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        <ProgramServices>482455</ProgramServices>
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      <OtherExpenses>
        <Description>NURSING SUPPLIES</Description>
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        <ProgramServices>56415</ProgramServices>
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      <OtherExpenses>
        <Description>NYS CASH RECEIPTS ASSES</Description>
        <Total>11868</Total>
        <ProgramServices>11868</ProgramServices>
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        <Total>3343199</Total>
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        <EOY>100000</EOY>
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        <EOY>28544</EOY>
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        <EOY>36161</EOY>
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        <EOY>223843</EOY>
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        <EOY>1216809</EOY>
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      <TotalLiabNetAssetsFundBalances>
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      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
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        <CurrentTaxYearMinus3Years>3004807</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3364023</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3666933</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3246462</CurrentTaxYear>
        <Total>16011307</Total>
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      <GrossReceiptsFromNonUBI>
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        <CurrentTaxYearMinus3Years>18580</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>25393</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>31573</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8546</CurrentTaxYear>
        <Total>103081</Total>
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      <Total509>
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        <CurrentTaxYearMinus3Years>3023387</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3389416</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3698506</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3255008</CurrentTaxYear>
        <Total>16114388</Total>
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      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>16114388</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus2Years>9846</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2573</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>543</CurrentTaxYear>
        <Total>12962</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus1Year>2573</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>543</CurrentTaxYear>
        <Total>12962</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
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        <CurrentTaxYearMinus3Years>3023387</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3399262</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3701079</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3255551</CurrentTaxYear>
        <Total>16127350</Total>
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      <PriorYearSupportPercentage>0.99920</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00080</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00080</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
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        <OtherCostOrOtherBasis>204773</OtherCostOrOtherBasis>
        <Depreciation>168612</Depreciation>
        <BookValue>36161</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>36161</TotalOfBookValueLandBuildings>
      <TotalRevenue>3266925</TotalRevenue>
      <TotalExpenses>3343199</TotalExpenses>
      <ExcessOrDeficitForYear>-76274</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>-76274</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>3255551</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>3255551</RevenueSubtotal>
      <OtherRevenuesNotIncluded>11374</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>11374</RevenueNotRptdOnFinStmt>
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      <TotExpensesEtcAuditedFinclStmt>3331825</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>3331825</ExpensesSubtotal>
      <OtherExpensesNotIncluded>11374</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>11374</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>3343199</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>BAD DEBT RECOVERY 11,374.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>BAD DEBT RECOVERY 11,374.</Explanation>
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    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 3</Identifier>
        <Explanation>THE COMPANY HAS DELEGATED THE DAY-TO-DAY MANAGEMENT RESPONSIBILITIES TO ST JOSEPH'S HOSPITAL HEALTH CENTER UNDER AN ANNUAL SIGNED MANAGEMENT AGREEMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>THE MEMBERS OF HOSPITALS HOME HEALTH CARE, INC. ARE A.L. LEE MEMORIAL HOSPITAL OF FULTON, NEW YORK AND OSWEGO HEALTH, INC. OF OSWEGO, NEW YORK.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>THE MEMBERS AND DIRECTORS ELECT THE MEMBERS OF THE GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>THE DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE MEMBERS AND DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE FINANCE DIRECTOR PROVIDES THE FINANCE COMMITTEE WITH A COPY OF FORM 990 PRIOR TO THE FILING DUE DATE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE CORPORATE COMPLIANCE POLICY IS REVIEWED ON AN ANNUAL BASIS WITH ALL STAFF MEMBERS. EACH STAFF MEMBER IS REQUIRED TO SIGN AN ACKNOWLEDGEMENT OF THE POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>AVAILABLE TO PUBLIC UPON WRITTEN REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE PROCESS HAS NOT CHANGED.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>10 W SIXTH ST</AddressLine1>
          <City>OSWEGO</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AL LEE MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>510 S 4TH ST</AddressLine1>
          <City>FULTON</City>
          <State>NY</State>
          <ZIPCode>13069</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
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      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>1</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OSWEGO HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>977</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OSWEGO HEALTH - HHA</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>128259</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
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</Return>