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        <City>New York</City>
        <State>NY</State>
        <ZIPCode>10011</ZIPCode>
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      <Name>Neil Calman</Name>
      <Title>president &amp; ceo</Title>
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        <MethodOfDeterminingRevenues>fmv</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <GeneralExplanation>
        <Identifier>01. Unrelated business income explanation (Part V, line 3b)</Identifier>
        <Explanation>The Institute for Family Health provides accounting services for two small 501c3 organizations who have a similar contract award that the Institute also receives The Institute does not generate any profit from these services the revenue merely covers the cost of providing the services</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>02. Form 990 governing body review (Part VI, line 11)</Identifier>
        <Explanation>The 990 is reviewed by executive management prior to the submission of the return The final 990 is provided to the finance committee and the board of directors for their review and approval</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>03. Conflict of interest policy compliance (Part VI, line 12c)</Identifier>
        <Explanation>The Center reviews on an ongoing basis new contracts and new vendor agreements In addition on an annual basis requires all board members to sign a financial conflict of interest policy with the organization</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>04. CEO, executive director, top management comp (Part VI, line 15a)</Identifier>
        <Explanation>A committee compensation of the finance committee was formed to review the presidentchief executive officers annual compensation and present their recommendations to the Board of Directors for their approval</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>05. Governing documents, etc, available to public (Part VI, line 19)</Identifier>
        <Explanation>Government documents and policies and organization financial statements are made available to the public upon request and supervised by a member of management</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>06. General explanation attachment</Identifier>
        <Explanation>Schedule H - 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 the organization does not meet this definition Form 990 Part VII Question 2 - The Institute for Family Health has a total including the 8 listed on Part VII Question 1 of 152 employees paid over 100000 in reportable compensation from the organization</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>IFH Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>16 east 16th Street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10003</ZIPCode>
        </AddressUS>
        <EIN>453769292</EIN>
        <PrimaryActivities>fin tech and propert mgmt to IFH</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The Mid Hudson Family Health</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>16 east 16th street</AddressLine1>
          <City>New York</City>
          <State>NY</State>
          <ZIPCode>10003</ZIPCode>
        </AddressUS>
        <EIN>141791535</EIN>
        <PrimaryActivities>to support the operations of IFH</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501c3</ExemptCodeSection>
        <PublicCharityStatus>I</PublicCharityStatus>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>