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        <ExplanationTxt>Leased Employees - 2012 Amount: $ 1,050,003. 2013 Amount: $ 530,565. 2014 Amount: $ 50,455. 2015 Amount: $ 53,282. OTHER - 2011 Amount: $ 722,815. 2012 Amount: $ 459,337. 2013 Amount: $ 74,289. 2014 Amount: $ 48,309. 2015 Amount: $ 74,799. Meaningful Use Incentivies - 2012 Amount: $ 1,381,253. 2013 Amount: $ 1,118,225. 2014 Amount: $ 1,024,250. 2015 Amount: $ 1,049,750. 340 B - 2011 Amount: $ 101,931. 2012 Amount: $ 172,687. 2013 Amount: $ 370,417. 2014 Amount: $ 451,920.</ExplanationTxt>
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        <Desc>CAPITAL LEASE OBLIGATIONS</Desc>
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        <Desc>DEFERRED COMPensation LIABILITY</Desc>
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        <Desc>Health Home Development refundable advances</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <ExpensesNotRptFinclStmtAmt>5875046</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, question 20a:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization is licensed under article 28 of New York State Public Health Law. However, subsection 10 of article 28 excludes certain healthcare facilities from the definition of general hospital. Therefore, the organization is not including schedule H in the current year form 990 as they do not meet this definition.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MARCIA JaCOBOWITZ-PAZ, vice chairperson, HAS A FAMILY RELATIONShIP WITH F. BRYAN PAZ, board member.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared by an independent accountant. It IS then PRESENTED TO the AUDIT COMMITTEE OF THE BOARD WHICH PRESENTS it TO THE FULL BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>hudson river healthcare has a compliance committee of the Board, an anonymous tip line with a relation whistle blower policy. the organization has conflict of interest disclaimer forms that are filled out by officers and board memebers and are reviewed on a regular basis by the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>BASE-PAY REALIGNMENTS TO THE MARKET ARE DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS PERTAINING TO THE COMPENSATION OF INDIVIDUALS SERVING AS THE PRESIDENT, CEO AND OTHER OFFICERS. THE BOARD OF DIRECTORS USES AN EXTERNAL COMPENSATION CONSULTANT, PROXUS CONSULTING GROUP BASED IN PHILADELPHIA, PA, TO ADVISE THE BOARD OF DIRECTORS IN ITS DECISIONS REGARDING CHANGES TO THE ANNUAL BASE COMPENSATION OF THE PRESIDENT AND CEO AND OTHER OFFICERS. EXTERNAL MARKET DATA IS COLLECTED BY PROXUS, FROM THREE PUBLISHED SURVEY SOURCES: ECONOMIC RESEARCH INSTITUTE, THE HAY HEALTHCARE SURVEY, AND THE WARREN HMO SALARY SURVEY. MARKET DATA IS EXTRAPOLATED BASED ON THE MAIN DUTIES AND RESPONSIBILITES OUTLINED IN THE JOB DESCRIPTION. THE SURVEY DATA IS ABLE TO PROVIDE DATA SPECIFICALLY FOR THE PEEKSKILL, NY MARKET AREA, THE HEADQUARTERS OF HUDSON RIVER HEALTHCARE, INC. MARKET DATA IS REVIEWED AT THE MEDIAN (50TH PERCENTILE) WHICH FOLLOWS HISTORICAL AND TRADITIONAL COMPENSATION PRACTICES FOR MOST ORGANIZATIONS STRIVING TO BE COMPETITIVE AT THE 50TH PERCENTILE. ONCE THE ANALYSIS IS COMPLETED, A RECOMMENDATION IS MADE REGARDING BASE COMPENSATION. THE COMPENSATION COMMITTEE OF THE BOARD MEETS TO DISCUSS, WITH THE CONSULTANTS, THEIR WORK AND FINDINGS, DELIBERATES, AND DECIDES, WITHOUT THE CONSULTANTS BEING PRESENT, WHAT CHANGES TO ANNUAL BASE COMPENSATION ARE WARRANTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>MONTICELLO LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>19 LAKEWOOD AVENUE</AddressLine1Txt>
          <CityNm>MONTICELLO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12701</ZIPCd>
        </USAddress>
        <EIN>272572593</EIN>
        <PrimaryActivitiesTxt>Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <TotalIncomeAmt>143679</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2377303</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>hudson river healthcare inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hudson River Ventures llc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1037 MAIN STREET</AddressLine1Txt>
          <CityNm>PEEKSKILL</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10566</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>investment</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <EndOfYearAssetsAmt>413568</EndOfYearAssetsAmt>
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        <PrimaryActivitiesTxt>development</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>c/o The Mental Health Assoc of West</AddressLine1Txt>
          <CityNm>tarrytown</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10591</ZIPCd>
        </USAddress>
        <EIN>474056392</EIN>
        <PrimaryActivitiesTxt>behavioral health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SOLUTIONS 4 COMMUNITY HEALTH INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1037 MAIN STREET</AddressLine1Txt>
          <CityNm>PEEKSKILL</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10566</ZIPCd>
        </USAddress>
        <EIN>753241273</EIN>
        <PrimaryActivitiesTxt>MEDICAL BILLING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>hudson river healthcare inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>2516079</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1404798</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOLUTIONS 4 COMMUNITY HEALTH INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>2159780</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>fmv</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>