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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN ROSENFELD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTA L SERAFIN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR JAMES DEYULIO</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD CHELTENHAM DDS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR CYNTHIA KIBIUK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRENDA COBANE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHRYN FARLEY</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>OLIVE TREE MEDICAL ASSOCIATES</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <TotalContributionsAmt>4605096</TotalContributionsAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>ADULT DAY CARE REVENUE</Desc>
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      <GrossRentsGrp>
        <RealAmt>16992</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>16992</TotalRevenueColumnAmt>
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      <GrossAmountSalesAssetsGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>7532</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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      <OtherRevenueMiscGrp>
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      <InvestmentIncomePYPct>0.00180</InvestmentIncomePYPct>
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        <BookValueAmt>1455717</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>46683384</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>27364147</DepreciationAmt>
        <BookValueAmt>19319237</BookValueAmt>
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        <DepreciationAmt>5524300</DepreciationAmt>
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        <OtherCostOrOtherBasisAmt>773731</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>155930</DepreciationAmt>
        <BookValueAmt>617801</BookValueAmt>
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        <Desc>DEPOSITS FROM PATIENTS</Desc>
        <BookValueAmt>34209</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CASH HELD IN TRUST FOR RESIDENTS</Desc>
        <BookValueAmt>96394</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>2367984</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DEPOSITS FROM PATIENTS</Desc>
        <Amt>34209</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CASH HELD IN TRUST FOR RESIDENTS</Desc>
        <Amt>96394</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>788812</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD PARTY PAYOR SETTLEMENTS</Desc>
        <Amt>4025000</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>523999</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>191759</RevenueNotReportedAmt>
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      <RevenueNotReportedFinclStmtAmt>776714</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>28397089</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>26356902</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>776714</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHARLES T. SITRIN HEALTH CARE CENTER, INC. 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 CODE. AS OF DECEMBER 31, 2021 AND 2020, THE CENTER 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 2018 THROUGH 2021. THE CENTER DOES NOT ANTICIPATE ANY UNRECOGNIZED TAX BENEFITS TO CHANGE IN THE NEXT TWELVE MONTHS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 1. BAD DEBTS 776,713.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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        <ExplanationTxt>THE CHARLES T. SITRIN NETWORK OF HOMES &amp; SERVICES, INC. IS THE SOLE MEMBER OF THE CHARLES T. SITRIN HEALTH CARE CENTER, INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE MEMBER, THE CHARLES T. SITRIN NETWORK OF HOMES &amp; SERVICES, INC. APPOINTS THE BOARD OF DIRECTORS OF THE CHARLES T. SITRIN HEALTH CARE CENTER, INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWED THE 990 AT THE NOVEMBER 2022 BOARD MEETING PRIOR TO SUBMISSION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ARE REQUIRED TO UPDATE AND RE-SIGN THE CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. EVERY YEAR ADMINISTRATION MAILS NEW STATEMENTS TO ALL BOARD MEMBERS. ONCE COMPLETED, A SUMMARY IS PREPARED LISTING ALL BOARD MEMBERS, DATE LAST CONFLICT OF INTEREST WAS SIGNED, AND ANY CONFLICTS LISTED IF APPLICABLE. THIS SUMMARY IS KEPT IN THE CEO'S OFFICE AND PROVIDED TO THE CHAIRMAN OF THE BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS COLLECTIVELY REVIEW AND APPROVE THE CEO'S SALARY AND BENEFITS. COMPARATIVE DATA FROM OTHER ORGANIZATIONS IS USED. THIS MEETING IS DOCUMENTED THROUGH EXECUTIVE SESSION MINUTES OF THE BOARD MEETING. OTHER KEY EMPLOYEES' SALARIES ARE APPROVED BY THE CEO AND THE BOARD OF DIRECTORS IF CHANGES ARE MADE BEYOND A NORMAL COST OF LIVING ADJUSTMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OF THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC. UPON REQUEST, COPIES WILL BE PROVIDED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES WERE MADE TO THE AUDIT OVERSIGHT PROCESS OR SELECTION PROCESS DURING 2021.</ExplanationTxt>
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        <PrimaryActivitiesTxt>RAISES FUNDS AND AWARENESS FOR OTHER ENTITIES</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CEDARBROOK VILLAGE INCORPORATED</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>101 SITRIN LANE</AddressLine1Txt>
          <CityNm>NEW HARTFORD</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13413</ZIPCd>
        </USAddress>
        <EIN>200670083</EIN>
        <PrimaryActivitiesTxt>ASSISTED LIVING/ENRICHED HOUSING APARTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GAN KAVOD INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 634</AddressLine1Txt>
          <CityNm>NEW HARTFORD</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13413</ZIPCd>
        </USAddress>
        <EIN>223032483</EIN>
        <PrimaryActivitiesTxt>INTERMEDIATE CARE FACILITY/INDIVIDUALIZED RESIDENTIAL ALTERNATIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SITRIN CHILD DAY CARE FACILITY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3 KAVOD RD</AddressLine1Txt>
          <CityNm>NEW HARTFORD</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13413</ZIPCd>
        </USAddress>
        <EIN>161484534</EIN>
        <PrimaryActivitiesTxt>CHILD CARE CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
