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      <ContractorCompensationGrp>
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          <USAddress>
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            <BusinessNameLine1Txt>MINIMUM DATA SET CONSULTANTS</BusinessNameLine1Txt>
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          <USAddress>
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        <RelatedOrExemptFuncIncomeAmt>431297</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>26381</TotalRevenueColumnAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>40718</RelatedOrExemptFuncIncomeAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>69554</ManagementAndGeneralAmt>
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        <EOYAmt>12858</EOYAmt>
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        <EOYAmt>4370812</EOYAmt>
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        <EOYAmt>10891565</EOYAmt>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>SENECA HILL MANOR PAYS DUES TO LEADINGAGE NY AND LEADINGAGE NATIONAL. ANNUALLY, A PORTION OF OUR DUES IN THESE ASSOCIATIONS REPRESENTS SOME LOBBYING ACITIVITIES. THE TOTAL OF DUES PAID THAT REPRESENT LOBBYING IS APPROXIMATELY 4.22% OF 10,917. THE REMAINDER IS ATTRIBUTED TO PROVIDING NECESSARY INFORMATION AND ANALYTICS REGARDING NURSING HOME LEGISLATION AND GOVERNMENT REGULATIONS. THE LOBBYING EFFORTS ARE AIMED SPECIFICALLY AT NURSING HOME ISSUES ACROSS THE NURSING HOME INDUSTRY.</ExplanationTxt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>76804</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>2933595</TotalBookValueLandBuildingsAmt>
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        <Desc>PENSION LIABILITY</Desc>
        <Amt>621135</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ADVANCED 3RD PARTY</Desc>
        <Amt>795068</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO OSWEGO HOSPITAL</Desc>
        <Amt>263570</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESIDENT FUNDS</Desc>
        <Amt>47721</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>14531631</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14531631</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>14531631</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14925738</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>14925738</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>14925738</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MANOR IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2023 AND 2022, THE MANOR DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2020 THROUGH 2023. THE MANOR DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.</ExplanationTxt>
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        <PersonNm>MICHAEL BACKUS</PersonNm>
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        <PersonNm>MICHAEL HARLOVIC</PersonNm>
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        <PersonNm>LEIGH HILGENBERG</PersonNm>
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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SENECA HILL MANOR'S HUMAN RESOURCE DEPT. BASES COMPENSATION OF EMPLOYEES ON COMPARABILITY DATA FROM AREA FACILITIES AND IS REVIEWED ON A REGULAR BASIS. THE MANOR CREATES AN EMPLOYMENT CONFIRMATION LETTER WHEN SOMEONE IS HIRED. THE OSWEGO HEALTH PRESIDENT &amp; CEO DETERMINES THE SALARY OF THE MANOR'S VICE-PRESIDENT &amp; CHIEF OPERATING OFFICER. PERFORMANCE EVALUATIONS ARE COMPLETED ON ALL OFFICERS AND KEY EMPLOYEES WHICH IS AN INTEGRAL PART OF THE SALARY DETERMINATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORMER CEO FOR OSWEGO HEALTH HAD A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHEREBY ANNUAL CREDITS WERE MADE TO A DEFERRED COMPENSATION ACCOUNT WITHIN THIRTY DAYS OF JUNE 30 EACH YEAR IN WHICH THE CEO RENDERED SERVICES TO THE ORGANIZATION. ANNUAL CREDITS WERE BASED ON A PERCENTAGE OF THE CEO'S BASE COMPENSATION FOR THE YEAR OF SERVICE. VESTING OF THE DEFERRED COMPENSATION ACCOUNT WAS CONTIGENT UPON CONTINUOUS EMPLOYMENT OF THE CEO. DURING 2023, THE FORMER CEO RECEIVED $55,000 FOR SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PAYMENT AND $277,500 FOR A SALARY CONTINUATION PAYMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>OSWEGO HEALTH INC. THE SOLE MEMBER MAY APPOINT, AND REMOVE DIRECTORS OF THE CORPORATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DECISIONS OF THE GOVERNING BODY ARE APPROVED BY OSWEGO HEALTH INC., THE SOLE MEMBER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 AND ITS SUPPORTING AND SUPPLEMENTAL INFORMATION IS PREPARED AND VERIFIED FOR ACCURACY BY THE CHIEF FINANCIAL OFFICER. ALL TOTALS RECONCILED TO THE FINANCIAL STATEMENTS WHICH ARE AUDITED BY AN OUTSIDE FIRM. THE RETURN IS THEN PRESENTED TO THE OSWEGO HEALTH, INC AUDIT COMMITTEE AND MADE AVAILABLE TO THE SENECA HILL MANOR INC BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>IT IS THE ORGANIZATION'S POLICY THAT BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST QUESTIONAIRE ON AN ANNUAL BASIS AND DISCLOSE ALL CONFLICTS OF INTEREST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION AND PERFORMACE OF THE ORGANIZATION'S PRESIDENT &amp; CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE OSWEGO HEALTH BOARD AND COMPENSATION IS APPROVED BY THE BOARD. THE COMMITTEE USES THE SERVICES OF AN INDEPENDENT CONSULTANT TO ASSIST IN THE EVALUATION PROCESS AND THE DETERMINATION OF APPROPRIATE COMPENSATION BASED ON PERFORMANCE, EXPERIENCE, TENURE AND MARKET VALUE OF SALARY RANGES AS COMPARED TO NATIONAL, REGIONAL AND LOCAL SURVEYS FOR SIMILAR POSITIONS. COMPENSATION AND PERFORMANCE OF OTHER OFFICERS IS REVIEWED ANNUALLY BY THE PRESIDENT &amp; CEO WITH THE ASSISTANCE OF THE HR DIRECTOR AND IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. COMPENSATION IS BASED ON SALARY BENCHMARK DATA OBTAINED FROM AN INDEPENDENT CONSULTANT AND GATHERED FROM VARIOUS INDEPENDEDNT SOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, BOARD MINUTES, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE STORED ON SITE AND ARE AVAILABLE FOR REVIEW BY THE GENERAL PUBLIC DURING NORMAL BUSINESS HOURS UPON REQUEST.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER COMPENENTS OF NET PERIODOC BENEFIT COSTS 3,560. PENSION - NET PERIODIC BENEFIT COST CHANGES -40,673.</ExplanationTxt>
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</Return>