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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>CONCORD NURSING HOME, INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDEACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURETHAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THEINTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD FORAPPROVAL. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THEINTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES OF THE FACILITY MUST ATTEMPTTO AVOID ANY ACTIONS THAT RESULT IN A DIRECT OR INDIRECT CONFLICT BETWEENHIS OR HER PERSONAL INTERESTS AND THOSE OF THE CENTER. BOARD MEMBERS,OFFICERS, AND KEY EMPLOYEES SIGN CONFLICT OF INTEREST STATEMENTS ANNUALLY.ALL POTENTIAL CONFLICTS ARE MONITORED AT BOARD MEETINGS THROUGHOUT THEYEAR. IF A POTENTIAL CONFLICT WERE TO ARISE, THE PERSON WOULD DISCLOSE THECONFLICT TO THE GOVERNING BOARD. THE DISINTERESTED BOARD MEMBERS WOULDREVIEW THE CONFLICT, AND COME TO A RESOLUTION. THE RESOLUTION WOULD BEDOCUMENTED IN THE MINUTES TO THE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS A COMPENSATION COMMITTEE THAT REVIEWS 990'S FOR OTHERSURROUNDING AREA'S SKILLED NURSING FACILITIES FOR COMPARISON OFCOMPENSATION. THE COMPENSATION COMMITTEE ALSO REVIEWS THE EXECUTIVEDIRECTOR'S RESPONSIBILITIES AND DUTIES OF THE OTHER FACILITIES COMPARED TOTHEIR OWN EXECUTIVE DIRECTOR'S RESPONSIBILITIES AND DUTIES. THECOMPENSATION COMMITTEE PRESENTS THEIR FINDINGS AND RECOMMENDATIONS TO THEBOARD OF DIRECTORS. THE BOARD OF DIRECTORS VOTES ANNUALLY ON THECOMPENSATION COMMITTEE'S RECOMMENDATIONS, A MAJORITY VOTE IS NEEDED FORAPPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ALL ITS GOVERNING DOCUMENTS, CONFLICT OF INTERESTPOLICY AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE DURING REGULAR BUSINESS HOURS AT 300 MADISON STREET, BROOKLYN, NY 11216. THE ORGANIZATION ALSO FILES A COST REPORT WITH NYS DEPARTMENT OF HEALTH THAT CONTAINS FINANCIAL STATEMENTS AND NOTE DISCLOSURES, WHICH IS ALSO AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2: Change of Oversight or Selection Process</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THESELECTION &amp; OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS ANDSELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGEFROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>