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        <BusinessNameLine1>GENESEE REGION HOME CARE ASSOCIATION INC</BusinessNameLine1>
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      <Phone>5852384366</Phone>
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        <AddressLine1>165 Court Street</AddressLine1>
        <City>Rochester</City>
        <State>NY</State>
        <ZIPCode>14647</ZIPCode>
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      <Name>Terrence Tehan</Name>
      <Title>CFO/COO</Title>
      <Phone>5852384366</Phone>
      <DateSigned>2011-08-15</DateSigned>
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    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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            <State>NY</State>
            <ZIPCode>14623</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>Nursing and Home Health Aides</DescriptionOfServices>
        <Compensation>503681</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Interim Healthcare of New York</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>347 East Avenue</AddressLine1>
            <City>Rochester</City>
            <State>NY</State>
            <ZIPCode>14604</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Home Health Aides</DescriptionOfServices>
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      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Lechase Construction</NamePerson>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>300 Trolley Boulevard</AddressLine1>
            <City>Rochester</City>
            <State>NY</State>
            <ZIPCode>14606</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Building Maintenance</DescriptionOfServices>
        <Compensation>337634</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Hinman Straub</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>121 State Street</AddressLine1>
            <City>Albany</City>
            <State>NY</State>
            <ZIPCode>12207</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Legal Services</DescriptionOfServices>
        <Compensation>246054</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Misys Healthcare</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>8529 Six Forks Road</AddressLine1>
            <City>Raleigh</City>
            <State>NC</State>
            <ZIPCode>27615</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Computer Sytem Support</DescriptionOfServices>
        <Compensation>210122</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>7</NumberOfContractorsGT100K>
      <FederatedCampaigns>0</FederatedCampaigns>
      <MembershipDues>0</MembershipDues>
      <FundraisingEvents>46058</FundraisingEvents>
      <RelatedOrganizations>0</RelatedOrganizations>
      <GovernmentGrants>31323</GovernmentGrants>
      <AllOtherContributions>1097042</AllOtherContributions>
      <NoncashContributions>203025</NoncashContributions>
      <TotalContributions>1174423</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Home Health Care Services</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>75931112</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>75931112</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>75931112</TotalProgramServiceRevenue>
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        <TotalRevenueColumn>196415</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>196415</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>0</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
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        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
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        <Personal>0</Personal>
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        <Real>79754</Real>
        <Personal>0</Personal>
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      <RentalIncomeOrLoss>
        <Real>103354</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
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        <Other>0</Other>
      </GrossAmountSalesAssets>
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        <Other>0</Other>
      </LessCostOthBasisSalesExpenses>
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        <Securities>56373</Securities>
        <Other>0</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>56373</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>56373</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>0</ExclusionAmount>
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      <GrossIncomeFundraisingEvents>8470</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>46058</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>8470</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
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        <ExclusionAmount>0</ExclusionAmount>
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      <TotalRevenue>
        <TotalRevenueColumn>77461677</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>76215427</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>71827</UnrelatedBusinessRevenue>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>0</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
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        <ProgramServices>0</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
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        <ProgramServices>0</ProgramServices>
      </ForeignGrants>
      <BenefitsToMembers>
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        <ProgramServices>0</ProgramServices>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1028314</ManagementAndGeneral>
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      <CompDisqualPersons>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherSalariesAndWages>
        <Total>35335929</Total>
        <ProgramServices>29000867</ProgramServices>
        <ManagementAndGeneral>6331097</ManagementAndGeneral>
        <Fundraising>3965</Fundraising>
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      <PensionPlanContributions>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherEmployeeBenefits>
        <Total>4900972</Total>
        <ProgramServices>4011198</ProgramServices>
        <ManagementAndGeneral>889187</ManagementAndGeneral>
        <Fundraising>587</Fundraising>
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      <PayrollTaxes>
        <Total>2698864</Total>
        <ProgramServices>2212427</ProgramServices>
        <ManagementAndGeneral>486134</ManagementAndGeneral>
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      <FeesForServicesManagement>
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        <ProgramServices>210100</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>224464</Total>
        <ProgramServices>54701</ProgramServices>
        <ManagementAndGeneral>169763</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>112376</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>112376</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <FeesForServicesProfFundraising>
        <Total>0</Total>
        <Fundraising>0</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
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        <Fundraising>0</Fundraising>
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      <FeesForServicesOther>
        <Total>1473362</Total>
        <ProgramServices>224899</ProgramServices>
        <ManagementAndGeneral>1248463</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>301525</Total>
        <ProgramServices>3335</ProgramServices>
        <ManagementAndGeneral>298190</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
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        <ProgramServices>935482</ProgramServices>
        <ManagementAndGeneral>869098</ManagementAndGeneral>
        <Fundraising>3149</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>371543</Total>
        <ProgramServices>20745</ProgramServices>
        <ManagementAndGeneral>350798</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Royalties>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <Occupancy>
        <Total>1547484</Total>
        <ProgramServices>658666</ProgramServices>
        <ManagementAndGeneral>888818</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
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        <ProgramServices>1227468</ProgramServices>
        <ManagementAndGeneral>117069</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>88830</Total>
        <ProgramServices>39030</ProgramServices>
        <ManagementAndGeneral>49800</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <PaymentsToAffiliates>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <DepreciationDepletion>
        <Total>820058</Total>
        <ProgramServices>454062</ProgramServices>
        <ManagementAndGeneral>365996</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>9353</ProgramServices>
        <ManagementAndGeneral>43418</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>Bad Debt Expense</Description>
        <Total>217002</Total>
        <ProgramServices>217002</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Education &amp; Training</Description>
        <Total>178957</Total>
        <ProgramServices>117422</ProgramServices>
        <ManagementAndGeneral>61535</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>Purchased Health Services</Description>
        <Total>21424139</Total>
        <ProgramServices>21424139</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <AllOtherExpenses>
        <Total>770405</Total>
        <ProgramServices>14009</ProgramServices>
        <ManagementAndGeneral>756396</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>74909361</Total>
        <ProgramServices>60834905</ProgramServices>
        <ManagementAndGeneral>14066452</ManagementAndGeneral>
        <Fundraising>8004</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>3950</EOY>
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      <SavingsAndTempCashInvestments>
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        <EOY>0</EOY>
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        <EOY>0</EOY>
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        <EOY>6300907</EOY>
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        <EOY>42689268</EOY>
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        <EOY>22814401</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>42689268</EOY>
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        <CurrentTaxYear>1174423</CurrentTaxYear>
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        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
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        <CurrentTaxYearMinus2Years>0</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>-39911</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>252788</CurrentTaxYear>
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      <Post1975UBTI>
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        <CurrentTaxYearMinus3Years>0</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>92354</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>70827</CurrentTaxYear>
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      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus1Year>52443</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>323615</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>0</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>0</CurrentTaxYear>
        <Total>0</Total>
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