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        <EOY>4055385</EOY>
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        <BOY>6536644</BOY>
        <EOY>6130796</EOY>
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      <TotalLiabilities>
        <BOY>14076188</BOY>
        <EOY>13146198</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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        <BOY>65023</BOY>
        <EOY>3474493</EOY>
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      <PermanentlyRestrictedNetAssets>
        <BOY>3950</BOY>
        <EOY>3950</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>68973</BOY>
        <EOY>3478443</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>14145161</BOY>
        <EOY>16624641</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>3409470</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <PublicSupportTotal170>0</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <Total>0</Total>
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      <PublicSupportPertcentage170>0</PublicSupportPertcentage170>
      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>16562805</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>18569421</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>19964690</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>19245363</CurrentTaxYear>
        <Total>91139291</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>16797012</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>16562805</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>18569421</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>19964690</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>19245363</CurrentTaxYear>
        <Total>91139291</Total>
      </Total509>
      <PublicSupportTotal509>91139291</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>39</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>362</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>449</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1201</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>275</CurrentTaxYear>
        <Total>2326</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>39</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>362</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>449</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1201</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>275</CurrentTaxYear>
        <Total>2326</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>-490</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>74104</CurrentTaxYearMinus3Years>
        <CurrentTaxYear>81667</CurrentTaxYear>
        <Total>155281</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <Total>91296898</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99830</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99910</PriorYearSupportPercentage>
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      <PriorYrInvestIncomePercentage>0.00000</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <FactsAndCircumstancesTest>OTHER INCOME PART III, LINE 12; DESCRIPTION: MISCELLANEOUS; 2007: -490.; 2008: 74104.; 2009: 0.; 2011: 81667.;</FactsAndCircumstancesTest>
    </IRS990ScheduleA>
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        <BookValue>309421</BookValue>
      </Land>
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        <Depreciation>8852047</Depreciation>
        <BookValue>3462903</BookValue>
      </Buildings>
      <Equipment>
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        <BookValue>3019705</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>6792029</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>LIMITED USE ASSETS</Description>
        <BookValue>3950</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>PATIENT FUNDS</Description>
        <BookValue>106450</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM MEDICAID</Description>
      </OtherAssets>
      <OtherAssets>
        <Description>CONSTRUCTION IN PROGRESS</Description>
        <BookValue>112348</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>222748</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>ACCRUED PAYROLL &amp; VACATION</Description>
        <Amount>413358</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PATIENT FUNDS PAYABLE</Description>
        <Amount>123906</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO RELATED ENTITIES</Description>
        <Amount>5593532</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>6130796</TotalOfAmounts>
      <TotalRevenue>19327305</TotalRevenue>
      <TotalExpenses>15917835</TotalExpenses>
      <ExcessOrDeficitForYear>3409470</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>3409470</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>19327305</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>19327305</RevenueSubtotal>
      <TotalRevenuePerForm990>19327305</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>15917835</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>15917835</ExpensesSubtotal>
      <TotalExpensesPerForm990>15917835</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="00000004">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>MORRIS KLEIN</NamePerson>
        <CompBasedOnRelatedOrgs>695546</CompBasedOnRelatedOrgs>
        <TotalCompensationRelatedOrgs>695546</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Pt I Line 4b</Identifier>
        <Explanation>MORRIS KLEIN PARTICIPATES IN A NON QUALIFIED PENSION PLAN ON THE RELATED ORGANIZATION, NSG INC.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="00000005" softwareId="11000175">
      <GeneralExplanation>
        <Identifier>Pt VI, Line 2</Identifier>
        <Explanation>BOARD MEMBER, BENJAMIN KLEIN IS RELATED TO EXECUTIVE DIR. MORRIS KLEIN</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 11a</Identifier>
        <Explanation>THE BOARD OF DIRECTORS WILL MEET &amp; REVIEW THE 990</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 12c</Identifier>
        <Explanation>ANNUALLY, BOARD MEMBERS ARE REQUIRED TO FILE DISCLOSURES &amp; CONTRACTS &amp; VENDORS ARE REVIEWED</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 15</Identifier>
        <Explanation>A PRICE WATERHOUSE COOPERS STUDY REVIEWED AND SUBSTANTIATED THE TOP MANAGEMENT COMPENSATION</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 19</Identifier>
        <Explanation>990 is available on Guidestar.org and at location upon request</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24f</Identifier>
        <Explanation>SUPPLIES &amp; EXPENSES 1819265. 1819265. 0. 0. CONTRACTED SERVICES &amp; CONSULTANTS 967139. 463195. 503944. 0.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NORTHERN MANOR MULTICARE CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>199 MIDDLETOWN ROAD</AddressLine1>
          <City>NANUET</City>
          <State>NY</State>
          <ZIPCode>10954</ZIPCode>
        </AddressUS>
        <EIN>133623600</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NORTHERN METROPOLITAN INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>225 MAPLE AVENUE</AddressLine1>
          <City>MONSEY</City>
          <State>NY</State>
          <ZIPCode>10952</ZIPCode>
        </AddressUS>
        <EIN>133070759</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ASSISTED LIVING NORTHERN RIVERVIEW INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>87 SOUTH ROUTE 9W</AddressLine1>
          <City>HAVERSTRAW</City>
          <State>NY</State>
          <ZIPCode>10927</ZIPCode>
        </AddressUS>
        <EIN>133976617</EIN>
        <PrimaryActivities>ASSISTED LIVING FACILITY</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FOUNTAINVIEW COLLEGE ROAD INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 FOUNTAINVIEW DRIVE</AddressLine1>
          <City>MONSEY</City>
          <State>NY</State>
          <ZIPCode>10952</ZIPCode>
        </AddressUS>
        <EIN>133935070</EIN>
        <PrimaryActivities>INDEPENDENT LIVING FACILITY</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NORTHERN METROPOLITAN FOUNDATION FOR HEALTH CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 FOUNTAINVIEW DRIVE</AddressLine1>
          <City>MONSEY</City>
          <State>NY</State>
          <ZIPCode>10952</ZIPCode>
        </AddressUS>
        <EIN>113354023</EIN>
        <PrimaryActivities>CHARITABLE FOUNDATION</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NORTHERN SERVICES GROUP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 FOUNTAINVIEW DRIVE</AddressLine1>
          <City>MONSEY</City>
          <State>NY</State>
          <ZIPCode>10952</ZIPCode>
        </AddressUS>
        <EIN>134120014</EIN>
        <PrimaryActivities>ADMIN SUPPORT ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LIFESTYLE OPTIONS FOR SENIORS FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
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          <City>MONSEY</City>
          <State>NY</State>
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        <ExemptCodeSection>501(C)3</ExemptCodeSection>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
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      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
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        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>D</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>