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      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>233386</ManagementAndGeneral>
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        <ManagementAndGeneral>929612</ManagementAndGeneral>
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        <ProgramServices>2608483</ProgramServices>
        <ManagementAndGeneral>387514</ManagementAndGeneral>
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      <FeesForServicesManagement>
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      <FeesForServicesLegal>
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        <ProgramServices>198559</ProgramServices>
        <ManagementAndGeneral>52143</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ProgramServices>104698</ProgramServices>
        <ManagementAndGeneral>27494</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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        <ManagementAndGeneral>4812</ManagementAndGeneral>
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      <FeesForServicesProfFundraising>
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      <FeesForServicesInvstMgmntFees>
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        <ManagementAndGeneral>1320259</ManagementAndGeneral>
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      <OfficeExpenses>
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        <ProgramServices>9596383</ProgramServices>
        <ManagementAndGeneral>2520089</ManagementAndGeneral>
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      <InformationTechnology>
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        <ProgramServices>898671</ProgramServices>
        <ManagementAndGeneral>235998</ManagementAndGeneral>
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      <Royalties>
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      </Royalties>
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        <ProgramServices>1350728</ProgramServices>
        <ManagementAndGeneral>354712</ManagementAndGeneral>
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      <Travel>
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      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>298334</Total>
        <ProgramServices>236284</ProgramServices>
        <ManagementAndGeneral>62050</ManagementAndGeneral>
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      <PaymentsToAffiliates>
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      <DepreciationDepletion>
        <Total>853120</Total>
        <ProgramServices>675681</ProgramServices>
        <ManagementAndGeneral>177439</ManagementAndGeneral>
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        <ManagementAndGeneral>82125</ManagementAndGeneral>
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        <ManagementAndGeneral>89311</ManagementAndGeneral>
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      <OtherExpenses>
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        <ManagementAndGeneral>18239</ManagementAndGeneral>
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      <OtherExpenses>
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      <OtherExpenses>
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      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
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      <AmtsRecdFromDisqualPersons>
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      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
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      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>17040</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
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      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
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        <Identifier>Part II-B, Line 1i</Identifier>
        <ReturnReference>Part II-B, Line 1i - Other Activities Description</ReturnReference>
        <Explanation>Rutland Nursing Home pays dues to Continuing Care Leadership Coalition (CCLC). In accordance with section 6033 (e) of the Internal Revenue Code, and as reported by CCLC, a portion of these dues are attributable to lobbying activities. The lobbying activities applicable to 2010 CCLC dues was $6,098.Additionally, the organization has a contract with a lobbyist who was engaged to lobby legislators on behalf of the organization regarding policies which impact the organization's exempt purpose and which pertain to public health care. During 2010 Rutland Nursing Home paid $17,040 in connection with these services.</Explanation>
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      <Buildings>
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        <Depreciation>27206341</Depreciation>
        <BookValue>4206940</BookValue>
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        <BookValue>983767</BookValue>
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        <BookValue>77869</BookValue>
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      <OtherAssets>
        <Description>Other Assets</Description>
        <BookValue>1543689</BookValue>
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      <OtherAssets>
        <Description>Operating Escrow Account</Description>
        <BookValue>372144</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Mortgage Repayment Escrow</Description>
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      </OtherAssets>
      <TotalBookValueOtherAssets>3134697</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>FIN 47 Liability</Description>
        <Amount>79200</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Estimated 3rd Party Settlements</Description>
        <Amount>30563008</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Kingsbrook Jewish Medical Center</Description>
        <Amount>16504042</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Cash Funds held in Trust for Residents</Description>
        <Amount>239035</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>47385285</TotalOfAmounts>
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    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="10000105" softwareVersion="2010v3.2">
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      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
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      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
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        <DeferredCompRelatedOrgs>16500</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>6798</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>264877</TotalCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Sibte Burney MD</NamePerson>
        <CompBasedOnRelatedOrgs>328467</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>60723</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>7853</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>14095</NontaxableBenefitsRelatedOrgs>
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        <NamePerson>Mary Anne Rose</NamePerson>
        <CompBasedOnRelatedOrgs>207113</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>34801</BonusRelatedOrgs>
        <DeferredCompRelatedOrgs>19676</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>6798</NontaxableBenefitsRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Linda Brady MD</NamePerson>
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        <OtherCompensationRelatedOrgs>15736</OtherCompensationRelatedOrgs>
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        <Identifier>Sch J, Part III, Additional Information</Identifier>
        <ReturnReference>Part III, Additional Information</ReturnReference>
        <Explanation>Part II, Column (C) Retirement and other deferred compensation:The deferred compensation reported for three Kingsbrook Jewish Medical Center employees (John Schmitt, Kurt Kodroff, Kiran Batheja) includes accruals for the transition stabilization plan which was implemented in 2009. The value of the plan is subject to risk of forfeiture (pursuant to IRS regulations) until the employees meet specific and documented future service requirements. The plan was reviewed, discussed and approved by the Compensation Committee of the Joint Board of Trustees/Directors to enhance the retention of key executives and to maintain leadership stability as Kingsbrook Jewish Medical Center pursues opportunities for sustained viability. The plan is consistent with typical market practices and reasonable in the context of the employees' total remuneration, based on advice provided by independent executive compensation consultants.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>Form 990 Part VII, Line 2</ReturnReference>
        <Explanation>Rutland Nursing Home, Inc. does not directly pay its employees. The compensation and benefits are allocated from Kingsbrook Jewish Medical Center. The compensation and benefits are recorded on the form 941 filed by kingsbrook Jewish Medical Center under the employer identification number 11-1631759.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Upon request, the organization will make available only those documents required to be disclosed under the public inspection laws.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>THE PROCESS USED FOR DETERMINING THE COMPENSATION OF THE CEO ALSO APPLIES TO MEMBERS OF THE EXECUTIVE STAFF, DEPARTMENT CHAIRS AND OTHER HIGHLY COMPENSATED STAFF EXCEPT THAT THE PRESIDENT AND CEO MAKES COMPENSATION RECOMMENDATIONS TO THE COMPENSATION SUBCOMMITTEE FOR THOSE EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Rutland Nursing Home, Inc. follows Kingsbrook Jewish Medical Center's conflict of Interest Policy.At Kingsbrook Jewish Medical Center, All Conflicts of Interest are reviewed by the Compliance Officer. Any potential conflicts involving Board members are referred to the Audit and Compliance committee for review and/or action, as necessary.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The CFO has conducted a detailed review of the 990 with the hospitals tax accountant and all appropriate changes have been made. The 990 is then reviewed with the CEO for any additional commentary, observations, or recommendations. The 990 is then reviewed with the Chairman of the Audit and Compliance Committee AND THEN PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW for any additional commentary, observations, or recommendations. Once completed and filed, form 990 is made available to the full board by the Chairman of the Audit and Compliance Committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>Members may elect and appoint members of the governing board and board officers of the corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Kingsbrook Healthcare System ("KHS") is the sole member of Rutland Nursing Home, Inc.</Explanation>
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          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11203</ZIPCode>
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        <EIN>113016121</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
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        <PublicCharityStatus>11a</PublicCharityStatus>
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          <BusinessNameLine1>Kingsbrook Jewish Medical Ctr Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>585 Schenectady Avenue</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11203</ZIPCode>
        </AddressUS>
        <EIN>112845058</EIN>
        <PrimaryActivities>Support</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Kingsbrook Jewish Medical Center</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Kingsbrook Healthcare System</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>585 Schenectady Avenue</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11203</ZIPCode>
        </AddressUS>
        <EIN>030464734</EIN>
        <PrimaryActivities>Support</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Kingsbrook Jewish Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>585 Schenectady Avenue</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11203</ZIPCode>
        </AddressUS>
        <EIN>111631759</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Kingsbrook Healthcare System Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>KHS Security Agency LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>585 Schenectady Avenue</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11203</ZIPCode>
        </AddressUS>
        <EIN>134297095</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>KHS Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>0</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ATM Nurse Registry LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>585 Schenectady Avenue</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11203</ZIPCode>
        </AddressUS>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>KSI Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>0</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Singulab Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>585 Schenectady Ave</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11203</ZIPCode>
        </AddressUS>
        <EIN>562327669</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>KSI Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C-Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>KSI Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>585 Schenectady Ave</AddressLine1>
          <City>Brooklyn</City>
          <State>NY</State>
          <ZIPCode>11203</ZIPCode>
        </AddressUS>
        <EIN>562327654</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>KHS Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>