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        <BusinessNameLine1>M M EWING CONTINUING CARE CENTER</BusinessNameLine1>
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      <Phone>5853966124</Phone>
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        <AddressLine1>350 Parrish Street</AddressLine1>
        <City>Canandaigua</City>
        <State>NY</State>
        <ZIPCode>144241731</ZIPCode>
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    <Officer>
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      <Title>Sr VP Finance / CFO</Title>
      <Phone>5853966280</Phone>
      <DateSigned>2012-11-13</DateSigned>
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      <YearFormation>1968</YearFormation>
      <StateLegalDomicile>NY</StateLegalDomicile>
      <ActivityOrMissionDescription>M.M.Ewing Continuing Care Center is a resident health care facility which provides the community with 188 long term care beds;and an adult day service program which provided 46 slots.</ActivityOrMissionDescription>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Finger Lakes Bus Serice Ontario ARC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>3071 County Complex Drive</AddressLine1>
            <City>Canandaigua</City>
            <State>NY</State>
            <ZIPCode>14424</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>transportation of patients</DescriptionOfServices>
        <Compensation>192823</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>2</NumberOfContractorsGT100K>
      <FederatedCampaigns>0</FederatedCampaigns>
      <MembershipDues>0</MembershipDues>
      <FundraisingEvents>0</FundraisingEvents>
      <RelatedOrganizations>0</RelatedOrganizations>
      <GovernmentGrants>0</GovernmentGrants>
      <AllOtherContributions>67106</AllOtherContributions>
      <NoncashContributions>0</NoncashContributions>
      <TotalContributions>67106</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Continuing Care Services</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>16907312</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>16907312</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Medical Adult Day Program</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>1267276</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1267276</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>18174588</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>2392</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>2392</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </RoyaltiesRevenue>
      <RentalIncomeOrLoss>
        <Real>0</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <GainOrLoss>
        <Securities>0</Securities>
        <Other>0</Other>
      </GainOrLoss>
      <CntrbtnsRprtdFundraisingEvents>0</CntrbtnsRprtdFundraisingEvents>
      <OtherRevenueMisc>
        <Description>Associate/patient support</Description>
        <BusinessCode>812900</BusinessCode>
        <TotalRevenueColumn>177905</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>177905</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>177905</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>18421991</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>18352493</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>2392</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>268107</Total>
        <ManagementAndGeneral>268107</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>9394601</Total>
        <ProgramServices>8720952</ProgramServices>
        <ManagementAndGeneral>673649</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>287480</Total>
        <ProgramServices>258732</ProgramServices>
        <ManagementAndGeneral>28748</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>952279</Total>
        <ProgramServices>857051</ProgramServices>
        <ManagementAndGeneral>95228</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>556993</Total>
        <ProgramServices>501294</ProgramServices>
        <ManagementAndGeneral>55699</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>24791</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>24791</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>17831</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>17831</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
        <Fundraising>0</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>859</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>859</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>541751</Total>
        <ProgramServices>480703</ProgramServices>
        <ManagementAndGeneral>61048</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>22028</Total>
        <ProgramServices>1170</ProgramServices>
        <ManagementAndGeneral>20858</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>62305</Total>
        <ProgramServices>62305</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Royalties>
      <Occupancy>
        <Total>338943</Total>
        <ProgramServices>338647</ProgramServices>
        <ManagementAndGeneral>296</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>14320</Total>
        <ProgramServices>8129</ProgramServices>
        <ManagementAndGeneral>6191</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>10509</Total>
        <ProgramServices>6592</ProgramServices>
        <ManagementAndGeneral>3917</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>55091</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>55091</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>601954</Total>
        <ProgramServices>481563</ProgramServices>
        <ManagementAndGeneral>120391</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>122102</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>122102</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>NYS Cash Receipts</Description>
        <Total>1147687</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1147687</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Hospital services provided to nursing home</Description>
        <Total>3414768</Total>
        <ProgramServices>2524839</ProgramServices>
        <ManagementAndGeneral>889929</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Membership assessment from parent corporation</Description>
        <Total>391619</Total>
        <ProgramServices>187977</ProgramServices>
        <ManagementAndGeneral>203642</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Miscellaneous expenses</Description>
        <Total>691541</Total>
        <ProgramServices>495646</ProgramServices>
        <ManagementAndGeneral>195895</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>18917559</Total>
        <ProgramServices>14925600</ProgramServices>
        <ManagementAndGeneral>3991959</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1586156</BOY>
        <EOY>1091528</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>2076176</BOY>
        <EOY>2105596</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
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        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
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        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
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        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>42989</BOY>
        <EOY>48836</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>14071226</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>9950570</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>4535822</BOY>
        <EOY>4120656</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>723466</BOY>
        <EOY>332851</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>8964609</BOY>
        <EOY>7699467</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2660</BOY>
        <EOY>1461</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
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        <EOY>0</EOY>
      </GrantsPayable>
      <DeferredRevenue>
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        <EOY>0</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
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        <EOY>480000</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
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        <EOY>0</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
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        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
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        <EOY>0</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
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        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>4223700</BOY>
        <EOY>4245720</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>4976360</BOY>
        <EOY>4727181</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3919088</BOY>
        <EOY>2889435</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>69161</BOY>
        <EOY>82851</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3988249</BOY>
        <EOY>2972286</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>8964609</BOY>
        <EOY>7699467</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-495568</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-520395</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="R000002" softwareId="11000129" softwareVersion="v1.00">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="R000003" softwareId="11000129" softwareVersion="v1.00">
      <CurrentYear>
        <BeginningOfYearBalance>6239690</BeginningOfYearBalance>
        <Contributions>863280</Contributions>
        <InvestmentEarningsOrLosses>44331</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>213171</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>6934130</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>5619137</BeginningOfYearBalance>
        <Contributions>72378</Contributions>
        <InvestmentEarningsOrLosses>814801</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>266626</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>6239690</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>4831696</BeginningOfYearBalance>
        <Contributions>57312</Contributions>
        <InvestmentEarningsOrLosses>976186</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>246057</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>5619137</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>7159761</BeginningOfYearBalance>
        <Contributions>267354</Contributions>
        <InvestmentEarningsOrLosses>-2251021</InvestmentEarningsOrLosses>
        <GrantsOrScholarships>0</GrantsOrScholarships>
        <OtherExpenditures>344398</OtherExpenditures>
        <AdministrativeExpenses>0</AdministrativeExpenses>
        <EndOfYearBalance>4831696</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <BoardDesignatedEOYBalance>0.92</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.08</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>1</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>1</AreRelatedOrgsListedScheduleR>
      <Land>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>25000</OtherCostOrOtherBasis>
        <BookValue>25000</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>9943063</OtherCostOrOtherBasis>
        <Depreciation>6590569</Depreciation>
        <BookValue>3352494</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>0</OtherCostOrOtherBasis>
        <Depreciation>0</Depreciation>
        <BookValue>0</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>3493465</OtherCostOrOtherBasis>
        <Depreciation>3005402</Depreciation>
        <BookValue>488063</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>609698</OtherCostOrOtherBasis>
        <Depreciation>354599</Depreciation>
        <BookValue>255099</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>4120656</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>capital lease</Description>
        <Amount>818707</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>conditional asset retirement obligation</Description>
        <Amount>832664</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>accrued pension liability</Description>
        <Amount>1781809</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>interest rate swap liability</Description>
        <Amount>54085</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to affiliates, current</Description>
        <Amount>300495</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Estimated third-party payor settlements, net</Description>
        <Amount>84095</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other accrued liabilities</Description>
        <Amount>373865</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>4245720</TotalOfAmounts>
      <TotalRevenue>18421991</TotalRevenue>
      <TotalExpenses>18917559</TotalExpenses>
      <ExcessOrDeficitForYear>-495568</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>0</NetUnrealizedGLOnInvestments>
      <DonatedServicesAndFacilities>0</DonatedServicesAndFacilities>
      <InvestmentExpenses>0</InvestmentExpenses>
      <PriorPeriodAdjustments>0</PriorPeriodAdjustments>
      <OtherAmount>15</OtherAmount>
      <TotalAdjustments>15</TotalAdjustments>
      <ExcessOrDeficitPerFS>-495553</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>18422006</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>0</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>0</DonatedSrvcAndUseOfFacilities>
      <RecoveriesOfPriorYearGrants>0</RecoveriesOfPriorYearGrants>
      <OtherRevenues>15</OtherRevenues>
      <RevenueNotRptdF990>15</RevenueNotRptdF990>
      <RevenueSubtotal>18421991</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>0</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>0</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>18421991</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>18917559</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>0</DonatedServicesUseOfFacilities>
      <PriorYearAdjustments>0</PriorYearAdjustments>
      <LossesReported>0</LossesReported>
      <OtherExpensesIncluded>0</OtherExpensesIncluded>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>18917559</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>0</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>0</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>18917559</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P05_S00_L04</Identifier>
        <ReturnReference>Schedule D, Part V, Line 4</ReturnReference>
        <Explanation>The funds are for the benefit of FF Thompson Health System, Senior Communities, and Continuing Care Center. The Foundation evaluates the needs of these organizations and attempts to meet those needs.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P10_S00_L02</Identifier>
        <ReturnReference>Schedule D, Part X, Line 2</ReturnReference>
        <Explanation>As of December 31, 2011 and 2010, MMECCC does not have a liability for unrecognized tax positions. MMECCC files informational tax returns in the U.S.federal jurisdiction and New York State. MMECCC is generally no longer subject to U.S. federal and state income tax examinations by tax authorities for years through 2007.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>SchD_P11_S00_L08</Identifier>
        <ReturnReference>Schedule D, Part XI, Line 8</ReturnReference>
        <Explanation>Change in fair value of interest rate swap</Explanation>
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      <Form990ScheduleDPartXIV>
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        <Identifier>SchJ_P01_S00_L04</Identifier>
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        <Explanation>The President/CEO and senior executives are eligible for a variable % YE incentive based on predetermined goals. The goals are operational, financial and managerial in nature. The financial goal is tied in part to the net earnings of the organization and its affiliates.</Explanation>
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        <CUSIPNumber>683058AA9</CUSIPNumber>
        <DateIssued>2003-07-01</DateIssued>
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        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>The Director of Finance reviewed the return and consulted with the independent auditors on any areas of question. The return was presented at a Board meeting prior to filing, with an overview of the changes from prior year. The return was made available to the Board members via a shared intranet web-site. Questions were entertained by management prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>The conflict of interest disclosure statements for the Board members are submitted annually to the Chair of the nominating committee and they are responsible for monitoring compliance and follow up with any potential conflicts. For the Officers, the statements are submitted annually to the CEO who is responsible for monitoring compliance and follow-up with any potential conflicts.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>Executive compensation for Thompson (related parent organization), is established by the compensation committee of the Board of Directors. The committee uses an independent company to gather comparable data in determining compensation levels for the President/CEO and Senior level executives. The full Board of Directors is surveyed by the compensation committee on executive performance; this is considered in determining compensation levels. The compensation committee is also involved in goal setting for the executive team, which reflects back to their performances reviews and compensation rates.</Explanation>
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      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>These documents are available upon request by contacting the administration office.</Explanation>
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      <GeneralExplanation>
        <Identifier>F990_P07_S0A_L01a</Identifier>
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        <Explanation>The following executives had hours worked in related organizations: Linda Farchione, President/CEO - 37.5, Deborah Weymouth, EVP/COO - 37.5, Michael Stapleton, EVP/COO - 37.5, Sharon Pepper, SVP Senior Living Services - 7, Dona Rickard, SVP Senior Living Services - 7, Mark Prunoske SVP Finance/CFO - 36.</Explanation>
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      <GeneralExplanation>
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        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>Change in fair value of interest rate swap - (1,875); Change in funded status of pension plan - (532,225); change in fair value of interest rate swap - 15; Change in Beneficial interest in FFThompson Foundation, Inc. 13,690</Explanation>
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