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        <ManagementAndGeneral>244</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>NYS LTC Assessment</Description>
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      <OtherExpenses>
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      <OtherExpenses>
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      <AllOtherExpenses>
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      <TotalLiabNetAssetsFundBalances>
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      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
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        <BookValue>142166</BookValue>
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        <Description>Prime Mutual Fund</Description>
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      <OtherAssets>
        <Description>Vanguard</Description>
        <BookValue>103972</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Berkadia Reserve for Replacement</Description>
        <BookValue>1258301</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Berkadia HUD Sinking fund</Description>
        <BookValue>1411566</BookValue>
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      <OtherLiabilities>
        <Description>Due to affiliates</Description>
        <Amount>1432672</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Additional Pension Liability</Description>
        <Amount>1193014</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2625686</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X:</ReturnReference>
        <Explanation>Living Center at Geneva North implemented FIN48 in 2008 and in accordance with generally accepted accounting principles, LCN has not recognized any benefits from uncertain tax positions in 2011 and we believe that we have no uncertain tax positions for which it is reasonably possible that the total amounts of unrecognized tax benefits will significantly increase or decrease within 12 months of the balance sheet date.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Explanation>Schedule D, Pg 4 Part XI Ln 8. Additional Pension Liability</Explanation>
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      <Form990ScheduleJPartII>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>James J. Dooley, Former President &amp; CEO Geneva General Hospital: Average Hours per week: 23.31; Base Compensation:$210,664;Benefits: $9,606 James J. Dooley, Former President &amp; CEO Living Center at Geneva South Inc: Average Hours per week: 2.72; Base Compensation: $24,570; Benefits $1,120 James J. Dooley, Former President &amp; CEO Living Center at Geneva North Inc: Average Hours per week: 1.60; Base Compensation: $14,415; Benefits: $657 James J. Dooley, Former President &amp; CEO Huntington Living Center Inc: Average Hours per week: 3.20; Base Compensation: $28,919; Benefits: $1,319 James J. Dooley, Former Assistant Secretary Finger Lakes Health Foundation Inc: Average Hours per week: .23; Base Compensation: $2,105; Benefits: $96 James J. Dooley, Former President &amp; CEO Soldiers &amp; Sailors Memorial Hospital: Average Hours per week: 8.94; Base Compensation: $80,767; Benefits: $3,683 James J. Dooley, Former President &amp; CEO Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $361,441; Total Benefits: $16,480 Lawrence J. Farnand, Treasurer &amp; CFO Geneva General Hospital: Average Hours per week: 23.31; Base Compensation: $152,946; Benefits: $6,970 Lawrence J. Farnand, Treasurer &amp; CFO Living Center at Geneva South Inc: Average Hours per week: 2.72; Base Compensation: $17,839; Benefits: $813 Lawrence J. Farnand, Treasurer &amp; CFO Living Center at Geneva North Inc: Average Hours per week: 1.60; Base Compensation: $10,466; Benefits: $477 Lawrence J. Farnand, Treasurer &amp; CFO Huntington Living Center Inc: Average Hours per week: 3.20; Base Compensation: $20,996; Benefits: $957 Lawrence J. Farnand, Treasurer Finger Lakes Health Foundation: Average Hours per week: .23; Base Compensation: $1,528; Benefits: $70 Lawrence J. Farnand, Treasurer &amp; CFO Soldiers &amp; Sailors Memorial Hospital: Average Hours per week: 8.94; Base Compensation: $58,639; Benefits: $2,673 Lawrence J. Farnand, Treasurer &amp; CFO Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $262,414; Total Benefits: $11,960 Jose Acevedo MD MBA, President &amp; CEO Geneva General Hospital: Average Hours per week: 23.31; Base Compensation: $277,518; Benefits: $13,700 Jose Acevedo MD MBA, President &amp; CEO Living Center at Geneva South Inc: Average Hours per week: 2.72; Base Compensation: $32,368; Benefits: $1,598 Jose Acevedo MD MBA, President &amp; CEO Living Center at Geneva North Inc: Average Hours per week: 1.60; Base Compensation: $18,990; Benefits: $938 Jose Acevedo MD MBA, President &amp; CEO Huntington Living Center Inc: Average Hours per week: 3.20; Base Compensation: $38,097; Benefits: $1,881 Jose Acevedo MD MBA, Assistant Secretary Finger Lakes Health Foundation: Average Hours per week: .23; Base Compensation: $2,773; Benefits: $137 Jose Acevedo MD MBA, President &amp; CEO Soldiers &amp; Sailors Memorial Hospital: Average Hours per week: 8.94; Base Compensation: $106,399; Benefits: $5,253 Jose Acevedo MD MBA, President &amp; CEO Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $476,146; Total Benefits: $23,507 Patricia Thompson, Treasurer &amp; CFO Geneva General Hospital: Average Hours per week: 23.31; Base Compensation: $105,659; Benefits: $12,884 Patricia Thompson, Treasurer &amp; CFO Living Center at Geneva South Inc: Average Hours per week: 2.72; Base Compensation: $12,324; Benefits: $1,503 Patricia Thompson, Treasurer &amp; CFO Living Center at Geneva North Inc: Average Hours per week: 1.60; Base Compensation: $7,230; Benefits: $882 Patricia Thompson, Treasurer &amp; CFO Huntington Living Center Inc: Average Hours per week: 3.20; Base Compensation: $14,505; Benefits: $1,769 Patricia Thompson, Treasurer Finger Lakes Health Foundation: Average Hours per week: .23; Base Compensation: $1,056; Benefits: $129 Patricia Thompson, Treasurer &amp; CFO Soldiers &amp; Sailors Memorial Hospital: Average Hours per week: 8.94; Base Compensation: $40,509; Benefits: $4,940 Patricia Thompson, Treasurer &amp; CFO Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $181,284; Total Benefits: $22,107</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>FL Visiting Nurse Service</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>CFO serves on Board</Relationship>
        <AmountOfTransaction>0</AmountOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Explanation>Sch L, Part IV, Business Transactions Involving Interested Persons:(a) Name of Person: FL Visiting Nurse Service(b) Relationship Between Interested Person and Organization:CFO serves on Board of Directors</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>Form 990, Page 6, Section B, line 11. The Form 990 is reviewed by the Administrative Committee prior to being filed to ensure compliance with 990 Internal Revenue Service review requirements.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Form 990. Page 6, Part VI, line 12c. Living Center at Geneva - North maintains a conflict of interest policy which board members are required to sign prior to taking office. Statements are updated and reviewed annually by an Administrative Committee. The process for handling any conflict of interest which may arise is detailed in the corporate bylaws.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>Form 990, Page 6, Part VI, line 15a. Compensation is reviewed by a compensation committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Form 990. Page 6, Section C, line 19. Living Center At Geneva - North makes its governing documents, conflict of interest policy and financial statements available to the public where required by law and upon request. The Living Center'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 or at www.guidestar.org.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized losses on investments: -79,185. Additional Pension Liability -402,827. Total to Form 990, Part XI, Line 5: -482,012.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990. Part XI, line 2c.The process has not changed from the prior year.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>FLH Senior Communities Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>196 North Street</AddressLine1>
          <City>Geneva</City>
          <State>NY</State>
          <ZIPCode>14456</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>Develope and Provide Senior Citizen Housing Complex</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
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        <PublicCharityStatus>9</PublicCharityStatus>
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          <City>Geneva</City>
          <State>NY</State>
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          <City>Geneva</City>
          <State>NY</State>
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          <AddressLine1>196 North Street</AddressLine1>
          <City>Geneva</City>
          <State>NY</State>
          <ZIPCode>14456</ZIPCode>
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        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
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        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Huntington Living Center</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>369 East Main Street</AddressLine1>
          <City>Waterloo</City>
          <State>NY</State>
          <ZIPCode>13165</ZIPCode>
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        <EIN>510169552</EIN>
        <PrimaryActivities>Skilled Nursing Facility</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Finger Lakes Health 22-319366</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Geneva General Housing Development Co</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>260 North Street</AddressLine1>
          <City>Geneva</City>
          <State>NY</State>
          <ZIPCode>14456</ZIPCode>
        </AddressUS>
        <EIN>222816883</EIN>
        <PrimaryActivities>Provide Low Income Housing</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Finger Lakes Health 22-319366</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Taylor Brown Housing Development Co</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>371 East Main Street</AddressLine1>
          <City>Waterloo</City>
          <State>NY</State>
          <ZIPCode>13165</ZIPCode>
        </AddressUS>
        <EIN>222807734</EIN>
        <PrimaryActivities>Provide Low Income Housing</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Finger Lakes Health 22-319366</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Soldiers &amp; Sailors Memorial Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>418 North Main Street</AddressLine1>
          <City>Penn Yan</City>
          <State>NY</State>
          <ZIPCode>14527</ZIPCode>
        </AddressUS>
        <EIN>160743192</EIN>
        <PrimaryActivities>Provider of Healthcare</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Finger Lakes Health 22-319366</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Living Center at Geneva South</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>-71956</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Geneva General Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>-1354093</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Soldiers &amp; Sailors Memorial Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>-6623</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>