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        <CompensationAmt>221436</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ERIE 1 BOCES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>WEST SENECA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14224</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INTERVENTION PROGRAM</ServicesDesc>
        <CompensationAmt>211000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UNIVERSITY OF ROCHESTER</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>853 WEST MAIN STREET</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14611</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRAINING/ASSISTANCE</ServicesDesc>
        <CompensationAmt>200022</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>13</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>16846580</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1414398</AllOtherContributionsAmt>
      <TotalContributionsAmt>18260978</TotalContributionsAmt>
      <TotalProgramServiceRevenueAmt>0</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>223</TotalRevenueColumnAmt>
        <ExclusionAmt>223</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>87450</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>378710</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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      </CompDisqualPersonsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <FeesForServicesManagementGrp>
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      </FeesForServicesLegalGrp>
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      <FeesForServicesLobbyingGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    </IRS990ScheduleA>
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    </IRS990ScheduleB>
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      <CYMinus4YrEndwmtFundGrp />
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      <OtherLandBuildingsGrp>
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      <TotalBookValueLandBuildingsAmt>211087</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
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      <TotalBookValueOtherAssetsAmt>336427</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT</Desc>
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      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED LEASE REVENUE</Desc>
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      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>441384</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>378710</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>17982372</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>17982372</TotalRevenuePerForm990Amt>
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      <TotalExpensesPerForm990Amt>17059469</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES: $378,710</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND IS REVIEWED AND APPROVED BY THE BOARD MEMBERS PRIOR TO SUBMISSION WITH THE IRS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A CONFLICT OF INTERST POLICY THAT COVERS ALL BOARD MEMBERS, OFFICERS, EMPLOYEES, AND CERTAIN CONSULTANTS. THROUGHOUT THE YEARS, ALL COVERED INDIVIDUALS ARE REQUIRED TO DISCLOSE ANY CHANGES TO INTERESTS OR TRANSACTIONS THAT MAY BE A POTENTIAL CONFLICT. THE INDEPENDENT BOARD MEMBERS REVIEW ANY POTENTIAL CONFLICTS AND DETERMINES WHETHER ANY CONFLICT EXISTS. ANY INTERESTED BOARD MEMBER IS RECUSED FROM PARTICIPATING AND VOTING ON THE DISCUSSIONS AND DECISIONS INVOLVING SUCH CONFLICT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAI'S INITIAL WAGES ARE BASED ON THE SALARY RANGE RESEARCHED AND DEVELOPED FOR EACH POSITION, WITH VARIATIONS DEPENDENT UPON EMPLOYEE QUALIFICATIONS, EDUCATION, AND EXPERIENCE. WHEN FUNDS ARE AVAILABLE EACH YEAR ON THE ANNIVERSARY DATE OF HIRE, STAFF RECEIVE A COST OF LIVING ADJUSTMENT (COLA) INCREASE OF APPROXIMATELY 3%. IN ADDITION TO COLA INCREASE, ONE MAY RECEIVE A MERIT RAISE ACCORDING TO OUR POLICY. THE INDEPENDENT BOARD APPROVES SALARY RAISES FOR THE PRESIDENT AND OFFICERS OF THE COMPANY AND DOCUMENTS DECISIONS CONTEMPORANEOUSLY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4, PART 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Over the course of FY2020, Cicatelli Associates Inc. (CAI) administered over 40 contracts, including 17 supported by federal funding, and 17 supported by state or local government. During this time, we conducted 672 capacity building events, including trainings, learning collaboratives, webinars, and technical assistance (TA) to over 11,680 participants. Some notable achievements for CAI this year include: - As the New York State Department of Health Women, Infants, and Children (WIC) Training Center since 2009, CAI has continued to see notable improvements among the providers we train and the clients they serve. Over the course of the year, the WIC Training Center conducted 25 trainings days for 607 participants; provided 20 self-paced online training programs containing 85 modules that reached 1,430 people; delivered 52 live and on-demand webinars that reached 7,119 viewers; and facilitated a Learning Collaborative among 11 WIC agencies across four regional state centers designed to revitalize participant-centered services. - In March 2020, CAI was awarded funding from the HRSA HIV/AIDS Bureau to serve as the National Ending the HIV Epidemic (EHE) TA Provider. CAIs TA Provider Innovation Network (TAP-in) supports 47 Ryan White HIV/AIDS Program (RWHAP) Parts A and B jurisdictions across America in the strengthening of their EHE work plans, promotion of cross-jurisdictional learning, and ensuring these jurisdictions have access to the resources they need. CAI, in collaboration with the UCLA Department of Family Medicine and an array of strategic partners, is providing capacity building and TA so that the jurisdictions have effective systems in place to identify people newly diagnosed with HIV and engage people with HIV who are not in care and/or not virally suppressed. In this first year of implementation, TAP-in has begun jurisdictional plan review as a foundation point in understanding jurisdictions TA needs and categorization of jurisdictions for low-intermediate-high intensity TA; finalized partner and sub-contractor agreements with other supporting entities such as Housing Works and Black Aids Institute; begun developing jurisdiction specific data dashboards; and developed criteria for identifying jurisdictions as in need of high, medium, and low intensity TA. - CAI continued to serve as the New York State Department of Health (NYSDOH) AIDS Institute (AI)s Regional Training Center (RTC) for NYC and the Mid-Hudson, offering a comprehensive menu of 40 to 70 training programs tailored to address needs identified by AI, other regional training organizations, HIV service providers, and key populations affected by HIV AIDS, STIs and Viral Hepatitis. In line with Governor Cuomos three-point plan to end the AIDS epidemic in NYS and the national EHE strategies, the overarching goal of the RTC is to accelerate progress in reducing new infections by providing state-of-the-art capacity-building support for non-clinical providers. Objectives include increasing non-clinical provider capacity to: (1) Increase knowledge of HIV status among people with HIV (PWH); (2) Increase linkage to care and uptake of ART; (3) Increase retention in care and re-engagement of PWH who have fallen out of care; (4) Reduce HIV disparities by improving outcomes for populations with unmet need, and (5) Increasing uptake a PrEP to prevent new HIV infections. The RTC was able to adjust to the challenges presented by COVID, adopting course offerings to a remote learning format and delivering 46 trainings to 1,174 participants in FY20. - In year two of our CDC-funded Racial and Ethnic Approaches to Community Health (REACH) initiative, CAI has continued to assist community partners as they plan and carryout local and culturally appropriate programs to address a wide range of health issues among African American people who reside in Buffalos East Ferry Corridor. An additional key component of REACH is bringing together community members to address the health issues that impact their community. By engaging the community in a strategic way CAI has created a powerful vehicle for bringing about environmental and behavioral changes. CAI has been successful in assembling a highly engaged group of 10 community residents, Community Wellness Champions (CWCs), and was instrumental in bringing together the Tobacco Action Group (TAG) a group of community residents who have a special interest in ending tobacco use in their community. CWC and TAG members meet regularly and work collaboratively with community partners. Community members and community partners have shared goals that include: achieving long-term and sustainable outcomes, influencing systems, mobilizing existing resources, and serving as catalysts for changing policies, progams, and practices. - In response to their "Building Capacity to Reduct Tobacco Inequities in the South and Midwest" initiative, CAI in 2020 was awarded funds by the Robert Wood Johnson Foundation to implement Project BAT (Blacks Against Tobacco). The project aims to promote changes in social norms on tobacco use in high-need, majority-Black communities in Atlanta, GA and Jackson, MS; build the capacity of these communities to advocate for policies that restrict the sale of menthol and other flavored tobacco products; and to galvanize momentum for tobacco control policy reform. Project BAT uses a community-driven approach for mobilization and advocacy that specifically focuses on engaging community segments that have historically been marginalized in policy-related conversations in a process of creative problem solving to learn from these individuals firsthand how they perceive the problem of menthol, strategize ways to address it within their community, and more. CAI has begun working with anchor organizations in Atlanta and Jackson that have deep ties within those communities, as well as engaging residents in surveys and discussions to gain understanding of the complex dynamics that shape tobacco use in these communities. - CAI concluded its 6th year of serving as the NYS Center for Excellence for Health System Improvement (COE HSI), which promotes large-scale systems and policy changes to support the universal provision of evidence-based tobacco dependence treatment service. By working closely with other health agencies across NYS, the COE HSI was able to develop and disseminate a set of tools meant to proactively prevent prescription denials by payers. The COE-HSI has also produced an electronic version of our HSI Financial Modeling tool, which is intended to help healthcare organizations examine the financial impact of treating patients for Tobacco Use Disorder with Tobacco Cessation Counseling. In addition, COE HSI engaged key high-level Statewide Stakeholder Workgroup members to garner their input and expertise in the development of a soon to be released resource: Treating Tobacco use disorder in Behavioral Health Populations: Innovative Uses of Approved Medications. This report provides an overview of the seven FDA- approved medications for treating tobacco use, key messages for treating tobacco use disorder in behavioral health populations, and recommended use of those medications. CAI has since been awarded as the Center for HSI, and will have the opportunity to continue this important work.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4, PART 2</FormAndLineReferenceDesc>
        <ExplanationTxt>- CAI serves as the National HIV Classroom Learning Center (NHCLC), funded by the CDC, conducting state of the art training programs in jurisdictions that have been hit hardest by HIV, addressing each of the key prevention pillars in the End The Epidemic plan. In February 2020, The NHCLC was in a highly productive mode as it neared the end of its first project year, on track to exceed the annual deliverable of 150 training sessions by up to 15 additional sessions. Nearly 1,500 staff from over 500 different organizations had participated in training sessions delivered throughout the nation (including 4 in Puerto Rico, conducted in Spanish) with most of the events occurring in hotspot counties and states prioritized by Ending the HIV Epidemic: A Plan for America. Curriculum development was also proceeding as planned, with 2 new courses ready to be added to the list of interventions and public health strategies in the annual training plan and updates to 5 existing courses completed. Additionally, the project had conducted 4 of 5 planned Training of Trainer (TOT) events as part of its plan to increase the availability and capacity of the National Trainer Roster. As COVID-19 began to impact project activities, the CDC directed CAI to shift its curriculum development efforts to convert 9 existing classroom courses to a live, instructor-led, virtual classroom format, in addition to developing 3 new training packages in this format. CAI acted swiftly, assigning teams of three to four staff, comprised of training and content experts, to convert each course by applying adult learning theory and best practices of course design. The teams analyzed each courses aim, goals, objectives, structural design, content, and activities and restructured the course for the instructor-led, virtual classroom setting. - In the third year of an initiative with the New Jersey Department of Health to support more than 30 Ryan White HIV/AIDS Program (RWHAP)-funded HIV care and treatment agencies in integrating Trauma Informed Care into their culture, environment, and service delivery; CAI delivered 26 clustered TA sessions and trainings to 326 participants. CAI continued to facilitate effective collaboration and coordination, with monthly check-in calls with NJ DOH DHSTS, regularly providing updates on project implementation at these meetings and progress towards TA goals. In response to COVID-19, CAI focused on sharing resources and tools that would be most helpful during COVID-19. Additionally, the training and TA team created a weekly Take 5 Webinar series to remind all staff about their trauma informed skills and strategies that are helpful during the pandemic, which were viewed by 523 participants. Significant focus was added to scaling up online training conversions, finalizing and printing French and Spanish materials, developing training related videos for development of communication skills, purchase and training up on Rehearsal, as new software to support TA delivery and practice, and other online training tools. - In year five of HOPE Buffalo, an initiative funded by the Office of Adolescent Health to reduce teen pregnancy and improve adolescent wellness, CAI has continued to be successful in engaging a variety of stakeholders to implement evidence-based interventions that encourage positive sexual health choices among teens. CAI maintained our 3-tiered community mobilizing structure, which consists of a 12-member Youth Leadership Team (YLT), 47 formal &amp; informal partners, a Community Action Team (CAT), 3 Action Groups (AG) and 69 individual CAT members - to foster community engagement, ownership, and take collective action to the next level. In response to the COVID-19 pandemic, CAI and partners adapted HOPE interventions (Raising Healthy Children, Families Talking Together, 17 Days, and Be Proud! Be Responsible!) to be facilitated in virtual setting and developed additional materials to support implementation, and were able to maintain satisfactory engagement numbers, sometimes even exceeding our projections. HOPE also maintained its successful linkage &amp; referral system, making over 465 referrals to youth-friendly healthcare services. - In the final year of CAIs Community Approaches to Reducing STIs (CARS) CDC initiative in Buffalo, which addressed the significant STI/HIV disparities among African American and LGBTQ identified adolescents and young adults ages 18-24. Utilizing a community-based participatory research (CBPR) framework, CAI worked with a Community Advisory Board (CAB), comprised of 10 young adults reflective of the priority populations, to implement a community-led community needs assessment and subsequently, design a primary STI prevention intervention, Pop N Play. Pop N Play is a 3-hour fun, safe event featuring activities that promote sexual wellness, offering onsite STI testing, and promoting language and content to reduce STI-related stigma. A secondary intervention, an STI screening marketing campaign in partnership with Buffalo Public Schools, was also designed by the CAI. - CAI is serving as a TA Provider for the Colorado Health Foundation and Caring for Colorado Foundations Colorado Contraceptive Access Change Project (CCACP). This learning collaborative seeks to strengthen the capacity of safety-net providers to support all Coloradans in accessing non-coercive, culturally responsive, patient-centered contraceptive counseling and services. In FY20, CAI provided training and TA to the participating agencies as they first worked to plan and prepare for the implementation of their improvement plans and then began to implement the primary and secondary drivers of access to contraceptive care. Specifically, during this period, CAI facilitated a two-day in-person learning session, 2 clustered-in person contraceptive counseling trainings and 6 webinars and held at least 6 remote practice facilitation sessions (TA) with each organization. - CAI serves as the Coordinating Contractor funded by the NYC Department of Health and Mental Hygiene for the Improving Health Equity and Maternal and Infant Health Outcomes project providing capacity building assistance to 21 community-based organizations serving clients in the zip codes across New York City with the highest maternal and infant mortality rates. For Year 4 of this contract, CAI delivered over 100 hours of one-on-one virtual TA held 4 Learning Collaborative Sessions, provided 2 webinars and 3 cluster TA sessions, and conducted 24 onsite TA visits in addition to reviewing contracting agency work plans and curricula. Evaluations indicate that participants are highly satisfied with CAIs services, with 95% of webinar participants report they will use what they learned in their work. During this period, organizations engaged in this initiative reached 15,017 clients; and, on average, clients who participated in workshops and group education sessions answered 88% of post-test questions correctly, which was a 6% increase from 82% in Year 3. - In partnership with Legal Action Center, CAI administers the SAMHSA funded Center of Excellence for Protected Health Information (CoE-PHI). This project develops and disseminates resources, training, and TA for states, healthcare providers, school administrators and individuals and families to improve understanding and application of federal privacy laws and regulations, including FERPA, HIPAA, and 42 CFR Part 2, when providing and receiving treatment for SUD and mental illness. In the past year, CoE-PHI provided 61 instances of intensive, individualized TA to 52 unique organizations/individuals representing 28 states, along with 20 trainings which reached a total of 3,289 participants throughout the U.S. and U.S. territories. In response to COVID-19, CoE-PHI developed a suite of resources for providers and clients about maintaining privacy during telehealth visits and facilitated two national webinars that went over best practices. - Since 1999, CAI has administered the People Living with AIDS Leadership Training Institute (LTI) funded by the NYS Department of Health AIDS Institute. LTI provides skill-building courses and workshops to New Yorkers living with HIV in a safe, fun and supportive community. More recently, LTI began training participants with current/cleared Hepatitis C, and individuals with a shared lived experience of injection drug use. 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