﻿<?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="2011v1.2">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-11-06T12:55:57-06:00</Timestamp>
    <TaxPeriodEndDate>2011-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>221478099</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>COHNREZNICK LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1212 6TH AVENUE</AddressLine1>
        <City>NEW YORK</City>
        <State>NY</State>
        <ZIPCode>10036</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>061036715</EIN>
      <Name>
        <BusinessNameLine1>THE GREATER HUDSON VALLEY FAMILY HEALTH</BusinessNameLine1>
        <BusinessNameLine2>CENTER INC</BusinessNameLine2>
      </Name>
      <NameControl>GREA</NameControl>
      <Phone>8455638025</Phone>
      <USAddress>
        <AddressLine1>2570 ROUTE 9W</AddressLine1>
        <City>CORNWALL</City>
        <State>NY</State>
        <ZIPCode>12518</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>LINDA S MULLER</Name>
      <Title>CEO</Title>
      <Phone>8455638025</Phone>
      <DateSigned>2012-10-10</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>THOMAS LANNING</Name>
      <PTIN>P00851654</PTIN>
      <Phone>2122970400</Phone>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>LINDA S MULLER</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>2570 ROUTE 9W</AddressLine1>
        <City>CORNWALL</City>
        <State>NY</State>
        <ZIPCode>12518</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>20374049</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>GHVFHC.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1981</YearFormation>
      <StateLegalDomicile>NY</StateLegalDomicile>
      <ActivityOrMissionDescription>TO PROVIDE HEALTHCARE SERVICES TO THE MEDICALLY UNDERSERVED AND THOSE WITHOUT ACCESS TO CARE.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>12</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>12</NbrIndependentVotingMembers>
      <TotalNbrEmployees>296</TotalNbrEmployees>
      <TotalNbrVolunteers>14</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>4554587</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>5363669</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>9808480</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>14468652</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>1963</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>1335</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>190649</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>460666</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>14555679</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>20294322</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>9498899</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>12232643</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>3751930</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>4945553</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>13250829</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>17178196</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>1304850</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>3116126</RevenuesLessExpensesCY>
      <TotalAssetsBOY>18192857</TotalAssetsBOY>
      <TotalAssetsEOY>21262090</TotalAssetsEOY>
      <TotalLiabilitiesBOY>13137678</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>13824337</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>5055179</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>7437753</NetAssetsOrFundBalancesEOY>
      <MissionDescription>GREATER HUDSON VALLEY FAMILY HEALTH CENTER OF NEWBURGH, INC. IS A FREESTANDING DIAGNOSTIC AND TREATMENT CORPORATION LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE HEALTH LAW AND PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY UNDERSERVED POPULATION.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>14007151</Expense>
      <Revenue>14468652</Revenue>
      <Description>TO PROVIDE A WIDE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVD POPULATION. IN 2011, WE HAD THE FOLLOWING PATIENT VISITS: HIV 699, METHADONE 33,485 AND SUBSTANCE ABUSE 13,061.</Description>
      <TotalProgramServiceExpense>14007151</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <SubjectToProxyTax>0</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">1</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">0</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>1</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>32</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>296</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>1</QuidProQuoContributions>
      <QuidProQuoDisclosure>1</QuidProQuoDisclosure>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>12</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>12</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>NY</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>CYNTHIA MEDINA</NamePerson>
        <TelephoneNumber>8452203100</TelephoneNumber>
        <AddressUS>
          <AddressLine1>2570 ROUTE 9W-N</AddressLine1>
          <City>CORNWALL</City>
          <State>NY</State>
          <ZIPCode>12518</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>ARIF MUSLIM MD</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLIE MILICH</NamePerson>
        <Title>BOARD CHAIRPERSON</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAISY VALE</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID DENDY</NamePerson>
        <Title>BOARD SECRETARY</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DEBRA JOHNSON</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FLOYD JOHNSON</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARIANNA KENNEDY</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARYJEAN VALIGORSKY</NamePerson>
        <Title>BOARD 1ST VICE CHAIRMAN</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MIRTA RIVAS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL BROADIE II</NamePerson>
        <Title>BOARD IMMED. PAST CHAIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>REV NELSON MCALLISTER</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WAYNE DAY</NamePerson>
        <Title>BOARD TREASURER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ALAN B BERNSTEIN MD</NamePerson>
        <Title>CHIEF MEDICAL OFFICER</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>251451</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16703</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KENNETH MACKINTOSH</NamePerson>
        <Title>CHIEF ADVANCEMENT OFFICER</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>108238</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>315</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA S MULLER</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>259468</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>754</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PATRICK MURPHY</NamePerson>
        <Title>CHIEF FINANCIAL OFFICER</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>188920</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16681</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANHTHO KASHYAP MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>202565</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10327</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHANCHAL SINGH MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>171213</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12234</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANIEL PAGNANI MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>317802</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16019</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DIANA WALLACE MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>209894</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5700</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NASREEN KABEER</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>149391</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5646</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>1858942</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>84379</TotalOtherCompensation>
      <NumberIndividualsGT100K>17</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>HEARTHSTONE COMMERCIAL &amp; RESIDENTIAL CON</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>48 HORTON ROAD</AddressLine1>
            <City>WASHINGTONVILLE</City>
            <State>NY</State>
            <ZIPCode>10992</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION SERVICES</DescriptionOfServices>
        <Compensation>108378</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>1</NumberOfContractorsGT100K>
      <FundraisingEvents>91720</FundraisingEvents>
      <GovernmentGrants>4938601</GovernmentGrants>
      <AllOtherContributions>333348</AllOtherContributions>
      <TotalContributions>5363669</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MEDICARE/MEDICAID PMTS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>7841940</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7841940</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MANAGED CARE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>3750086</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3750086</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>3RD PARTY PAYOR</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>1496530</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1496530</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>UNCOMPENSATED CARE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>666735</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>666735</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SELF PAY</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>584612</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>584612</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>128749</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>128749</RelatedOrExemptFunctionIncome>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>14468652</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1335</TotalRevenueColumn>
        <ExclusionAmount>1335</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>84820</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>25732</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>59088</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>59088</TotalRevenueColumn>
        <ExclusionAmount>59088</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossIncomeFundraisingEvents>35610</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>91720</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>53995</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-18385</TotalRevenueColumn>
        <ExclusionAmount>-18385</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <OtherRevenueMisc>
        <Description>MEANINGFUL INCENTIVE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>372665</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>372665</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>PHARMACY REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>44296</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>44296</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MEDICAL RECORDS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>3002</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3002</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>419963</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>20294322</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>14888615</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>42038</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>842530</Total>
        <ProgramServices>682449</ProgramServices>
        <ManagementAndGeneral>160081</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>9839871</Total>
        <ProgramServices>7970296</ProgramServices>
        <ManagementAndGeneral>1869575</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
        <Total>700526</Total>
        <ProgramServices>567426</ProgramServices>
        <ManagementAndGeneral>133100</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>849716</Total>
        <ProgramServices>688270</ProgramServices>
        <ManagementAndGeneral>161446</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>13963</Total>
        <ManagementAndGeneral>13963</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>55898</Total>
        <ManagementAndGeneral>55898</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>469623</Total>
        <ProgramServices>386053</ProgramServices>
        <ManagementAndGeneral>83570</ManagementAndGeneral>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>423258</Total>
        <ProgramServices>343247</ProgramServices>
        <ManagementAndGeneral>80011</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>479804</Total>
        <ProgramServices>388808</ProgramServices>
        <ManagementAndGeneral>90996</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>88565</Total>
        <ProgramServices>71738</ProgramServices>
        <ManagementAndGeneral>16827</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>605839</Total>
        <ProgramServices>496788</ProgramServices>
        <ManagementAndGeneral>109051</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>784194</Total>
        <ProgramServices>643039</ProgramServices>
        <ManagementAndGeneral>141155</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>45678</Total>
        <ProgramServices>37456</ProgramServices>
        <ManagementAndGeneral>8222</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>851091</Total>
        <ProgramServices>689384</ProgramServices>
        <ManagementAndGeneral>161707</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>550015</Total>
        <ProgramServices>550015</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS AND MAINTENANCE</Description>
        <Total>210324</Total>
        <ProgramServices>172466</ProgramServices>
        <ManagementAndGeneral>37858</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LAB/PHARMACY/RADIOLOGY</Description>
        <Total>193050</Total>
        <ProgramServices>193050</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>174251</Total>
        <ProgramServices>126666</ProgramServices>
        <ManagementAndGeneral>47585</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>17178196</Total>
        <ProgramServices>14007151</ProgramServices>
        <ManagementAndGeneral>3171045</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>792719</BOY>
        <EOY>756639</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>90851</BOY>
        <EOY>354615</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>2157616</BOY>
        <EOY>1741330</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1585100</BOY>
        <EOY>3480888</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>279553</BOY>
        <EOY>111271</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>17478860</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2936302</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>13242095</BOY>
        <EOY>14542558</EOY>
      </LandBuildingsEquipmentBasisNet>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>17940</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>44923</BOY>
        <EOY>256849</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>18192857</BOY>
        <EOY>21262090</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1174417</BOY>
        <EOY>1654730</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>17019</BOY>
        <EOY>20523</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>11497056</BOY>
        <EOY>11012683</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>449186</BOY>
        <EOY>1136401</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>13137678</BOY>
        <EOY>13824337</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3377343</BOY>
        <EOY>5972124</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1677836</BOY>
        <EOY>1465629</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>5055179</BOY>
        <EOY>7437753</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>18192857</BOY>
        <EOY>21262090</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>3116126</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-733552</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>3093552</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5220189</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3517189</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4554587</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5363669</CurrentTaxYear>
        <Total>21749186</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>3093552</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5220189</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3517189</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4554587</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5363669</CurrentTaxYear>
        <Total>21749186</Total>
      </Total170>
      <PublicSupportTotal170>21749186</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>9450</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>4149</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>4308</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>15563</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>86155</CurrentTaxYear>
        <Total>119625</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>34520</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>288139</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>397293</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>222456</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>419963</CurrentTaxYear>
        <Total>1362371</Total>
      </OtherIncome170>
      <TotalSupport>23231182</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>45078619</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.93620</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.97950</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>1677836</BeginningOfYearBalance>
        <Contributions>37793</Contributions>
        <OtherExpenditures>250000</OtherExpenditures>
        <EndOfYearBalance>1465629</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>1887289</BeginningOfYearBalance>
        <Contributions>39806</Contributions>
        <OtherExpenditures>249259</OtherExpenditures>
        <EndOfYearBalance>1677836</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>2143205</BeginningOfYearBalance>
        <Contributions>25929</Contributions>
        <OtherExpenditures>281845</OtherExpenditures>
        <EndOfYearBalance>1887289</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>320088</BeginningOfYearBalance>
        <OtherExpenditures>320088</OtherExpenditures>
        <EndOfYearBalance>2143205</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <TermEndowmentEOYBalance>1.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>1105850</OtherCostOrOtherBasis>
        <BookValue>1105850</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>11719190</OtherCostOrOtherBasis>
        <Depreciation>492574</Depreciation>
        <BookValue>11226616</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>239230</OtherCostOrOtherBasis>
        <Depreciation>185270</Depreciation>
        <BookValue>53960</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>3227816</OtherCostOrOtherBasis>
        <Depreciation>2258458</Depreciation>
        <BookValue>969358</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1186774</OtherCostOrOtherBasis>
        <BookValue>1186774</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>14542558</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP PAYABLE</Description>
        <Amount>1136401</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1136401</TotalOfAmounts>
      <TotalRevenue>20294322</TotalRevenue>
      <TotalExpenses>17178196</TotalExpenses>
      <ExcessOrDeficitForYear>3116126</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-733552</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>-733552</TotalAdjustments>
      <ExcessOrDeficitPerFS>2382574</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>19672376</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-733552</NetUnrealizedGainsInvestments>
      <OtherRevenues>31879</OtherRevenues>
      <RevenueNotRptdF990>-701673</RevenueNotRptdF990>
      <RevenueSubtotal>20374049</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-79727</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-79727</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>20294322</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>17333879</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>155683</OtherExpensesIncluded>
      <ExpensesNotRptdF990>155683</ExpensesNotRptdF990>
      <ExpensesSubtotal>17178196</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>17178196</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>THE TEMPORARILY RESTRICTED FUNDS WILL BE USED FOR FUTURE CAPITAL EXPENDITURES.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE CENTER IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. IN ADDITION, THE CENTER IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2011. THE CENTER'S U.S. FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2008 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE CENTER RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENT OF FINANCIAL POSITION.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RELATED PARTY REVENUE 69,863. INTERCOMPANY ELIMINATION -37,984.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>DIRECT FUNDRAISING EXPENSE -53,995. RENTAL EXPENSE -25,732.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>RELATED PARTY EXPENSES 113,940. INTERCOMPANY ELIMINATION -37,984. RENTAL EXPENSE 25,732. DIRECT FUNDRAISING EXPENSE 53,995.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>ANNUAL GALA</NameOfEvent1>
        <GrossReceiptsEvent1>127330</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>91720</CharitableContributionsEvent1>
        <GrossRevenueEvent1>35610</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>27718</RentFacilityCostsEvent1>
        <EntertainmentEvent1>13193</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>13084</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>127330</GrossReceiptsTotal>
        <CharitableContributionsTotal>91720</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>35610</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>27718</RentFacilityCostsTotalEvents>
        <EntertainmentTotalEvents>13193</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>13084</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>53995</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-18385</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>ALAN B BERNSTEIN MD</NamePerson>
        <BaseCompensationFilingOrg>243867</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>6000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1584</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16703</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>268154</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LINDA S MULLER</NamePerson>
        <BaseCompensationFilingOrg>236034</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>22500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>934</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>754</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>260222</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PATRICK MURPHY</NamePerson>
        <BaseCompensationFilingOrg>168598</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>20000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>322</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16681</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>205601</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANHTHO KASHYAP MD</NamePerson>
        <BaseCompensationFilingOrg>202409</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>156</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10327</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>212892</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHANCHAL SINGH MD</NamePerson>
        <BaseCompensationFilingOrg>171101</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>112</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12234</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>183447</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DANIEL PAGNANI MD</NamePerson>
        <BaseCompensationFilingOrg>316357</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1445</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16019</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>333821</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DIANA WALLACE MD</NamePerson>
        <BaseCompensationFilingOrg>209669</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>225</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5700</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>215594</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>NASREEN KABEER</NamePerson>
        <BaseCompensationFilingOrg>148599</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>792</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5646</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>155037</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FINANCE COMMITTEE OF THE BOARD IS PROVIDED WITH THE FORM 990 IN DRAFT FORM, REVIEWS AND APPROVES THE TAX RETURN. THE BOARD RATIFIES THE APPROVED TAX RETURN FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE COMPANY'S CONFLICT OF INTEREST POLICY IS REGULARLY REVIEWED AT THE BOARD LEVEL AND THE POLICY IS INCLUDED IN THE CONTINUAL CORPORATE COMPLIANCE TRAINING. ALL OFFICERS AND STAFF ARE REQUIRED TO ATTEND CORPORATE COMPLIANCE TRAINING AS SCHEDULED DURING THE YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR, TOP FINANCIAL OFFICIAL AND OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED BY A PROCESS WHICH INCLUDES SUCH FACTORS AS CAREER EXPERIENCE AND COMPETITIVE FORCES UPON HIRING. SUCH AMOUNTS, AND ANY ANNUAL SALARY ADJUSTMENTS, ARE APPROVED BY THE PERSONNEL COMMITTEE OF THE BOARD AND RATIFIED BY THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>THE ORGANIZATION PROVIDES COPIES OF FORM 990 AND FORM 1023 UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>NO PUBLIC DISCLOSURE IS PROVIDED, UNLESS REQUESTED; HOWEVER, AS A FQHC, THE COMPANY'S FINANCIAL STATEMENTS ARE FILED WITH CERTAIN GOVERNMENTAL AGENCIES AND REGULATORY AUTHORITIES WHICH MAY BE AVAILABLE UNDER THE FREEDOM OF INFORMATION ACT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -733,552.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>990, PART IV, LINE 20A:</ReturnReference>
        <Explanation>THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FHC PROPERTIES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2570 US HIGHWAY 9W STE 10</AddressLine1>
          <City>CORNWALL</City>
          <State>NY</State>
          <ZIPCode>12518</ZIPCode>
        </AddressUS>
        <EIN>141781164</EIN>
        <PrimaryActivities>FHC PROPERTIES, INC. PRIMARY PURPOSE IS TO HOLD TITLE PROPERTY</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>THE GREATER HUDSON VALLEY FAMILY HEALTH CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ENCORE INC- CONSIGN FOR A CAUSE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2570 US HIGHWAY 9W STE 10</AddressLine1>
          <City>CORNWALL</City>
          <State>NY</State>
          <ZIPCode>12518</ZIPCode>
        </AddressUS>
        <EIN>452391908</EIN>
        <PrimaryActivities>THRIFT SHOP</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>THE GREATER HUDSON VALLEY FAMILY HEALTH CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>