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      <AuditCommittee>true</AuditCommittee>
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      <OtherActivities>false</OtherActivities>
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        <Identifier>Pt II-B Line 1i</Identifier>
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      <OtherAssets>
        <Description>RESIDENT ACCOUNTS</Description>
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      <OtherAssets>
        <Description>ASSETS WHOSE USE IS LIMITED</Description>
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        <Description>OTHER NON-CURRENT ASSETS</Description>
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        <Description>ESTIMATED THIRD PARTY RECEIVABLE</Description>
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        <Description>DUE TO HIGHLAND HOSPITAL</Description>
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      <OtherLiabilities>
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      <OtherLiabilities>
        <Description>DUE TO HIGHLANDS AT PITTSFORD</Description>
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        <Description>OTHER CURRENT LIABILITIES</Description>
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        <OtherCompensationRelatedOrgs>28794</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>20335</NontaxableBenefitsRelatedOrgs>
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        <DeferredCompRelatedOrgs>182973</DeferredCompRelatedOrgs>
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        <Identifier>Pt I Line 4b</Identifier>
        <Explanation>SEE STATEMENT ATTACHED</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Pt I Line 3</Identifier>
        <Explanation>SEE STATEMENT ATTACHED</Explanation>
      </Form990ScheduleJPartIII>
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      <GeneralExplanation>
        <Identifier>Pt VI, Line 6</Identifier>
        <Explanation>SEE STATEMENT ATTACHED</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 7a</Identifier>
        <Explanation>SEE STATEMENT ATTACHED</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 7b</Identifier>
        <Explanation>SEE STATEMENT ATTACHED</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 19</Identifier>
        <Explanation>SEE STATEMENT ATTACHED</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 11a</Identifier>
        <Explanation>SEE STATEMENT ATTACHED</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 12c</Identifier>
        <Explanation>SEE STATEMENT ATTACHED</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Pt VI, Line 15</Identifier>
        <Explanation>SEE STATEMENT ATTACHED</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part IX, Line 24f</Identifier>
        <Explanation>BAD DEBTS 80004. 0. 80004. 0.</Explanation>
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        <NameOfDisregardedEntity>
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        </NameOfDisregardedEntity>
        <AddressUS>
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          <City>SEE ATTACHED</City>
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