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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA FURST-EYSLER</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HOWARD GERSHOWITZ</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BERT KARLIN</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA LOOZIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH B ROSENBERG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TEDDY SELINGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELLIOTT WALDMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE DUNNE</PersonNm>
        <TitleTxt>DIRECTOR (JOINED 10/2020)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM NOVAK</PersonNm>
        <TitleTxt>DIRECTOR (JOINED 10/2020)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT A ROTEMAN MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>254793</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MORRISON MANAGEMENT SPECIALIST</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 102289</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30368</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Food Service</ServicesDesc>
        <CompensationAmt>1109253</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CARE COMFORT ASSOCIATES INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1546 OCEAN AVENUE</AddressLine1Txt>
            <CityNm>BOHEMIA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11716</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRANSPORT</ServicesDesc>
        <CompensationAmt>430822</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UNITEX TEXTILE RENTAL SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>401 MACQUESTEN PARKWAY</AddressLine1Txt>
            <CityNm>MOUNT VERNON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10550</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UNIDINE CORPORATION</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 102289</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30368</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FOOD SERVICE</ServicesDesc>
        <CompensationAmt>4437535</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MEDCARE THERAPY SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1548 CARL AVE</AddressLine1Txt>
            <CityNm>HOLBROOK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11741</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPIST</ServicesDesc>
        <CompensationAmt>266175</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>155555</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>5615598</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1379530</AllOtherContributionsAmt>
      <TotalContributionsAmt>7150683</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE AND OTHER</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>13608104</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13608104</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID/MEDICARE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>57386578</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>57386578</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>70994682</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>181439</TotalRevenueColumnAmt>
        <ExclusionAmt>181439</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>272636</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>109773</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>162863</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>162863</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>436350</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>426292</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>10058</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>10058</TotalRevenueColumnAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <CostOfGoodsSoldAmt>6585</CostOfGoodsSoldAmt>
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        <TotalRevenueColumnAmt>-906</TotalRevenueColumnAmt>
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        <BusinessCd>900099</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>2144000</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>19806</TotalRevenueColumnAmt>
        <ExclusionAmt>19806</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>9443</TotalRevenueColumnAmt>
        <ExclusionAmt>9443</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>83710</TotalRevenueColumnAmt>
        <ExclusionAmt>83710</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>2144000</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>294398</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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        <ManagementAndGeneralAmt>1300857</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>37943095</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3328851</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1873855</ProgramServicesAmt>
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        <ProgramServicesAmt>8833496</ProgramServicesAmt>
        <ManagementAndGeneralAmt>491175</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>3413464</ProgramServicesAmt>
        <ManagementAndGeneralAmt>403677</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
        <TotalAmt>234934</TotalAmt>
        <ManagementAndGeneralAmt>234934</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>72453</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>6404</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>32305</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>251246</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>341018</ProgramServicesAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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        <ProgramServicesAmt>72576</ProgramServicesAmt>
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        <ProgramServicesAmt>144471</ProgramServicesAmt>
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        <ProgramServicesAmt>2005108</ProgramServicesAmt>
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        <ProgramServicesAmt>3374896</ProgramServicesAmt>
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        <ProgramServicesAmt>2466944</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
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        <ProgramServicesAmt>939999</ProgramServicesAmt>
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        <ProgramServicesAmt>76928583</ProgramServicesAmt>
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        <EOYAmt>7460352</EOYAmt>
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        <EOYAmt>1370915</EOYAmt>
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        <EOYAmt>15371533</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>561442</EOYAmt>
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        <EOYAmt>440070</EOYAmt>
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        <EOYAmt>17240069</EOYAmt>
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        <EOYAmt>30000</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>5806091</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>54775668</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>9774328</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>26980</EOYAmt>
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        <EOYAmt>16991760</EOYAmt>
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        <EOYAmt>34823294</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>55771722</BOYAmt>
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      <ReconcilationRevenueExpnssAmt>-4910386</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>539980</NetUnrlzdGainsLossesInvstAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearAmt>7150683</CurrentTaxYearAmt>
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        <TotalAmt>0</TotalAmt>
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        <CurrentTaxYearAmt>112959</CurrentTaxYearAmt>
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      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <TotalDirectLobbyingGrp />
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      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>6404</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>6404</TotalLobbyingExpendituresAmt>
      <SupplementalInformationDetail>
        <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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    </IRS990ScheduleC>
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      <HeldWorksArtGrp />
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      <InclEscrowCustodialAcctLiabInd>true</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
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        <OtherCostOrOtherBasisAmt>1939430</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1939430</BookValueAmt>
      </LandGrp>
      <BuildingsGrp />
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>50277097</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>39233490</DepreciationAmt>
        <BookValueAmt>11043607</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <BookValueAmt>4257032</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
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      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>4748961</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES</Desc>
        <BookValueAmt>53944</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <BookValueAmt>2605</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>CASH EQUIVALENTS - MRTG ESCROW</Desc>
        <BookValueAmt>1000581</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>5806091</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED AMOUNTS DUE TO THIRD</Desc>
        <Amt>2353677</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION PAYABLE</Desc>
        <Amt>53287</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICARE ACC. &amp; ADV. PAYMENTS</Desc>
        <Amt>4500000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6906964</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>81373226</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>539980</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>109773</OtherRevenueAmt>
      <RevenueNotReportedAmt>649753</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>80723473</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>32305</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>32305</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>80755778</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>85743632</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>109773</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>109773</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>85633859</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>32305</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>32305</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>85666164</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: 109,773</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RENT EXPENSE: 109,773</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
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      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STUART B ALMER</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <OtherCompensationFilingOrgAmt>7524</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>58767</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>50361</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>728307</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID SISKIND MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER(thru7/20</TitleTxt>
        <BaseCompensationFilingOrgAmt>243330</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>942</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12458</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17225</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>274955</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YEHOSHUA SAUER</PersonNm>
        <TitleTxt>SR. VICE PRESIDENT &amp; CHIEF OPE</TitleTxt>
        <BaseCompensationFilingOrgAmt>312653</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>810</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16045</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29528</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>369036</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOUIS VITERITTI</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <BonusFilingOrganizationAmount>11000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1242</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15653</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29528</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>335095</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH STURM</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2602</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13871</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11357</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>259713</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES ARE MERIT BASED AND ARE APPROVED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <IssuerName>
          <BusinessNameLine1Txt>SUFFOLK COUNTY ECONOMIC DEVELOPMENT</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>273722095</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2014-12-19</BondIssuedDt>
        <IssuePriceAmt>28000000</IssuePriceAmt>
        <PurposeDesc>SUFFOLK COUNTY ECONOMIC DEVELOPMEN</PurposeDesc>
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        <IssuanceCostsFromProceedsAmt>437740</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2005</SubstantialCompletionYr>
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        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>true</Form8038TFiledInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </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 2020.</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 2020.</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>
    </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>
      <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>
        <PredominantIncomeTypeTxt>NONE</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>6812926</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.74000</OwnershipPct>
      </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>
