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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH ROSENBERG</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TEDDY SELINGER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELLIOTT WALDMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JACOB WASSERMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SANFORD H ZUCKERBROT</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HERBERT H FRIEDMAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK DONNELLAN</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR DAVID SISKIND</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <ReportableCompFromOrgAmt>280769</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>39808</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL SCARPELLI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR ELIZABETH STURM</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR MOHAMMED ALAM</PersonNm>
        <TitleTxt>STAFF PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR KAREN BLAU</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LOUIS A VITERITTI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR CARLOS FERMO</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalReportableCompFromOrgAmt>2457784</TotalReportableCompFromOrgAmt>
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      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>MORRISON MANAGEMENT</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 102289</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>CARE &amp; COMFORT ASSOCIATES INC</BusinessNameLine1>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <City>BOHEMIA</City>
            <State>NY</State>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>AFFINITY REHABILITATION LLP</BusinessNameLine1>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <State>MD</State>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>UNITEX TEXTILE RENTAL SERVICE</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>161 SOUTH MACQUESTEN PARKWAY</AddressLine1>
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            <State>NY</State>
            <ZIPCode>10550</ZIPCode>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>ABLE HEALTH CARE SERVICES</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1240 BROADCAST PLAZA</AddressLine1>
            <City>MERRICK</City>
            <State>NY</State>
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          </USAddress>
        </ContractorAddress>
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      <FederatedCampaignsAmt>115322</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>331694</GovernmentGrantsAmt>
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      <TotalContributionsAmt>605794</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>87951</ExclusionAmt>
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        <ExclusionAmt>7785</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>835104</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>206087</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>25153</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <ExclusionAmt>52797</ExclusionAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>835104</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>274183</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ManagementAndGeneralAmt>1882623</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>32394745</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1772915</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>7670343</ProgramServicesAmt>
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        <ProgramServicesAmt>2570645</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>61714</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>127422</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4713</ProgramServicesAmt>
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        <ProgramServicesAmt>14675</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85690</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>1745480</ProgramServicesAmt>
        <ManagementAndGeneralAmt>396446</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1351305</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74101</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1570395</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>54777</ProgramServicesAmt>
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        <ProgramServicesAmt>1968089</ProgramServicesAmt>
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        <ProgramServicesAmt>3038650</ProgramServicesAmt>
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        <ProgramServicesAmt>1082025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54556</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3625744</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>2961682</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>814137</ProgramServicesAmt>
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        <ProgramServicesAmt>70275037</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6794637</ManagementAndGeneralAmt>
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        <EOYAmt>4165962</EOYAmt>
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        <EOYAmt>24834308</EOYAmt>
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        <EOYAmt>460390</EOYAmt>
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        <EOYAmt>12799253</EOYAmt>
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        <EOYAmt>244437</EOYAmt>
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        <EOYAmt>274623</EOYAmt>
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        <EOYAmt>26282772</EOYAmt>
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        <EOYAmt>2605</EOYAmt>
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        <EOYAmt>9357909</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>78422259</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>7045109</EOYAmt>
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        <EOYAmt>39584654</EOYAmt>
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        <EOYAmt>1451880</EOYAmt>
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        <EOYAmt>632359</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>48714002</EOYAmt>
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        <EOYAmt>23938156</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>5592101</EOYAmt>
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        <BOYAmt>178000</BOYAmt>
        <EOYAmt>178000</EOYAmt>
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        <EOYAmt>29708257</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>78422259</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <InvestmentIncomePYPct>0.00430</InvestmentIncomePYPct>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <MailingsMembersInd>0</MailingsMembersInd>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9118</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>199847</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOUIS A VITERITTI</PersonNm>
        <TitleTxt>DIRECTOR OF FINANACE</TitleTxt>
        <BaseCompensationFilingOrgAmt>173244</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>228</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5280</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20790</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>199542</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR CARLOS FERMO</PersonNm>
        <TitleTxt>STAFF PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>148365</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>112</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11357</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29094</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>188928</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PATRICK DONNELLAN AND MICHAEL SCARPELLI RECEIVED A BONUS. THE BONUS WAS BASED ON 2012 PERFORMANCE IN IMPLEMENTING THE VOLUNTARY INCENTIVE RESIGNATION PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDED A DEFERRED COMPENSATION PLAN TO HERBERT FRIEDMAN OF $125,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>DORMITORY AUTHORITY OF THE STATE OF NEW YORK</BusinessNameLine1>
        </IssuerName>
        <BondIssuerEIN>146000293</BondIssuerEIN>
        <CUSIPNum>64983QDP1</CUSIPNum>
        <BondIssuedDt>2005-04-12</BondIssuedDt>
        <IssuePriceAmt>25715000</IssuePriceAmt>
        <PurposeDesc>TO CURRENTLY REFUND A PRIOR ISSUE &amp; TO RENOVATE A SKILLED NURSING FACILITY.</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>27715000</RetiredAmt>
        <InReserveFundAmt>1376500</InReserveFundAmt>
        <RefundingEscrowAmt>14677000</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>632320</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>9029180</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2007</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS TO REVIEW THE 990 RETURN BEFORE IT IS FILED IS, EACH VOTING MEMBER OF THE BOARD RECEIVES A COMPLETE ELECTRONIC COPY OF THIS YEAR'S FORM 990 FOR REVIEW AND COMMENTS PRIOR TO FILING WITH IRS.</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 AND DEPARTMENT HEADS. THE STATEMENTS ARE REVIEWED BY A COMMITTEE AND IF CONFLICT EXISTS A DETERMINATION WILL BE MADE BY THE COMMITTEE WHETHER GURWIN 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 MOTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</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 ORGANIZATION'S OFFICERS. THE PROCESS WAS LAST UNDERTAKEN IN DECEMBER OF 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.HOWEVER, FINANCIAL STATEMENTS ARE INCLUDED IN 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 IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL AND CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,585,195. MANAGEMENT AND GENERAL EXPENSES 346,846. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,932,041. DIETARY PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,054,503. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,054,503. HOME HEALTH AIDE PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 995,019. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 995,019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITE OFF OF RESTRICTED PLEDGE -1,256,962.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>