<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-01-16T16:43:24-05:00</ReturnTs>
    <TaxPeriodEndDt>2022-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>821248540</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BUNKER AND COMPANY CPA PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1054 43RD ST</AddressLine1Txt>
        <CityNm>BROOKLYN</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>112191243</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>133211807</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>BIKUR CHOLIM INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>BIKU</BusinessNameControlTxt>
      <PhoneNum>8454257877</PhoneNum>
      <USAddress>
        <AddressLine1Txt>404 ROUTE 59</AddressLine1Txt>
        <CityNm>AIRMONT</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10952</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>ARON REINER</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>8454257877</PhoneNum>
      <SignatureDt>2023-11-15</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>ARON</PersonFirstNm>
        <PersonLastNm>REINER</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>JOEL LOWY</PreparerPersonNm>
      <PTIN>P00370998</PTIN>
      <PhoneNum>7184384858</PhoneNum>
      <PreparationDt>2024-01-09</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc7">
      <AmendedReturnInd>X</AmendedReturnInd>
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>ACHIEVE BEHAVIORAL HEALTH</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>ARON REINER</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>404 RT 59</AddressLine1Txt>
        <CityNm>AIRMONT</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10952</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>41915174</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>N/A</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1983</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>WE PROVIDE A MYRIAD OF SOCIAL, MEDICAL AND SUPPORT SERVICES INCLUDING: VISITATION, SENIOR CITIZEN ASSISTANCE, MEDICAL SUPPLY LOAN, TRANSPORTATION TO AND FROM MEDICAL FACILITIES, PATIENT DVD LIBRARY, SHABBOS ROOM AT AREA HOSPITALS, HOSPITAL MEALS, CLINIC COUNSELING, SUPPORT GOUPS, PATIENT ADVOCACY, PATIENT ENTERTAINMENT, CANCER SUPPORT AND FAMILY COUNSELING.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>5</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>5</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>524</TotalEmployeeCnt>
      <TotalVolunteersCnt>5</TotalVolunteersCnt>
      <TotalGrossUBIAmt>-441536</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>7689010</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>6836684</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>26024739</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>32996892</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>871566</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>330050</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>1293</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>-167138</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>34586608</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>39996488</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>19183256</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>23148140</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>85194</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>9014176</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>14232583</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>28197432</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>37380723</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>6389176</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>2615765</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>24875232</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>23025995</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>13649547</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>10024015</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>11225685</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>13001980</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>WE PROVIDE A MYRIAD OF SOCIAL, MEDICAL AND SUPPORT SERVICES INCLUDING: VISITATION, SENIOR CITIZEN ASSISTANCE, MEDICAL SUPPLY LOAN, TRANSPORTATION TO AND FROM MEDICAL FACILITIES, PATIENT DVD LIBRARY, SHABBOS ROOM AT AREA HOSPITALS, HOSPITAL MEALS, CLINIC COUNSELING, SUPPORT GOUPS, PATIENT ADVOCACY, PATIENT ENTERTAINMENT, CANCER SUPPORT AND FAMILY COUNSELING.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>29153615</ExpenseAmt>
      <RevenueAmt>30894443</RevenueAmt>
      <Desc>MENTAL HEALTH CLINIC PROVIDED MENTAL HEALTH SERVICE TO OVER 20,000 CLIENTS MONTHLY DURING ALMOST 300,000 VISITS ANNUALLY.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>2553579</ExpenseAmt>
        <RevenueAmt>2102450</RevenueAmt>
        <Desc>WE PROVIDE HOME CARE AIDS WHO MADE MORE THAN 10,600 VISITS IN 2022.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>2664937</ExpenseAmt>
        <Desc>HOLOCAUST SURVIVOR SERVICES PROVIDES REGULAR AND EMERGENCY GRANTS TO OVER 100 CLAIMANTS UNDER A GRANT FROM CLAIMS CONFERENCE.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1567640</ExpenseAmt>
        <Desc>PARTNERS IN HEALTH PROGRAM PROVIDED PATIENT AND FAMILY SUPPORT, MEDICAL REFERRALS, HOSPITAL VISITS AND TRANSPORTATION FOR PATIENTS IN 11 AREA HOSPITALS, IN ADDITION WE DELIVERED ABOUT 20,000 KOSHER MEALS A YEAR TO PATIENTS, AND LENT MEDICAL SUPPLIES. WE PROVIDED MEDICAL ADVOCACY AND REFERRALS TO INDIVIDUALS DURING THE YEAR, ON OUR 24 HOUR HOTLINE.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>1567640</TotalOtherProgSrvcExpenseAmt>
      <TotalProgramServiceExpensesAmt>35939771</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc4">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc5">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc5">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc5">false</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc5">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc5">false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc5">true</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd referenceDocumentId="RetDoc5">false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc6">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc6">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>35</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>524</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>5</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>5</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>false</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>false</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>false</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>JOSHUA WEISS</PersonNm>
        <PhoneNum>8454257877</PhoneNum>
        <USAddress>
          <AddressLine1Txt>404 ROUTE 59</AddressLine1Txt>
          <CityNm>MONSEY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10952</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <NoListedPersonsCompensatedInd>X</NoListedPersonsCompensatedInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>SIMON LAUBER</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YOSEF KRAUSZ</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AVRUM APTER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ARI STEINBERG</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAUL EDELMAN</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ARON REINER</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>37.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>275000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ISAAC SCHECHTER</PersonNm>
        <TitleTxt>CLINICAL DIR</TitleTxt>
        <AverageHoursPerWeekRt>37.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>275000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD PRICE</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>208000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH GRUN</PersonNm>
        <TitleTxt>DIRECTOR OF</TitleTxt>
        <AverageHoursPerWeekRt>37.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>250000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH NISSENFELD</PersonNm>
        <TitleTxt>MEDICAL DIRE</TitleTxt>
        <AverageHoursPerWeekRt>37.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>424350</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSHUA WEISS</PersonNm>
        <TitleTxt>CHIEF FINANC</TitleTxt>
        <AverageHoursPerWeekRt>37.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>275000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSHUA LAMM</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>260000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1967350</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>170000</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>52</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SUPPORT WITH HEART INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>49 BLUEFIELD DR 203</AddressLine1Txt>
            <CityNm>MONSEY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10952</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED PROV</ServicesDesc>
        <CompensationAmt>220001</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>EHAVIO</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5 LINDERMAN LN</AddressLine1Txt>
            <CityNm>MONSEY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10952</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTED IT</ServicesDesc>
        <CompensationAmt>119600</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DAVID EHRBLICH</PersonNm>
        </ContractorName>
        <ServicesDesc>CONTRACTED IT</ServicesDesc>
        <CompensationAmt>100960</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3119752</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3716932</AllOtherContributionsAmt>
      <NoncashContributionsAmt>374830</NoncashContributionsAmt>
      <TotalContributionsAmt>6836684</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CLINIC FEES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>30754542</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30754542</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HOMECARE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>2102450</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2102450</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER SERVICES</Desc>
        <TotalRevenueColumnAmt>139900</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>139900</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>32996892</TotalProgramServiceRevenueAmt>
      <GrossRentsGrp>
        <RealAmt>56650</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>498186</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-441536</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-441536</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-441536</UnrelatedBusinessRevenueAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>1750550</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>1420500</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>330050</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>330050</TotalRevenueColumnAmt>
        <ExclusionAmt>330050</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>KAHR RENTAL</Desc>
        <TotalRevenueColumnAmt>254387</TotalRevenueColumnAmt>
        <ExclusionAmt>254387</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>BC RENTAL</Desc>
        <TotalRevenueColumnAmt>20011</TotalRevenueColumnAmt>
        <ExclusionAmt>20011</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>274398</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>39996488</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32996892</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-441536</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>604448</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>585000</TotalAmt>
        <ProgramServicesAmt>275000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>310000</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>20012045</TotalAmt>
        <ProgramServicesAmt>19756079</ProgramServicesAmt>
        <ManagementAndGeneralAmt>229799</ManagementAndGeneralAmt>
        <FundraisingAmt>26167</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>848099</TotalAmt>
        <ProgramServicesAmt>839048</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7866</ManagementAndGeneralAmt>
        <FundraisingAmt>1185</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1702996</TotalAmt>
        <ProgramServicesAmt>1677664</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23098</ManagementAndGeneralAmt>
        <FundraisingAmt>2234</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2047587</TotalAmt>
        <ProgramServicesAmt>1785438</ProgramServicesAmt>
        <ManagementAndGeneralAmt>257149</ManagementAndGeneralAmt>
        <FundraisingAmt>5000</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>331247</TotalAmt>
        <ProgramServicesAmt>310701</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1871</ManagementAndGeneralAmt>
        <FundraisingAmt>18675</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>602718</TotalAmt>
        <ProgramServicesAmt>510645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69478</ManagementAndGeneralAmt>
        <FundraisingAmt>22595</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>860037</TotalAmt>
        <ProgramServicesAmt>798178</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54932</ManagementAndGeneralAmt>
        <FundraisingAmt>6927</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>864360</TotalAmt>
        <ProgramServicesAmt>826426</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37174</ManagementAndGeneralAmt>
        <FundraisingAmt>760</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>171887</TotalAmt>
        <ProgramServicesAmt>162575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9312</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>348640</TotalAmt>
        <ProgramServicesAmt>54845</ProgramServicesAmt>
        <ManagementAndGeneralAmt>293795</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>610221</TotalAmt>
        <ProgramServicesAmt>610221</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>206436</TotalAmt>
        <ProgramServicesAmt>185850</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19082</ManagementAndGeneralAmt>
        <FundraisingAmt>1504</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>4047999</TotalAmt>
        <ProgramServicesAmt>4047999</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SPECIFIC ASSISTANCE</Desc>
        <TotalAmt>3065799</TotalAmt>
        <ProgramServicesAmt>3047805</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17994</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE &amp; CLEANING</Desc>
        <TotalAmt>727253</TotalAmt>
        <ProgramServicesAmt>706993</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20260</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>306011</TotalAmt>
        <ProgramServicesAmt>306011</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>42388</TotalAmt>
        <ProgramServicesAmt>38293</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3948</ManagementAndGeneralAmt>
        <FundraisingAmt>147</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>37380723</TotalAmt>
        <ProgramServicesAmt>35939771</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1355758</ManagementAndGeneralAmt>
        <FundraisingAmt>85194</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>774777</BOYAmt>
        <EOYAmt>2156934</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>837915</BOYAmt>
        <EOYAmt>30002</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>569230</BOYAmt>
        <EOYAmt>981697</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4405069</BOYAmt>
        <EOYAmt>3229304</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>72447</BOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>3804316</BOYAmt>
        <EOYAmt>2482952</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>153209</BOYAmt>
        <EOYAmt>190502</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>15435324</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1781513</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>12913438</BOYAmt>
        <EOYAmt>13653811</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1344831</BOYAmt>
        <EOYAmt>300793</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>24875232</BOYAmt>
        <EOYAmt>23025995</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1849629</BOYAmt>
        <EOYAmt>1894390</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>781597</BOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>10256327</BOYAmt>
        <EOYAmt>7833516</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>761994</BOYAmt>
        <EOYAmt>296109</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>13649547</BOYAmt>
        <EOYAmt>10024015</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>11225685</BOYAmt>
        <EOYAmt>13001980</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11225685</BOYAmt>
        <EOYAmt>13001980</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>24875232</BOYAmt>
        <EOYAmt>23025995</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>2615765</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-319922</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-519548</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>2312132</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2257073</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5149671</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7689010</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6836684</CurrentTaxYearAmt>
        <TotalAmt>24244570</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>8877289</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10458947</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18029482</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26035347</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>32996892</CurrentTaxYearAmt>
        <TotalAmt>96397957</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearAmt>274398</CurrentTaxYearAmt>
        <TotalAmt>274398</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>11189421</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12716020</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23179153</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33724357</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>40107974</CurrentTaxYearAmt>
        <TotalAmt>120916925</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>120916925</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus2YearsAmt>122149</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3836</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>125985</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus2YearsAmt>122149</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3836</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>125985</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearMinus4YearsAmt>42272</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>60587</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1452</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>104311</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>11231693</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12776607</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23302754</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33728193</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>40107974</CurrentTaxYearAmt>
        <TotalAmt>121147221</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99810</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99670</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>4285458</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4285458</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6574178</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>732132</DepreciationAmt>
        <BookValueAmt>5842046</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3478311</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>537796</DepreciationAmt>
        <BookValueAmt>2940515</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>872662</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>286870</DepreciationAmt>
        <BookValueAmt>585792</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>224715</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>224715</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>13653811</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE OBLIGATION</Desc>
        <Amt>231622</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MARLIN BANK</Desc>
        <Amt>213444</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LOANS PAYABLE</Desc>
        <Amt>21384</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED FINANCING COST</Desc>
        <Amt>-170341</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>296109</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>39996488</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>39996488</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>39996488</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>37380723</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>37380723</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>37380723</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ARON REINER</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>275000</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35000</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>310000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ISAAC SCHECHTER</PersonNm>
        <TitleTxt>CLINICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>275000</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>275000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD PRICE</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>208000</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18000</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>226000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH GRUN</PersonNm>
        <TitleTxt>DIRECTOR OF IT</TitleTxt>
        <BaseCompensationFilingOrgAmt>250000</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7000</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>257000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH NISSENFELD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>424350</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>40000</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>464350</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSHUA WEISS</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFI</TitleTxt>
        <BaseCompensationFilingOrgAmt>275000</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35000</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>310000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSHUA LAMM</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>260000</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35000</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>295000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc5">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SARA REINER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ED SPOUSE</RelationshipDescriptionTxt>
        <TransactionAmt>50000</TransactionAmt>
        <TransactionDesc>SALARY</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc6">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>133730</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>27</ContributionCnt>
        <NoncashContributionsRptF990Amt>209450</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>ADVERTISING</Desc>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>31650</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, ITEM C</FormAndLineReferenceDesc>
        <ExplanationTxt>SUNRAY HOMECARE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, ITEM B</FormAndLineReferenceDesc>
        <ExplanationTxt>TO REFLECT AMOUNTS ON AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>WE PROVIDE A MYRIAD OF SOCIAL, MEDICAL AND SUPPORT SERVICES INCLUDING: VISITATION, SENIOR CITIZEN ASSISTANCE, MEDICAL SUPPLY LOAN, TRANSPORTATION TO AND FROM MEDICAL FACILITIES, PATIENT DVD LIBRARY, SHABBOS ROOM AT AREA HOSPITALS, HOSPITAL MEALS, CLINIC COUNSELING, SUPPORT GOUPS, PATIENT ADVOCACY, PATIENT ENTERTAINMENT, CANCER SUPPORT AND FAMILY COUNSELING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>PARTNERS IN HEALTH PROGRAM PROVIDED PATIENT AND FAMILY SUPPORT, MEDICAL REFERRALS, HOSPITAL VISITS AND TRANSPORTATION FOR PATIENTS IN 11 AREA HOSPITALS, IN ADDITION WE DELIVERED ABOUT 20,000 KOSHER MEALS A YEAR TO PATIENTS, AND LENT MEDICAL SUPPLIES. WE PROVIDED MEDICAL ADVOCACY AND REFERRALS TO INDIVIDUALS DURING THE YEAR, ON OUR 24 HOUR HOTLINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A BOARD MEMBER READS THE 990, AND INQUIRES OF THE BOOKKEEPER, AND IF NECESSARY OF THE CPA PREPARER BEFORE SIGNING THE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>WE DO NOT DISCLOSE OUR GOVERNING DOCUMENTS OR INTERNAL POLICIES. OUR FINANCIAL STATEMENTS ARE AVAILABLE ON THE NEW YORK STATE CHARITIES BUREAU WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>LLC OWNERSHIP TRANSFERRED -519,548</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
