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        <ReportableCompFromRltdOrgAmt>624571</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>75541</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Hicks</PersonNm>
        <TitleTxt>Trustee through 4/22/15</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Briggs</PersonNm>
        <TitleTxt>Trustee through 4/22/15</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Thompson MD PhD</PersonNm>
        <TitleTxt>Trustee through 1/26/15</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Pamela Johnson</PersonNm>
        <TitleTxt>Treasurer &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>11.20</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>28.80</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>309704</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23934</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Patrick Boyle</PersonNm>
        <TitleTxt>VP, Human Resources</TitleTxt>
        <AverageHoursPerWeekRt>1.60</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>38.40</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>215581</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24520</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jason Feinberg MD</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>8.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>32.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>368417</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24448</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Frank Korich</PersonNm>
        <TitleTxt>Sr. VP, Operations</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>205766</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24333</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Eileen Gage</PersonNm>
        <TitleTxt>VP, Nursing</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>222414</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22495</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Garrity</PersonNm>
        <TitleTxt>VP, LTC</TitleTxt>
        <AverageHoursPerWeekRt>3.60</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>36.40</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>133332</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22092</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maria Enecilla</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>184496</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32813</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nancy-Jo Rembaum</PersonNm>
        <TitleTxt>CRNA</TitleTxt>
        <AverageHoursPerWeekRt>17.20</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>22.80</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>161249</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10802</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Marta Canfield</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>136921</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14743</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Norris</PersonNm>
        <TitleTxt>Pharmacist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>129904</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5375</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lawrence Farnand</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>15.40</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>190568</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1688</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>795165</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2673689</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>335406</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>18488</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>442247</GovernmentGrantsAmt>
      <TotalContributionsAmt>460735</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Svc Revenue</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>26320686</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26320686</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>1402397</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1402397</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>27723083</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>166608</TotalRevenueColumnAmt>
        <ExclusionAmt>166608</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2208878</SecuritiesAmt>
        <OtherAmt>33371</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2277217</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-68339</SecuritiesAmt>
        <OtherAmt>33371</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-34968</TotalRevenueColumnAmt>
        <ExclusionAmt>-34968</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>28315458</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27723083</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>131640</ExclusionAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>16237710</TotalAmt>
        <ProgramServicesAmt>14419086</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1818624</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>275816</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34788</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2156672</TotalAmt>
        <ProgramServicesAmt>1915125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>241547</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1041669</TotalAmt>
        <ProgramServicesAmt>925002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116667</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>271457</TotalAmt>
        <ProgramServicesAmt>241054</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30403</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>19027</TotalAmt>
        <ProgramServicesAmt>16896</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2131</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>24217</TotalAmt>
        <ProgramServicesAmt>21505</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2712</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>57157</TotalAmt>
        <ProgramServicesAmt>50755</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6402</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>28964</TotalAmt>
        <ProgramServicesAmt>25720</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3244</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>28679</TotalAmt>
        <ProgramServicesAmt>25467</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3212</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>334145</TotalAmt>
        <ProgramServicesAmt>296721</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37424</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>434283</TotalAmt>
        <ProgramServicesAmt>385643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48640</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>22692</TotalAmt>
        <ProgramServicesAmt>20150</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2542</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>24833</TotalAmt>
        <ProgramServicesAmt>22052</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2781</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>413043</TotalAmt>
        <ProgramServicesAmt>366782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46261</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>2042911</TotalAmt>
        <ProgramServicesAmt>1814105</ProgramServicesAmt>
        <ManagementAndGeneralAmt>228806</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>418134</TotalAmt>
        <ProgramServicesAmt>371303</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46831</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Purchase Services &amp; Lea</Desc>
        <TotalAmt>2429559</TotalAmt>
        <ProgramServicesAmt>2157448</ProgramServicesAmt>
        <ManagementAndGeneralAmt>272111</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
        <TotalAmt>1789964</TotalAmt>
        <ProgramServicesAmt>1589488</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200476</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>NYS Assessment</Desc>
        <TotalAmt>750519</TotalAmt>
        <ProgramServicesAmt>666461</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84058</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>All Other Expenses</Desc>
        <TotalAmt>119233</TotalAmt>
        <ProgramServicesAmt>105879</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13354</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>25712458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3243014</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>3669</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2660719</BOYAmt>
        <EOYAmt>2712268</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>2472334</BOYAmt>
        <EOYAmt>2407113</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>78044</BOYAmt>
        <EOYAmt>90294</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>173831</BOYAmt>
        <EOYAmt>240323</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>265196</BOYAmt>
        <EOYAmt>337737</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>60832742</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>45248839</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>17027275</BOYAmt>
        <EOYAmt>15583903</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>16641271</BOYAmt>
        <EOYAmt>16536602</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>4449489</BOYAmt>
        <EOYAmt>4637737</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>43771967</BOYAmt>
        <EOYAmt>42549646</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2251836</BOYAmt>
        <EOYAmt>2700518</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>10272351</BOYAmt>
        <EOYAmt>10396014</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>6810958</BOYAmt>
        <EOYAmt>5900169</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>5304932</BOYAmt>
        <EOYAmt>5289564</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>24640077</BOYAmt>
        <EOYAmt>24286265</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>19131890</BOYAmt>
        <EOYAmt>18263381</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>19131890</BOYAmt>
        <EOYAmt>18263381</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>43771967</BOYAmt>
        <EOYAmt>42549646</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-640014</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-240337</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>11842</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>4912</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>4912</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>Portion of association dues attributed to lobbying expenses.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>399264</OtherCostOrOtherBasisAmt>
        <BookValueAmt>399264</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>28235066</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>15305057</DepreciationAmt>
        <BookValueAmt>12930009</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1965403</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1544204</DepreciationAmt>
        <BookValueAmt>421199</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>30233009</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>28399578</DepreciationAmt>
        <BookValueAmt>1833431</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>15583903</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Mortgage Sinking Funds</Desc>
        <BookValueAmt>2626942</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Escrow Reserve LTC</Desc>
        <BookValueAmt>249143</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Res for Replacement LTC</Desc>
        <BookValueAmt>1761652</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>4637737</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliate</Desc>
        <Amt>4753564</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>BCR Advance</Desc>
        <Amt>536000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5289564</TotalLiabilityAmt>
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        <ExplanationTxt>Soldiers &amp; Sailors Memorial Hospital (SSMH)is a not-for-profit corporation and is exempt from income taxes as an organization qualified under Section 501(c)(3) of the Internal Revenue Code. SSMH has also been classified by the IRS as an entity that is not a private foundation. As of December 31, 2015, SSMH does not have any uncertain tax positions. SSMH files informational returns in the U.S. federal jurisdiction and New York State.</ExplanationTxt>
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        <ExplanationTxt>Part V, Section B, Line 5: The Ontario, Seneca and Yates County Public Health Departments, in collaboration with Finger Lakes Health, other hospitals, the S2AY Rural Health Network, and the community based agencies conducted surveys of residents in the three counties through the community health needs assessment process. Surveys were disseminated through many different methods including e-mail, web pages, mailing of paper copies, dissemination of paper copies in local stores, health care facilities, public health and community facilities, and direct assistance within county buildings/agencies. Finger Lakes Health invited public participation in the needs assessment through the Spring 2012 edition of Thrive, our community health magazine. Thrive is mailed to more than 90,000 households in the health system's service area. Readers were invited to log-in to the online survey or to contact Finger Lakes Health for a paper version of the survey. Further input from the public was collected through a number of focus group sessions that were held throughout the counties.</ExplanationTxt>
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        <ExplanationTxt>Part V, Section B, Line 23: Amounts generally billed:The amounts generally billed are based upon the negotiated commercial insurance rates for the carrier with the greatest volume.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7g:</FormAndLineReferenceDesc>
        <ExplanationTxt>Subsidized health services:Emergency Services provided on a 24 - 7 basis, Ambulatory Surgery, Behavioral and ICU incur operating losses which are considered subsidized health services.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Community Building Activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>Part II Community Building Activities:Soldiers &amp; Sailors Memorial Hospital's Community Building Activities promote the health of the communities it serves through:1. Physical Improvements and Housing: N/A.2. Economic Development: Soldiers &amp; Sailors Memorial Hospital (SSMH) supports economic development in the community through:- Payment of dues to the Yates County Chamber of Commerce to support economic development initiatives3. Community Support: To be equipped for disaster situations, SSMH participates in emergency preparedness/disaster readiness activities, including disaster drills; stockpiling essential supplies for use during a disaster; training staff for disasters; and conducting POD events as training in the event of a disaster requiring mass immunizations. 4. Environmental Improvements: SSMH accepts sharps from community households and provides proper disposal of same at no cost to the households. 5. Coalition Building: Finger Lakes Health, which includes SSMH, Administrative Team members participate in multiple community organizations/partnerships for the betterment of the communities it serves, including ARC, Happiness House, Finger Lakes Visiting Nurse Service, Lakeview Mental Health, Finger Lakes Health Systems Agency Community Health Improvement Committee, among others.6. Workforce Development: SSMH provides Career Exploration programs for young people, including:- Camp MedQuest, a two day healthcare career exploration program for high school students- Shadowing opportunities for high school students.- Bio-Med Club - High school medical club visits to various departments (ED, Lab, Behavioral Health, etc) to explore health careers.- Healthcare Alliance Event - Shared information on opportunities for students to learn about health careers including a Surgical Services hands-on demonstration to show students information on becoming a Surical Technician.7. Negative Margins: SSMH provides Mental Health Outpatient Programs, Ambulatory Surgery, Emergency and Clinical Services as well as Behavioral Programs at an operating loss to improve the well being of the community.Also, SSMH Community Services staff time is devoted to planning and implementing community outreach activities such as the Walk &amp; Talk program and Keeping U in the Game, and completing Community Benefit reports.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Provision for Doubtful Accounts Footnote:The Hospitals, the P. C., Living Centers and the Homestead estimate the amount to be recognized in the consolidated financial statements for doubtful accounts by analyzing specific patient and resident accounts for collectability and also by applying historically established percentages for self-pay and various third-party payers to the aging categories in the accounts receivable aging for each Operation. Accounts for which no payments have been received for a significant amount of time are considered delinquent and the accounts are written-off when customary collection efforts are exhausted. There were no significant changes in the calculation of the allowance for doubtful accounts in 2015.Part III, Section A, 3Costing Methodology:HFMA P&amp;P Board Statement 15, IX. Valuation and Disclosure of Bad Debts, 9.1 has been applied to the amount reported on line 2. The bad debt amount is recorded at the amount that the payer is expected to pay. The amount reported on line 3 is valued at patient care cost, i. e. the expected payment amount included in line 2 has been multiplied by the ratio of patient care cost to charges (52.11%). Based upon an analysis of income levels for accounts included in bad debts we estimated that 31% were eligible under the financial assistance program.Rationale for including a portion of bad debt amount as community benefit:It is not always possible to obtain sufficient information to make a determination of eligibility for financial assistance or reclassify bad debts as charity care. When income levels are learned we identify individuals unable to pay for services. Having provided services to those individuals we believe represents a community benefit.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule H Needs Assessment Narrative:Finger Lakes Health believes that healthcare consumers taking active responsibility for their own health is the single most vital aspect to improving the quality of healthcare and to having healthier individuals and healthier communities.Finger Lakes Health's goal, as a healthcare provider, is to be a vital partner with healthcare consumers (our patients) to encourage awareness and dialogue about modifiable risk factors, outline the path and provide necessary support to achieve good health outcomes, and positively impact the health of the communities we serve. We are developing initiatives, and designing our facilities with patient-centered, evidence-based, outcome driven goals in mind. Our team has been working to achieve the best quality care outcomes to keep patients healthy and to develop prevention-oriented programs aimed at creating and sustaining healthy communities. We base programming on areas of health and wellness that matter most in our communities. That is determined by conducting health needs assessments in our communities.Finger Lakes Health collaborates with public health departments in our service area, as well as other human services providers, to use the framework of the NYS Health Commissioner's "Prevention Agenda" as a basis for our community health planning. We worked together to conduct a Community Health Needs Assessment (CHNA) in 2013 and establish health priorities for 2013-2017. By drawing upon the state's prevention agenda, studying data collected through primary and secondary research, and partnering with local health departments in Ontario, Seneca and Yates counties, we identified health priorities and subsequent community outreach initiatives to align with those priorities.Tools used to conduct the CHNA and get them to the largest group possible, included:- An online survey available to anyone in the community. Promoted via newspaper, email blast to employees, Constant Contact email blast to community members on our email list, in our Thrive community health magazine, circulated to 90,000 households in our service area.- Focus groups done in cooperation with our county partners targeting specific populations, including the African American Men's Society of Geneva, a Head Start parents' group, the Office for the Aging, and human service agencies, such as ARC and FLACRA.- Distribution of printed copies of the survey via waiting rooms in our facilities and to individuals without Internet access.- Survey of area healthcare providers and human services agencies via email distribution of survey and promotion at various health planning group meetings in the various counties.Once the survey process was completed, the results were tabulated by the S2AY Rural Health Network, which works with multiple counties in the Finger Lakes. Then, individuals who are part of each county - Ontario, Seneca and Yates, steering groups ranked the issues identified through data review, surveys to the public and through focus groups. The ranking was completed using the Hanlon Method.Priorities determined by the 2009 needs assessment for action in 2010-2013 were: - Access to quality health care- Chronic disease management, with emphasis on cardiovascular health- Physical activity and nutrition educationPriorities, by county, in Finger Lakes Health's service area identified for action in 2013-2017 are:Ontario County: Prevention of Hypertension/Stroke Prevention of Obesity, with a focus on childhood obesitySeneca County: Prevention of Chronic Disease Promotion of Mental Health Prevention of Substance Abuse Yates County: Obesity Prevention Hypertension PreventionDuring 2015, we continued to address Access to quality health care by continuing to recruit physicians, including specialists who provide multiple access points to care across our communities. For instance, cardiology, orthopaedics and physiatry services are offered at multiple offices across our service area.We addressed chronic disease management, with emphasis on cardiovascular health, and physical activity and nutrition education (from the 2010-2013 plan) and prevent chronic disease by reducing obesity in children and adults and by reducing hypertension and stroke (from the 2013-2017 plan), through multiple vehicles, including:- Finger Lakes Health provides educational information in its community health magazine Thrive, which is mailed to more than 90,000 homes in our service area twice each year. Articles have included: -- Living under nutritional challenges -- Advice to Thrive On: Stretch It Out -- Dine &amp; Discuss health lectures -- Concussion Management --Walk &amp; Talk for Health Program --Get Ready to Run (5 &amp; 10K preparation programs)- Finger Lakes Health Matters is an educational radio show aired 26 times each year on the regional Finger Lakes Radio Network featuring Finger Lakes Health professionals speaking to a wide range of health topics.- Dine &amp; Discuss Lecture Series is conducted by Finger Lakes Health in the spring and fall. It features educational lectures presented by health system physicians and other healthcare professionals on varied topics, including such things as COPD and stress management, healthy cooking demos, etc.- Finger Lakes Health conducts free Support Groups to help individuals and their families/caregivers cope with chronic diseases - including Diabetes &amp; Stroke.- In addition to the Diabetes Support Groups, held monthly in two communities, we have a dedicated Certified Diabetes Educator who does one-on-one counseling with diabetics, as well as conducting educational classes for diabetics and their support person and providing continuous glucose monitoring services for diabetics.- Geneva General Hospital is a Joint Commission accredited and New York State-designated Stroke Center. Providers conduct Stroke Education, in addition to the Support Group, on a regular schedule for Emergency Medical Services providers in our service area, as well as for general community members. The education covers signs and symptoms, as well as risk factors and prevention information.- Finger Lakes Health offers one-on-one nutrition counseling to community members.- Weight Watchers and TOPS weight management programs are offered at Geneva General Hospital.- Blood Pressure screenings are offered by the Cardiac Rehab program at Soldiers &amp; Sailors Memorial Hospital, Penn Yan; by the Acute Rehab Unit at Geneva General, and by health system staff at the Community Lunch program in Geneva, as well as at work places or special events, as requested by community organizations.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient education of eligibility for assistance:Financial assistance under the organization's policy is available to assist uninsured or underinsured members of our community who are willing but unable to pay in full for their care. The program allows a person to receive medically necessary and emergency services at no charge or reduced charges when they meet certain eligibility requirements. Information about the services is available through signage and applications placed in the emergency department, registration areas, and the patient accounts office. We have also published this information in direct mail sent to area homes and also promoted the program on our local radio show. The hospital's website contains information on financial assistance.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Community information:Soldiers &amp; Sailors Memorial Hospital provides a full range of acute care services to residents of the Finger Lakes region in Upstate New York. The hospital reviews demographic data from sources such as the US Census to identify trends. The hospital uses health indicators and utilization data from numerous sources and receives community input from public surveys. We have a Community Advisory Committee which serves as a regular forum for community input and fostering collaboration. We gather opinion related data from focus groups, satisfaction surveys, and employee opinion surveys. We participate in a Needs Assessment Process and participate as an active member of the community through board participation on numerous local and state-wide health related organizations.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>Community health improvement services and community benefit operations:Soldiers &amp; Sailors Memorial Hospital's Community health improvement and community benefit operations promote the health of the communities it serves through: 1. Community Health Education: Educational content on Finger Lakes Health website- Adam &amp; Healthday. Thrive community health magazine - health advice, including:- Living Under Nutritional Challenges- Advice to Thrive On: Stretch It Out- Dine &amp; Discuss health lectures- Concussion Management- Strive to Thrive programming - support groups, BP Screenings, etc.- Get Ready to Run (5 &amp; 10k preparation program)- Summary of phone aps with health information/wellness tracking programs Walk &amp; Talk for Health, a community walking program led by healthcare professionals. Nineteen walks were held in four communities. Fitness and nutrition information was offered, along with pedometers and walking journals to track steps. In addition, participants were offered free cholesterol, A1C and blood pressure screenings. Finger Lakes Health Matters, an educational radio show aired 26 times during the year on the regional Finger Lakes Radio Network featuring health system professionals speaking to a wide range of health topics. Dine &amp; Discuss Lecture Series, educational lectures presented by health system physicians and other healthcare professionals on varied topics, including weight loss and wellness success, COPD, breast cancer, diabetes, &amp; heart disease. Support Groups, including monthly Diabetes Support Groups facilitated by certified diabetes educatorsare held for diabetics and their families. 2. Nurses/Nursing Students The clinical education and mentoring of nursing students from area programs of study, including the Marion S. Whelan School of Practical Nursing and the Finger Lakes Health College of Nursing.3. Other Health Professionals Education Clinical Education provided to students from various colleges/programs of study for academic credit:- Finger Lakes Regional EMS training- OT, Lab, Pharmacy, Hospitalist, Ultrasound, Social Work, Mental Health Studies, Nurse Practioner.4. In-Kind Donations Not-for-profit event sponsorships, such as:- Yates County Chamber of Commerce - Happiness House - Cerebral Palsy AssociationDonation of pedometers to Branchport Library 5K event and Scottish Festival Choose Health Yates Booth.Donation of good health vinyl card holders and inserts of immunization &amp; medication records at Yates County Fair. SSMH staff donating time to community agencies on behalf of SSMH and Finger Lakes Health, such as:- United Way- Yates Substance Abuse Coalition- Yates Health Planning Council-Choose Health Yates- Regional Dental Sterring Committee-Farm to Institution Committee- Regional Worksite Wellness Coalition- Finger Lakes Regional EMS Council- Workforce Development Committee-Council of Churches Chaplaincy Committee. Facility space provided to community organizations free of charge for use to conduct meetings, including American Red Cross, United Way, SPOE, ARC of Yates, EMS Class, Insurance Navigator, Yates TB &amp; Health Association, TOPS, etc. Facility space provided free of charge to Yates Community Center for use as a fitness center.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>Affiliated health system: Health services are provided on six campuses located in Geneva &amp; Clifton Springs, NY (Ontario County), Waterloo, NY (Seneca County), Clyde, NY (Wayne County), and Penn Yan &amp; Dundee, NY (Yates County). The health system offers a broad range of primary, specialty and sub-specialty services to residents of the Finger Lakes.</ExplanationTxt>
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        <PersonNm>Jason Feinberg MD</PersonNm>
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        <PersonNm>Eileen Gage</PersonNm>
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      <SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is reviewed by the Administrative Committee of the Board prior to being filed. Any Committee findings are reviewed and implemented as appropriate by management. Changes in IRS requirements and organization practices from the prior year are highlighted for the Committee by management. The Committee reports on this discussion to the full Board.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Soldiers &amp; Sailors Memorial Hospital of Yates County maintains a conflict of interest policy which board members are required to sign prior to taking office. Statements are updated annually and reviewed by an Administrative Committee. The process for handling any conflicts of interest which may arise are detailed in the corporate by-laws.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of officers or key employees includes a review as well as comparability data as part of the decision.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Soldiers &amp; Sailors Memorial Hospital of Yates County makes its governing documents, conflict of interest policy, and financial statements available to the public where required by law and upon request. The organization's Form 990 is provided to any individual who provides a request in person or who submits a written request. There is no charge other than a reasonable fee for copying and postage. Copies are available at the Finance Office. An electronic version may be found at www.guidestar.org.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Funded Status of Pension Plan 11,842.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>Part IV, Line 4 Association dues included $4,912 in lobbying expenses.</ExplanationTxt>
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          <CityNm>Waterloo</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        </USAddress>
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        <PrimaryActivitiesTxt>Operate Low Income Housing for elderly &amp; handicapped</PrimaryActivitiesTxt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        </USAddress>
        <EIN>161449543</EIN>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        </USAddress>
        <EIN>160743032</EIN>
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          <CityNm>Geneva</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14456</ZIPCd>
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        <EIN>161556419</EIN>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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      <TransactionsRelatedOrgGrp>
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</Return>