﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2018v3.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2019-11-19T15:42:15-06:00</ReturnTs>
    <TaxPeriodEndDt>2018-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>271728945</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>PKF O'CONNOR DAVIES LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>665 FIFTH AVENUE</AddressLine1Txt>
        <CityNm>NEW YORK</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10022</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2018-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>133484329</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>CENTER FOR COMPREHENSIVE HEALTH</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>PRACTICE INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>CENT</BusinessNameControlTxt>
      <PhoneNum>2123607781</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1900 2ND AVENUE 9TH FL</AddressLine1Txt>
        <CityNm>NEW YORK</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10029</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>THOMAS NICOLICH</PersonNm>
      <PersonTitleTxt>CHIEF FINANCIAL OFFICER</PersonTitleTxt>
      <PhoneNum>2123607781</PhoneNum>
      <SignatureDt>2019-11-19</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>GARRETT M HIGGINS</PreparerPersonNm>
      <PTIN>P00543209</PTIN>
      <PhoneNum>2122862600</PhoneNum>
      <PreparationDt>2019-11-19</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>4.15.211.182</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2019-11-19</IPDt>
      <IPTm>15:36:06</IPTm>
      <IPTimezoneCd>ES</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>8B9532C6912B3E39A4E7E5ED0BE6E8176682D039</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>C5C0E2060BEB3F24671B5CC0358F632D6B4109AD</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2018</TaxYr>
    <BuildTS>2020-03-31 21:24:44Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>SUSAN OHANESIAN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1900 2ND AVENUE 9TH FL</AddressLine1Txt>
        <CityNm>NEW YORK</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10029</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>8498697</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.CCHPHEALTHCARE.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1990</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROVIDE ACCESSIBLE COMMUNITY-BASED TREATMENT THAT INTEGRATES PRIMARY HEALTH CARE WITH SUBSTANCE USE AND BEHAVIORAL HEALTH SERVICES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>8</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>8</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>98</TotalEmployeeCnt>
      <TotalVolunteersCnt>13</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>73270</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>2527891</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2912975</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>4875615</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>5544077</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>150</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>241</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>759030</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>21724</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>8162686</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>8479017</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>5643198</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>6084228</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>169888</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>2350896</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>2873762</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>7994094</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>8957990</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>168592</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-478973</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>2135757</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1668592</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1119880</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1058559</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>1015877</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>610033</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE CENTER FOR COMPREHENSIVE HEALTH PRACTICE, INC. PROVIDES ACCESSIBLE COMMUNITY-BASED TREATMENT THAT INTEGRATES PRIMARY HEALTH CARE WITH SUBSTANCE USE AND BEHAVIORAL HEALTH SERVICES FOR ALL CHILDREN, ADOLESCENTS, ADULTS AND FAMILIES RESIDING IN EAST HARLEM AND THE GREATER NEW YORK COMMUNITY. OUR APPROACH CREATES A LASTING HEALTH CARE PARTNERSHIP BETWEEN PATIENTS, FAMILIES AND PROFESSIONALS.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>1562530</ExpenseAmt>
      <RevenueAmt>1629703</RevenueAmt>
      <Desc>PRIMARY CARE HEALTH SERVICES (PC) EXTENDS BEYOND ONCE A YEAR PHYSICAL WITH YOUR PRIMARY CARE PROVIDER. OUR TEAM OF PHYSICIANS, SPECIALISTS, COUNSELORS AND NURSES WORK TOGETHER TO ADDRESS THE MEDICAL, SOCIAL, AND EMOTIONAL AND CHILD DEVELOPMENT NEEDS OF FAMILIES. BY EMPHASIZING HEALTH EDUCATION, PREVENTION AND EARLY TREATMENT OF ILLNESSES, OUR TRAINED STAFF IS ABLE TO INTERVENE BEFORE MINOR ISSUES BECOME LIFE-THREATENING CONDITIONS. DURING 2018, 2,394 PATIENTS WERE SERVED WITH 8,688 VISITS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>1531288</ExpenseAmt>
        <RevenueAmt>1018196</RevenueAmt>
        <Desc>FAMILY AND EMPLOYMENT SERVICES PROGRAM (FESP-MS) HELPS INDIVIDUALS AND FAMILIES OVERCOME SUBSTANCE USE ISSUES, STABILIZE FAMILY RELATIONSHIPS, EXPAND EMPLOYMENT OPTIONS AND IMPROVE OVERALL HEALTH AND MENTAL HEALTH STATUS. TREATMENT IS TAILORED WITH ACTIVE PATIENT PARTICIPATION TO ENSURE THE BEST OPPORTUNITY FOR RECOVERY. DURING 2018, 469 PATIENTS WERE SERVED WITH 9,237 VISITS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>1403367</ExpenseAmt>
        <RevenueAmt>947536</RevenueAmt>
        <Desc>EXTENDED CARE PROGRAM (ECP) IS A METHADONE MAINTENANCE PROGRAM THAT PROVIDES LONG-TERM OUTPATIENT CARE FOR PEOPLE WHO REQUIRE ONGOING TREATMENT IN ORDER TO BECOME OR REMAIN FREE FROM THE USE OF OPIOIDS. THE GOAL OF THE PROGRAM IS TO HELP PATIENTS MAINTAIN ABSTINENCE FROM ILLICIT DRUG USE WHILE ADDRESSING THEIR MEDICAL, MENTAL HEALTH, FAMILY, INTERPERSONAL, HOUSING, LEGAL AND VOCATIONAL NEEDS. TREATMENT IS TAILORED WITH ACTIVE PATIENT PARTICIPATION TO ENSURE THE BEST OPPORTUNITY FOR RECOVERY. DURING 2018, 347 PATIENTS WERE SERVED WITH 4,409 VISITS.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1138444</ExpenseAmt>
        <RevenueAmt>1043094</RevenueAmt>
        <Desc>PREGNANT ADDICTS AND ADDICTED MOTHERS (PAAM) IS A COMPREHENSIVE FAMILY-CARE PROGRAM DESIGNED TO MEET THE NEEDS OF ALL OPIOID DEPENDENT WOMEN, INCLUDING THOSE WHO HAVE CHILDREN OR ARE PREGNANT. PROGRAM GOALS FOR EACH WOMAN ARE TO CURTAIL SUBSTANCE USE, REDUCE THE RISK OF DISEASE, MANAGE CHRONIC HEALTH CONDITIONS, GAIN MEDICAL AND ECONOMIC STABILITY, HAVE HEALTHY DELIVERY IF PREGNANT, BE AN ABLE PARENT AND HELP CHILDREN DEVELOP BOTH PHYSICALLY AND PSYCHOLOGICALLY. DURING 2018, 250 PATIENTS WERE SERVED WITH 6,286 VISITS.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>834352</ExpenseAmt>
        <RevenueAmt>893323</RevenueAmt>
        <Desc>MULTI-TRACK PROGRAM (MAP) IS A METHADONE PROGRAM WHICH OFFERS OUT-PATIENT HELP TO SUBSTANCE USERS WHOSE PRIMARY ADDICTION IS OPIATES. THE PROGRAM GOALS ARE TO ENGAGE ADDICTED PERSONS IN ON-GOING TREATMENT AND PROVIDE MEDICALLY SUPERVISED WITHDRAWAL AS APPROPRIATE. DURING 2018, 285 PATIENTS WERE SERVED WITH 3,352 VISITS.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>203751</ExpenseAmt>
        <RevenueAmt>12225</RevenueAmt>
        <Desc>EARLY CHILDHOOD DEVELOPMENT CENTER (ECDC) TEACHES PARENTS THE PRINCIPLES OF CHILD DEVELOPMENT AND PROVIDES ONGOING SUPPORT AND GUIDANCE. PARENT-EDUCATION GROUPS FOLLOW A CURRICULUM LED BY PARENT EDUCATORS IN A SMALL GROUP SETTING. PARENTS CAN SHARE THEIR QUESTIONS, LEARN WHAT TO EXPECT AND HOW TO RESPOND TO THEIR CHILD'S CHANGING NEEDS. GROUPS MEET WEEKLY AND ARE ORGANIZED BY THE CHILD'S BIRTHDATE.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>145864</ExpenseAmt>
        <Desc>VOCATIONAL EDUCATION (VOC ED) OFFERS WORK READINESS ASSESSMENTS, CAREER COUNSELING, PRE-EMPLOYMENT COUNSELING, EDUCATION AND TRAINING REFERRALS, AND EMPLOYMENT REFERRALS. ON-SITE JOB FAIRS ARE ALSO PROVIDED. APPROX. 1,000 UNITS OF SERVICE ARE DELIVERED EACH YEAR, PRIMARILY TO PERSONS WITH SUBSTANCE ABUSE HISTORIES.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1567</ExpenseAmt>
        <Desc>BUPRENORPHINE TREATMENT PROGRAM TREATS PATIENTS DIAGNOSED WITH AN OPIOID USE DISORDER, THROUGH A HOME-BASED INDUCTION PROCESS. TREATMENT IS RECEIVED UNDER THE SUPERVISION OF A PHYSICIAN WHO HAS BEEN WAIVERED TO PRESCRIBE BUPRENORPHINE AND CLOSELY MONITORED BY A NURSE CARE MANAGER. THE PROGRAM GOALS ARE TO ENGAGE ADDICTED PERSONS IN ONGOING TREATMENT AND PROVIDE MEDICALLY SUPERVISED WITHDRAWAL AS APPROPRIATE.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>2323978</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>1948642</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>6821163</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc1040000001">0</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>0</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>38</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>98</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>8</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>8</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>THOMAS NICOLICH CFO</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>2123607781</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1900 2ND AVENUE 9TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10029</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKI KAPOOR</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARA STONE</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT MERCURIO ESQ</PersonNm>
        <TitleTxt>TREASURER UNTIL JUL. 2018</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HANSEL ARROYO MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEN KUSMIN ESQ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONNA LAZARUS ESQ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDRE NELSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LANE TOBIAS</PersonNm>
        <TitleTxt>DIRECTOR UNTIL JAN. 2018</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA TU MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESSICA WURWARG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN OHANESIAN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>161294</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31428</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS NICOLICH</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>115460</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31707</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIELY FERNANDEZ MD</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>176717</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34832</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANN MENDELSOHN</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>125825</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34167</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNA RENKIEWICZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>160489</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68317</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DARRYL SMITH</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>117747</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27213</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>857532</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>227664</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WINFIELD SECURITY CORP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>57 WEST 38TH STREET SUITE 501</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10018</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVICES</ServicesDesc>
        <CompensationAmt>111802</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>11484</FundraisingAmt>
      <GovernmentGrantsAmt>2535214</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>366277</AllOtherContributionsAmt>
      <TotalContributionsAmt>2912975</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENU</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>5544077</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5544077</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>5544077</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>241</TotalRevenueColumnAmt>
        <ExclusionAmt>241</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>24900</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>11484</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>19680</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>5220</TotalRevenueColumnAmt>
        <ExclusionAmt>5220</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>PARENTING FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>15805</TotalRevenueColumnAmt>
        <ExclusionAmt>15805</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>REFUND - NYS COMPTROLL</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>460</TotalRevenueColumnAmt>
        <ExclusionAmt>460</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS FEE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>239</TotalRevenueColumnAmt>
        <ExclusionAmt>239</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>16504</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8479017</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5544077</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>21965</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>553678</TotalAmt>
        <ProgramServicesAmt>461959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77600</ManagementAndGeneralAmt>
        <FundraisingAmt>14119</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4257830</TotalAmt>
        <ProgramServicesAmt>3552502</ProgramServicesAmt>
        <ManagementAndGeneralAmt>596749</ManagementAndGeneralAmt>
        <FundraisingAmt>108579</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>178516</TotalAmt>
        <ProgramServicesAmt>147903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24983</ManagementAndGeneralAmt>
        <FundraisingAmt>5630</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>739226</TotalAmt>
        <ProgramServicesAmt>613425</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103487</ManagementAndGeneralAmt>
        <FundraisingAmt>22314</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>354978</TotalAmt>
        <ProgramServicesAmt>294631</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49696</ManagementAndGeneralAmt>
        <FundraisingAmt>10651</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>27388</TotalAmt>
        <ManagementAndGeneralAmt>27388</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>40706</TotalAmt>
        <ProgramServicesAmt>25433</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14939</ManagementAndGeneralAmt>
        <FundraisingAmt>334</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>379977</TotalAmt>
        <ProgramServicesAmt>282940</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94916</ManagementAndGeneralAmt>
        <FundraisingAmt>2121</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>68903</TotalAmt>
        <ProgramServicesAmt>59733</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8398</ManagementAndGeneralAmt>
        <FundraisingAmt>772</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>438144</TotalAmt>
        <ProgramServicesAmt>273754</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160797</ManagementAndGeneralAmt>
        <FundraisingAmt>3593</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>712716</TotalAmt>
        <ProgramServicesAmt>656464</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56252</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>28467</TotalAmt>
        <ProgramServicesAmt>26886</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1581</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>2286</TotalAmt>
        <ManagementAndGeneralAmt>2286</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>22607</TotalAmt>
        <ProgramServicesAmt>16402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6205</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>197860</TotalAmt>
        <ProgramServicesAmt>177038</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20822</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>654640</TotalAmt>
        <ManagementAndGeneralAmt>654640</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>163290</TotalAmt>
        <ProgramServicesAmt>151214</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12076</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT PURCHASES</Desc>
        <TotalAmt>41406</TotalAmt>
        <ProgramServicesAmt>22420</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18986</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>STAFF DEVELOPMENT</Desc>
        <TotalAmt>36012</TotalAmt>
        <ProgramServicesAmt>22203</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12952</ManagementAndGeneralAmt>
        <FundraisingAmt>857</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>59360</TotalAmt>
        <ProgramServicesAmt>36256</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22186</ManagementAndGeneralAmt>
        <FundraisingAmt>918</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>8957990</TotalAmt>
        <ProgramServicesAmt>6821163</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1966939</ManagementAndGeneralAmt>
        <FundraisingAmt>169888</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1054210</BOYAmt>
        <EOYAmt>202157</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>255365</BOYAmt>
        <EOYAmt>455135</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>90102</BOYAmt>
        <EOYAmt>70039</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>615897</BOYAmt>
        <EOYAmt>767542</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>56632</BOYAmt>
        <EOYAmt>51433</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>468394</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>347122</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>62537</BOYAmt>
        <EOYAmt>121272</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1014</BOYAmt>
        <EOYAmt>1014</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>2135757</BOYAmt>
        <EOYAmt>1668592</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>555248</BOYAmt>
        <EOYAmt>489660</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>516326</BOYAmt>
        <EOYAmt>514929</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>48306</BOYAmt>
        <EOYAmt>53970</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1119880</BOYAmt>
        <EOYAmt>1058559</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1015877</BOYAmt>
        <EOYAmt>610033</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1015877</BOYAmt>
        <EOYAmt>610033</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2135757</BOYAmt>
        <EOYAmt>1668592</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-478973</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>73129</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2924680</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2720005</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2668245</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2527891</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2912975</CurrentTaxYearAmt>
        <TotalAmt>13753796</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2924680</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2720005</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2668245</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2527891</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2912975</CurrentTaxYearAmt>
        <TotalAmt>13753796</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>13753796</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>909</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>568</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>273</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>150</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>241</CurrentTaxYearAmt>
        <TotalAmt>2141</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearAmt>5220</CurrentTaxYearAmt>
        <TotalAmt>5220</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus1YearAmt>759405</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16504</CurrentTaxYearAmt>
        <TotalAmt>775909</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>14537066</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>5544077</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.94610</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99760</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>PARENTING FEES - 2018 AMOUNT: $ 15,805. REFUND - NYS COMPTROLLER - 2018 AMOUNT: $ 460. MEDICAL RECORDS FEE - 2018 AMOUNT: $ 239. HEALTH BENEFIT TERMINATION - 2017 AMOUNT: $ 705,897. OTHER REVENUE - OVERACCRUAL - 2017 AMOUNT: $ 39,500. OTHER REVENUE - INSURANCE - 2017 AMOUNT: $ 14,008.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>21345</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5179</DepreciationAmt>
        <BookValueAmt>16166</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>116073</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>69345</DepreciationAmt>
        <BookValueAmt>46728</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>330976</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>272598</DepreciationAmt>
        <BookValueAmt>58378</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>121272</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE PAYABLE</Desc>
        <Amt>1636</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT</Desc>
        <Amt>52334</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>53970</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>7835558</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>11181</OtherRevenueAmt>
      <RevenueNotReportedAmt>11181</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>7824377</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>654640</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>654640</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>8479017</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8314531</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>11181</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>11181</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>8303350</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>654640</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>654640</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>8957990</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR THE PERIODS PRIOR TO DECEMBER 31, 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENT EXPENSE 11,181.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBTS 654,640.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENT EXPENSE 11,181.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR BAD DEBTS 654,640.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>ECDC LUNCHEON</Event1Nm>
        <GrossReceiptsEvent1Amt>36384</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>11484</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>24900</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>2000</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>12616</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>2762</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2302</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>36384</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>11484</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>24900</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>2000</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>12616</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>2762</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>2302</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>19680</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>5220</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN OHANESIAN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>161294</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>29184</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2244</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>192722</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIELY FERNANDEZ MD</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>176717</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>31882</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2950</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>211549</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANN MENDELSOHN</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>125825</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13832</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20335</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>159992</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNA RENKIEWICZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>160489</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>29308</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>39009</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>228806</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTER FOR COMPREHENSIVE HEALTH PRACTICE HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY THE FINANCE AND AUDIT COMMITTEE AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, AN ELECTRONIC COPY OF THE FORM 990 IS DISTRIBUTED TO THE BOARD FOR REVIEW AND COMMENT PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CURRENTLY HAS IN PLACE A CONFLICT OF INTEREST POLICY THAT APPLIES TO ANY DIRECTOR, OFFICER, OR EMPLOYEES OF THE ORGANIZATION, WHICH IT ANNUALLY MONITORS AND ENFORCES. THE BOARD MANDATES THAT ALL MEMBERS OF THE GOVERNING BODY ANNUALLY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. ANY DIRECTOR, OFFICER OR EMPLOYEE WHO HAS A CONFLICT OF INTEREST SHALL DISCLOSE TO THE BOARD THE MATERIAL FACTS CONCERNING SUCH INTEREST. A PERSON WHO HAS A CONFLICT MUST NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE BOARD'S OR COMMITTEE'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. THE EXISTENCE OF ALL SUCH CONFLICTS OF INTEREST AND THEIR RESOLUTION, AS WELL AS ANY ISSUES RELATING TO THEM, SHALL BE FULLY DOCUMENTED IN THE MINUTES OF ANY MEETING AT WHICH THE CONFLICT WAS DISCUSSED OR VOTED ON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE DECIDES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND MEDICAL DIRECTOR ANNUALLY. THIS IS DONE BY OBTAINING 990'S OF COMPARABLE ORGANIZATIONS AND SALARY SURVEYS. THIS PROCESS WAS LAST CONDUCTED DURING 2018 AND IS DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER FOR COMPREHENSIVE HEALTH PRACTICE HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2018, THE ORGANIZATION RESTATED CERTAIN AMOUNTS REPORTED IN THE 2017 FINANCIAL STATEMENTS TO CORRECT THE OVER ACCRUAL OF EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>