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            <AddressLine1Txt>2400 MARKET STREET</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICES</ServicesDesc>
        <CompensationAmt>2394077</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PREMIER MECHANICAL SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1493 CHURCH ST</AddressLine1Txt>
            <CityNm>HOLBROOK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11744</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HVAC SERVICES</ServicesDesc>
        <CompensationAmt>1683169</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GALLAGHER INSURANCE RISK MANAGEMENT &amp; C</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2850 GOLF ROAD</AddressLine1Txt>
            <CityNm>ROLLING MEADOWS</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60008</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INSURANCE SERVICES</ServicesDesc>
        <CompensationAmt>997739</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THERADYNAMICS REHAB MANAGEMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>225 CROSSWAYS PARK DRIVE</AddressLine1Txt>
            <CityNm>WOODBURY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11797</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>978389</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
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      <GovernmentGrantsAmt>2711867</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>SKILLED NURSING FACILITY</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>33436400</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33436400</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>707498</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>34143898</TotalProgramServiceRevenueAmt>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>154947</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>154947</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>GIFT SHOP INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>315</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>155262</OtherRevenueTotalAmt>
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        <RelatedOrExemptFuncIncomeAmt>34299160</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>1241973</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>3139525</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>362155</ManagementAndGeneralAmt>
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        <TotalAmt>270876</TotalAmt>
        <ManagementAndGeneralAmt>270876</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>93833</TotalAmt>
        <ManagementAndGeneralAmt>93833</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>3575084</TotalAmt>
        <ProgramServicesAmt>2822444</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>1150975</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3040319</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>640330</TotalAmt>
        <ProgramServicesAmt>589104</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51226</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>17596</TotalAmt>
        <ProgramServicesAmt>4832</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12764</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>53798</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4677</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>843691</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>980736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85279</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES AND OTHER</Desc>
        <TotalAmt>1204613</TotalAmt>
        <ProgramServicesAmt>330801</ProgramServicesAmt>
        <ManagementAndGeneralAmt>873812</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PROVISION FOR CREDIT LO</Desc>
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        <ProgramServicesAmt>790000</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ManagementAndGeneralAmt>12474146</ManagementAndGeneralAmt>
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        <EOYAmt>804777</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>47244782</LandBldgEquipCostOrOtherBssAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>21935000</EOYAmt>
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        <EOYAmt>5672593</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>133362</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>5352428</BOYAmt>
        <EOYAmt>5151168</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>11366519</BOYAmt>
        <EOYAmt>10957123</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>10935377</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>42500</BOYAmt>
        <EOYAmt>42500</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8023723</BOYAmt>
        <EOYAmt>10977877</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>19390242</BOYAmt>
        <EOYAmt>21935000</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1664936</ReconcilationRevenueExpnssAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <CurrentTaxYearMinus2YearsAmt>200035</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4700000</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1037000</CurrentTaxYearAmt>
        <TotalAmt>6435984</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>321106275</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33550412</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39191758</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35945211</CurrentTaxYearAmt>
        <TotalAmt>458729302</TotalAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>321405186</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33750447</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>43891758</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>36982211</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus3YearsAmt>78060</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>116166</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>82061</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22897</CurrentTaxYearAmt>
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      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <CYEndwmtFundGrp>
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        <EndYearBalanceAmt>42500</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <EndYearBalanceAmt>42500</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
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        <EndYearBalanceAmt>42500</EndYearBalanceAmt>
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        <EndYearBalanceAmt>42500</EndYearBalanceAmt>
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        <EndYearBalanceAmt>42500</EndYearBalanceAmt>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>339881</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>231878</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAPHNIQUE EDOUARD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEAN CRISLIN JUNIUS</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE NOVAK</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE AHSHMAN</PersonNm>
        <TitleTxt>RN SUPERVISOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>176654</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>181708</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE BOARD ELECT THE DIRECTORS OF EACH PROGRAM EACH SPRING AT THE ANNUAL MEETING OF EACH CORPORATION. IF A VACANCY OCCURS ON THE BOARD IN THE INTERIM, THE REMAINING DIRECTORS MAY ELECT A SUCCESSOR TO SERVE UNTIL THE NEXT ANNUAL MEETING OF MEMBERS. AT THE NEXT ANNUAL MEETING, THE MEMBERS ELECT DIRECTORS FOR SPECIFIC TERMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS HAVE THE RIGHTS AND DUTIES PROVIDED BY STATUTE UNDER THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW WHICH ARE NOT UNLIKE THOSE OF STOCKHOLDERS IN A TRADITIONAL FOR PROFIT CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING WITH THE IRS, COPIES HAVE BEEN PROVIDED TO ALL BOARD MEMBERS FOR REVIEW. QUESTIONS AND COMMENTS HAVE BEEN FOWARDED TO THE CEO, WHO HAS DISCUSSED WITH THE PREPARER ANY CHANGES THAT MAY NEED TO BE ADDRESSED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE POLICY OF ST. JOHNLAND NURSING CENTER, INC. THAT ALL DIRECTORS, OFFICERS, EMPLOYEES, AGENTS AND CONTRACTORS AVOID ANY ACTIVITIES THAT CONFLICT WITH OR APPEAR TO CONFLICT WITH THEIR RESPONSIBILITIES AND OBLIGATIONS TO ST. JOHNLAND. CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE REQUIRED TO BE SIGNED BY BOARD MEMBERS. WHEN A CONFLICT ARISES, IT IS BROUGHT TO THE BOARD'S ATTENTION TO BE DISCUSSED. THE BOARD MEMBER WHO HAS THIS CONFLICT MUST RECUSE THEMSELVES FROM PARTICIPATING IN ANY DISCUSSION RELATED TO THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RELIES ON THE BOARD OF DIRECTORS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THIS PROCESS WAS PERFORMED IN 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ADJUSTMENT TO FUNDED STATUS - EMPLOYEE BENEFIT PLAN 1,289,218.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>SOCIETY OF ST JOHNLAND</BusinessNameLine1Txt>
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          <AddressLine1Txt>395 SUNKEN MEADOW RD</AddressLine1Txt>
          <CityNm>KINGS PARK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11758</ZIPCd>
        </USAddress>
        <EIN>111890580</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST JOHNLAND RESIDENCES II INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>395 SUNKEN MEADOW RD</AddressLine1Txt>
          <CityNm>KINGS PARK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11758</ZIPCd>
        </USAddress>
        <EIN>200316499</EIN>
        <PrimaryActivitiesTxt>ADULT RESIDENCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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      </IdRelatedTaxExemptOrgGrp>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST JOHNLAND ASSISTED LIVING INC</BusinessNameLine1Txt>
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        <USAddress>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        </USAddress>
        <EIN>843711158</EIN>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>