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        <ReturnReference>PART II-B, LINE 1:</ReturnReference>
        <Explanation>ST ANN'S HOME FOR THE AGED RETAINS THE SERVICES OF HINMAN STRAUB. HINMAN STRAUB PROVIDES LEGAL AND GOVERNMENTAL RELATIONS REPRESENTATION ON BEHALF OF ST ANN'S AND ITS VARIOUS AFFILIATE ORGANZIATIONS, ON ALL PROPOSED REGULATORY, LEGISLATIVE AND EXECUTIVE ACTIONS. SPECIFICALLY, ADVOCATING BEFORE THE STATE LEGISLATURE, THE GOVERNOR, OR APPROPRIATE STATE AGENCIES REGARDING ANY LEGISLATIVE, BUDGET OR ADMINISTRATIVE PROPOSAL AND ASSISTING ST ANN'S IN OBTAINING REGULATORY APPROVAL FOR OPERATION AND CAPITAL PROJECTS. TOTAL FEES PAID TO HINMAN STRAUB WERE APPROXIMATELY $77,737 OF WHICH $74,448 WAS RELATED TO LOBBYING WORK AND $3290 RELATED TO REGULATORY COMPLIANCE WORK FOR ST ANN'S HOME ($1974) AND THE HERITAGE ($1316).</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>4004185</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>-105350</InvestmentEarningsOrLosses>
        <EndOfYearBalance>3898835</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>3586951</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>417234</InvestmentEarningsOrLosses>
        <EndOfYearBalance>4004185</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>2886055</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>700896</InvestmentEarningsOrLosses>
        <EndOfYearBalance>3586951</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>4124084</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>-1238029</InvestmentEarningsOrLosses>
        <EndOfYearBalance>2886055</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>122823</OtherCostOrOtherBasis>
        <BookValue>122823</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>21119688</OtherCostOrOtherBasis>
        <Depreciation>7683662</Depreciation>
        <BookValue>13436026</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>10104129</OtherCostOrOtherBasis>
        <Depreciation>5954945</Depreciation>
        <BookValue>4149184</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>25164237</OtherCostOrOtherBasis>
        <Depreciation>190517</Depreciation>
        <BookValue>24973720</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>42681753</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES, PENSION CONTRIBUTIONS</Description>
        <BookValue>255595</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>2982332</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>BENEFICIAL INTEREST IN NET ASSETS OF ST. ANN'S FOUNDATION, INC.</Description>
        <BookValue>2967063</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEFERRED FINANCING COSTS, NET</Description>
        <BookValue>1104705</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>BENEFICIAL INTEREST IN REMAINDER TRUSTS</Description>
        <BookValue>1071602</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>8381297</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>ESTIMATED THIRD PARTY PAYOR SETTLEMENT</Description>
        <Amount>3523554</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>4601</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS</Description>
        <Amount>1488599</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>5016754</TotalOfAmounts>
      <TotalRevenue>67254255</TotalRevenue>
      <TotalExpenses>50285133</TotalExpenses>
      <ExcessOrDeficitForYear>16969122</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-391138</NetUnrealizedGLOnInvestments>
      <OtherAmount>-13355467</OtherAmount>
      <TotalAdjustments>-13746605</TotalAdjustments>
      <ExcessOrDeficitPerFS>3222517</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>47261295</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-391138</NetUnrealizedGainsInvestments>
      <OtherRevenues>-13393961</OtherRevenues>
      <RevenueNotRptdF990>-13785099</RevenueNotRptdF990>
      <RevenueSubtotal>61046394</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>34340</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>6173521</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>6207861</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>67254255</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>44038778</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>-6173521</OtherExpensesIncluded>
      <ExpensesNotRptdF990>-6173521</ExpensesNotRptdF990>
      <ExpensesSubtotal>50212299</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>34340</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>38494</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>72834</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>50285133</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>INCOME FROM THE ENDOWMENT FUNDS ARE TO BE USED FOR ITS' CORPORATE PURPOSES.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE HOME ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNIZED THRESHOLD IN 2011 AND 2010. THE HOME'S FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED AFTER DECEMBER 31, 2008 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -995,910. PENSION LIABILITY ADJUSTMENT -13,058,193. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 182,867. CHANGE IN VALUE OF BENEFICIAL INTEREST IN NET ASSETS OF ST. ANN'S FDN, INC. 515,769. TOTAL TO SCHEDULE D, PART XI, LINE 8: -13,355,467.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -995,910. PENSION LIABILITY ADJUSTMENT -13,058,193. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 182,867. CHNG IN VALUE OF BENEFICIAL INT IN NET ASSETS OF ST. ANN'S FOUNDATION, INC. 515,769. TRANSFER TO AFFILIATE (NETTED ON F/S) -38,494.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>SUPPORT SERVICES - PS (INCLUDED IN EXP ON FS) 3,908,832. SUPPORT SERVICES - M&amp;G (INCLUDED IN EXP ON FS) 2,354,800. RENTAL EXPENSES -10,782. GIFT SHOP EXPENSES -79,329. TRANSFERS FROM AFFILIATE (NETTED ON F/S)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>SUPPORT SERVICES - PS (INCLUDED IN EXP ON FS) -3,908,832. SUPPORT SERVICES - M&amp;G (INCLUDED IN EXP ON FS) -2,354,800. RENTAL EXPENSES 10,782. GIFT SHOP EXPENSES 79,329.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>TRANSFER TO AFFILIATE (NETTED ON F/S) 38,494.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ST ANN'S OF GREATER ROCHESTER INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1500 PORTLAND AVENUE</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14621</ZIPCode>
        </AddressUS>
        <EINOfRecipient>161494042</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>38494</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <MethodOfValuation>CASH</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>FINANCIAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: THE ORGANIZATION PROVIDES PERIODIC REPORTS DETAILING THE USE OF THE GRANT FUNDS TO THE BOARD OF DIRECTORS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
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      <Form990ScheduleJPartII>
        <NamePerson>MICHELE SINCLAIR</NamePerson>
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        <BonusFilingOrg>0</BonusFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>ST. ANN'S COMMUNITY PROVIDED THE FOLLOWING BENEFITS FOR THE PRESIDENT/CEO: PERSONAL CAR ALLOWANCE OF $7,022; REIMBURSEMENT OF TAX PREPARATION FEES AND PROFESSIONAL ADVISORY SERVICE FEES OF $11,277; EMPLOYEE CONTRACT EXPENSES OF $2,700; AND CLUB MEMBERSHIP OF $496. ALL OF THESE ITEMS WERE CONSIDERED TAXABLE BENEFITS FOR THE PRESIDENT/CEO AND WERE INCLUDED AS WAGE COMPENSATION IN THE FORM W-2.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 6</ReturnReference>
        <Explanation>80% IS TIED TO KEY ORGANIZATIONAL GOALS. 20% IS TIED TO INDIVIDUAL PERFORMANCE VS. ORGANIZATIONAL GOALS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MONROE COUNTY INDUSTRIAL DEVELOPMENT CORP</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>510188852</IssuerEIN>
        <CUSIPNumber>61075TAB4</CUSIPNumber>
        <DateIssued>2010-12-15</DateIssued>
        <IssuePrice>17200000</IssuePrice>
        <DescriptionOfPurpose>TO FINANCE CONSTRUCTION OF NEW REHAB FACILITY IN IRONDEQUOIT</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>17162707</TotalProceeds>
        <CapitalizedInterest>297503</CapitalizedInterest>
        <IssuanceCostsFromProceeds>656487</IssuanceCostsFromProceeds>
        <CapitalExpenditures>9528619</CapitalExpenditures>
        <AmountUnspent>6680098</AmountUnspent>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
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        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
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        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
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      <Form990ScheduleKPartVI>
        <Identifier>FORM 990, SCHEDULE K, PART II LINE 3</Identifier>
        <ReturnReference>TOTAL PROCEEDS OF ISSUE</ReturnReference>
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      </Form990ScheduleKPartVI>
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        <NameOfInterestedPerson>
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        <Relationship>BOARD MEMBER OF ST. ANN'S HOME FOR THE AGED</Relationship>
        <AmountOfTransaction>12855</AmountOfTransaction>
        <DescriptionOfTransaction>PATRICK BURKE IS A CURRENT BOARD MEMBER AND REGIONAL PRESIDENT OF FIRST NIAGARA FINANCIAL. PAT BURKE JOINED THE BOARD PRIOR TO THE CONSOLIDATION OF HIS COMPANY, THE BURKE GROUP WITH FIRST NIAGARA. ST ANN'S ENTITIES USE FIRST NIAGARA AS THEIR INSURANCE BROKER AND TPA FOR SHORT TERM DISABILITY. FEES PAID TO FIRST NIAGARA TO ADMINISTER THE CLAIMS TOTAL $12,855 FOR THE ST. ANN'S COMMUNITY (ST. ANN'S HOME FOR THE AGED AND RELATED ORGANIZATIONS).</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DIANE KANE MD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>KEY EMPLOYEE OF ST. ANN'S HOME FOR THE AGED</Relationship>
        <AmountOfTransaction>45000</AmountOfTransaction>
        <DescriptionOfTransaction>ST ANN'S COMMUNITY MEDICAL PRACTICE IS A FOR PROFIT ENTITY OWNED BY DR DIANE KANE. DR KANE IS ALSO THE MEDICAL DIRECTOR FOR ALL ST ANN'S HOME FOR THE AGED. THE ST ANN'S MEDICAL PRACTICE BUYS SERVICES FROM ST ANN'S WHICH INCLUDES DR KANE'S TIME AS WELL AS ADDITIONAL NURSING AND ADMINISTRATIVE SUPPORT, TIME, AND SPACE. FEES PAID TO ST. ANN'S COMMUNITY TOTAL $45,000 FOR 2011 (ST. ANN'S HOME FOR THE AGED AND RELATED ORGANIZATIONS).</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>NEW PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 2</ReturnReference>
        <Explanation>ST ANN'S COMMUNITY BEGAN IMPLEMENTATION OF A MASTER PLAN TO TRANSFORM THE CARE WE PROVIDE DURING 2010. CONSTRUCTION AT OUR IRONDEQUOIT AND WEBSTER CAMPUSES WAS INITIATED IN THE FALL WITH COMPLETION IN THE SPRING OF 2012. A NEW BUILDING WILL HOUSE AN EXPANDED TRANSITIONAL CARE CENTER AND PALLIATIVE CENTER FOR CARING ON THE IRONDEQUOIT CAMPUS, AND A NEW BUILDING IN WEBSTER WILL ALLOW FOR THE RELOCATION OF SKILLED NURSING BEDS AND TRANSITIONAL CARE SERVICES TO THE CHERRY RIDGE CAMPUS. ONCE COMPLETED THESE NEW BUILDINGS WILL ALLOW FOR THE CLOSURE AND DEMOLITION OF THE HERITAGE FACILITY. STAFF TRAINING AND PLANS WERE INITIATED TO BEGIN TRANSFORMING THE DELIVERY OF CARE THROUGH THE ADOPTION OF PERSON CENTERED CARE METHODS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>BOARD MEMBERS THOMAS C. MITCHELL AND MARY LOUIS MITCHELL, PHD, RN, SSJ ARE BROTHER AND SISTER. SR. MARY LOUISE MITCHELL'S TERM OF SERVICE ENDED IN MARCH 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE INFORMATION FOR THE REPORTS IS PREPARED BY ST ANN'S STAFF, PROVIDED AND REVIEWED BY PARENTEBEARD. FINAL REPORTS ARE REVIEWED BY THE ACCOUNTING TEAM, INCLUDING THE DIRECTOR FINANCE AND CFO, PROVIDED TO CEO AND SEVERAL EXECUTIVE COMMITTEE MEMBERS PRIOR TO REVIEW AT THE EXECUTIVE COMMITTEE MEETING. COPIES OF THE REPORTS ARE DISTRIBUTED AT THE NOVEMBER 2012 EXECUTIVE COMMITTEE MEETING AT WHICH TIME THE REPORTS ARE APPROVED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL BOARD MEMBERS (INCLUDING THE PRESIDENT AND CEO) ARE REQUIRED TO ANNUALLY COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE FORMS ARE THEN REVIEWED BY THE VP OF ORGANIZATIONAL DEVELOPMENT AND ANY POTENTIAL CONFLICTS ARE DEALT WITH AS NEEDED INCLUDING ABSTAINING FROM VOTING ON MATTERS RELATED TO SUCH CONFLICTS. ANY PERSON COVERED BY THE POLICY SHALL NOT KNOWINGLY USE HIS OR HER POSITION FOR PERSONAL GAIN, TO COMPROMISE ST. ANN'S INTERESTS, OR TO ALLOW A CONFLICT TO ARISE BETWEEN ST. ANN'S INTEREST AND HIS OR HER PERSONAL INTEREST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>EVERY YEAR AN INDEPENDENT WAGE STUDY IS CONDUCTED BY A CONSULTANT. DIRECTORS AND ABOVE, EXCEPT CEO, ARE REVIEWED BY VP OF HR AND CEO WITH ADJUSTMENTS MADE AS NEEDED TO MAINTAIN COMPETITIVENESS. CEO DATA IS REVIEWED BY A COMMITTEE INCLUDING THE BOARD CHAIR, PAST BOARD CHAIR, AND HR COMMITTEE CHAIR. ADJUSTMENTS MADE AS NEEDED TO MAINTAIN MARKET COMPETITIVENESS. 2011 VPS AND CEO DATA REVIEWED; 2011 DIRECTOR LEVEL DATA REVIEWED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, SECTION A:</ReturnReference>
        <Explanation>ALL OFFICERS AND EMPLOYEES REPORTED ON PART VII ARE FULL TIME EMPLOYEES OF THE ST. ANN'S COMMUNITY (ST. ANN'S HOME FOR THE AGED ("SAH") AND RELATED ORGANIZATIONS) WORKING AN AVERAGE OF 40 HOURS PER WEEK. HOURS REPORTED IN COLUMN B OF PART VII ARE THE AVERAGE HOURS RELATED TO WORK PERFORMED FOR SAH.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -391,138. CHANGE IN FAIR VALUE OF DERIVATIVE FINANCIAL INSTRUMENTS -995,910. PENSION LIABILITY ADJUSTMENT -13,058,193. CHANGE IN VALUE OF BENEFICIAL INTEREST IN REMAINDER TRUSTS 182,867. CHANGE IN VALUE OF BENEFICIAL INTEREST IN NET ASSETS OF ST. ANN'S FDN, INC. 515,769. TOTAL TO FORM 990, PART XI, LINE 5: -13,746,605.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANN'S HOME FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1500 PORTLAND AVENUE</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14621</ZIPCode>
        </AddressUS>
        <EIN>161379536</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST ANN'S OF GREATER ROCHESTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANN'S NURSING HOME COMPANY INC DBA THE HERITAGE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1500 PORTLAND AVENUE</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14621</ZIPCode>
        </AddressUS>
        <EIN>237098164</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST ANN'S OF GREATER ROCHESTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANN'S OF GREATER ROCHESTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1500 PORTLAND AVENUE</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14621</ZIPCode>
        </AddressUS>
        <EIN>161494042</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANN'S SENIOR HOUSING INC DBA CHERRY RIDGE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1500 PORTLAND AVENUE</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14621</ZIPCode>
        </AddressUS>
        <EIN>760705854</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST ANN'S OF GREATER ROCHESTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHAPEL OAKS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1500 PORTLAND AVENUE</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14621</ZIPCode>
        </AddressUS>
        <EIN>161489340</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST ANN'S OF GREATER ROCHESTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>