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        <NamePerson>LISA MAXWELL</NamePerson>
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        <Description>MEDICAL SUPPLIES AND MINOR EQUIP</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>11211</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>ESTIMATED SELLING PRICE</MethodOfDeterminingRevenues>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>THE INITIAL MEMBERS OF LORETTO HEALTH AND REHABILITATION CENTER ARE: (A) REV. JAMES MATHEWS; (B) SISTER ELIZABETH JOHN TIMSON, OSF; AND (C) GEORGE S. DEPTULA, ESQ. (THE "MEMBERS").</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>THE MEMBERS HAVE THE POWER TO NAME OTHER MEMBERS OF THE CORPORATION AT ANY ANNUAL OR SPECIAL MEETING OF THE MEMBERS, OR AS OTHERWISE PERMITTED UNDER THE NOT-FOR-PROFIT CORPORATION LAW OF THE STATE OF NEW YORK.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>THE BUSINESS AND PROPERTY OF THE CORPORATION IS MANAGED AND CONTROLLED BY A BOARD OF TRUSTEES WHO ARE ELECTED ANNUALLY BY THE MEMBERS PURSUANT TO OUR BY-LAWS AND WHO HOLD OFFICE UNTIL THE NEXT ANNUAL MEETING OF THE MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>BEFORE FILING, A COPY OF FORM 990 WAS REVIEWED BY A MEMBER OF THE FINANCE COMMITTEE. THE FINANCE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES. THE RETURN WAS MADE AVAILABLE TO ALL MEMBERS OF THE COMMITTEE AND THE BOARD FOR REVIEW PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ON AN ANNUAL BASIS THE NOMINATING AND DEVELOPMENT COMMITTEE OF THE LORETTO BOARD OF TRUSTEES REQUESTS ALL TRUSTEES TO COMPLETE A CONFLICT OF INTEREST ASSESSMENT. THE ASSESSMENTS ARE RETURNED TO THE EXECUTIVE OFFICE AND REVIEWED FOR ANY POTENTIAL CONFLICTS. SHOULD A CONFLICT ARISE, TRUSTEES ARE ASKED TO RECUSE THEMSELVES FROM THE DELIBERATIONS AND THE DECISION MAKING PROCESS REGARDING THE TRANSACTION. ADDITIONALLY, ALL EMPLOYEES ARE REQUIRED TO ATTEST ANNUALLY TO A CORPORATE CODE OF CONDUCT WHICH ADDRESSES CONFLICT OF INTEREST ISSUES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE COMPENSATION AND BENEFITS COMMITTEE OF THE BOARD OF TRUSTEES OF LORETTO (THE COMMITTEE) IS RESPONSIBLE FOR REVIEWING AND APPROVING PROPOSED COMPENSATION AND BENEFIT ARRANGEMENTS FOR KEY EMPLOYEES (COVERED PERSONS). IN REVIEWING THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFIT ARRANGEMENTS FOR COVERED PERSONS, THE COMMITTEE CONSIDERS A DETAILED DESCRIPTION OF THE COMPENSATION/BENEFIT ARRANGEMENT RECOMMENDED AND THE REASONS FOR THE RECOMMENDATION, INCLUDING EXTERNAL LABOR MARKET DATA AND COMPARABILITY INFORMATION FOR SIMILARLY SITUATED PERSONS AT LIKE ORGANIZATIONS. COMPARABILITY INFORMATION IS OBTAINED FROM INDEPENDENT SOURCES (E.G., COMPENSATION/BENEFIT CONSULTING FIRM) AND FROM RESEARCH OF PUBLICALLY AVAILABLE DATA (E.G., WAGE AND BENEFIT SURVEY DATA). IN APRIL 2007, THE COMPENSATION AND BENEFIT CONSULTING FIRM THE HAY GROUP PRESENTED THE COMMITTEE WITH A DETAILED ANALYSIS OF COMPENSATION/BENEFIT COMPARABILITY FOR KEY EXECUTIVE POSITIONS AT LORETTO. IN ADDITION, DURING 2008, THE HARBRIDGE CONSULTING GROUP WAS ENGAGED BY THE COMMITTEE TO REVIEW THE DESIGN AND COMPETITIVENESS OF THE LORETTO RETIREMENT PLAN. INTERNAL FACTORS ARE ALSO TAKEN INTO ACCOUNT BY THE COMMITTEE AS IT REVIEWS COMPENSATION AND BENEFIT RECOMMENDATIONS. WHILE AN EXECUTIVE COMPENSATION STUDY HAS NOT BEEN CONDUCTED BY AN EXTERNAL CONSULTANT SINCE THE HAY AND HARBRIDGE STUDIES, WHEN MAKING 2009 COMPENSATION DECISIONS, MANAGEMENT BENCHMARKED COMPETITIVE EXECTIVE COMPENSATION LEVELS USING MULTIPLE INDUSTRY COMPENSATION SURVEYS. IN ADDITION, THE COMPENSATION AND BENEFITS COMMITTEE OF THE BOARD APPROVED ONLY MODEST 2009 SALARY ADJUSTMENTS FOR EXISTING COVERED PERSONS. THE COMMITTEE DOCUMENTS DECISIONS AND THE BASIS FOR DECISIONS REGARDING COMPENSATION AND BENEFIT ARRANGEMENTS FOR COVERED PERSONS IN THE FORM OF MINUTES THAT ARE MAINTAINED FOR ALL MEETINGS OF THE COMMITTEE. COVERED PERSONS ARE EXCLUDED FROM DELIBERATIONS REGARDING RECOMMENDED COMPENSATION AND BENEFIT ARRANGEMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION PROVIDES FORM 1023, FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC, UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>PART VII SECTION A, LINE 1A</ReturnReference>
        <Explanation>CHERYL COOLICAN IS THE DIRECTOR OF ADMISSIONS FOR LORETTO HEALTH AND REHABILITATION CENTER. SHE IS RESPONSIBLE FOR ADMISSIONS TO BOTH OUR CUNNINGHAM SKILLED NURSING FACILITY AND THE FAHEY REHABILITATION CENTER. HONGJUAN LI IS THE LEAD NURSE PRACTITIONER OF OUR MEDICAL DIVISION AT LORETTO HEALTH AND REHABILITATION CENTER. SHE SUPERVISES ALL THE NURSE PRACTITIONERS AND PHYSICIANS ASSISTANTS FOR BOTH OUR CUNNINGHAM SKILLED NURSING FACILITY AND THE FAHEY REHABILITATION CENTER. SANDY RUSSELL IS THE DIRECTOR OF NURSING AT LORETTO HEALTH AND REHABILITATION CENTER. SHE SUPERVISES ALL REGIONAL DIRECTORS AND NURSE MANAGERS FOR BOTH THE CUNNINGHAM SKILLED NURSING FACILITY AND THE FAHEY REHABILITATION CENTER. LISA MAXWELL IS THE LICENSED ADMINISTRATOR OF LORETTO HEALTH AND REHABILITATION CENTER. SHE SUPERVISES CLINICAL AND ADMINISTRATRIVE AFFAIRS OF THE CUNNINGHAM SKILLED NURSING FACILITY AND THE FAHEY REHABILITATION CENTER. KAREN CARROLL IS THE DIRECTOR OF GREEN COMMUNITY, PERSON CENTERED CARE AND EDUCATION FOR LORETTO HEALTH AND REHABILITATION COMMUNITY.</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: -585. CUMULATIVE EFFECT OF AN ACCOUNTING CHANGE -6,824,939. NON-REIMBURSABLE COSTS ASSOCIATED WITH GREENHOUSE PROJECT -509,760. TOTAL TO FORM 990, PART XI, LINE 5: -7,335,284.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>THE ORGANIZATION HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.</Explanation>
      </GeneralExplanation>
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          <BusinessNameLine1>LORETTO OSWEGO HEALTH AND REHABILITATION CENTER</BusinessNameLine1>
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          <AddressLine1>132 ELLEN STREET</AddressLine1>
          <City>OSWEGO</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
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        <EIN>200503109</EIN>
        <PrimaryActivities>RESIDENTIAL HEALTH CARE FACILITY</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
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      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
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      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
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