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      <SummaryOfDirectChrtblActyGrp>
        <Description1Txt>TO PROVIDE PRIMARY MEDICAL CARE AND RELATED SERVICES TO PEOPLE WITH DISABILITIES.</Description1Txt>
        <Expenses1Amt>1931489</Expenses1Amt>
      </SummaryOfDirectChrtblActyGrp>
      <SumOfProgramRelatedInvstGrp />
      <MinimumInvestmentReturnGrp>
        <AverageMonthlyFMVOfSecAmt>0</AverageMonthlyFMVOfSecAmt>
        <AverageMonthlyCashBalancesAmt>65995</AverageMonthlyCashBalancesAmt>
        <FMVAllOtherNoncharitableAstAmt>0</FMVAllOtherNoncharitableAstAmt>
        <TotalFMVOfUnusedAssetsAmt>65995</TotalFMVOfUnusedAssetsAmt>
        <AcquisitionIndebtednessAmt>0</AcquisitionIndebtednessAmt>
        <AdjustedTotalFMVOfUnusedAstAmt>65995</AdjustedTotalFMVOfUnusedAstAmt>
        <CashDeemedCharitableAmt>990</CashDeemedCharitableAmt>
        <NetVlNoncharitableAssetsAmt>65005</NetVlNoncharitableAssetsAmt>
        <MinimumInvestmentReturnAmt>3250</MinimumInvestmentReturnAmt>
      </MinimumInvestmentReturnGrp>
      <DistributableAmountGrp>
        <MinimumInvestmentReturnAmt>3250</MinimumInvestmentReturnAmt>
        <TaxBasedOnInvestmentIncomeAmt>0</TaxBasedOnInvestmentIncomeAmt>
        <TotalTaxAmt>0</TotalTaxAmt>
        <DistributableBeforeAdjAmt>3250</DistributableBeforeAdjAmt>
        <DistributableBeforeDedAmt>3250</DistributableBeforeDedAmt>
        <DistributableAsAdjustedAmt>3250</DistributableAsAdjustedAmt>
      </DistributableAmountGrp>
      <PFQualifyingDistributionsGrp>
        <ExpensesAndContributionsAmt>1911890</ExpensesAndContributionsAmt>
        <ProgramRelatedInvstTotalAmt>0</ProgramRelatedInvstTotalAmt>
        <CharitableAssetsAcquisPaidAmt>0</CharitableAssetsAcquisPaidAmt>
        <SetAsideSuitabilityTestAmt>0</SetAsideSuitabilityTestAmt>
        <SetAsideCashDistriTestAmt>0</SetAsideCashDistriTestAmt>
        <QualifyingDistributionsAmt>1911890</QualifyingDistributionsAmt>
      </PFQualifyingDistributionsGrp>
      <UndistributedIncomeGrp>
        <DistributableAsAdjustedAmt>3250</DistributableAsAdjustedAmt>
        <UndistributedIncomePYAmt>0</UndistributedIncomePYAmt>
        <PriorYear1Yr>2020</PriorYear1Yr>
        <PriorYear2Yr>2019</PriorYear2Yr>
        <PriorYear3Yr>2018</PriorYear3Yr>
        <TotalForPriorYearsAmt>0</TotalForPriorYearsAmt>
        <ExcessDistributionCyovYr5Amt>2112813</ExcessDistributionCyovYr5Amt>
        <ExcessDistributionCyovYr4Amt>2226434</ExcessDistributionCyovYr4Amt>
        <ExcessDistributionCyovYr3Amt>2454257</ExcessDistributionCyovYr3Amt>
        <ExcessDistributionCyovYr2Amt>2026550</ExcessDistributionCyovYr2Amt>
        <ExcessDistributionCyovYr1Amt>1559376</ExcessDistributionCyovYr1Amt>
        <TotalExcessDistributionCyovAmt>10379430</TotalExcessDistributionCyovAmt>
        <QualifyingDistributionsAmt>1911890</QualifyingDistributionsAmt>
        <AppliedToYear1Amt>0</AppliedToYear1Amt>
        <AppliedToCurrentYearAmt>3250</AppliedToCurrentYearAmt>
        <RemainingDistriFromCorpusAmt>1908640</RemainingDistriFromCorpusAmt>
        <TotalCorpusAmt>12288070</TotalCorpusAmt>
        <PriorYearUndistributedIncmAmt>0</PriorYearUndistributedIncmAmt>
        <Taxable1Amt>0</Taxable1Amt>
        <Taxable2Amt>0</Taxable2Amt>
        <UndistributedIncomeCYAmt>0</UndistributedIncomeCYAmt>
        <ExcessDistriCyovFromYr5Amt>2112813</ExcessDistriCyovFromYr5Amt>
        <ExcessDistriCyovToNextYrAmt>10175257</ExcessDistriCyovToNextYrAmt>
        <ExcessFromYear4Amt>2226434</ExcessFromYear4Amt>
        <ExcessFromYear3Amt>2454257</ExcessFromYear3Amt>
        <ExcessFromYear2Amt>2026550</ExcessFromYear2Amt>
        <ExcessFromYear1Amt>1559376</ExcessFromYear1Amt>
        <ExcessFromCurrentYearAmt>1908640</ExcessFromCurrentYearAmt>
      </UndistributedIncomeGrp>
      <PrivateOperatingFoundationsGrp></PrivateOperatingFoundationsGrp>
      <SupplementaryInformationGrp>
        <OnlyContriToPreselectedInd>X</OnlyContriToPreselectedInd>
      </SupplementaryInformationGrp>
      <AnalysisIncomeProducingActyGrp>
        <ProgramServiceRevenueDtl>
          <Desc>PATIENT SERVICE REVENUE</Desc>
          <BusinessCd>623000</BusinessCd>
          <RelatedOrExemptFunctionIncmAmt>1759972</RelatedOrExemptFunctionIncmAmt>
        </ProgramServiceRevenueDtl>
        <ProgramServiceRevenueDtl>
          <Desc>MEDICAID</Desc>
          <BusinessCd>623000</BusinessCd>
          <RelatedOrExemptFunctionIncmAmt>860721</RelatedOrExemptFunctionIncmAmt>
        </ProgramServiceRevenueDtl>
        <FeesContractsFromGovtAgGrp />
        <MembershipDuesAndAssmntGrp />
        <IntOnSavAndTempCashInvstGrp />
        <DividendsAndInterestFromSecDtl />
        <NetRntlIncmReDebtFincdPropGrp />
        <NetRntlIncmReNotDebtFincdProp />
        <NetRentalIncomePersonalPropGrp />
        <OtherInvestmentIncomeGrp />
        <GainSalesAstOthThanInvntryGrp />
        <NetIncomeLossFromSpecialEvtGrp />
        <GrossProfitLossSlsOfInvntryGrp />
        <OtherRevenueDescribedGrp>
          <Desc>MISCELLANEOUS</Desc>
          <BusinessCd>900099</BusinessCd>
          <ExclusionCd>01</ExclusionCd>
          <RelatedOrExemptFunctionIncmAmt>34778</RelatedOrExemptFunctionIncmAmt>
        </OtherRevenueDescribedGrp>
        <SubtotalsIncmProducingActyGrp>
          <RelatedOrExemptFunctionIncmAmt>2655471</RelatedOrExemptFunctionIncmAmt>
        </SubtotalsIncmProducingActyGrp>
        <TotalIncomeProducingActyAmt>2655471</TotalIncomeProducingActyAmt>
      </AnalysisIncomeProducingActyGrp>
      <RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>1A&amp;B</LineNumberTxt>
          <RelationshipStatementTxt>REVENUE FOR PATIENT SERVICE VISITS TO THE COMPANY'S CLINIC DUE FROM VARIOUS PAYERS, INCLUDING MEDICAID AND MEDICARE.</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
        <RlnOfActyToAccomOfExmptPrpsGrp>
          <LineNumberTxt>11b</LineNumberTxt>
          <RelationshipStatementTxt>MISCELLANEOUS INCOME USED IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSE.</RelationshipStatementTxt>
        </RlnOfActyToAccomOfExmptPrpsGrp>
      </RlnOfActyToAccomOfExmptPrpsGrp>
      <TrnsfrTransRlnNonchrtblEOGrp>
        <TrnsfrOfCashToNonchrtblEOInd>false</TrnsfrOfCashToNonchrtblEOInd>
        <TrnsfrOtherAssetNonchrtblEOInd>false</TrnsfrOtherAssetNonchrtblEOInd>
        <SalesOrExchangesOfAssetsInd>false</SalesOrExchangesOfAssetsInd>
        <PurchaseOfAssetsNonchrtblEOInd>false</PurchaseOfAssetsNonchrtblEOInd>
        <RentalOfFacilitiesOthAssetsInd>false</RentalOfFacilitiesOthAssetsInd>
        <ReimbursementArrangementsInd>false</ReimbursementArrangementsInd>
        <LoansOrLoanGuaranteesInd>false</LoansOrLoanGuaranteesInd>
        <PerformanceOfServicesEtcInd>false</PerformanceOfServicesEtcInd>
        <SharingOfFacilitiesEtcInd>false</SharingOfFacilitiesEtcInd>
        <RelationshipsNonchrtblEOInd>false</RelationshipsNonchrtblEOInd>
      </TrnsfrTransRlnNonchrtblEOGrp>
    </IRS990PF>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <Organization501c3ExemptPFInd>X</Organization501c3ExemptPFInd>
      <GeneralRuleInd>X</GeneralRuleInd>
      <ContributorInformationGrp>
        <ContributorNum>1</ContributorNum>
        <ContributorPersonNm>ARC FOUNDATION OF ROCKLAND INC</ContributorPersonNm>
        <ContributorUSAddress>
          <AddressLine1Txt>210 ROUTE 303</AddressLine1Txt>
          <CityNm>VALLEY COTTAGE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10989</ZIPCd>
        </ContributorUSAddress>
        <TotalContributionsAmt>117120</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
      </ContributorInformationGrp>
      <ContributorInformationGrp>
        <ContributorNum>2</ContributorNum>
        <ContributorPersonNm>US SMALL BUSINESS ADMINISTRATION</ContributorPersonNm>
        <ContributorUSAddress>
          <AddressLine1Txt>409 3rd St SW</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20416</ZIPCd>
        </ContributorUSAddress>
        <TotalContributionsAmt>67260</TotalContributionsAmt>
        <PersonContributionInd>X</PersonContributionInd>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <DepreciationSchedule documentId="DepreciationSch" />
    <MortgagesAndNotesPayableSch documentId="MortAndNotesPayblSch">
      <MortgageAmt>0</MortgageAmt>
      <NotePayableGrp>
        <LenderNameGrp>
          <PersonNm>SMALL BUSINESS ADMINISTRATION</PersonNm>
        </LenderNameGrp>
        <LoanOriginalAmt>67260</LoanOriginalAmt>
        <BalanceDueAmt>0</BalanceDueAmt>
        <NoteDt>2021-04</NoteDt>
        <RepaymentTermsTxt>LOANS ARE FORGIVABLE IN CERTAIN SITUATIONS</RepaymentTermsTxt>
        <InterestRt>1.</InterestRt>
        <LoanPurposeTxt>TO PROMOTE CONTINUED EMPLOYMENT</LoanPurposeTxt>
      </NotePayableGrp>
    </MortgagesAndNotesPayableSch>
    <OtherExpensesSchedule documentId="OtherExpensesSch">
      <OtherExpensesScheduleGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <RevenueAndExpensesPerBooksAmt>249614</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>0</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>OFFICE EXPENSES</Desc>
        <RevenueAndExpensesPerBooksAmt>188128</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>188128</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>INSURANCE</Desc>
        <RevenueAndExpensesPerBooksAmt>23913</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>23913</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <RevenueAndExpensesPerBooksAmt>21895</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>21895</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>BUILDING REPAIRS &amp; MAINTENANCE</Desc>
        <RevenueAndExpensesPerBooksAmt>20561</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>20561</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>EXPENSED EQUIPMENT</Desc>
        <RevenueAndExpensesPerBooksAmt>10690</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>10690</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <RevenueAndExpensesPerBooksAmt>6873</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>6873</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
      <OtherExpensesScheduleGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
        <RevenueAndExpensesPerBooksAmt>3714</RevenueAndExpensesPerBooksAmt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>3714</DisbursementsCharitablePrpsAmt>
      </OtherExpensesScheduleGrp>
    </OtherExpensesSchedule>
    <OtherIncomeSchedule2 documentId="OtherIncomeSch2">
      <OtherIncomeDetail>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <RevenueAndExpensesPerBooksAmt>1759972</RevenueAndExpensesPerBooksAmt>
      </OtherIncomeDetail>
      <OtherIncomeDetail>
        <Desc>MEDICAID</Desc>
        <RevenueAndExpensesPerBooksAmt>860721</RevenueAndExpensesPerBooksAmt>
      </OtherIncomeDetail>
      <OtherIncomeDetail>
        <Desc>OTHER REVENUE</Desc>
        <RevenueAndExpensesPerBooksAmt>34778</RevenueAndExpensesPerBooksAmt>
      </OtherIncomeDetail>
    </OtherIncomeSchedule2>
    <OtherIncreasesSchedule documentId="OtherIncreasesSch">
      <OtherIncreasesDetail>
        <Desc>FORGIVENESS OF DEBT FROM AFFILIATE</Desc>
        <Amt>3207885</Amt>
      </OtherIncreasesDetail>
    </OtherIncreasesSchedule>
    <OtherLiabilitiesSchedule documentId="OtherLiabSch">
      <OtherLiabilitiesDetail>
        <Desc>DUE TO AFFILIATE</Desc>
        <BOYBookValueAmt>3207885</BOYBookValueAmt>
        <EOYBookValueAmt>514794</EOYBookValueAmt>
      </OtherLiabilitiesDetail>
      <OtherLiabilitiesDetail>
        <Desc>DUE TO GOVERNMENTAL AGENCIES</Desc>
        <BOYBookValueAmt>0</BOYBookValueAmt>
        <EOYBookValueAmt>1615</EOYBookValueAmt>
      </OtherLiabilitiesDetail>
    </OtherLiabilitiesSchedule>
    <OtherProfessionalFeesSchedule documentId="OthProfFeesSch">
      <OtherProfessionalFeesDetail>
        <CategoryTxt>PAYROLL PROCESSING FEES</CategoryTxt>
        <Amt>1831</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>1831</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
      <OtherProfessionalFeesDetail>
        <CategoryTxt>OTHER CONSULTING FEES</CategoryTxt>
        <Amt>30018</Amt>
        <NetInvestmentIncomeAmt>0</NetInvestmentIncomeAmt>
        <AdjustedNetIncomeAmt>0</AdjustedNetIncomeAmt>
        <DisbursementsCharitablePrpsAmt>30018</DisbursementsCharitablePrpsAmt>
      </OtherProfessionalFeesDetail>
    </OtherProfessionalFeesSchedule>
  </ReturnData>
</Return>
