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        <ReportableCompFromOrgAmt>204842</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9736</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
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      <TotalOtherCompensationAmt>89021</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AFFINITY REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>536 OLD HOWELL ROAD</AddressLine1Txt>
            <CityNm>GREENVILLE</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29615</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>1275518</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GENESEE ENVIRONMENTAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>24 INDUSTRIAL PARK CIRCLE</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14624</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ENGINEERING AND ABATEMENT SERVICES</ServicesDesc>
        <CompensationAmt>251945</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNDERBERG &amp; KESSLER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>300 BAUSCH LOMB PLACE</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14604</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>146172</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>321547</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>2961166</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT SERVICE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>38226213</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38226213</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>275631</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>275631</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>38501844</TotalProgramServiceRevenueAmt>
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        <RealAmt>24232</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>24232</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>24232</TotalRevenueColumnAmt>
        <ExclusionAmt>24232</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>722210</BusinessCd>
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        <ExclusionAmt>101677</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>PANDION SOURCING NATIONAL</Desc>
        <BusinessCd>623000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>5672</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>107349</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>41916138</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38507516</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>125909</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      <PensionPlanContributionsGrp>
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        <ManagementAndGeneralAmt>127180</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>80325</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>1979587</ProgramServicesAmt>
        <ManagementAndGeneralAmt>891205</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>103794</TotalAmt>
        <ManagementAndGeneralAmt>103794</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>14616</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8107</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>974704</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139245</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1453471</ProgramServicesAmt>
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        <ProgramServicesAmt>338853</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES AND MATERIALS</Desc>
        <TotalAmt>3375566</TotalAmt>
        <ProgramServicesAmt>3319799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55767</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>NEW YORK ASSESSMENT</Desc>
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        <ProgramServicesAmt>2266245</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9756</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
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        <ProgramServicesAmt>637706</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91102</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER DIRECT EXPENSES</Desc>
        <TotalAmt>708378</TotalAmt>
        <ProgramServicesAmt>317174</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>597476</TotalAmt>
        <ProgramServicesAmt>597476</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>39470413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5227156</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>656239</EOYAmt>
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        <EOYAmt>307011</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>249095</EOYAmt>
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      <TotalAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>1087733</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3012837</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3572533</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3282713</CurrentTaxYearAmt>
        <TotalAmt>13702943</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>46752388</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>45548726</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>45876780</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>38609193</CurrentTaxYearAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>51070849</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>47840121</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>48561563</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>49449313</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>41891906</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <PublicSupportTotal509Amt>238813752</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>34132</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>36472</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>37573</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus1YearAmt>37573</CurrentTaxYearMinus1YearAmt>
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      <NetIncomeFromOtherUBIGrp>
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        <TotalAmt>4122</TotalAmt>
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      <OtherIncome509Grp>
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        <TotalAmt>724596</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus2YearsAmt>48598035</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>49486886</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>41916138</CurrentTaxYearAmt>
        <TotalAmt>239719908</TotalAmt>
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      <PublicSupportCY509Pct>0.99620</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99610</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00070</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00090</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <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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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>570085</OtherCostOrOtherBasisAmt>
        <BookValueAmt>570085</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>53345505</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>41687745</DepreciationAmt>
        <BookValueAmt>11657760</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>20460892</DepreciationAmt>
        <BookValueAmt>6315054</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>1711368</DepreciationAmt>
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      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>18683593</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>MONEY MARKET</Desc>
        <BookValueAmt>6212320</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>697844</Amt>
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      <RevenueSubtotalAmt>41916138</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>44697569</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>RESIDENT DEPOSITS HELD IN TRUST WHILE LIVING AT NURSING HOME.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN MINIMUM PENSION LIABILITY 278,723. CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 108,130.</ExplanationTxt>
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        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
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      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST JOHN'S PENFIELD HOMES CORPORATION</BusinessNameLine1Txt>
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        <RecipientEIN>452195368</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19744</CashGrantAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>TO SUPPORT ST. JOHN'S PENFIELD HOME CORPORATION PBGC PAYMENTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ST JOHN'S COMMUNITY SERVICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>161547182</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20558</CashGrantAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>TO SUPPORT SJH COMMUNITY SERVICES PBGC PAYMENTS</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
    </IRS990ScheduleI>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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        <PersonNm>CHARLES K RUNYON</PersonNm>
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        <PersonNm>RENA PINE</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT EARL</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELOISE SCHRAG</PersonNm>
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        <PersonNm>HEATHER SOBEL</PersonNm>
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        <PersonNm>NATHIEL SWEENEY</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS IS COMPLETED BY THE HUMAN RESOURCES DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990'S ARE MADE AVAILABLE FOR THE GOVERNING BODY TO REVIEW BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION INSISTS ON ARMS LENGTH TRANSACTIONS IN ALL DEALINGS WITH OUTSIDE COMPANIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION ANNUALLY REVIEWS THE COMPARABLE COMPENSATION FOR ALL KEY EMPLOYEES AND ADJUSTS WHERE NEEDED. THE APPROVAL OF THE BOARD IS PART OF THE YEARLY BUDGET PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PUBLIC IS WELCOME TO REQUEST THE FORM 990 AND THE CORPORATION WILL RESPOND IN A TIMELY MANNER TO MAKE SURE THAT ALL REASONABLE REQUESTS ARE MET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PUBLIC IS WELCOME TO REQUEST THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, AND THE CORPORATION WILL RESPOND IN A TIMELY MANNER TO MAKE SURE THAT ALL REASONABLE REQUESTS ARE MET. ALSO, THE CORPORATION'S FINANCIAL STATEMENTS ARE IN THE RHCF-4 COST REPORT THAT IS FILED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN MINIMUM PENSION LIABILITY 278,723. CHANGE IN BENEFICIAL INTEREST IN ASSETS OF FOUNDATION 108,130.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2(C):</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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          <BusinessNameLine1Txt>ST JOHN'S HOME FOR THE AGING INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>150 HIGHLAND AVE</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14620</ZIPCd>
        </USAddress>
        <EIN>160743158</EIN>
        <PrimaryActivitiesTxt>RESIDENTIAL RETIREMENT COMMUNITY WITH ASSISTED AND NON-ASSISTED</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST JOHN'S SENIOR SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14620</ZIPCd>
        </USAddress>
        <EIN>161547180</EIN>
        <PrimaryActivitiesTxt>THE CORPORATION HOLDS AN INVESTMENT IN A COMPANY THAT OPERATES AS A BUYING G</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>SJH COMMUNITY SERVICES INC</BusinessNameLine1Txt>
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          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <BusinessNameLine1Txt>ST JOHN'S PENFIELD HOMES CORP</BusinessNameLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <EIN>452195368</EIN>
        <PrimaryActivitiesTxt>RESIDENTIAL SKILLED GREEN HOUSE FACILITY</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>ST JOHN'S HEALTH CARE CORPORATION</BusinessNameLine1Txt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>OPERATES TO SOLICIT, RECEIVE AND MAINTAIN FUNDS FOR RELATED PARTIES</PrimaryActivitiesTxt>
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        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT INCURRED</MethodOfAmountDeterminationTxt>
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</Return>
