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        <Total>31662</Total>
        <ProgramServices>31662</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>miscellaneous operating</Description>
        <Total>14593</Total>
        <ProgramServices>10593</ProgramServices>
        <ManagementAndGeneral>4000</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>16078684</Total>
        <ProgramServices>13767604</ProgramServices>
        <ManagementAndGeneral>2311080</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>10920</BOY>
        <EOY>107966</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>3052643</BOY>
        <EOY>1988247</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>803844</BOY>
        <EOY>1108963</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>228458</BOY>
        <EOY>155403</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>23780</BOY>
        <EOY>36862</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>52105414</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>23013405</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>31322099</BOY>
        <EOY>29092009</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>4621014</BOY>
        <EOY>5481844</EOY>
      </InvestmentsPubTradedSecurities>
      <TotalAssets>
        <BOY>40062758</BOY>
        <EOY>37971294</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1258557</BOY>
        <EOY>1325034</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>42295000</BOY>
        <EOY>41765000</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>3820584</BOY>
        <EOY>3861796</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>47374141</BOY>
        <EOY>46951830</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-7311383</BOY>
        <EOY>-8980536</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-7311383</BOY>
        <EOY>-8980536</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>40062758</BOY>
        <EOY>37971294</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>481566</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>253222</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>161393</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>216338</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>305000</CurrentTaxYear>
        <Total>1417519</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>11222568</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13153838</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13946277</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>13891854</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>14053288</CurrentTaxYear>
        <Total>66267825</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>11704134</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13407060</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>14107670</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>14108192</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>14358288</CurrentTaxYear>
        <Total>67685344</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>67685344</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>211954</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>295353</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>232649</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>161144</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>31594</CurrentTaxYear>
        <Total>932694</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>211954</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>295353</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>232649</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>161144</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>31594</CurrentTaxYear>
        <Total>932694</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>25302</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>30504</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>25341</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>19130</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>19649</CurrentTaxYear>
        <Total>119926</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>11941390</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>13732917</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>14365660</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>14288466</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>14409531</CurrentTaxYear>
        <Total>68737964</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98470</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98170</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01360</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01660</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>Schedule A, Part II, Line 12, Explanation of Other Income: MISCELLANEOUS</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>1564</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>1564</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i:</Identifier>
        <ReturnReference>Explanation of Other Lobbying Activities:</ReturnReference>
        <Explanation>Portion of Association dues</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>1142856</OtherCostOrOtherBasis>
        <BookValue>1142856</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>44002124</OtherCostOrOtherBasis>
        <Depreciation>18601670</Depreciation>
        <BookValue>25400454</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>2388889</OtherCostOrOtherBasis>
        <Depreciation>1329872</Depreciation>
        <BookValue>1059017</BookValue>
      </LeaseholdImprovements>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4571545</OtherCostOrOtherBasis>
        <Depreciation>3081863</Depreciation>
        <BookValue>1489682</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>29092009</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>DUE TO GURWIN jewish nursing and rehabilitation CENTER</Description>
        <Amount>3483516</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>prepaid rent and rental deposits</Description>
        <Amount>378280</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>3861796</TotalOfAmounts>
      <TotalRevenue>14409531</TotalRevenue>
      <TotalExpenses>16078684</TotalExpenses>
      <ExcessOrDeficitForYear>-1669153</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>-1669153</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>13692949</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>13692949</RevenueSubtotal>
      <OtherRevenuesNotIncluded>716582</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>716582</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>14409531</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>15362102</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>15362102</ExpensesSubtotal>
      <OtherExpensesNotIncluded>716582</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>716582</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>16078684</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>rental subsidies: 716582.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>rental subsidies: 716582.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>grants to individuals who require assisted living</TypeOfGrant>
        <NumberOfRecipients>16</NumberOfRecipients>
        <AmountOfCashGrant>716582</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: When a family comes to Gurwin requesting assistance for a prospective resident, they are sent a rental assistance application which asks for complete financial disclosure by the prospective resident and his/her children. Such information includes three years worth of complete tax returns. It is then reviewed and approved by the subsidy committee, which is made up of board members. A decision is then made to either approve or deny. Assistance can range from 100% to 25%, depending on financial need and available resources. The assistance is not guaranteed, and additional information may be requested each year.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>1</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>BEVERLY PAPARO</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>153655</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>18000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10577</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15541</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>197773</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>A consultant with experience in health care is retained to gather comparable information and reports to the compensation committee, which utilizes the report to evaluate and approve a bonus for the organization's CEo (administrator).</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>suffolk county ida civic facility revenue bonds series 2004</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>112584714</IssuerEIN>
        <CUSIPNumber>864768je7</CUSIPNumber>
        <DateIssued>2004-05-25</DateIssued>
        <IssuePrice>8885000</IssuePrice>
        <DescriptionOfPurpose>Expansion</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>8885000</TotalProceeds>
        <AmountInReserveFund>690040</AmountInReserveFund>
        <IssuanceCostsFromProceeds>174372</IssuanceCostsFromProceeds>
        <CapitalExpenditures>8020588</CapitalExpenditures>
        <YearOfSubstCompletion>2006</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>An electronic copy of the form 990 was provided to each voting member of the board prior to filing with the IRS after having been reviewed by management.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>Annual signed conflict of interest forms are required of all Board members and department heads. The statements are reviewed by a board committee and, if a conflict exists, a determination will be made by the board committee whether Gurwin Jewish-Fay J. Linder residences can proceeed with a transaction based on the underlying facts and circumstances.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15a</Identifier>
        <Explanation>There is a formal compensation committee. A consultant with experience in exempt organizations is retained to gather comparable information and reports to the committee, which utilizes the report to evaluate and approve compensation for the organization's CEO (Administrator). The process was last undertaken in 2008.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. However, financial statements are included in annual cost reports filed with New York State Department of Health. Such reports may be obtained by anyone under the Freedom of Information Law.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990,Part XI, Line 2C: The organization's financial statement were audited by an independent accountant. The organization has a committee that assumes responsibility for oversight of the audit and selection of an independent accountant. The process has not been changed from prior years.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>