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        <AverageHoursPerWeekRltdOrgRt>27.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>115218</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11752</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENEE KAWEJSZA</PersonNm>
        <TitleTxt>ADMINISTRATOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>121562</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10237</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>315471</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>738756</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>66181</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH CARE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>12923096</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12923096</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADMIN / MAINT FEES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>310406</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>310406</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13233502</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>49508</TotalRevenueColumnAmt>
        <ExclusionAmt>49508</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>34674</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>34674</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </GainOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>EMPLOYEE RETENTION CREDIT REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1059261</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1059261</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLEANEOUS INCOME</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>58090</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58090</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>GUEST SERVICES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>20580</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20580</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>20179</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20179</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>1158110</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>14441120</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14391612</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>49508</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6198886</TotalAmt>
        <ProgramServicesAmt>6018603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>180283</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>35724</TotalAmt>
        <ProgramServicesAmt>34685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1039</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>889210</TotalAmt>
        <ProgramServicesAmt>863349</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25861</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>498600</TotalAmt>
        <ProgramServicesAmt>484099</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14501</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>66241</TotalAmt>
        <ManagementAndGeneralAmt>66241</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>66666</TotalAmt>
        <ManagementAndGeneralAmt>66666</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>5632</TotalAmt>
        <ManagementAndGeneralAmt>5632</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3178090</TotalAmt>
        <ProgramServicesAmt>2152976</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1025114</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>8387</TotalAmt>
        <ProgramServicesAmt>3128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5259</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>47276</TotalAmt>
        <ProgramServicesAmt>17633</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29643</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>444388</TotalAmt>
        <ProgramServicesAmt>431464</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12924</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>5958</TotalAmt>
        <ProgramServicesAmt>2222</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3736</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>182068</TotalAmt>
        <ProgramServicesAmt>176773</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5295</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>579398</TotalAmt>
        <ProgramServicesAmt>562547</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16851</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>345495</TotalAmt>
        <ProgramServicesAmt>335447</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10048</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROVISION FOR BAD DEBTS</Desc>
        <TotalAmt>1600000</TotalAmt>
        <ProgramServicesAmt>1600000</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DIETARY FOOD CONTRACT</Desc>
        <TotalAmt>793163</TotalAmt>
        <ProgramServicesAmt>540286</ProgramServicesAmt>
        <ManagementAndGeneralAmt>252877</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>784435</TotalAmt>
        <ProgramServicesAmt>764008</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20427</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>432032</TotalAmt>
        <ProgramServicesAmt>420782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11250</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>369316</TotalAmt>
        <ProgramServicesAmt>254601</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114715</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>16530965</TotalAmt>
        <ProgramServicesAmt>14662603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1868362</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>332390</BOYAmt>
        <EOYAmt>250689</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>5588</BOYAmt>
        <EOYAmt>23911</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1136100</BOYAmt>
        <EOYAmt>1332788</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>94856</BOYAmt>
        <EOYAmt>99213</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>78937</BOYAmt>
        <EOYAmt>80586</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>123140</BOYAmt>
        <EOYAmt>93381</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>31274592</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>24790427</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6943588</BOYAmt>
        <EOYAmt>6484165</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1103019</BOYAmt>
        <EOYAmt>1236286</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>839108</BOYAmt>
        <EOYAmt>466954</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>10656726</BOYAmt>
        <EOYAmt>10067973</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3061924</BOYAmt>
        <EOYAmt>3342220</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>373967</BOYAmt>
        <EOYAmt>48824</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>506704</BOYAmt>
        <EOYAmt>1280767</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>993362</BOYAmt>
        <EOYAmt>1517177</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4935957</BOYAmt>
        <EOYAmt>6188988</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>5478796</BOYAmt>
        <EOYAmt>3541207</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>241973</BOYAmt>
        <EOYAmt>337778</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5720769</BOYAmt>
        <EOYAmt>3878985</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>10656726</BOYAmt>
        <EOYAmt>10067973</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-2089845</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>112256</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>135805</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1485749</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1546889</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2106200</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2638885</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1031127</CurrentTaxYearAmt>
        <TotalAmt>8808850</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>20125382</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>17780282</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13231461</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1014403</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13264187</CurrentTaxYearAmt>
        <TotalAmt>65415715</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>21611131</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19327171</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15337661</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3653288</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14295314</CurrentTaxYearAmt>
        <TotalAmt>74224565</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>74224565</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>41164</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26179</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47323</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>54461</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>49508</CurrentTaxYearAmt>
        <TotalAmt>218635</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>41164</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26179</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47323</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>54461</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>49508</CurrentTaxYearAmt>
        <TotalAmt>218635</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>21652295</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19353350</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15384984</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3707749</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14344822</CurrentTaxYearAmt>
        <TotalAmt>74443200</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99710</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99720</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00290</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00280</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>131915</OtherCostOrOtherBasisAmt>
        <BookValueAmt>131915</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>10665254</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7730561</DepreciationAmt>
        <BookValueAmt>2934693</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>8931344</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6700849</DepreciationAmt>
        <BookValueAmt>2230495</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>11546079</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10359017</DepreciationAmt>
        <BookValueAmt>1187062</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6484165</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT TRUST FUNDS</Desc>
        <Amt>39734</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTY PAYORS</Desc>
        <Amt>397928</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>38741</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
        <Amt>1040774</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1517177</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>14615415</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>112256</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>67671</OtherRevenueAmt>
      <RevenueNotReportedAmt>179927</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14435488</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>5632</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>5632</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>14441120</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16457199</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16457199</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>5632</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>68134</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>73766</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>16530965</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 95,805. TRANSFER FROM AFFILIATE 40,000. FEMA FUNDS -68,134.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FEMA FUNDS 68,134.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEREMY RUTTER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>241132</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5002</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9260</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>255394</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARICA MALORZO</PersonNm>
        <TitleTxt>DIRECTOR OF NURSING</TitleTxt>
        <BaseCompensationFilingOrgAmt>172068</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <PersonNm>JERRY RAY</PersonNm>
        <TitleTxt>RN SUPERVISOR</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 7A EXPLANATION - THE PARENT BOARD ELECTS MEMBERS OF PRESBYTERIAN HOME BOARD ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 11A EXPLANATION - THE BOARD MEMBERS REVIEW THE 990 PRIOR TO SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD MEMBERS COMPLETE CONFLICT OF INTEREST POLICY STATEMENTS ANNUALLY. IF A CONFLICT IS NOTED, THE NON-INTERESTED MEMBERS VOTE ON HOW TO PROCEED WITH THE SITUATION AT THAT TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION FOR THE CEO ANNUALLY DURING THE ANNUAL CEO REVIEW PROCESS. THE BOARD USES INDUSTRY AND COMPETITIVE SURVEYS TO ESTABLISH COMPENSATION FOR THE CEO. THE CEO USES INDUSTRY AND COMPETITIVE SURVEYS TO ESTABLISH THE COMPENSATION FOR ALL OTHER OFFICERS AND KEY EMPLOYEES ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADDRESS. THE 990 IS ALSO AVAILABLE ON THE INTERNET AT GUIDESTAR AND THE NYS CHARITIES BUREAU WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,113,303. MANAGEMENT AND GENERAL EXPENSES 1,006,546. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,119,849. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 39,673. MANAGEMENT AND GENERAL EXPENSES 18,568. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,241.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 95,805. TRANSFERS FROM AFFILIATE 40,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESBYTERIAN HOME FOR CENTRAL NEW YORK, INC.'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE REVIEW OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR.</ExplanationTxt>
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</Return>