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        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>2424921</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2424921</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID/MEDICARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>9469234</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9469234</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INSURANCE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>934087</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>934087</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ANCILLARY</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1504216</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1504216</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>DAYCARE</Desc>
        <BusinessCd>623000</BusinessCd>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>14332458</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <RelatedOrExemptFuncIncomeAmt>189475</RelatedOrExemptFuncIncomeAmt>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
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      <NetIncomeFromGamingGrp>
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        <RelatedOrExemptFuncIncomeAmt>312</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CASH DISCOUNT</Desc>
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        <RelatedOrExemptFuncIncomeAmt>4805</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>16448</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16448</RelatedOrExemptFuncIncomeAmt>
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      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
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      <ForeignGrantsGrp>
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      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>264725</ProgramServicesAmt>
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      <CompDisqualPersonsGrp>
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        <ProgramServicesAmt>6764461</ProgramServicesAmt>
        <ManagementAndGeneralAmt>281078</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>2057440</ProgramServicesAmt>
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        <ProgramServicesAmt>570893</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>118341</TotalAmt>
        <ManagementAndGeneralAmt>118341</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>100074</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
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      <AdvertisingGrp>
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        <ManagementAndGeneralAmt>126100</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>17877</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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      <RoyaltiesGrp>
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        <ProgramServicesAmt>392628</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>7608</ProgramServicesAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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      <PaymentsToAffiliatesGrp>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ManagementAndGeneralAmt>52222</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONSULTING FEES</Desc>
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        <ProgramServicesAmt>2175206</ProgramServicesAmt>
        <ManagementAndGeneralAmt>216705</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
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        <ManagementAndGeneralAmt>18884</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>2153294</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>15679964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2018532</ManagementAndGeneralAmt>
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      <SavingsAndTempCashInvstGrp>
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      <PledgesAndGrantsReceivableGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <InventoriesForSaleOrUseGrp>
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      <PublicSupportPY509Pct>0.99486</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00241</InvestmentIncomeCYPct>
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        <ContributorUSAddress>
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    <IRS990ScheduleD documentId="IRS990ScheduleD">
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        <ExplanationTxt>THE CENTRAL PURPOSE AND ROLE OF SAN SIMEON BY THE SOUND CENTER FOR NURSING AND REHABILITATION IS DEFINED AS: OUR MISSION IS TO PROVIDE LONG TERM CARE AND SHORT TERM REHABILITATION TO THE NORTH FORK COMMUNITY AND SURROUNDING AREAS AND THROUGH DOING SO WE STRIVE TO MEET THE HEALTH CARE NEEDS OF THE AGING POPULATION THROUGH PROVIDING QUALITY CARE IN A LOVING ENVIRONMENT. OUR COMMITMENT TO THE COMMUNITY CENTERS ON TOTAL PERSONAL CARE FOR THE INDIVIDUALS ENTRUSTED TO US AND THEY ARE CONSIDERED OUR FAMILY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, QUESTION #11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF GOVERNANCE OVERSIGHT AND REVIEW OF THE ANNUAL FORM 990 BEGINS WITH A THOROUGH REVIEW OF THE ANNUAL CERTIFIED FINANCIAL STATEMENTS BY THE OUTSIDE AUDITORS. COMPARATIVE DETAILS OF INCOME AND EXPENDITURES ARE DISCUSSED, AS WELL AS, FINANCIAL INDICATORS TO MEASURE THE GENERAL FINANCIAL STRENGTH OF THE ORGANIZATION. THE 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND DISCUSSION OF THE PROGRAM SERVICE ACCOMPLISHMENTS AND RELATED FUNCTIONAL EXPENSES. EACH MEMBER OF THE BOARD OF DIRECTORS IS PROVIDED A COMPLETE COPY OF THE FORM 990 ALONG WITH A SUMMARY OF THE COMMENTS AND DISCUSSIONS FROM THE FINANCE COMMITTEE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART VI, SECTION B, QUESTION #12c</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY THE BOARD OF DIRECTORS ARE GIVEN A COPY OF OUR CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. THIS DISCLOSURE IS KEPT ON FILE. THE CONFLICT OF INTEREST POLICY IS PERIODICALLY REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND REVISED AS NECESSARY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, QUESTION # 15a &amp; 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDUSTRY STANDARD SALARY SURVEY REPORT WAS REFERENCED TO REVIEW COMPARABLE COMPENSATION. THIS WAS REVIEWED BY THE EXECUTIVE COMMITTEE IN AN ANNUAL EXECUTIVE SESSION BOARD MEETING.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990 PART VI, SECTION C, QUESTION #19</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, QUESTIONS #8a &amp; 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS COMPRISED OF TWELVE MEMBERS, EACH WITH HIGH CHARACTER, STRATEGICALLY DIVERSE IN BACKGROUNDS AND, WITH THE PROPER COLLECTIVE SKILLS TO GUIDE THE CORPORATE MISSION SUCCESSFULLY. THE BOARD OPERATES LARGELY THROUGH THE USE OF COMMITTEES, BROADLY FOCUSED ON ISSUES CRITICAL TO THE ORGANIZATION IN AREAS OF FINANCE, DEVELOPMENT, QUALITY ASSURANCE, CORPORATE COMPLIANCE, BUILDING AND GROUNDS AND EXECUTIVE/NOMINATING. MEETINGS ARE HELD IN ACCORDANCE WITH PREDETERMINED SCHEDULE, DOCUMENTED BY AN AGENDA AND ACCOMPANIED BY WRITTEN MINUTES RECORDING THE ACTION TAKEN BY THE MEMBERS. THE COMMITTEE CHAIRPERSON REPORTS ON THE ACTIVITY OF THE COMMITTEE AT EACH BOARD OF DIRECTORS MEETING.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART III, QUESTION #1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTRAL PURPOSE AND ROLE OF SAN SIMEON BY THE SOUND CENTER FOR NURSING AND REHABILITATION IS DEFINED AS: OUR MISSION IS TO PROVIDE LONG TERM CARE AND SHORT TERM REHABILITATION TO THE NORTH FORK COMMUNITY AND SURROUNDING AREAS AND THROUGH DOING SO WE STRIVE TO MEET THE HEALTH CARE NEEDS OF THE AGING POPULATION THROUGH PROVIDING QUALITY CARE IN A LOVING ENVIRONMENT. OUR COMMITMENT TO THE COMMUNITY CENTERS ON TOTAL PERSONAL CARE FOR THE INDIVIDUALS ENTRUSTED TO US AND THEY ARE CONSIDERED OUR FAMILY.</ExplanationTxt>
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        <ExplanationTxt>DESCRIPTION:PRINTING TOTAL EXPENSES:461 MANAGEMENT AND GENERAL:461</ExplanationTxt>
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        <ExplanationTxt>DESCRIPTION:SUPPLIES TOTAL EXPENSES:1201954 PROGRAM SERVICES:1201932 MANAGEMENT AND GENERAL:22</ExplanationTxt>
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        <ExplanationTxt>DESCRIPTION:TELEPHONE TOTAL EXPENSES:19549 MANAGEMENT AND GENERAL:19549</ExplanationTxt>
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        <ExplanationTxt>DESCRIPTION:POSTAGE TOTAL EXPENSES:7440 MANAGEMENT AND GENERAL:7440</ExplanationTxt>
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        <ExplanationTxt>DESCRIPTION:BANK CHARGES &amp; FEES TOTAL EXPENSES:43264 MANAGEMENT AND GENERAL:43264</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 24 - OTHER EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:AUTO TOTAL EXPENSES:1173 MANAGEMENT AND GENERAL:1173</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 24 - OTHER EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:BAD DEBTS TOTAL EXPENSES:223141 PROGRAM SERVICES:223141</ExplanationTxt>
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