USAddress>
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        <PrimaryActivitiesTxt>HOME CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
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      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CARMEL RICHMOND HEALTHCARE AND REHABILITATION CENTER</BusinessNameLine1Txt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>DOMINICAN SISTERS FAMILY HEALTH SERVICES INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>3099431</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EGER HEALTH CARE AND REHABILITATION CENTER</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>3877411</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FAMILY HOME HEALTH CARE INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MARY MANNING WALSH NURSING HOME COMPANY INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>5223798</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MARY MANNING WALSH NURSING HOME COMPANY INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>68975</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PROVIDENCE REST</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>3013685</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ST VINCENT DE PAUL RESIDENCE</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>3036407</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TERENCE CARDINAL COOKE HEALTH CARE CENTER</BusinessNameLine1Txt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>