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      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH W STACK</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>134880</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3360</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMY L EARSHEN</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>113376</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3291</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>248256</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>6651</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WAINSCHAF ASSOCIATES</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12144</ZIPCd>
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        <ServicesDesc>CONSTRUCTION CONTRACTOR</ServicesDesc>
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      <TotalContributionsAmt>1891439</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>623990</BusinessCd>
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      <ProgramServiceRevenueGrp>
        <Desc>HOME RELIEF</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER FEES</Desc>
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        <ExclusionAmt>787</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>68396</ProgramServicesAmt>
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        <ProgramServicesAmt>208222</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>140645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56079</ManagementAndGeneralAmt>
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        <TotalAmt>280269</TotalAmt>
        <ProgramServicesAmt>278111</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2158</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>15312</TotalAmt>
        <ProgramServicesAmt>13233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2079</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>79650</TotalAmt>
        <ProgramServicesAmt>71063</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8587</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>183743</TotalAmt>
        <ProgramServicesAmt>179763</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3980</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>78914</TotalAmt>
        <ProgramServicesAmt>73458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5456</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>132576</TotalAmt>
        <ProgramServicesAmt>111422</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21154</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
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        <ProgramServicesAmt>79877</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>74896</ProgramServicesAmt>
        <ManagementAndGeneralAmt>812</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TRANSPORTATION</Desc>
        <TotalAmt>28485</TotalAmt>
        <ProgramServicesAmt>28363</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>30985</TotalAmt>
        <ProgramServicesAmt>23967</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7018</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>3998907</TotalAmt>
        <ProgramServicesAmt>3685863</ProgramServicesAmt>
        <ManagementAndGeneralAmt>313044</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>117408</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>21492</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>5530149</EOYAmt>
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        <EOYAmt>54489</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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      <LoansFromOfficersDirectorsGrp>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>155452</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>6133866</EOYAmt>
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      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>-62891</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>227337</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>411344</BOYAmt>
        <EOYAmt>164446</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>6298312</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-246898</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1479705</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1610815</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1929331</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1891439</CurrentTaxYearAmt>
        <TotalAmt>8454025</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1479705</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1610815</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1929331</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1891439</CurrentTaxYearAmt>
        <TotalAmt>8454025</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>8454025</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>25</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>125</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1346</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>787</CurrentTaxYearAmt>
        <TotalAmt>2295</TotalAmt>
      </GrossInvestmentIncome170Grp>
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      <GrossReceiptsRltdActivitiesAmt>1859783</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.99980</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>106710</BookValueAmt>
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        <DepreciationAmt>940032</DepreciationAmt>
        <BookValueAmt>1663971</BookValueAmt>
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        <BookValueAmt>1219009</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>733641</DepreciationAmt>
        <BookValueAmt>235250</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <BookValueAmt>2305209</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>5530149</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RESERVE FOR THIRD-PARTY PAYOR SETTLEMENTS</Desc>
        <Amt>130452</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCE</Desc>
        <Amt>25000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>155452</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCA AND ITS AFFILIATE ARE NEW YORK NOT-FOR-PROFIT CORPORATIONS EXEMPT FROM INCOME TAXES AS ORGANIZATIONS QUALIFIED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE SERVICE AS ENTITIES THAT ARE NOT PRIVATE FOUNDATIONS AND QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION. THE ORGANIZATION IS NOT SUBJECT TO INCOME TAXES ON INCOME RECEIVED FOR EXEMPT PURPOSES. NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION FOLLOWS STATUTORY REQUIREMENTS FOR INCOME TAX ACCOUNTING AND AVOIDS RISKS WITH TAX POSITIONS THAT MAY BE CHALLENGED UPON EXAMINATION. MANAGEMENT BELIEVES THE LIABILITY FROM TAXING AUTHORITY EXAMINATION, IF ANY, WOULD NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>MICHAEL J REILLY</PersonNm>
        <RelationshipWithOrgTxt>BOARD MEMBER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>CASH FLOW</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>300000</OriginalPrincipalAmt>
        <BalanceDueAmt>300000</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>300000</TotalBalanceDueAmt>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF THE ANNUAL AUDIT, OUR INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM PREPARES FORM 990 AND RELATED SUPPORTING SCHEDULES FROM OUR INTERNAL RECORDS. WE DESIGNATE AN INDIVIDUAL(S) (I.E. EXECUTIVE DIRECTOR, DIRECTOR OF OPERATIONS) WITH SUITABLE SKILL, KNOWLEDGE OR EXPERIENCE TO OVERSEE THESE SERVICES AND WE MAKE ALL MANAGEMENT DECISIONS AND PERFORM ALL MANAGEMENT FUNCTIONS. WE HAVE REVIEWED, APPROVED, AND ACCEPTED RESPONSIBILITY FOR FORM 990 AND THE RELATED SUPPORTING SCHEDULES AND BELIEVE THEY ARE ADEQUATELY SUPPORTED BY THE BOOKS AND RECORDS OF ACCA. FORM 990 IS MADE AVAILABLE TO BOARD MEMBERS FOR THEIR REVIEW AT A BOARD MEETING PRIOR TO FILING THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT OF INTEREST DISCLOSURE STATEMENT SHALL BE FURNISHED ANNUALLY TO THE BOARD AND COMMITTEE MEMBERS. EACH DIRECTOR, OFFICER AND COMITTEE MEMBER SHALL SIGN ANNUALLY A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; B) HAS READ AND UNDERSTOOD THE POLICY; C) HAS AGREED TO COMPLY WITH THE POLICY; AND D) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENAGAGE PRIMARILY IN ACTIVITIES WHICH ACOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PUPOSES. THE DISCLOSURE STATEMENTS ARE REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS OR BY A COMMITTEE THEREOF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF THE EXECUTIVE DIRECTOR IS RECOMENDED TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE BASES THEIR RECOMMENDATION UPON COMPARABILITY DATA OBTAINED FROM A SERVICE THAT PROVIDES REGIONAL AND STATEWIDE COMPARABLE SALARIES. AN AGREEMENT IS THEN DRAFTED SETTING FORTH THE COMPENSATION AND THE AGREEMENT IS SIGNED BY THE EXECUTIVE DIRECTOR AND THE BOARD OF DIRECTORS. NO MEMBER OF THE BOARD OF DIRECTORS RECEIVES COMPENSATION. THE EXECUTIVE DIRECTOR IS THE ONLY PAID EMPLOYEE MEETING THE DEFINITION OF A TOP MANAGEMENT OFFICIAL. THERE ARE NO KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS TAX FILINGS AND ANUAL FINANCIAL STATEMENTS ARE AVAILIBLE ON THE INTERNET AT: HTTP://BARTLETT.OAG.STATE.NY.US/CHAR_FORMS/SEARCH_CHARITIES_ACTION.JSP THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS, FORM 990 AND OTHER DOCUMENTS ARE MADE AVAILABLE ON REQUEST, PARTICULARLY AS PART OF GRANT APPLICATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADDICTIONS CARE FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>90 MCCARTY AVENUE</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12202</ZIPCd>
        </USAddress>
        <EIN>043629235</EIN>
        <PrimaryActivitiesTxt>OPERATED EXCLUSIVELY FOR THE CHARITABLE PURPOSE OF SUPPORTING ACCA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>TYPE 1 SUPPORT</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADDICTIONS CARE CENTER OF ALBANY INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADDICTIONS CARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>14597</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT - ASSISTANCE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADDICTIONS CARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>70639</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT - REPAIRS AND MAINT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADDICTIONS CARE FOUNDATION (GUARANTEE)</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>613092</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>YE BALANCE OF O/S DEBT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADDICTIONS CARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>175738</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT - LEASES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADDICTIONS CARE FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>69708</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNT - PERSONAL SVCS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>