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      <PersonNm>Paul A Giordano</PersonNm>
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      <SignatureDt>2019-11-09</SignatureDt>
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    <BuildTS>2020-03-31 21:24:44Z</BuildTS>
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        <Desc>Day Habilitation and Vocational Programs - AHRC-Nassau operates 33 habilitation program sites that serve over 1,270 disabled persons with vocational, habilitation, evaluations, and educational training. Normal activities include participating in community services, teaching skills in daily living activities, or providing assistance for elderly individuals living in nursing homes. A large percentage of the individuals participating in the day habilitation and vocational programs are permanent residents of the 135 IRAs noted above. AHRC-Nassau also operates a vocational center program for disabled individuals which includes vocational training, production assembly work, and employment services in the community.</Desc>
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        <Desc>AHRC-Nassau provides community habilitation services to 144 disabled individuals residing at home with their guardians and/or siblings 365 days a year.</Desc>
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        <Desc>AHRC-Nassau also provided Employment Services for disabled individuals which included lawn maintenance and cleaning services. The revenue and expenses for this program totaled $1,070,539 and $1,297,002, respectively. Additionally, Family Support Services programs provide respite for families with disabled children and adults as well as recreational opportunities for these disabled individuals. The revenue and expenses for this program totaled $170,419 and $176,611, respectively. Note that there was $7,972 of prior year income included in other revenue. Finally AHRC-Nassau charges management fees in the amount of $4,221,544 to organizations for which it provides services. Management services include but are not limited to, executive leadership, program operations management, corporate compliance, administrative support services, information technology, purchasing, accounts payable, payroll processing, human resources, budgeting, accounting and financial reporting.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lloyd Groveman</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kevin Miller</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas P Rosicki Esq</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Segal</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Harrietta Traversa</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey Witt</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stanfort J Perry</PersonNm>
        <TitleTxt>Exec Dir See Schedule J Part III</TitleTxt>
        <AverageHoursPerWeekRt>35</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>445526</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>110749</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christopher J O'Connor</PersonNm>
        <TitleTxt>Associate Executive Director See Schedule J Part III</TitleTxt>
        <AverageHoursPerWeekRt>35</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>304060</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>90881</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Willard T Derr</PersonNm>
        <TitleTxt>CFO See Schedule J Part III</TitleTxt>
        <AverageHoursPerWeekRt>35</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>295928</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>82356</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Barry Donowitz</PersonNm>
        <TitleTxt>Associate Executive Director See Schedule J Part III</TitleTxt>
        <AverageHoursPerWeekRt>35</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>259606</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53733</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Karen Tanzillo</PersonNm>
        <TitleTxt>Senior Director of Residential Programs/Day Programs</TitleTxt>
        <AverageHoursPerWeekRt>35</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>185966</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13396</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey Rizzo</PersonNm>
        <TitleTxt>Director Of Finance</TitleTxt>
        <AverageHoursPerWeekRt>35</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>174843</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30364</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert White</PersonNm>
        <TitleTxt>Senior Director of Human Resources</TitleTxt>
        <AverageHoursPerWeekRt>35</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>154350</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29194</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nicole L Uterano Ferrar</PersonNm>
        <TitleTxt>Senior Director of Nursing</TitleTxt>
        <AverageHoursPerWeekRt>35</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>151404</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29596</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christine F Schulte</PersonNm>
        <TitleTxt>Senior Director of Psychology</TitleTxt>
        <AverageHoursPerWeekRt>35</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>143957</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12574</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Anthony Daniels</PersonNm>
        <TitleTxt>Director of Information Technology</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>134606</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14951</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>467794</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>24</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BDO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 Park Ave</AddressLine1Txt>
            <CityNm>New York</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Independent Auditing</ServicesDesc>
        <CompensationAmt>171769</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CAMERON ENGINEERING ASSOCIATES L</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>177 CROSSWAYS PARK DR</AddressLine1Txt>
            <CityNm>Wooddbury</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11797</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECTURE</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>14013</FederatedCampaignsAmt>
      <MembershipDuesAmt>9495</MembershipDuesAmt>
      <FundraisingAmt>34933</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>42436</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>651716</AllOtherContributionsAmt>
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      <TotalContributionsAmt>752593</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Residential Services</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>67413458</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>67413458</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Day Habilitation Programs</Desc>
        <BusinessCd>624310</BusinessCd>
        <TotalRevenueColumnAmt>38398521</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38398521</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Vocational Services</Desc>
        <BusinessCd>624310</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>3236409</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Management Fees</Desc>
        <BusinessCd>561110</BusinessCd>
        <TotalRevenueColumnAmt>4221544</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4221544</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>3003484</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>116273416</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1690081</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1690081</ExclusionAmt>
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      <IncmFromInvestBondProceedsGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <RoyaltiesRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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        <PersonalAmt>0</PersonalAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>9234671</SecuritiesAmt>
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      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>7311143</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1923528</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1923528</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1923528</ExclusionAmt>
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      <FundraisingDirectExpensesAmt>26534</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>450</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>450</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>299532</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>299532</ExclusionAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3913591</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1842200</TotalAmt>
        <ProgramServicesAmt>199362</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1642838</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>60648379</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4707120</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>2067497</ProgramServicesAmt>
        <ManagementAndGeneralAmt>161087</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>13882104</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1407210</ManagementAndGeneralAmt>
        <FundraisingAmt>43010</FundraisingAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>7298059</ProgramServicesAmt>
        <ManagementAndGeneralAmt>719856</ManagementAndGeneralAmt>
        <FundraisingAmt>22762</FundraisingAmt>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>5649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>193486</ManagementAndGeneralAmt>
        <FundraisingAmt>87666</FundraisingAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>19287</TotalAmt>
        <ProgramServicesAmt>4603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14684</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>123133</TotalAmt>
        <ManagementAndGeneralAmt>123133</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>244092</TotalAmt>
        <ManagementAndGeneralAmt>244092</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>156875</TotalAmt>
        <ProgramServicesAmt>129190</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27685</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>2447776</TotalAmt>
        <ProgramServicesAmt>2271739</ProgramServicesAmt>
        <ManagementAndGeneralAmt>163007</ManagementAndGeneralAmt>
        <FundraisingAmt>13030</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>79844</TotalAmt>
        <ProgramServicesAmt>2112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77732</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>7991779</TotalAmt>
        <ProgramServicesAmt>7478462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>509078</ManagementAndGeneralAmt>
        <FundraisingAmt>4239</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>3633130</TotalAmt>
        <ProgramServicesAmt>3477702</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152052</ManagementAndGeneralAmt>
        <FundraisingAmt>3376</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>124003</TotalAmt>
        <ProgramServicesAmt>57997</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53533</ManagementAndGeneralAmt>
        <FundraisingAmt>12473</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>23949</TotalAmt>
        <ManagementAndGeneralAmt>23949</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2124339</TotalAmt>
        <ProgramServicesAmt>1426948</ProgramServicesAmt>
        <ManagementAndGeneralAmt>681101</ManagementAndGeneralAmt>
        <FundraisingAmt>16290</FundraisingAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>1979506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>159940</ManagementAndGeneralAmt>
        <FundraisingAmt>3128</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Food for residents</Desc>
        <TotalAmt>1918937</TotalAmt>
        <ProgramServicesAmt>1915631</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2194</ManagementAndGeneralAmt>
        <FundraisingAmt>1112</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Transportation</Desc>
        <TotalAmt>1206066</TotalAmt>
        <ProgramServicesAmt>1160028</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46028</ManagementAndGeneralAmt>
        <FundraisingAmt>10</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Participant Incidentals</Desc>
        <TotalAmt>730150</TotalAmt>
        <ProgramServicesAmt>698966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4566</ManagementAndGeneralAmt>
        <FundraisingAmt>26618</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Fees, Licenses, Permits</Desc>
        <TotalAmt>760023</TotalAmt>
        <ProgramServicesAmt>66593</ProgramServicesAmt>
        <ManagementAndGeneralAmt>691694</ManagementAndGeneralAmt>
        <FundraisingAmt>1736</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1906171</TotalAmt>
        <ProgramServicesAmt>1388759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>458857</ManagementAndGeneralAmt>
        <FundraisingAmt>58555</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>118916757</TotalAmt>
        <ProgramServicesAmt>106159286</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12264922</ManagementAndGeneralAmt>
        <FundraisingAmt>492549</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>9170510</BOYAmt>
        <EOYAmt>2969867</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>13615483</BOYAmt>
        <EOYAmt>20118699</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>17908</BOYAmt>
        <EOYAmt>43726</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>10470466</BOYAmt>
        <EOYAmt>11921956</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <EOYAmt>0</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1436820</BOYAmt>
        <EOYAmt>1871676</EOYAmt>
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        <PersonNm>Robert White</PersonNm>
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        <PersonNm>Nicole L Uterano Ferrar</PersonNm>
        <TitleTxt>Senior Director of Nursing</TitleTxt>
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        <PersonNm>Christine F Schulte</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors of AHRC Nassau has a designated Compensation Committee which reviews and approves compensation to its Executive Director, other officers and key employees. The Compensation Committee utilizes, and retains for the organization's records, comparable industry data, employee tenure and skill evaluations and financial condition of the organization in establishing compensation policy. AHRC Nassau also engages an independent compensation consultant who provides a compensation study of salary and benefits, reviewed by the AHRC Nassau Compensation Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Director, the two Associate Executive Directors and Chief Financial Officer received contribution to a 457(f) retirement plan in year 2018. From inception, the plan was approved by an independent consultant who opined that the plan was consistent with competitive norms. These contributions are reported in Part II, column C included in deferred compensation. The contribution to the 457(f) plan were as follows: Executive Director $73,602, Associate Executive Director(C/O) $57,867, Associate Executive Director (B/D) $22,126 and the Chief Financial Officer $49,431.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>AHRC Nassau paid bonuses to five employees listed in this form 990, Part VII, Section A, which aggregated $5,000, $1,000 each.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>AHRC Nassau reported deferred compensation for four employees in 2018 under a nonqualified deferred compensation plan under section 457(b) of the Internal Revenue Code. These amounts were subject to FICA/Medicare and reported in Box 5 of 2018 Form W-2. Because the amounts reported in Box 5 (Medicare wages) of Form W-2 were greater than Box 1 (taxable wages &amp; compensation), Form 990 is reporting Box 5 as "reportable wages," consistent with IRS Form 990 Instructions. As a result, these deferred compensation amounts are not included on Schedule J, Part II, Column C as Retirement and other Deferred Compensation. In 2018 the following amounts of deferred compensation are included on Schedule J, Part II, Column B(iii) as other reportable compensation: Executive Director $18,500, Associate Executive Director (C/O) $18,500, Associate Executive Director (B/D) $18,500 and Chief Financial Officer $18,500.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Nassau County Chapter ("AHRC-Nassau") is one of forty-eight New York State county chapters of NYSARC, Inc. NYSARC, Inc. is a membership corporation formed in 1949 for all county chapters. AHRC-Nassau is governed by its own Board of Directors, which is responsible for its operations operating under guidelines promulgated by NYSARC, Inc. AHRC-Nassau provides residential, day habilitation, vocational and other services for individuals with intellectual and other developmental disabilities in Nassau County, New York.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Members in good standing of AHRC-Nassau's governing body elect members of the Board of Directors at their annual meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of AHRC-Nassau's governing body have the authority to approve changes to AHRC Nassau's by-laws. Any changes to the AHRC-Nassau by-laws approved by AHRC-Nassau Board members are also subject to approval by the AHRC-Nassau membership at a special meeting called for such purpose and by the Board of Governors of NYSARC, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by AHRC-Nassau finance department personnel and is reviewed by independent accountants. The Form 990 is provided to the Finance Committee and to the AHRC-Nassau Board of Directors prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All Board Members complete and submit a conflict of interest questionnaire annually to the chairperson of the Board's Corporate Compliance Committee. Completed questionnaires will be reviewed by this committee and a presentation made to the full Board of Directors. As per the Conflict of Interest policy for Key and Supervisory Personnel: New employees to whom this policy applies will be required to disclose any other employment, independent consulting assignment, family relationship to Agency employees, or other potential conflict of interest at the time of hire. The "Potential Conflict of Interest Disclosure Form" will be provided to the employee by the Human Resources Department and must be completed with all other pre-employment paperwork and forwarded to the department Director for review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A board designated Compensation Committee reviews compensation of officers and key employees utilizing, and retaining for its records, comparable industry data, employee tenure and skill evaluations, and financial condition of the organization. The compensation committee review is conducted and reported annually. The process includes the contemporaneous documentation and record-keeping of the deliberations and decisions regarding the compensation arrangement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
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