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        <ProgramServices>133037</ProgramServices>
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        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X:</ReturnReference>
        <Explanation>Living Center at Geneva North implemented FIN48 in 2008 and in accordance with generally accepted accounting principles, LCN has not recognized any benefits from uncertain tax positions in 2010 and we believe that we have no uncertain tax positions for which it is reasonably possible that the total amounts of unrecognized tax benefits will significantly increase or decrease within 12 months of the balance sheet date.</Explanation>
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      <Form990ScheduleDPartXIV>
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        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>ames J. Dooley, Former President &amp; CEO Geneva General Hospital: Average Hours per week: 23.62; Base Compensation:$225,983;Benefits: $8,205 James J. Dooley, Former President &amp; CEO Living Center at Geneva South Inc: Average Hours per week: 2.64; Base Compensation: $25,250; Benefits $917 James J. Dooley, Former President &amp; CEO Living Center at Geneva North Inc: Average Hours per week: 1.62; Base Compensation: $15,540; Benefits: $564 James J. Dooley, Former President &amp; CEO Huntington Living Center Inc: Average Hours per week: 3.14; Base Compensation: $30,052; Benefits: $1,091 James J. Dooley, Former Assistant Secretary Finger Lakes Health Foundation Inc: Average Hours per week: .17; Base Compensation: $1,596; Benefits: $58 James J. Dooley, Former President &amp; CEO Soldiers &amp; Sailors Memorial Hospital: Average Hours per week: 8.8; Base Compensation: $84,212; Benefits: $3,057 James J. Dooley, Former President &amp; CEO Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $382,635; Total Benefits: $13,891 Lawrence J. Farnand, Treasurer &amp; CFO Geneva General Hospital: Average Hours per week: 23.62; Base Compensation: $402,993; Benefits: $4,367 Lawrence J. Farnand, Treasurer &amp; CFO Living Center at Geneva South Inc: Average Hours per week: 2.64; Base Compensation: $45,029; Benefits: $488 Lawrence J. Farnand, Treasurer &amp; CFO Living Center at Geneva North Inc: Average Hours per week: 1.62; Base Compensation: $27,713; Benefits: $300 Lawrence J. Farnand, Treasurer &amp; CFO Huntington Living Center Inc: Average Hours per week: 3.14; Base Compensation: $53,592; Benefits: $581 Lawrence J. Farnand, Treasurer &amp; CFO Finger Lakes Health Foundation: Average Hours per week: .17; Base Compensation: $2,847; Benefits: $31 Lawrence J. Farnand, Treasurer &amp; CFO Soldiers &amp; Sailors Memorial Hospital: Average Hours per week: 8.8; Base Compensation: $150,175; Benefits: $1,628 Lawrence J. Farnand, Treasurer Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $682,349; Total Benefits: $7,396 Jose Acevedo MD MBA, President &amp; CEO Geneva General Hospital: Average Hours per week: 23.62; Base Compensation: $233,880; Benefits: $7,160; Deferred Compensation: $29,531 Jose Acevedo MD MBA, President &amp; CEO Living Center at Geneva South Inc: Average Hours per week: 2.64; Base Compensation: $26,133; Benefits: $800; Deferred Compensation: $3,300 Jose Acevedo MD MBA, President &amp; CEO Living Center at Geneva North Inc: Average Hours per week: 1.62; Base Compensation: $16,083; Benefits: $492; Deferred Compensation: $2,031 Jose Acevedo MD MBA, President &amp; CEO Huntington Living Center Inc: Average Hours per week: 3.14; Base Compensation: $31,103; Benefits: $952; Deferred Compensation: $3,927 Jose Acevedo MD MBA, Assistant Secretary Finger Lakes Health Foundation: Average Hours per week: .17; Base Compensation: $1,652; Benefits: $51; Deferred Compensation: $209 Jose Acevedo MD MBA, President &amp; CEO Soldiers &amp; Sailors Memorial Hospital: Average Hours per week: 8.80; Base Compensation: $87,156; Benefits: $2,669; Deferred Compensation:$11,004 Jose Acevedo MD MBA, President &amp; CEO Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $396,008; Total Benefits: $12,125; Total Deferred Compensation: $50,000</Explanation>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>FL Visiting Nurse Service</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>CFO serves on Board of Directors</Relationship>
        <SharingOfRevenues>0</SharingOfRevenues>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>Form 990, Page 6, Section B, line 11. The Form 990 is reviewed by the Administrative Committee prior to being filed to ensure compliance with 990 Internal Revenue Service review requirements.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Form 990. Page 6, Part VI, line 12c. Living Center at Geneva - North maintains a conflict of interst policy which board members are required to sign prior to taking office. Statements are updated and reviewed annually by an Administrative Committee. The process for handling any conflict of interest which may arise is detailed in the corporate bylaws.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>Form 990, Page 6, Part VI, line 15a. Compensation is reviewed by a compensation committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Form 990. Page 6, Section C, line 19. Living Center At Geneva - North makes its governing documents, conflict of interest policy and financial statements available to the public where required by law and upon request. The Living Center's Form 990 is provided to any individual who provides a request in person or who submits a written request. There is no charge other than a reasonable fee for copying and postage. Copies are available at the Finance Office or at www.guidestar.org.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized gains on investments: 55,304. Additional Pension Liability</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990. Part XI, line 2c.The process has not changed from the prior year.</Explanation>
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          <City>Geneva</City>
          <State>NY</State>
          <ZIPCode>14456</ZIPCode>
        </AddressUS>
        <EIN>205604917</EIN>
        <PrimaryActivities>Develope and Provide Senior Citizen Housing Complex</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
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</Return>