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        <DepreciationAmt>992152</DepreciationAmt>
        <BookValueAmt>1209608</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>83722</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>70423</DepreciationAmt>
        <BookValueAmt>13299</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>983197</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>970689</DepreciationAmt>
        <BookValueAmt>12508</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1417632</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>4527044</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>92287</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>92287</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4434757</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>4434757</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3940357</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>3940357</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>3940357</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>Income generated from these funds can be used to support the Organization's general activities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is generally exempt from federal and state income taxes under Section 501(c)(3) of the Internal Revenue Code. The Organization reviews the components of revenues, gains, and other support and analyzes whether the position that the Organization takes with regard to a particular item of income would meet the definition of an uncertain tax position under GAAP.The Organization files income tax returns in the U.S. federal jurisdiction and New York State jurisdiction. The tax years that remain subject to examination by taxing authorities are generally the previous three years.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="21013475" softwareVersionNum="2021v4.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon the completion of the preparation of the annual 990 tax return by the Auditing firm appointed by the Board of Directors, the return shall be distributed to a member or members of the Board's Budget and Finance Committee for review.The Director of Finance will be available to respond to any questions raised by the Committee member(s). If necessary or desired by the Committee member(s), the question can also be directed to the Auditing firm for further explanation or clarification. When the Committee member(s) has approved the 990 tax return, it will be filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy is discussed at initial orientation for staff and board, and then reassessed twice a year as part of the documentation required for state grants. We ask for multiple proposals/bids where possible if and when a board member has a potential or actual interest or gain. In addition, if any board member is involved in any decision making, he or she is asked to recuse themselves.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The salary and benefits of the Chief Executive Officer shall be determined by the Personnel Committee of the Board of Directors by considering other non profit health and human service agencies of a similar budget size and employee count based upon information available in local and national salary surveys. In addition, market availability and work experience shall be taken into consideration.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Senior management positions bound by this policy include the Chief Executive Officer, Director of Clinic Operations, Director of Development, Director of Education, Director of Finance, Director of IT, Director of Human Resources, and Director of Public Communications and Medical Director.Salary ranges for these positions are determined by comparing to the same or similar positions in other non profit health and human service agencies of a similar budget size and employee count based upon information available in local and national salary surveys.In addition, market availability and work experience shall be taken into consideration. For all these positions other than the Chief Executive Officer, such determination shall be made by the Chief Executive Officer, and can be reviewed by the Personnel Committee of the Board of Directors.Employee benefits shall be available to these positions based on the same eligibility requirements as other staff within the agency.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Photo copies of governing documents and financial information including annual 990 and 990-T tax returns, excluding those confidential information otherwise protected by law, are available for public inspection upon request.Such public request shall be made in writing and date stamped. Upon receipt of the request, a charge of $0.50/page shall be assessed on the total number of pages of documents to be provided and be communicated to the requesting party by mail within 30 working days. NO information shall be provided without the correct fee received. Upon such receipt, information shall be mailed within a period of no more than 30 working days.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
