﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2014v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2015-10-15T07:35:27-05:00</ReturnTs>
    <TaxPeriodEndDt>2014-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>141604297</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>VANACOREDEBENEDICTUSDIGOVANNI&amp;WEDDELL</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>11 RACQUET RD</AddressLine1Txt>
        <CityNm>NEWBURGH</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>12550</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2014-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>061485158</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>PUTNAM FAMILY &amp; COMMUNITY SERVICES</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>PUTN</BusinessNameControlTxt>
      <PhoneNum>8452252700</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1808 ROUTE 6</AddressLine1Txt>
        <CityNm>CARMEL</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10512</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DIANE RUSSO</PersonNm>
      <PersonTitleTxt>EXEC. DIRECTOR</PersonTitleTxt>
      <PhoneNum>8452252700</PhoneNum>
      <SignatureDt>2015-10-01</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>DAVIDE DIGENOVA CPA</PreparerPersonNm>
      <PTIN>P00955704</PTIN>
      <PhoneNum>8455679000</PhoneNum>
      <PreparationDt>2015-10-01</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2014</TaxYr>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>DIANE RUSSO</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1808 ROUTE 6</AddressLine1Txt>
        <CityNm>CARMEL</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>10512</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>5146391</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.PFCSINC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1997</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PARTNER WITH INDIVIDUALS, FAMILIES AND THE COMMUNITY TO FOSTER HOPE, WELLNESS AND RECOVERY, AND TO RESTORE QUALITY OF LIFE BY ADDRESSING MENTAL HEALTH NEEDS, SUBSTANCE USE, AND SOCIAL AND EMOTIONAL ISSUES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>16</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>16</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>114</TotalEmployeeCnt>
      <TotalVolunteersCnt>22</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>2343915</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2483279</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>2467153</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>2639443</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>627</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>270</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>5658</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>1596</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>4817353</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>5124588</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>4138320</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>4396930</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>44888</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>673921</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>718157</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>4812241</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>5115087</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>5112</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>9501</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1369846</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1865775</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1205160</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1691588</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>164686</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>174187</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO PARTNER WITH INDIVIDUALS, FAMILIES AND THE COMMUNITY TO FOSTER HOPE, WELLNESS AND RECOVERY, AND TO RESTORE QUALITY OF LIFE BY ADDRESSING MENTAL HEALTH NEEDS, SUBSTANCE USE, AND SOCIAL AND EMOTIONAL ISSUES.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1850618</ExpenseAmt>
      <RevenueAmt>1121007</RevenueAmt>
      <Desc>COMMUNITY BASED/REHABILITATION SERVICES- THESE SERVICES ARE COMPRISED OF OUR COMPREHENSIVE PERSONALIZED RECOVERY ORIENTED SERVICES (PROS) PROGRAM AND CARE MANAGEMENT PROGRAMS WHICH PROVIDE OPPORTUNITIES FOR REHABILITATION AND RECOVERY FOR ADULTS AND CHILDREN WHO LIVE WITH SERIOUS MENTAL HEALTH CONCERNS. THE PROS PROGRAM ASSISTS INDIVIDUALS IN RECOVERING FROM THE DISABLING EFFECTS OF MENTAL ILLNESS. ADDITIONALLY, THERE ARE A NUMBER OF SMALL PROGRAMS WHICH PROVIDE SCREENING, SUPPORT AND ADVOCACY TO INDIVIDUALS AND FAMILIES IN THE COMMUNITY. EACH PROGRAM IS ROOTED IN THE PRINCIPLES OF PSYCHIATRIC REHABILITATION- THE BELIEF THAT ALL INDIVIDUALS HAVE THE RIGHT TO DETERMINE THEIR OWN TREATMENT BASED ON THEIR INTERESTS, STRENGTHS AND INDIVIDUAL GOALS. EACH PROGRAM OFFERS REHABILITATION OPTIONS AND SUPPORTIVE SERVICES THAT HELP PARTICIPANTS REALIZE THEIR POTENTIAL AND LEAD SATISFYING, PRODUCTIVE AND INDEPENDENT LIVES.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>1773732</ExpenseAmt>
        <RevenueAmt>1444347</RevenueAmt>
        <Desc>MENTAL HEALTH SERVICES- OUR MENTAL HEALTH CLINIC SERVICES PROVIDE INDIVIDUALIZED AND CARING ASSISTANCE FOR A WIDE RANGE OF ISSUES THAT SERIOUSLY AFFECT PEOPLE'S ABILITY TO LIVE SATISFYING AND PRODUCTIVE LIVES. INDIVIDUAL, FAMILY AND GROUP COUNSELING ARE AVAILABLE AND BASED UPON EACH PERSON'S NEEDS. HOPE IS RENEWED AS THERAPIST AND CLIENT WORK TOGETHER AND IDENTIFY NEEDS, BUILD UPON PERSONAL STRENGTHS AND DEVELOP NEW SKILLS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>665032</ExpenseAmt>
        <RevenueAmt>235481</RevenueAmt>
        <Desc>CHEMICAL DEPENDENCY SERVICES- OUR CHEMICAL DEPENDENCY PROGRAMS ARE DEDICATED TO THE PHILOSOPHY THAT ADDICTION IS A TREATABLE DISEASE. INDIVIDUAL, GROUP, AND COUPLE COUNSELING, AS WELL AS PSYCHIATRIC EVALUATIONS AND MEDICATION THERAPY PROVIDE TREATMENT UNIQUE TO THE NEEDS OF EACH PERSON. COMMUNITY EDUCATION AND REFERRAL INFORMATION SERVICES ARE ALSO MADE AVAILABLE TO THE PUBLIC AND THROUGHOUT OUR LOCAL SCHOOL DISTRICT. COMMUNITY AND OUTREACH SERVICES HELP OTHERS ENHANCE THEIR POTENTIAL, MAKE HEALTHY CHOICES AND BETTER MANAGE THEIR LIVES.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>4289382</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc7">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc3">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc4">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc4">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc4">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc5">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>4</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>114</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>true</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>16</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>16</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>DIANE E RUSSO</PersonNm>
        <PhoneNum>8452252700</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1808 ROUTE 6</AddressLine1Txt>
          <AddressLine2Txt>1808 ROUTE 6</AddressLine2Txt>
          <CityNm>CARMEL</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10512</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER DILLON</PersonNm>
        <TitleTxt>CHAIRPERSON</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALVATORE GAMBINO</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN KESSMAN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIMMY LOTRECCHIANO</PersonNm>
        <TitleTxt>ASST. SECRET</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA MADIGAN</PersonNm>
        <TitleTxt>VICE CHAIRPE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRACEY S BERNSTEIN ESQ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTIN M BURKE ESQ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMY COVAIS ESQ</PersonNm>
        <TitleTxt>TERM ENDED 5</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORI DOWNING</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STACEY GIBSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GERALDINE GREENE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL P MCDONOUGH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY MCGUIGAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY MIRDITA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOYCE MITCHELL</PersonNm>
        <TitleTxt>BOARD MEMEBE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL J NESHEIWAT MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN SANTORO SR ESQ</PersonNm>
        <TitleTxt>TERM ENDED 7</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNE WILLIS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE RUSSO</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>145744</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10991</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JON BAUMAN MD</PersonNm>
        <TitleTxt>MEDICAL DIRE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>157171</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2182</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK STUMACHER MD</PersonNm>
        <TitleTxt>ASSOCIATE ME</TitleTxt>
        <AverageHoursPerWeekRt>26.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>132214</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3960</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CYNTHIA OTT</PersonNm>
        <TitleTxt>DIRECTOR OF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>103304</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9971</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>538433</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>27104</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <FundraisingAmt>67835</FundraisingAmt>
      <GovernmentGrantsAmt>1931899</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>483545</AllOtherContributionsAmt>
      <TotalContributionsAmt>2483279</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID INCOME</Desc>
        <TotalRevenueColumnAmt>1952695</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1952695</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INSURANCE INCOME</Desc>
        <TotalRevenueColumnAmt>296945</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>296945</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEE INCOME</Desc>
        <TotalRevenueColumnAmt>258917</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>258917</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE INCOME</Desc>
        <TotalRevenueColumnAmt>130886</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>130886</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2639443</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>270</TotalRevenueColumnAmt>
        <ExclusionAmt>270</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>18753</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>67835</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>21803</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-3050</TotalRevenueColumnAmt>
        <ExclusionAmt>-3050</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <TotalRevenueColumnAmt>4646</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4646</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>4646</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>5124588</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2644089</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-2780</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>156735</TotalAmt>
        <ProgramServicesAmt>132625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23057</ManagementAndGeneralAmt>
        <FundraisingAmt>1053</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3458679</TotalAmt>
        <ProgramServicesAmt>2922051</ProgramServicesAmt>
        <ManagementAndGeneralAmt>513393</ManagementAndGeneralAmt>
        <FundraisingAmt>23235</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>781516</TotalAmt>
        <ProgramServicesAmt>675050</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101234</ManagementAndGeneralAmt>
        <FundraisingAmt>5232</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>35536</TotalAmt>
        <ManagementAndGeneralAmt>35422</ManagementAndGeneralAmt>
        <FundraisingAmt>114</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>11500</TotalAmt>
        <ManagementAndGeneralAmt>11463</ManagementAndGeneralAmt>
        <FundraisingAmt>37</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>13254</TotalAmt>
        <ProgramServicesAmt>12655</ProgramServicesAmt>
        <ManagementAndGeneralAmt>597</ManagementAndGeneralAmt>
        <FundraisingAmt>2</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>18803</TotalAmt>
        <ProgramServicesAmt>16141</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2538</ManagementAndGeneralAmt>
        <FundraisingAmt>124</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>98738</TotalAmt>
        <ProgramServicesAmt>58039</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31526</ManagementAndGeneralAmt>
        <FundraisingAmt>9173</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>62252</TotalAmt>
        <ProgramServicesAmt>51930</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7753</ManagementAndGeneralAmt>
        <FundraisingAmt>2569</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>113530</TotalAmt>
        <ProgramServicesAmt>95762</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16370</ManagementAndGeneralAmt>
        <FundraisingAmt>1398</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>13427</TotalAmt>
        <ProgramServicesAmt>13427</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>14642</TotalAmt>
        <ProgramServicesAmt>11014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3628</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>24029</TotalAmt>
        <ProgramServicesAmt>22784</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1185</ManagementAndGeneralAmt>
        <FundraisingAmt>60</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>53761</TotalAmt>
        <ProgramServicesAmt>46539</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7115</ManagementAndGeneralAmt>
        <FundraisingAmt>107</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>COUNTY STAFF</Desc>
        <TotalAmt>114508</TotalAmt>
        <ProgramServicesAmt>114508</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM EXPENSE</Desc>
        <TotalAmt>49485</TotalAmt>
        <ProgramServicesAmt>47717</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1768</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL</Desc>
        <TotalAmt>25833</TotalAmt>
        <ProgramServicesAmt>20292</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4386</ManagementAndGeneralAmt>
        <FundraisingAmt>1155</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EDUCATION AND TRAINING</Desc>
        <TotalAmt>24825</TotalAmt>
        <ProgramServicesAmt>18115</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6665</ManagementAndGeneralAmt>
        <FundraisingAmt>45</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>44034</TotalAmt>
        <ProgramServicesAmt>30733</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12717</ManagementAndGeneralAmt>
        <FundraisingAmt>584</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>5115087</TotalAmt>
        <ProgramServicesAmt>4289382</ProgramServicesAmt>
        <ManagementAndGeneralAmt>780817</ManagementAndGeneralAmt>
        <FundraisingAmt>44888</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>611335</BOYAmt>
        <EOYAmt>246829</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>157672</BOYAmt>
        <EOYAmt>245225</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>460516</BOYAmt>
        <EOYAmt>1269589</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>59002</BOYAmt>
        <EOYAmt>46840</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>682174</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>626589</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>79614</BOYAmt>
        <EOYAmt>55585</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1707</BOYAmt>
        <EOYAmt>1707</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1369846</BOYAmt>
        <EOYAmt>1865775</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>683403</BOYAmt>
        <EOYAmt>769545</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>62149</BOYAmt>
        <EOYAmt>233263</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <EOYAmt>175000</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>459608</BOYAmt>
        <EOYAmt>513780</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1205160</BOYAmt>
        <EOYAmt>1691588</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>164686</BOYAmt>
        <EOYAmt>174187</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>164686</BOYAmt>
        <EOYAmt>174187</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1369846</BOYAmt>
        <EOYAmt>1865775</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>9501</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2190967</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2154978</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2379166</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2343915</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2483279</CurrentTaxYearAmt>
        <TotalAmt>11552305</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2190967</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2154978</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2379166</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2343915</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2483279</CurrentTaxYearAmt>
        <TotalAmt>11552305</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>11552305</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>38</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>127</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>270</CurrentTaxYearAmt>
        <TotalAmt>452</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus1YearAmt>9363</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4646</CurrentTaxYearAmt>
        <TotalAmt>14009</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>11566766</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>13787307</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99870</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99910</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME 14,009</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc3">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>507908</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>471532</DepreciationAmt>
        <BookValueAmt>36376</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>174266</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>155057</DepreciationAmt>
        <BookValueAmt>19209</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>55585</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTY PAYER</Desc>
        <Amt>389889</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO PUTNAM COUNTY</Desc>
        <Amt>123891</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>513780</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5146391</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>5146391</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-21803</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-21803</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>5124588</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5136890</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>21803</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>21803</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5115087</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>5115087</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ADOPTED THE PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REGARDING ACCOUNTING FOR UNCERTAIN TAX POSITIONS. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS IN ORDER TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS PRIOR TO 2011.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS -21,803</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS 21,803</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc4">
      <FundraisingEventInformationGrp>
        <Event1Nm>DINNER DANCE</Event1Nm>
        <GrossReceiptsEvent1Amt>77621</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>61577</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>16044</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>18634</OtherDirectExpensesEvent1Amt>
        <Event2Nm>SPELLING BEE</Event2Nm>
        <GrossReceiptsEvent2Amt>8967</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>6258</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>2709</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>3169</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>86588</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>67835</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>18753</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>21803</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>21803</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-3050</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc5">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIANE RUSSO</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>145744</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1464</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9527</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>156735</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JON BAUMAN MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>157171</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1682</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>159353</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPORTIVE SERVICES THAT HELP PARTICIPANTS REALIZE THEIR POTENTIAL AND LEAD SATISFYING, PRODUCTIVE AND INDEPENDENT LIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FEDERAL FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS, WHICH WAS DISCUSSED AND REVIEWED DURING THE ORGANIZAITON'S BOARD MEETING. ANY QUESTIONS REGARDING THE FEDERAL FORM 990 DURING THE BOARD MEETING WERE NOTED AND ANSWERS WERE PROVIDED BY THE ORGANIZATION'S ACCOUNTANT. THE FORM 990 WAS APPROVE BY ALL BOARD MEMBERS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PUTNUM FAMILY AND COMMUNITY SERVICES CURRENTLY HAS IN PLACE A CONFLICT OF INTEREST POLICY WHICH IT ANNUALLY MONITORS AND ENFORCES. THE BOARD CURRENTLY MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS, THE MEMBER OF THE BOARD WILL BE NOTIFIED IMMEDIATELY FOR APPROPRIATE ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS DETERMINED BY REVIEWING REGIONAL SALARY BENCHMARKS FOR SIMILAR SIZED AGENCIES/INDUSTRY. A SALARY SURVEY IS DONE PERIODICALLY. IT IS APPROVED IN WRITING BY PROGRAM DIRECTOR, AND ONE OF DIRECTOR OF FINANCE, ASSOCIATE EXECUTIVE DIRECTOR OR EXECUTIVE DIRECTOR. THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS THAN APPROVED BY THE BOARD. NO CHANGE HAS BEEN MADE TO THE EXECUTIVE DIRECTOR'S SALARY SINCE DATE OF HIRE IN 2010.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR OTHER OFFICERS IS DETERMINED BY THE EXECUTIVE DIRECTOR. IT IS EVALUATED BASED ON SIMILAR POSITIONS IN OTHER AGENCIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE UPON WRITTEN REQUEST AS WELL AS THROUGH WWW.GUIDESTAR.ORG AND WWW.CHARITIESNYS.COM</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS 21,803 SPECIAL EVENTS -21,803</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>