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        <TotalAmt>3947</TotalAmt>
        <ManagementAndGeneralAmt>3947</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>9407</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1195</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OPERATIONS: NYS FUNDED</Desc>
        <TotalAmt>637200</TotalAmt>
        <ProgramServicesAmt>637200</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OPERATIONS: MEDICAID FU</Desc>
        <TotalAmt>294117</TotalAmt>
        <ProgramServicesAmt>294117</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OPERATIONS: NYS FUNDED</Desc>
        <TotalAmt>89337</TotalAmt>
        <ProgramServicesAmt>89337</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>37700</ProgramServicesAmt>
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        <ProgramServicesAmt>61702</ProgramServicesAmt>
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        <EOYAmt>1440698</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>6832</EOYAmt>
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        <EOYAmt>31530</EOYAmt>
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        <BOYAmt>597018</BOYAmt>
        <EOYAmt>508957</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>2371037</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>150155</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>741793</BOYAmt>
        <EOYAmt>621565</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>838852</BOYAmt>
        <EOYAmt>771720</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1193544</BOYAmt>
        <EOYAmt>1599317</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>5750</BOYAmt>
        <EOYAmt>0</EOYAmt>
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        <EOYAmt>1599317</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>2371037</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>400023</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>306803</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>32909</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3750</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4406</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13989</CurrentTaxYearAmt>
        <TotalAmt>361857</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>2435142</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3501662</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4262766</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5408317</CurrentTaxYearAmt>
        <TotalAmt>17890540</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>2468051</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3505412</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4267172</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5422306</CurrentTaxYearAmt>
        <TotalAmt>18252397</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>18252397</PublicSupportTotal509Amt>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>2468051</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3505412</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4267172</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5422306</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
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      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>40785</DepreciationAmt>
        <BookValueAmt>31530</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>31530</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE RIGHT OF USE ASSET</Desc>
        <BookValueAmt>508957</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>508957</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LINE OF CREDIT</Desc>
        <Amt>112608</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY - MIA'S PLACE</Desc>
        <Amt>194798</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY - UTICA</Desc>
        <Amt>311803</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY - LIVERPOOL</Desc>
        <Amt>2356</Amt>
      </OtherLiabilitiesOrgGrp>
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      <TotalRevEtcAuditedFinclStmtAmt>5480554</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>5750</OtherRevenueAmt>
      <RevenueNotReportedAmt>5750</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>5474804</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>5474804</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5074781</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5074781</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5074781</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>AUDITED FINANCIAL STATEMENTS REPORT AMOUNTS RELEASED FROM RESTRICTIONS AS CURRENT YEAR INCOME. THAT IS NOT REQUIRED ON FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PRESENTED TO THE FULL BOARD FOR APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST STATEMENTS ARE COMPLETED ANNUALLY BY THE BOARD AND ARE MAINTAINED. IF ANY CONFLICTS ARISE THROUGH THE YEAR, THEY ARE DISCUSSED AND HANDLED AS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITTEN POLICY REGARDING REVIEW AND COMPENSATION OF CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>