﻿<?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="2015v2.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2016-07-01T14:25:58-05:00</ReturnTs>
    <TaxPeriodEndDt>2015-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>010723685</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DERMODY BURKE &amp; BROWN CPAS LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>443 N FRANKLIN ST STE 100</AddressLine1Txt>
        <CityNm>SYRACUSE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>132041441</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2015-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>161363413</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ONONDAGA CASE MANAGEMENT SERVICES INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>ONON</BusinessNameControlTxt>
      <PhoneNum>3154727363</PhoneNum>
      <USAddress>
        <AddressLine1Txt>620 ERIE BOULEVARD W SUITE 302</AddressLine1Txt>
        <CityNm>SYRACUSE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>13204</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>NANCY LEVETT</PersonNm>
      <PersonTitleTxt>PRESIDENT</PersonTitleTxt>
      <PhoneNum>3154727363</PhoneNum>
      <SignatureDt>2016-06-20</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>CAROLYN S STURICK</PreparerPersonNm>
      <PTIN>P01278448</PTIN>
      <PhoneNum>3154719171</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2015</TaxYr>
    <BuildTS>2016-09-27 15:27:22Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="6">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>NANCY LEVETT</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>620 ERIE BOULEVARD W SUITE 302</AddressLine1Txt>
        <CityNm>SYRACUSE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>13204</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>9642900</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.OCMSINC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1990</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SEE SCHEDULE O.ONONDAGA CASE MANAGEMENT SERVICES, INC. (OCMS) IS A PERSON AND FAMILY CENTERED AGENCY THAT PROVIDES RECOVERY ORIENTED, COMMUNITY BASED, CARE COORDINATION SERVICES TO INDIVIDUALS DIAGNOSED WITH SEVERE AND PERSISTENT MENTAL ILLNESS AND TO CHILDREN WHO ARE IDENTIFIED AS NEEDING SUPPORT RELATED TO EMOTIONAL DISTURBANCE. THE AGENCY'S OVER ARCHING MISSION IS TO ASSIST INDIVIDUALS AND THEIR FAMILIES TO DEVELOP THE RESOURCES AND SUPPORTS TO LIVE SATISFYING AND NATURALLY INTERDEPENDENT LIVES.SERVICES HAVE TRADITIONALLY BEEN AVAILABLE ONLY TO ADULTS AND CHILDREN WITHIN ONONDAGA COUNTY; HOWEVER, IN 2012 OCMS WAS CHOSEN BY THE NEW YORK STATE DEPARTMENT OF HEALTH TO BE A REGIONAL HEALTH HOME CARE COORDINATION LEAD AGENCY IN THE CENTRAL NEW YORK REGION FOR ADULTS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>174</TotalEmployeeCnt>
      <TotalVolunteersCnt>0</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>2333092</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2203631</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>6554015</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>7406650</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>-38665</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>2654</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>30966</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>29965</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>8879408</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>9642900</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>5724103</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>6238001</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>2047222</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>2284298</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>7771325</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>8522299</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1108083</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>1120601</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>3694022</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>9044629</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1698996</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>5929002</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>1995026</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>3115627</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>ONONDAGA CASE MANAGEMENT SERVICES, INC. ASSISTS PEOPLE WITH DIFFICULT LIFE CHALLENGES TO DEVELOP PERSONALLY MEANINGFUL LIVES.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>5786687</ExpenseAmt>
      <RevenueAmt>5560534</RevenueAmt>
      <Desc>CASE MANAGEMENT: HEALTH HOME CARE MANAGEMENT AND CHILDREN AND YOUTH ICM/SCM SEE SCHEDULE O FOR FURTHER DETAILS.OCMS CARE MANAGEMENT SERVICES DELIVER HEALTH HOME CARE MANAGEMENT SERVICES IN CONJUNCTION WITH STRATEGIC PARTNERS IN ONONDAGA COUNTY. HEALTH HOME CARE MANAGERS COORDINATE CARE AND SOCIAL SUPPORTS FOR PERSONS WITH CHRONIC PHYSICAL AND BEHAVIORAL HEALTH CONDITIONS (SEE BELOW FOR A DESCRIPTION OF HEALTH HOME). OCMS IS A REGIONAL HEALTH HOME THAT DELIVERS ADMINISTRATIVE OVERSIGHT TO A NETWORK OF HEALTH HOME CARE MANAGEMENT PROVIDERS OVER EIGHT NEW YORK STATE COUNTIES IN THE CENTRAL NEW YORK REGION. THE AGENCY HAS A MAJOR ROLE IN MANY OF THE ACA INSPIRED HEALTHCARE REDESIGN INITIATIVES GOING ON IN NEW YORK STATE. OCMS ALSO PROVIDES AN OUTPATIENT MENTAL HEALTH CLINIC, AND ASSERTIVE COMMUNITY TREATMENT TEAM, FORENSIC CASE MANAGEMENT, PEER-TO-PEER SUPPORT SERVICES, AND CARE MANAGEMENT FOR CHILDREN AND FAMILIES FACING CHALLENGES RELATED TO MENTAL HEALTH.A HEALTH HOME IS A CARE MANAGEMENT SERVICE MODEL WHEREBY ALL OF AN INDIVIDUAL'S CAREGIVERS COMMUNICATE WITH ONE ANOTHER SO THAT ALL OF A PERSON'S MENTAL HEALTH, PHYSICAL HEALTH, AND RECOVERY FROM ADDICTION NEEDS ARE ADDRESSED IN A COMPREHENSIVE AND COORDINATED MANNER. THIS IS DONE PRIMARILY THROUGH A "CARE MANAGER" WHO OVERSEES AND PROVIDES ACCESS TO ALL OF THE SERVICES AN INDIVIDUAL NEEDS TO ASSURE THAT THEY RECEIVE EVERYTHING NECESSARY TO STAY HEALTHY, OUT OF THE EMERGENCY ROOM AND OUT OF THE HOSPITAL. HEALTH RECORDS ARE SHARED (EITHER ELECTRONICALLY OR PAPER) AMONG PROVIDERS SO THAT SERVICES ARE NOT DUPLICATED OR NEGLECTED. THE HEALTH HOME SERVICES ARE PROVIDED THROUGH A NETWORK OF ORGANIZATIONS- PROVIDERS, HEALTH PLANS AND COMMUNITY-BASED ORGANIZATIONS. WHEN ALL THE SERVICES ARE CONSIDERED COLLECTIVELY THEY BECOME A VIRTUAL "HEALTH HOME".INDIVIDUALS SERVED BY HEALTH HOMES INCLUDE THOSE WITH SERIOUS AND PERSISTENT MENTAL ILLNESS, AIDS/HIV AND/OR INDIVIDUALS WITH MULTIPLE CHRONIC HEALTH AND/OR SUBSTANCE USE RELATED CONDITIONS. CARE MANAGEMENT SERVICES INCLUDE:- DEVELOPMENT OF A SHARED PLAN OF CARE- CONSULT AND COORDINATE A CARE TEAM- FOCUS ON REFERRING AND LINKING CLIENTS TO SUPPORTS AND SERVICES- FOCUS ON TRANSITIONAL CARE, ATTENDING TO RATES OF READMISSIONS- SUPPORTING CLIENTS BASED ON NEED, NOT ON A PRE-PRESCRIBED FREQUENCY OF SERVICEIN 2015 THE ADULT SERVICES, INCLUDING HEALTH HOME CARE MANAGEMENT, FORENSIC, AND ASSISTED OUTPATIENT TREATMENT PROGRAMS, SERVED 4,728 INDIVIDUALS AND PROVIDING 21,371 DIRECT FACE-TO-FACE VISITS WITH CLIENTS THAT TOOK PLACE MOSTLY IN THE COMMUNITY. THE HEALTH HOME MODEL IS HEAVILY RELIANT ON PROACTIVE OUTREACH TO INDIVIDUALS WITH THE INTENT OF CONNECTING THEM TO HEALTH HOME CARE MANAGEMENT THAT CONNECTS THEM TO AND MOTIVATES THEM TO CONTINUE WITH THE SERVICES THAT THEY NEED.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>948077</ExpenseAmt>
        <RevenueAmt>999437</RevenueAmt>
        <Desc>ASSERTIVE COMMUNITY TREATMENTSEE SCHEDULE O FOR FURTHER DETAILS.THE ASSERTIVE COMMUNITY TREATMENT TEAM (ACT) AT OCMS IS A MULTI-DISCIPLINARY TEAM THAT INCLUDES PSYCHIATRY, NURSING, SOCIAL WORK, VOCATIONAL, SUBSTANCE REHABILITATION, AND A PEER SPECIALISTS THAT SERVES INDIVIDUALS IN THE COMMUNITY WHO ARE DIAGNOSED WITH AND IMPAIRED BY A MENTAL HEALTH CONDITION (MOST OFTEN A VERY SEVERE FORM OF SCHIZOPHRENIA). THE ACT SERVICE MODEL THAT IS USED BY OCMS IS AN EVIDENCED BASED PRACTICE DESIGNED SPECIFICALLY TO ASSIST INDIVIDUALS WHO ARE NOT WELL ENGAGED BY TRADITIONAL SERVICES. NINETY PERCENT OF ACT SERVICES ARE PROVIDED IN THE COMMUNITY, AT PERSON'S HOMES, SHELTERS, MEDICAL AND OTHER APPOINTMENTS, AND AT THE HOMES OF FAMILIES AND FRIENDS. ACT IS OFTEN REFERRED TO AS A 'MENTAL HEALTH CLINIC ON WHEELS.' EVEN THE ACT PSYCHIATRIST MAKES REGULAR HOUSE CALLS TO THE RECIPIENTS OF ACT SERVICES AT OCMSPRIOR TO ACT SERVICES, ACT RECIPIENTS ARE FREQUENTLY HOSPITALIZED FOR PSYCHIATRIC REASONS AND/OR FREQUENTLY PRESENTING IN HOSPITAL EMERGENCY DEPARTMENTS AND PSYCHIATRIC EMERGENCY SERVICES (CPEP). MANY NEW RECIPIENTS ARE HOMELESS OR FREQUENTLY HOMELESS AND HAVE DEVELOPED HEALTH CONDITIONS RELATED TO NOT GETTING ADEQUATE PHYSICAL HEALTHCARE. GENERALLY, ABOUT 72% HAVE A CO-OCCURRING SUBSTANCE USE DISORDER. ACT RECIPIENTS HAVE TYPICALLY BEEN ISOLATED IN THE COMMUNITY PRIOR TO ADMISSION TO ACT. MANY OTHERS (EST. 27% IN 2015) COME TO ACT THROUGH ASSISTED OUTPATIENT TREATMENT (AOT) COURT ORDERS.IN 2015, THE ACT TEAM SERVED AN AVERAGE OF 60 UNIQUE INDIVIDUALS PER MONTH WITH 713 TOTAL UNITS OF SERVICE WITH FACE TO FACE VISITS THAT OCCURRED MOSTLY IN THE COMMUNITY. DURING THOSE VISITS, ACT RECIPIENTS RECEIVED PSYCHIATRY, PSYCHIATRIC NURSING, MEDICATION ADMINISTRATION, VOCATIONAL AND EDUCATIONAL SUPPORT, HEALTH AND OTHER CARE MANAGEMENT, AND SUPPORT IN ADDRESSING CO-OCCURRING MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. THE TEAM EDUCATED INDIVIDUALS IN HEALTH, DIET, AND SELF-CARE WHILE PROMOTING COMMUNITY INTEGRATION THROUGH TRANSPORTATION AND SUPPORT AT COMMUNITY ACTIVITIES. THE ACT TEAM ALSO SPENT 1,480 INDIRECT SERVICE HOURS COORDINATING ADDITIONAL SERVICES AND CONFERENCING WITH PROVIDERS, FAMILIES, AND OTHER SUPPORTS. GENERALLY, ACT SERVICES IN 2015 REDUCED THE NEED FOR HOSPITALIZATION BY ACT RECIPIENTS BY AS MUCH AS 40.15 % AND EMERGENCY ROOM VISITS BY AS MUCH AS 24%. 53% OF RECIPIENTS DISCHARGED IN 2015 HAD POSITIVE DISCHARGES BASED ON HAVING MET TREATMENT OBJECTIVES.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>877655</ExpenseAmt>
        <RevenueAmt>876644</RevenueAmt>
        <Desc>OCMS BEHAVIORAL HEALTH CLINICSEE SCHEDULE O FOR FURTHER DETAILS.IN 2015 THE CLINIC PROVIDED 9,923 BILLABLE PATIENT SERVICES THAT INCLUDED CRISES INTERVENTION, ASSESSMENT, INDIVIDUAL AND GROUP THERAPY, COMPLEX CARE MANAGEMENT, HEALTH MONITORING, AND PSYCHIATRY. ON CUSTOMER SURVEYS CONDUCTED AT THE END OF QUARTERLY THROUGH 2015, % OF CLINIC RECIPIENTS SAID THAT THEY WERE "VERY LIKELY" TO DESCRIBE THE CLINIC ENVIRONMENT AS 'FRIENDLY AND 'WELCOMING' TO A FRIEND. 82% SAID THAT THE TREATMENT THEY WERE RECEIVING MATCHED 'THEIR NEEDS AND DESIRES,' "VERY WELL, AND 80% RATED THE CLINIC AS "VERY HELPFUL" IN 'ACHIEVING PERSONAL GOALS.'</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>7612419</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>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>0</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 referenceDocumentId="RetDoc1043400001">1</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>68</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>174</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</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>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>C ROBERT PATTERSON FINANCE DIRECTOR</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>3154727363</PhoneNum>
        <USAddress>
          <AddressLine1Txt>620 ERIE BOULEVARD W SUITE 302</AddressLine1Txt>
          <CityNm>SYRACUSE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13204</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY LEVETT</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER LEVATINO</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KERRY LANGAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROCHELLE CASSELLA</PersonNm>
        <TitleTxt>FORMER BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CYNTHIA BARNABY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRACEY VAN DYKE</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD KILBURG</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STACEY KEEFE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELSEY GARDNER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT EBNER</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>96021</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6661</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>C ROBERT PATTERSON</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>24.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>60975</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2143</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>156996</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>8804</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>600 ERIE PLACE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>620 ERIE BOULEVARD WEST SUITE 111</AddressLine1Txt>
            <CityNm>SYRACUSE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13204</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT</ServicesDesc>
        <CompensationAmt>380759</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PAULA ZEBROWKSI</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>620 ERIE BOULEVARD WEST SUITE 302</AddressLine1Txt>
            <CityNm>SYRACUSE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13204</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PSYCHIATRIC SERVICES</ServicesDesc>
        <CompensationAmt>126952</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2203518</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>113</AllOtherContributionsAmt>
      <TotalContributionsAmt>2203631</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID CASE MANAGEME</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>6321926</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6321926</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLINIC FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>866406</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>866406</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>198488</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>198488</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE MEDICATION</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>19830</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19830</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>7406650</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2654</TotalRevenueColumnAmt>
        <ExclusionAmt>2654</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC. INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>29965</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29965</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>29965</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>9642900</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7436615</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2654</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>165799</TotalAmt>
        <ManagementAndGeneralAmt>165799</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4674649</TotalAmt>
        <ProgramServicesAmt>4372030</ProgramServicesAmt>
        <ManagementAndGeneralAmt>302619</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>96344</TotalAmt>
        <ProgramServicesAmt>86295</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10049</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>775732</TotalAmt>
        <ProgramServicesAmt>706595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69137</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>525477</TotalAmt>
        <ProgramServicesAmt>479518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45959</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>5447</TotalAmt>
        <ManagementAndGeneralAmt>5447</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>74263</TotalAmt>
        <ProgramServicesAmt>46869</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27394</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>464234</TotalAmt>
        <ProgramServicesAmt>354333</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109901</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>9544</TotalAmt>
        <ProgramServicesAmt>9544</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>172936</TotalAmt>
        <ProgramServicesAmt>141489</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31447</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>235958</TotalAmt>
        <ProgramServicesAmt>203486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32472</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>346111</TotalAmt>
        <ProgramServicesAmt>301870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44241</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>125415</TotalAmt>
        <ProgramServicesAmt>122053</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3362</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>47464</TotalAmt>
        <ProgramServicesAmt>30465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16999</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>7566</TotalAmt>
        <ManagementAndGeneralAmt>7566</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>81206</TotalAmt>
        <ProgramServicesAmt>49766</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31440</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>36774</TotalAmt>
        <ProgramServicesAmt>30726</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6048</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SPECIFIC ASSISTANCE TO</Desc>
        <TotalAmt>656436</TotalAmt>
        <ProgramServicesAmt>656436</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>20944</TotalAmt>
        <ProgramServicesAmt>20944</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>8522299</TotalAmt>
        <ProgramServicesAmt>7612419</ProgramServicesAmt>
        <ManagementAndGeneralAmt>909880</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>708932</BOYAmt>
        <EOYAmt>1867053</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>752393</BOYAmt>
        <EOYAmt>5560968</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1485093</BOYAmt>
        <EOYAmt>782290</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>203284</BOYAmt>
        <EOYAmt>155275</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>929707</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>250664</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>544320</BOYAmt>
        <EOYAmt>679043</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>3694022</BOYAmt>
        <EOYAmt>9044629</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>674118</BOYAmt>
        <EOYAmt>467266</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>484118</BOYAmt>
        <EOYAmt>4951927</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>158028</BOYAmt>
        <EOYAmt>119887</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>382732</BOYAmt>
        <EOYAmt>389922</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1698996</BOYAmt>
        <EOYAmt>5929002</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1995026</BOYAmt>
        <EOYAmt>3115627</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1995026</BOYAmt>
        <EOYAmt>3115627</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3694022</BOYAmt>
        <EOYAmt>9044629</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1120601</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>3623657</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3089677</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2845267</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2333092</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2203631</CurrentTaxYearAmt>
        <TotalAmt>14095324</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>2981519</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3548900</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5317311</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6554015</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7406650</CurrentTaxYearAmt>
        <TotalAmt>25808395</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>6605176</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6638577</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8162578</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8887107</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9610281</CurrentTaxYearAmt>
        <TotalAmt>39903719</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>39903719</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>999</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2076</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>396</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>957</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2654</CurrentTaxYearAmt>
        <TotalAmt>7082</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>999</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2076</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>396</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>957</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2654</CurrentTaxYearAmt>
        <TotalAmt>7082</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>8249</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>703354</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>84700</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>30966</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>29965</CurrentTaxYearAmt>
        <TotalAmt>857234</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>6614424</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7344007</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8247674</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8919030</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9642900</CurrentTaxYearAmt>
        <TotalAmt>40768035</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.97880</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.97740</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00020</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00020</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </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>199008</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>22342</DepreciationAmt>
        <BookValueAmt>176666</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>730699</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>228322</DepreciationAmt>
        <BookValueAmt>502377</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>679043</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO FUNDING SOURCES</Desc>
        <Amt>389922</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>389922</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>9642900</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>9642900</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>9642900</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8522299</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>8522299</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>8522299</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, AND UNDER SIMILAR REQUIREMENTS OF NEW YORK STATE LAW, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE TAXES. ADMINISTRATIVE SERVICES OF UPSTATE NY, LLC WITH THE CONSENT OF ITS MEMBER, HAS ELECTED UNDER THE INTERNAL REVENUE CODE TO BE A LIMITED LIABILITY COMPANY. THE LLC MEMBER, ONONDAGA CASE MANAGEMENT SERVICES, INC. WILL REPORT THE INCOME FROM THE LLC ON ITS TAX RETURN. MANAGEMENT IS UNAWARE OF ANY UNRELATED BUSINESS ACTIVITIES THAT MAY BE SUBJECT TO UNRELATED BUSINESS INCOME TAX OR ANY ACTIVITIES THAT WOULD JEOPARDIZE THE CORPORATION'S EXEMPT STATUS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE BOARD IN DRAFT FORM DURING THE ANNUAL AUDIT REVIEW. THE SUPPLEMENTAL NARRATIVE IS FINALIZED AND PRESENTED TO THE BOARD FOR FINAL APPROVAL DURING A SUBSEQUENT BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS SIGN A CONFLICT OF INTEREST ACKNOWLEDGEMENT AND ANSWER A QUESTIONNAIRE TO DETERMINE IF ANY CONFLICTS EXIST. THE BOARD CHAIR WILL REVIEW THIS DOCUMENTATION AND DETERMINE IF ANY CONFLICT EXISTS. IN THE EVENT THAT A CONFLICT DOES EXIST, THE BOARD CHAIR WOULD THEN POINT THIS OUT AND / OR THE INDIVIDUAL WOULD NOT PARTICIPATE IN THE VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS SIMILIAR NOT FOR PROFIT ORGANIZATION USING GUIDESTAR.ORG WHEN DETERMINING APPROPRIATE COMPENSATION FOR THE EXECUTIVE DIRECTOR. THE DELIBERATIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON GUIDESTAR.ORG OR UPON REQUEST IN THE ACCOUNTING DEPARTMENT. CURRENTLY, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADMINISTRATIVE SERVICES OF UPSTATE NY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 ERIE BOULEVARD W SUITE 302</AddressLine1Txt>
          <CityNm>SYRACUSE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13204</ZIPCd>
        </USAddress>
        <EIN>473985952</EIN>
        <PrimaryActivitiesTxt>CONSOLIDATE ADMIN FUNCTIONS AND OTHER SERVICES WITH OTHER NOT-FOR-PROFITS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>25000</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ONONDAGA CASE MANAGEMENT SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>