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      <Form990PartVIISectionAGrp>
        <PersonNm>HOWARD GERSHOWITZ</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BERT KARLIN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA LOOZIS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH B ROSENBERG</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TEDDY SELINGER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELLIOTT WALDMAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE DUNNE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM NOVAK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT A ROTEMAN MD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANIL JAGTIANI</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>300415</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UNITEX TEXTILE RENTAL SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>401 MACQUESTEN PARKWAY</AddressLine1Txt>
            <CityNm>MOUNT VERNON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UNIDINE CORPORATION</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 102289</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30368</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>IPC HEALTHCARE INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 844929</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90084</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>RACANELLI CONSTRUCTION CO</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1895 Walt Whitman Road</AddressLine1Txt>
            <CityNm>MELVILLE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11747</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Construction</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>RAPID RELIABLE TESTING</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>35 West 35th Street</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Covid Testing</ServicesDesc>
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      <FederatedCampaignsAmt>225545</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>2166195</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>46025</AllOtherContributionsAmt>
      <TotalContributionsAmt>2437765</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE AND OTHER</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>10631009</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10631009</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID/MEDICARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>58668615</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58668615</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>69299624</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>158657</TotalRevenueColumnAmt>
        <ExclusionAmt>158657</ExclusionAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <PersonalAmt>244406</PersonalAmt>
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        <PersonalAmt>98406</PersonalAmt>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>146000</PersonalAmt>
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        <TotalRevenueColumnAmt>146000</TotalRevenueColumnAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>75319</TotalRevenueColumnAmt>
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      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
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        <BusinessCd>900099</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>5138471</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>5587</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>103423</ExclusionAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>6436418</ProgramServicesAmt>
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        <ProgramServicesAmt>2994890</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>152501</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>169880</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>232294</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2292</ProgramServicesAmt>
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        <ProgramServicesAmt>217155</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>800013</ProgramServicesAmt>
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        <EOYAmt>368432</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>3868678</EOYAmt>
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        <EOYAmt>47303019</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <BOYAmt>28100339</BOYAmt>
        <EOYAmt>27138551</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <ReconcilationRevenueExpnssAmt>159943</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorNum>RESTRICTED</ContributorNum>
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <OtherActivitiesInd>true</OtherActivitiesInd>
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      <TotalLobbyingExpendituresAmt>16721</TotalLobbyingExpendituresAmt>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER PAYS DUES TO LONG TERM CARE ASSOCIATIONS WHICH HAVE INDICATED THAT A PERCENTAGE OF SUCH DUES ARE FOR LOBBYING ACTIVITIES. THE AMOUNT WAS DETERMINED USING THOSE PERCENTAGES.</ExplanationTxt>
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      <BuildingsGrp />
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        <BookValueAmt>4475375</BookValueAmt>
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        <BookValueAmt>2716951</BookValueAmt>
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        <Desc>DUE FROM RELATED PARTIES</Desc>
        <BookValueAmt>19703</BookValueAmt>
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        <Desc>DEFERRED COMPENSATION</Desc>
        <BookValueAmt>127605</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>CASH EQUIVALENTS - MRTG ESCROW</Desc>
        <BookValueAmt>1004419</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>3868678</TotalBookValueOtherAssetsAmt>
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        <Desc>ESTIMATED AMOUNTS DUE TO THIRD</Desc>
        <Amt>2106053</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION PAYABLE</Desc>
        <Amt>338730</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE PAYABLE</Desc>
        <Amt>550046</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LOANS PAYABLE</Desc>
        <Amt>1071229</Amt>
      </OtherLiabilitiesOrgGrp>
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      <RevenueNotReportedAmt>-1071904</RevenueNotReportedAmt>
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      <RevenueNotReportedFinclStmtAmt>24657</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>78253593</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>78167399</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>98406</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>98406</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>78068993</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>24657</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>24657</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>78093650</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDS AND DEPOSITS HELD IN TRUST FOR RESIDENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RENT EXPENSE: 98,406</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RENT EXPENSE: 98,406</ExplanationTxt>
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    </IRS990ScheduleD>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
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        <PersonNm>STUART B ALMER</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YEHOSHUA SAUER</PersonNm>
        <TitleTxt>SR. VICE PRESIDENT &amp; CHIEF OPE</TitleTxt>
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        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>439401</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOUIS VITERITTI</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <OtherCompensationFilingOrgAmt>2322</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>33562</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>393210</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOANNE PARISI</PersonNm>
        <TitleTxt>SR VICE PRESIDENT/ADMINISTRATO</TitleTxt>
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        <OtherCompensationFilingOrgAmt>4424</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9176</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27610</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER KENNEDY</PersonNm>
        <TitleTxt>VICE PRESIDENT SYSTEM INTEGRAT</TitleTxt>
        <BaseCompensationFilingOrgAmt>227913</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>2110</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33562</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>263585</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES ARE MERIT BASED AND ARE APPROVED BY THE BOARD.</ExplanationTxt>
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    </IRS990ScheduleJ>
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          <BusinessNameLine1Txt>SUFFOLK COUNTY ECONOMIC DEVELOPMENT</BusinessNameLine1Txt>
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        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2014-12-19</BondIssuedDt>
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        <PurposeDesc>SUFFOLK COUNTY ECONOMIC DEVELOPMEN</PurposeDesc>
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        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>true</Form8038TFiledInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
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          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
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        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
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    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>GURWIN HEALTHCARE, SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE APPROVAL OF THE MEMBER SHALL BE REQUIRED FOR: (I) THE AMENDMENT OF THE CERTIFICATE OF INCORPORATION OR BYLAWS OF THE CORPORATION; (II) THE PURCHASE, SALE, LEASE, EXCHANGE OR OTHER DISPOSITION (BUT NOT MORTGAGE) OF REAL PROPERTY WHICH IS, OR WILL UPON ACQUISITION BE, ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (III) THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY; OR (IV) THE DISSOLUTION OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE COMPLETED 990 WAS REVIEWED BY THE PRESIDENT &amp; CEO AND CHIEF FINANCIAL OFFICER. THE DRAFT COPY WAS THEN DISCUSSED WITH MEMBERS OF THE AUDIT COMMITTEE. A COMPLETED DRAFT COPY OF THE FORM 990 WILL BE EMAILED TO ALL MEMBERS OF THE GOVERNING BODY AND ANY QUESTIONS OR COMMENTS ARE COMMUNICATED TO THE CHIEF FINANCIAL OFFICER. COMMENTS ARE COMMUNICATED TO THE CHIEF FINANCIAL OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL SIGNED CONFLICT OF INTEREST FORMS ARE REQUIRED OF ALL BOARD MEMBERS, OFFICERS AND DEPARTMENT HEADS. THE STATEMENTS ARE REVIEWED BY A COMMITTEE AND IF A CONFLICT EXISTS, A DETERMINATION WILL BE MADE BY THE COMMITTEE WHETHER THE CENTER CAN PROCEED WITH A TRANSACTION BASED ON THE UNDERLYING FACTS AND CIRCUMSTANCES. IF A CONFLICT EXISTS, THE PERSON IS RECUSED FROM VOTING ON SAID MOTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A FORMAL COMPENSATION COMMITTEE. A CONSULTANT WITH EXPERIENCE IN HEALTH CARE IS RETAINED TO GATHER COMPARABLE INFORMATION AND REPORT TO THE COMMITTEE, WHICH UTILIZES THE REPORT TO EVALUATE AND APPROVE COMPENSATION FOR THE CENTER'S OFFICERS. THIS WAS LAST DONE IN MARCH 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A FORMAL COMPENSATION COMMITTEE. A CONSULTANT WITH EXPERIENCE IN HEALTH CARE IS RETAINED TO GATHER COMPARABLE INFORMATION AND REPORT TO THE COMMITTEE, WHICH UTILIZES THE REPORT TO EVALUATE AND APPROVE COMPENSATION FOR THE CENTER'S OFFICERS. THIS WAS LAST DONE IN MARCH 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. HOWEVER, FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL COST REPORTS FILED WITH MEDICARE AND MEDICAID. SUCH REPORTS MAY BE OBTAINED BY ANYONE UNDER THE FREEDOM OF INFORMATION ACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT BEEN CHANGED FROM THAT OF THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER FEES TOTAL FEES:7828442</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GURWIN HEALTHCARE SYSTEMS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>68 HAUPPAUGE ROAD</AddressLine1Txt>
          <CityNm>COMMACK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11725</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GURWIN JEWISH-FAY J LINDNER RESIDENCES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>50 HAUPPAUGE ROAD</AddressLine1Txt>
          <CityNm>COMMACK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11725</ZIPCd>
        </USAddress>
        <EIN>113342472</EIN>
        <PrimaryActivitiesTxt>ELDERLY CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GURWIN HOME CARE AGENCY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>330 CONKLIN STREET</AddressLine1Txt>
          <CityNm>FARMINGDALE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11735</ZIPCd>
        </USAddress>
        <EIN>113359711</EIN>
        <PrimaryActivitiesTxt>HOME CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GURWIN AFFILIATED HEALTH SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>68 HAUPPAUGE ROAD</AddressLine1Txt>
          <CityNm>COMMACK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11725</ZIPCd>
        </USAddress>
        <EIN>872845447</EIN>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(9)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GURWIN INDEPENDENT HOUSING INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>68 HAUPPAUGE ROAD</AddressLine1Txt>
          <CityNm>COMMACK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11725</ZIPCd>
        </USAddress>
        <EIN>472886835</EIN>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INRC SERVICES CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5537 EXPRESSWAY DRIVE</AddressLine1Txt>
          <CityNm>HOLTSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11742</ZIPCd>
        </USAddress>
        <EIN>202900978</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ISLAND REHAB</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ISLAND REHAB AND NURSING CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5537 EXPRESSWAY DRIVE</AddressLine1Txt>
          <CityNm>HOLTSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11742</ZIPCd>
        </USAddress>
        <EIN>113570505</EIN>
        <PrimaryActivitiesTxt>NURSING HOME</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GURWIN CAMPUS STP LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>68 HAUPPAUGE ROAD</AddressLine1Txt>
          <CityNm>COMMACK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11725</ZIPCd>
        </USAddress>
        <EIN>824739145</EIN>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
