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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>184577</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14370</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1553650</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>143964</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTHPRO HERITAGE</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>1625163</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>131528</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TIPPING POINT COMMUNICATIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1349 UNIVERSITY AVENUE UNIT 1</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14607</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING SERVICES</ServicesDesc>
        <CompensationAmt>113605</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>2816</FederatedCampaignsAmt>
      <RelatedOrganizationsAmt>2900316</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>109705</AllOtherContributionsAmt>
      <TotalContributionsAmt>3012837</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENT SERVICE REVENUE</Desc>
        <BusinessCd>623110</BusinessCd>
        <TotalRevenueColumnAmt>45167430</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45167430</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>250088</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>250088</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>45417518</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1440</TotalRevenueColumnAmt>
        <ExclusionAmt>1440</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>35032</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>35032</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>35032</TotalRevenueColumnAmt>
        <ExclusionAmt>35032</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>89122</TotalRevenueColumnAmt>
        <ExclusionAmt>89122</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PANDION SOURCING NATIONAL</Desc>
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        <RelatedOrExemptFuncIncomeAmt>42086</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <TotalRevenueGrp>
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      <OtherSalariesAndWagesGrp>
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      <PayrollTaxesGrp>
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        <ManagementAndGeneralAmt>205134</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>138968</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>73953</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>2616428</ProgramServicesAmt>
        <ManagementAndGeneralAmt>944624</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>95029</TotalAmt>
        <ManagementAndGeneralAmt>95029</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>52754</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27858</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1233803</TotalAmt>
        <ProgramServicesAmt>1086969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>146834</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1289671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174216</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>467541</TotalAmt>
        <ProgramServicesAmt>411899</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55642</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES AND MATERIALS</Desc>
        <TotalAmt>3221214</TotalAmt>
        <ProgramServicesAmt>3174546</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46668</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>NEW YORK ASSESSMENT</Desc>
        <TotalAmt>2697768</TotalAmt>
        <ProgramServicesAmt>2690718</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7050</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>1538153</TotalAmt>
        <ProgramServicesAmt>1538153</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER DIRECT EXPENSES</Desc>
        <TotalAmt>924759</TotalAmt>
        <ProgramServicesAmt>386018</ProgramServicesAmt>
        <ManagementAndGeneralAmt>538741</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>815966</TotalAmt>
        <ProgramServicesAmt>718859</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97107</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>47329138</TotalAmt>
        <ProgramServicesAmt>42193608</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5135530</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>189356</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>174422</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>75495933</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>60625740</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>14740967</BOYAmt>
        <EOYAmt>14870193</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>9045148</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>974041</BOYAmt>
        <EOYAmt>376372</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>30456270</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>127476</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>35872792</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>-5416522</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>30456270</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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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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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>51514</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>701850</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2747127</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1087733</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3012837</CurrentTaxYearAmt>
        <TotalAmt>7601061</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>47881477</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>48323722</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>46752388</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>45548726</CurrentTaxYearAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>47753322</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>48583327</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>51070849</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>47840121</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48561563</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <PublicSupportTotal509Amt>243809182</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus1YearAmt>34132</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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      <NetIncomeFromOtherUBIGrp>
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        <TotalAmt>90222</TotalAmt>
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      <OtherIncome509Grp>
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        <TotalAmt>724596</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>48652702</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>51844596</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>47874253</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48598035</CurrentTaxYearAmt>
        <TotalAmt>244813302</TotalAmt>
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      <PublicSupportCY509Pct>0.99590</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99570</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00080</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00070</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>570085</OtherCostOrOtherBasisAmt>
        <BookValueAmt>570085</BookValueAmt>
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      <BuildingsGrp>
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      <EquipmentGrp>
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      <OtherLandBuildingsGrp>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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      <TotalRevEtcAuditedFinclStmtAmt>48806305</TotalRevEtcAuditedFinclStmtAmt>
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      <RevenueNotReportedAmt>208270</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>48598035</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>48598035</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>48683925</TotExpnsEtcAuditedFinclStmtAmt>
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      <ExpensesNotReportedAmt>1354787</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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    </IRS990ScheduleD>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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        <PersonNm>CHARLES K RUNYON</PersonNm>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25307</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>357689</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT EARL</PersonNm>
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        <TotalCompensationFilingOrgAmt>199836</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOANNE BRAUENLE</PersonNm>
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        <PersonNm>HEATHER SOBEL</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RENA PINE</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELOISE SCHRAG</PersonNm>
        <TitleTxt>ATTENDING PHYSICIAN</TitleTxt>
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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 -990,350. INVESTMENT INCOME - EQUITY METHOD 208,270. CHANGE IN BENEFICIAL INTEREST IN ASSETS OF FOUNDATION -364,437.</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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        <DisregardedEntityName>
          <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>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
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        <USAddress>
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          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14620</ZIPCd>
        </USAddress>
        <EIN>161547180</EIN>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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</Return>