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        <PersonNm>Judy Kaufman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Noreen Koppelman-Goldstein</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Kwait</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Keith Libman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William Lieberman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Larry Mack</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Greg Marcus</PersonNm>
        <TitleTxt>Assoc Treasurer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Joel Marx</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Meisel</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lisa Michel</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Rivitz</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Beth Rosenberg</PersonNm>
        <TitleTxt>Past Board Chair</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Enid Rosenberg</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Marcy Schwartz</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Marc Silverstein</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Harry Singer</PersonNm>
        <TitleTxt>Board Chair</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Cathy Stamler</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Neil Tramer</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Adam Wieder</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Judy Willensky</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Idelle Wolf</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dan Zelman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Zimmerman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>American Medical Personnel</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1428 Edison St NW</AddressLine1Txt>
            <CityNm>Hartville</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44632</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HealthPro Therapy Services</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>Spectrum Acquisition</AddressLine1Txt>
            <AddressLine2Txt>PO Box 69268</AddressLine2Txt>
            <CityNm>Baltimore</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21264</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Therapy Services</ServicesDesc>
        <CompensationAmt>243270</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IntelyCare Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 200413</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15251</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Synchronicity Health Technology Inc</BusinessNameLine1Txt>
            <BusinessNameLine2Txt>dba NurseDash</BusinessNameLine2Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 4283</AddressLine1Txt>
            <AddressLine2Txt>Dept 6224</AddressLine2Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>772104283</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <FederatedCampaignsAmt>393893</FederatedCampaignsAmt>
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      <GovernmentGrantsAmt>977791</GovernmentGrantsAmt>
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      <TotalContributionsAmt>2150171</TotalContributionsAmt>
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        <Desc>Nursing Home</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>17897925</TotalRevenueColumnAmt>
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        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Hospice</Desc>
        <BusinessCd>624190</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>4602839</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <InvestmentIncomeGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>265174</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <PersonalAmt>0</PersonalAmt>
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        <OtherAmt>0</OtherAmt>
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      <CostOfGoodsSoldAmt>68382</CostOfGoodsSoldAmt>
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        <TotalRevenueColumnAmt>41084</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>41084</ExclusionAmt>
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        <Desc>Other Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>45280</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>25002473</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22546044</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>306258</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>12276653</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3039618</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>383715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94972</ManagementAndGeneralAmt>
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      </PensionPlanContributionsGrp>
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        <TotalAmt>1182249</TotalAmt>
        <ProgramServicesAmt>947691</ProgramServicesAmt>
        <ManagementAndGeneralAmt>234558</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1207432</TotalAmt>
        <ProgramServicesAmt>967877</ProgramServicesAmt>
        <ManagementAndGeneralAmt>239555</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>1569438</TotalAmt>
        <ProgramServicesAmt>1376966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>192472</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesManagementGrp>
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        <Desc>Estimated Third Party Settlement</Desc>
        <Amt>379846</Amt>
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        <Desc>Capital Lease</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The Endowment Fund is designated for use in the organization's various Hospice Program activities.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Montefiore Home adopted the accounting standard on accounting for uncertainty in income taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, Montefiore Home may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of Montefiore Home, the continued tax-exempt status of bonds issued, and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. The guidance on accounting for uncertainty in income taxes also addresses de-recognition, classification, interest and penalties on income taxes, and accounting in interim periods. At June 30, 2021, there were no unrecognized tax benefits identified or recorded as liabilities.</ExplanationTxt>
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        <PersonNm>Barbara Messinger-Rapport</PersonNm>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Menorah Park (a related organization) has a standing Compensation Committee to annually review for reasonableness with similar organizations, the salaries of the Executive Director and top level, key management staff of the organization. The Compensation Committee uses published surveys and purchased compensation comparison information to review and study reasonableness and competiveness of Menorah Park executive salaries with similar healthcare organizations. An employee's seniority and performance are also reviewed during salary determination. Discussions and decisions of the Compensation Committee are documented in their meeting minutes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Montefiore Home entered into an affiliation agreement with Menorah Park Center for Senior Living resulting in Menorah Park becoming the sole member of Montefiore Home and its Subsidiaries effective July 1, 2020The Montefiore Home is the sole member of Montefiore Housing and The Montefiore Foundation (the Montefiore entities).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A sub-committee of the Menorah Park Center for Senior Living Audit Committee (a related organization) and an independent CPA firm, as the board designees, review the Form 990 prior to submission. Senior management reviews and approves the form while completing and overseeing the process for completion. The Board of Directors is provided a copy of the return prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually, the Montefiore Home sends a copy of its Conflict of Interest policy to all trustees, officers, committee members and key employees. These "Key Individuals" are required to disclose any transactions where the interests of Montefiore Home and the Key Individual (or spouse or other family member of a Key Individual) could potentially be in conflict. The Conflict of Interest policy is reviewed annually at the initial meeting of the Board of Trustees following Montefiore Home's annual meeting, and each Key Individual is provided with a copy of the policy upon commencement of his or her position as such Key Individual. Non compliance with the conflict of interest policy could result in disciplinary action including removal from association with Montefiore Home. The Conflict of Interest policy is regularly and consistently monitored and enforced by the Menorah Park compliance officer.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Menorah Park (a related organization) has a standing Compensation Committee to annually review for reasonableness with similar organizations, the salaries of the Executive Director and top level, key management staff of the organization. The Compensation Committee uses published surveys and purchased compensation comparison information to review and study reasonableness and competiveness of Menorah Park executive salaries with similar healthcare organizations. An employee's seniority and performance are also reviewed during salary determination. Discussions and decisions of the Compensation Committee are documented in their meeting minutes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Montefiore Home maintains copies of all governing documents and financial reports at its main offices in Beachwood, OH. Copies of these documents are available to the public upon request, for the same period of time as set forth in IRC section 6104(d).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Pension Liability $2,396,458 Additional value of Net Assets per affiliation $14,026,000</ExplanationTxt>
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