﻿<?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="2008v2.9">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-10-24T12:32:43-05:00</Timestamp>
    <TaxPeriodEndDate>2008-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>RSM MCGLADREY INC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1185 AVENUE OF THE AMERICAS</AddressLine1>
        <City>NEW YORK</City>
        <State>NY</State>
        <ZIPCode>100362602</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2008-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>116042250</EIN>
      <Name>
        <BusinessNameLine1>ADULTS AND CHILDREN WITH</BusinessNameLine1>
        <BusinessNameLine2>LEARNING AND DEVELOPMENTAL DISABILITIES</BusinessNameLine2>
      </Name>
      <NameControl>ADUL</NameControl>
      <Phone>5168220028</Phone>
      <USAddress>
        <AddressLine1>807 SOUTH OYSTER BAY ROAD</AddressLine1>
        <City>BETHPAGE</City>
        <State>NY</State>
        <ZIPCode>11714</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>AARON LIEBOWITZ</Name>
      <Title>executive director</Title>
      <Phone>5168220028</Phone>
      <DateSigned>2011-10-24</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Phone>2123721000</Phone>
    </Preparer>
    <TaxYear>2008</TaxYear>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <AmendedReturn>X</AmendedReturn>
      <NameOfPrincipalOfficerPerson>Aaron Liebowitz</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>807 s oyster bay road</AddressLine1>
        <City>bethpage</City>
        <State>NY</State>
        <ZIPCode>11714</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>58851666</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c typeOf501cOrganization="3">X</Organization501c>
      <WebSite>www.acld.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1957</YearFormation>
      <StateLegalDomicile>NY</StateLegalDomicile>
      <ActivityOrMissionDescription>TO SUPPORT PURSUIT OF AN ENVIABLE LIFE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES. see sch. O</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>16</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>16</NbrIndependentVotingMembers>
      <TotalNbrEmployees>1334</TotalNbrEmployees>
      <TotalNbrVolunteers>0</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>1736248</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>1672916</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>53555655</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>56764828</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>270839</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>150186</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>-111511</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>29262</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>55451231</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>58617192</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>38049953</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>41127447</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>371465</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>16224537</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>16983542</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>54274490</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>58110989</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>1176741</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>506203</RevenuesLessExpensesCY>
      <TotalAssetsBOY>43436965</TotalAssetsBOY>
      <TotalAssetsEOY>45399501</TotalAssetsEOY>
      <TotalLiabilitiesBOY>31970801</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>33427134</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>11466164</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>11972367</NetAssetsOrFundBalancesEOY>
      <MissionDescription>The mission of ACLD is to support the pursuit of an enviable life for people with developmental disabilities.-We will assist individuals to make meaningful choices, develop significant relationships, and have productive, healthy, and enjoyable lives. -We will communicate and partner with families to ensure the individuals we support are always the central focus. -We will provide an organizational culture which supports professional development and a commitment to the achievement of individual dreams.-We will create collaborative and supportive relationships with community partners that promote excellence.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>23404305</Expense>
      <Revenue>26229694</Revenue>
      <Description>Residential Services: ACLD operates 26 community-based residences and 37 apartment sites in Nassau and Suffolk Counties, serving nearly 300 adults with developmental disabilities. These programs allow the individuals to live as independently as possible while providing them with supports and services to enhance the quality of their lives.</Description>
      <Activity2>
        <Expense>3739515</Expense>
        <Revenue>3882109</Revenue>
        <Description>Health Services: The Health Services Center provides high-quality medical, dental and behavioral health services to more than 1,700 adults with developmental disabilities. Highly trained physicians, psychiatrists, psychologists, social workers and rehabilitation staff provide specialized care for these individuals. We operate a successful desensitization program to increase successful medical interventions and outcomes in the areas of dentistry and gynecology. We are proud to provide comprehensive women's health services to this vulnerable and under-served population.</Description>
      </Activity2>
      <Activity3>
        <Expense>14329219</Expense>
        <Revenue>15707771</Revenue>
        <Description>Day Habilitation: Day Habilitation is provided for 420 adults with developmental disabilities across six different program sites in Nassau and Suffolk Counties. The program participants are offered opportunities to volunteer in their local communities, take part in community-based recreation and increase their skills in many different areas. We offer specialty Day Habilitation Programs for individuals who are older and/or medically frail that are designed to address the needs of individuals at this stage of life. We also offer specialty programs for individuals who have an autism spectrum diagnosis or present with similar strengths and challenges.</Description>
      </Activity3>
      <ActivityOther>
        <Expense>11065453</Expense>
        <Revenue>11777979</Revenue>
      </ActivityOther>
      <TotalProgramServiceExpense>52538492</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements>0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">1</TermOrPermanentEndowments>
      <BalanceSheetAmountsReported referenceDocumentId="RetDoc1040000001">1</BalanceSheetAmountsReported>
      <AuditedFinancialStatements referenceDocumentId="RetDoc1040000001">1</AuditedFinancialStatements>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>1</FundraisingActivities>
      <Gaming>1</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="RetDoc1053100001">1</TaxExemptBonds>
      <InvestTaxExemptBonds>0</InvestTaxExemptBonds>
      <EscrowAccount>0</EscrowAccount>
      <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      <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>0</DisregardedEntity>
      <RelatedEntity>0</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg>0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>0</ActivitiesConductedPartnership>
      <NumberFormsTransmittedWith1096>60</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>1334</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>
      <Form8899Filed>0</Form8899Filed>
      <Form1098CFiled>0</Form1098CFiled>
      <ExcessBusinessHoldings>0</ExcessBusinessHoldings>
      <TaxableDistributions>0</TaxableDistributions>
      <DistributionToDonor>0</DistributionToDonor>
      <NbrVotingGoverningBodyMembers>16</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>16</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>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <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>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>SUSAN SHA CFO</NamePerson>
        <TelephoneNumber>5168220028</TelephoneNumber>
        <AddressUS>
          <AddressLine1>807 SOUTH OYSTER BAY ROAD</AddressLine1>
          <City>Bethpage</City>
          <State>NY</State>
          <ZIPCode>11714</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>GREGORY M LICALZI</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DONALD MITZNER</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANNE EMmERSON</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOSEPH ORTEGO ESQ</NamePerson>
        <Title>1ST VICE PRESIDENT</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DR RICHARD DIBBLE</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELLEN ALEXANDER</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DEBORAH KENDRIC CPA</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD BREUNINGER</NamePerson>
        <Title>2ND VICE PRESIDENT</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ERNEST GONZALEZ</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DORIS SHAW</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NANCY KOPANS ESQ</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SCOTT KABAK</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELLEN SPIEGEL</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN g GENOVA</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JONATHAN w LEIGH</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHASHI PATEL 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>AARON LIEBOWITZ</NamePerson>
        <Title>EXECUTIVE DIRECTOR</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>373398</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>127107</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SUSAN SHA</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>234473</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>45772</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>IRA ZIMMERMAN</NamePerson>
        <Title>ASST. EXEC. DIRECTOR</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>158250</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>13686</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICK WIRTH</NamePerson>
        <Title>aSST. EXEC. DIRECTOR</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>157262</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>17162</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD J KESSLER</NamePerson>
        <Title>MEDICAL DIRECTOR</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>283412</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>28480</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RONALD SCHENENDORF</NamePerson>
        <Title>ASST. MED DIR</Title>
        <AverageHoursPerWeek>32.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>196743</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24588</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MEREDITH LONG selzer</NamePerson>
        <Title>PSYCHIATRIST</Title>
        <AverageHoursPerWeek>30.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>153293</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5934</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JACK NASS</NamePerson>
        <Title>Staff psychiatrist</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>125777</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18537</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KIM E ANSTEY</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>126042</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24573</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>1808650</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>305839</TotalOtherCompensation>
      <NumberIndividualsGT100K>19</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>AMERICAN AWS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>98 EAST INDUSTRY CT</AddressLine1>
            <City>DEER PARK</City>
            <State>NY</State>
            <ZIPCode>11729</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>construction</DescriptionOfServices>
        <Compensation>408623</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>EBC CONSTRUCTION CO</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>8 NORTH TYSON AVE</AddressLine1>
            <City>FLORAL PARK</City>
            <State>NY</State>
            <ZIPCode>11001</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>construction</DescriptionOfServices>
        <Compensation>308555</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>INTEGRATED THERAPEUTIC SOLUTIONS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 316</AddressLine1>
            <City>LINDENHURST</City>
            <State>NY</State>
            <ZIPCode>11575</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>P/T, O/T AND S/T</DescriptionOfServices>
        <Compensation>243784</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>SUSANA'S CLEANING ANGELS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>41 CHERRY LANE</AddressLine1>
            <City>HICKSVILLE</City>
            <State>NY</State>
            <ZIPCode>11801</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CLEANING SERVICES</DescriptionOfServices>
        <Compensation>141274</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MORITT HOCK HAMROFF LLP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>400 GARDEN CITY PLAZA</AddressLine1>
            <City>GARDEN CITY</City>
            <State>NY</State>
            <ZIPCode>11530</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LEGAL</DescriptionOfServices>
        <Compensation>121802</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <FundraisingEvents>443151</FundraisingEvents>
      <GovernmentGrants>734592</GovernmentGrants>
      <AllOtherContributions>495173</AllOtherContributions>
      <TotalContributions>1672916</TotalContributions>
      <ProgramServiceRevenue>
        <Description>medicaid</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>39831328</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>39831328</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>proGRAM SERVICE REV.</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>15164339</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>15164339</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CLIENT FEES</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>1769161</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1769161</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>56764828</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>150186</TotalRevenueColumn>
        <ExclusionAmount>150186</ExclusionAmount>
      </InvestmentIncome>
      <GrossIncomeFundraisingEvents>123482</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>443151</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>225024</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-101542</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-101542</RelatedOrExemptFunctionIncome>
      </NetIncomeFromFundraisingEvents>
      <GrossIncomeGaming>39909</GrossIncomeGaming>
      <GamingDirectExpenses>9450</GamingDirectExpenses>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>30459</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>30459</RelatedOrExemptFunctionIncome>
      </NetIncomeFromGaming>
      <OtherRevenueMisc>
        <Description>miscellaneous</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>100345</TotalRevenueColumn>
        <ExclusionAmount>100345</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>100345</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>58617192</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>56693745</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>250531</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>1127885</Total>
        <ProgramServices>217372</ProgramServices>
        <ManagementAndGeneral>910513</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>31542310</Total>
        <ProgramServices>29260625</ProgramServices>
        <ManagementAndGeneral>2062684</ManagementAndGeneral>
        <Fundraising>219001</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>762750</Total>
        <ProgramServices>707575</ProgramServices>
        <ManagementAndGeneral>49880</ManagementAndGeneral>
        <Fundraising>5295</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>5314446</Total>
        <ProgramServices>4602907</ProgramServices>
        <ManagementAndGeneral>680407</ManagementAndGeneral>
        <Fundraising>31132</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>2380056</Total>
        <ProgramServices>2120220</ProgramServices>
        <ManagementAndGeneral>245642</ManagementAndGeneral>
        <Fundraising>14194</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>136840</Total>
        <ProgramServices>17056</ProgramServices>
        <ManagementAndGeneral>117284</ManagementAndGeneral>
        <Fundraising>2500</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>88047</Total>
        <ManagementAndGeneral>88047</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>1307070</Total>
        <ProgramServices>973644</ProgramServices>
        <ManagementAndGeneral>299671</ManagementAndGeneral>
        <Fundraising>33755</Fundraising>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>665870</Total>
        <ProgramServices>567544</ProgramServices>
        <ManagementAndGeneral>83603</ManagementAndGeneral>
        <Fundraising>14723</Fundraising>
      </OfficeExpenses>
      <Occupancy>
        <Total>1561851</Total>
        <ProgramServices>1561851</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>3796438</Total>
        <ProgramServices>3796438</ProgramServices>
      </Travel>
      <ConferencesMeetings>
        <Total>883426</Total>
        <ProgramServices>840783</ProgramServices>
        <ManagementAndGeneral>34564</ManagementAndGeneral>
        <Fundraising>8079</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>990581</Total>
        <ProgramServices>879357</ProgramServices>
        <ManagementAndGeneral>100985</ManagementAndGeneral>
        <Fundraising>10239</Fundraising>
      </Interest>
      <DepreciationDepletion>
        <Total>1252647</Total>
        <ProgramServices>1156812</ProgramServices>
        <ManagementAndGeneral>87042</ManagementAndGeneral>
        <Fundraising>8793</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>838474</Total>
        <ProgramServices>711972</ProgramServices>
        <ManagementAndGeneral>124601</ManagementAndGeneral>
        <Fundraising>1901</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>CLIENT EXPENSE</Description>
        <Total>1658670</Total>
        <ProgramServices>1658670</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT PURCHASE</Description>
        <Total>1050411</Total>
        <ProgramServices>973105</ProgramServices>
        <ManagementAndGeneral>74283</ManagementAndGeneral>
        <Fundraising>3023</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>repairs and maintenance</Description>
        <Total>897273</Total>
        <ProgramServices>839675</ProgramServices>
        <ManagementAndGeneral>52789</ManagementAndGeneral>
        <Fundraising>4809</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>UTILITIES</Description>
        <Total>767476</Total>
        <ProgramServices>733371</ProgramServices>
        <ManagementAndGeneral>30698</ManagementAndGeneral>
        <Fundraising>3407</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>consumable supplies</Description>
        <Total>719553</Total>
        <ProgramServices>710406</ProgramServices>
        <ManagementAndGeneral>8246</ManagementAndGeneral>
        <Fundraising>901</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>368915</Total>
        <ProgramServices>209109</ProgramServices>
        <ManagementAndGeneral>150093</ManagementAndGeneral>
        <Fundraising>9713</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>58110989</Total>
        <ProgramServices>52538492</ProgramServices>
        <ManagementAndGeneral>5201032</ManagementAndGeneral>
        <Fundraising>371465</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>4726022</BOY>
        <EOY>4288372</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>402137</BOY>
        <EOY>432886</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>35805</BOY>
        <EOY>25862</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>9074190</BOY>
        <EOY>10207842</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>299241</BOY>
        <EOY>162352</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>31620124</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>11912862</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>19717457</BOY>
        <EOY>19707262</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>9182113</BOY>
        <EOY>10574925</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>43436965</BOY>
        <EOY>45399501</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>6138753</BOY>
        <EOY>6261002</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>10485500</BOY>
        <EOY>9634750</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>9429544</BOY>
        <EOY>10185412</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>5917004</BOY>
        <EOY>7345970</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>31970801</BOY>
        <EOY>33427134</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>10502560</BOY>
        <EOY>10996505</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>645204</BOY>
        <EOY>657462</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>318400</BOY>
        <EOY>318400</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>11466164</BOY>
        <EOY>11972367</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>43436965</BOY>
        <EOY>45399501</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>1397031</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1424225</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1762520</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1736248</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1836307</CurrentTaxYear>
        <Total>8156331</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>48417608</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>49045891</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>51288069</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>53555655</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>56756491</CurrentTaxYear>
        <Total>259063714</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>49814639</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>50470116</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>53050589</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>55291903</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>58592798</CurrentTaxYear>
        <Total>267220045</Total>
      </Total509>
      <PublicSupportTotal509>267220045</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>58160</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>128383</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>189097</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>270838</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>150186</CurrentTaxYear>
        <Total>796664</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>58160</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>128383</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>189097</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>270838</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>150186</CurrentTaxYear>
        <Total>796664</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>59481</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>100008</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>101413</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>77128</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>100345</CurrentTaxYear>
        <Total>438375</Total>
      </OtherIncome509>
      <TotalSupportTotal>268455084</TotalSupportTotal>
      <PublicSupportPercentage509>0.99540</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99630</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00300</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00220</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </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>1363604</BeginningOfYearBalance>
        <Contributions>411543</Contributions>
        <InvestmentEarningsOrLosses>18233</InvestmentEarningsOrLosses>
        <OtherExpenditures>367518</OtherExpenditures>
        <EndOfYearBalance>1425862</EndOfYearBalance>
      </CurrentYear>
      <BoardDesignatedEOYBalance>0.32000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.22000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.46000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>5448078</OtherCostOrOtherBasis>
        <BookValue>5448078</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>21447659</OtherCostOrOtherBasis>
        <Depreciation>9038343</Depreciation>
        <BookValue>12409316</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>1065752</OtherCostOrOtherBasis>
        <Depreciation>426097</Depreciation>
        <BookValue>639655</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>3658635</OtherCostOrOtherBasis>
        <Depreciation>2448422</Depreciation>
        <BookValue>1210213</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <BookValue>0</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>19707262</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>SECURITY DEPOSITS</Description>
        <BookValue>140229</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEFERRED debt issuance costs</Description>
        <BookValue>609515</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS WHOSE USE IS LIMITED</Description>
        <BookValue>2233400</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CONSTRUCTION IN PROGRESS</Description>
        <BookValue>7591781</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>10574925</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>DUE TO GOV'T AGENCIES CURRENT</Description>
        <Amount>1988472</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO GOV'T AGENCIES LONG TRM</Description>
        <Amount>5293741</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CAPITAL LEASE OBLIGATIONS</Description>
        <Amount>63757</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>7345970</TotalOfAmounts>
      <TotalRevenue>58617192</TotalRevenue>
      <TotalExpenses>58110989</TotalExpenses>
      <ExcessOrDeficitForYear>506203</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>506203</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>58884666</TotRevenueEtcAuditedFinclStmt>
      <DonatedSrvcAndUseOfFacilities>33000</DonatedSrvcAndUseOfFacilities>
      <OtherRevenues>234474</OtherRevenues>
      <RevenueNotRptdF990>267474</RevenueNotRptdF990>
      <RevenueSubtotal>58617192</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>58617192</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>58378463</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>33000</DonatedServicesUseOfFacilities>
      <OtherExpensesIncluded>234474</OtherExpensesIncluded>
      <ExpensesNotRptdF990>267474</ExpensesNotRptdF990>
      <ExpensesSubtotal>58110989</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>58110989</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Explanation>Part V #4 - To provide funding for program enhancements and unfunded capital projects. Part X - In June 2006, the Financial Accounting Standards Board (FASB) issued FASB Interpretation No. 48 (FIN 48), Accounting for Uncertainty in Income Taxes an interpretation of FASB Statement 109. FIN 48 clarifies the accounting for uncertainty in income taxes recognized in an enterprise's financial statements in accordance with FASB Statement No. 109, Accounting for Income Taxes. FIN 48 prescribes a comprehensive model for recognizing, measuring, presenting and disclosing in the financial statements tax positions taken or expected to be taken on a tax return including positions that the organization is exempt from income taxes or not subject to income taxes on unrelated business income. If there are changes in net assets as a result of application of FIN 48 these will be accounted for as an adjustment to the opening balance of retained earnings. Additional disclosures about the amounts of such liabilities will be required. ACLD presently discloses or recognizes income tax positions based on management's estimate of whether it is reasonably possible or probable, respectively, that a liability has been incurred for unrecognized income tax benefits by applying FASB Statement No. 5, Accounting for Contingencies. In accordance with FASB Staff Position (FSP) FIN 48-3, the effective date of Interpretation 48 for nonpublic enterprises, such as ACLD, included within its scope, is for the annual financial statements for fiscal years beginning after December 15, 2008. ACLD will be required to adopt FIN 48 in its 2009 annual financial statements. Currently, ACLD has determined that the adoption will not have a material effect on its financial statements. During 2009, management will reassess the potential impact of FIN 48 on its financial position and results of operations. Part XII and XIII line 2D - fundraising expenses netted against fundraising revenues</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>dinner dance</NameOfEvent1>
        <GrossReceiptsEvent1>395994</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>326333</CharitableContributionsEvent1>
        <GrossRevenueEvent1>69661</GrossRevenueEvent1>
        <NonCashPrizesEvent1>1213</NonCashPrizesEvent1>
        <RentFacilityCostsEvent1>6750</RentFacilityCostsEvent1>
        <OtherDirectExpensesEvent1>126097</OtherDirectExpensesEvent1>
        <NameOfEvent2>golf outing</NameOfEvent2>
        <GrossReceiptsEvent2>128471</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>89391</CharitableContributionsEvent2>
        <GrossRevenueEvent2>39080</GrossRevenueEvent2>
        <NonCashPrizesEvent2>1237</NonCashPrizesEvent2>
        <OtherDirectExpensesEvent2>52679</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>2</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>42168</GrossReceiptsOtherEvents>
        <CharitableContribOtherEvents>27427</CharitableContribOtherEvents>
        <GrossRevenueOtherEvents>14741</GrossRevenueOtherEvents>
        <OtherDirectExpensesOtherEvents>37048</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>566633</GrossReceiptsTotal>
        <CharitableContributionsTotal>443151</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>123482</GrossRevenueTotalEvents>
        <NonCashPrizesTotalEvents>2450</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>6750</RentFacilityCostsTotalEvents>
        <OtherDirectExpensesTotalEvents>215824</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>225024</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-101542</NetIncomeSummary>
      </EventsInformation>
      <GamingInformation>
        <GrossRevenueOtherGaming>39909</GrossRevenueOtherGaming>
        <CashPrizesOtherGaming>1325</CashPrizesOtherGaming>
        <NonCashPrizesOtherGaming>27000</NonCashPrizesOtherGaming>
        <OtherDirectExpensesOtherGaming>9450</OtherDirectExpensesOtherGaming>
        <VolunteerLaborOtherGaming>0</VolunteerLaborOtherGaming>
        <GrossRevenueTotalGaming>39909</GrossRevenueTotalGaming>
        <CashPrizesTotalGaming>1325</CashPrizesTotalGaming>
        <NonCashPrizesTotalGaming>27000</NonCashPrizesTotalGaming>
        <OtherDirectExpensesTotalGaming>9450</OtherDirectExpensesTotalGaming>
        <DirectExpenseSummaryGaming>37775</DirectExpenseSummaryGaming>
        <NetGamingIncomeSummary>2134</NetGamingIncomeSummary>
      </GamingInformation>
      <StatesWhereGamingConducted>NY</StatesWhereGamingConducted>
      <Licensed>0</Licensed>
      <ExplanationIfNo>ACLD's net gaming activities do not meet the threshold required for filing with New York State.</ExplanationIfNo>
      <LicenseSuspendedEtc>0</LicenseSuspendedEtc>
      <GamingWithNonmembers>0</GamingWithNonmembers>
      <MemberOfOtherEntity>0</MemberOfOtherEntity>
      <PercentageOfGamingOwnFacility>0.00000</PercentageOfGamingOwnFacility>
      <PercentageOfGamingOthrFacility>1.00000</PercentageOfGamingOthrFacility>
      <NameOfGamingRecKeeperPerson>Colleen Crispino</NameOfGamingRecKeeperPerson>
      <AddressOfGamingRecKeeperUS>
        <AddressLine1>807 south oyster bay road</AddressLine1>
        <City>bethpage</City>
        <State>NY</State>
        <ZIPCode>11714</ZIPCode>
      </AddressOfGamingRecKeeperUS>
      <ContractWith3rdPartyForGamRev>0</ContractWith3rdPartyForGamRev>
      <GamingManagerNamePerson>ACLD's Development Department</GamingManagerNamePerson>
      <GamingManagerCompensation>0</GamingManagerCompensation>
      <GamingManagerServicesProvided>ACLD's Development department runs gaming activities at each event.</GamingManagerServicesProvided>
      <GamingManagerIsEmployee>X</GamingManagerIsEmployee>
      <CharitableDistribRequired>0</CharitableDistribRequired>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>AARON LIEBOWITZ</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>293187</BaseCompensationFilingOrg>
        <BonusFilingOrg>58493</BonusFilingOrg>
        <OtherCompensationFilingOrg>21718</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>107407</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>19700</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>500505</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>SUSAN SHA</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>213744</BaseCompensationFilingOrg>
        <BonusFilingOrg>13500</BonusFilingOrg>
        <OtherCompensationFilingOrg>7229</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>39835</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5937</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>280245</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>IRA ZIMMERMAN</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>153434</BaseCompensationFilingOrg>
        <BonusFilingOrg>4000</BonusFilingOrg>
        <OtherCompensationFilingOrg>816</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>12030</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>1656</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>171936</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>RICK WIRTH</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>147335</BaseCompensationFilingOrg>
        <BonusFilingOrg>4421</BonusFilingOrg>
        <OtherCompensationFilingOrg>5506</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>12025</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5137</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>174424</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>RICHARD J KESSLER</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>274672</BaseCompensationFilingOrg>
        <BonusFilingOrg>7552</BonusFilingOrg>
        <OtherCompensationFilingOrg>1188</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14835</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13645</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>311892</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>RONALD SCHENENDORF</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>192062</BaseCompensationFilingOrg>
        <BonusFilingOrg>3927</BonusFilingOrg>
        <OtherCompensationFilingOrg>754</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10143</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14445</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>221331</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>MEREDITH LONG selzer</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>150970</BaseCompensationFilingOrg>
        <BonusFilingOrg>2044</BonusFilingOrg>
        <OtherCompensationFilingOrg>279</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>5934</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>159227</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>N/A Part I, LIne 4b - Pension contribution of $70,000-this amount represents a contribution made on behalf of the executive director to a supplemental retirement plan, or "SERP". the Serp attempts to provide for the executive director a retirement income, from all agency sources (including the agency's one half share of social security benefits and the agency's retirement plan for employees), equal to 38.40% of his final average earnings from the agency after 38 years of service with the agency. the agency has been informed by its advisors that this retirement benefit is well within or below competitive norms. this benefit is subject to forfeiture by the executive director if he terminates employment voluntarily with the agency before age 65. Part I, LIne 4b - Pension contribution of $25,000-this amount represents a contribution made on behalf of the chief financial officer to a supplemental retirement plan, or "SERP". the Serp attempts to provide for the chief financial officer a retirement income, from all agency sources (including the agency's one half share of social security benefits and the agency's retirement plan for employees), equal to 18.70% of her final average earnings from the agency after 11 years of service with the agency. the agency has been informed by its advisors that this retirement benefit is well within or below competitive norms. this benefit is subject to forfeiture by the chief financial officer if she terminates employment voluntarily with the agency before age 65.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>nassau county industrial development agency</BusinessNameLine1>
        </IssuerName>
        <DateIssued>2003-09-18</DateIssued>
        <IssuePrice>4331000</IssuePrice>
        <DescriptionOfPurpose>acquisition and construction of the fay j. lindner center in bethpage.</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>suffolk county industrial developmental agency</BusinessNameLine1>
        </IssuerName>
        <DateIssued>2004-12-17</DateIssued>
        <IssuePrice>1406000</IssuePrice>
        <DescriptionOfPurpose>acquisition of two ira's in sayville and huntington, ny.</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>suffolk county industrial developmental agency</BusinessNameLine1>
        </IssuerName>
        <DateIssued>2006-09-27</DateIssued>
        <IssuePrice>2634000</IssuePrice>
        <DescriptionOfPurpose>acquisition of two ira's in north babylon and east northport, ny.</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part III, line 4d</Identifier>
        <ReturnReference>Other Program Services</ReturnReference>
        <Explanation>Education Services: ACLD'S early childhood program at the Kramer Learning Center in Bay Shore provides diagnostic, educational and therapeutic services for more than 275 children from 3-5 years old. The overall goal of the program is provide comprehensive supports and services to children when they are young in order to improve their ability to be successful in the educational system and decrease their dependence on intensive supports. In addition, we operate an after-school therapeutic recreation program for children ages 6-18 to improve their ability to socialize and recreate with their peers. Many of these children have autism spectrum disorders that provide specific barriers to socialization. Expenses $ 7370944. including grants of $ 0. Revenue $ 7846047.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, line 4d</Identifier>
        <ReturnReference>Other Program Services</ReturnReference>
        <Explanation>Service Coordination, Family Support: More than 500 individuals receive comprehensive Medicaid Service Coordination throughout Long Island. These individuals are children and adults with developmental disabilities who require assistance with coordination of services that are crucial for their success. Family Support Services include in-home and center-based respite, camp programs, information and referral and educational consultation. Several hundred families benefit from these services. ACLD is a leader in the field of providing high-quality vocational services including evaluation, job development, job placement and supported employment across Long Island. We work with over 100 employers and maintain over 200 individuals in competitive employment. Expenses $ 3492979. including grants of $ 0. Revenue $ 3931932.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, line 4d</Identifier>
        <ReturnReference>Other Program Services</ReturnReference>
        <Explanation>Community Relations at ACLD includes all activities related to increasing our presence in the community, communicating with various constituencies and providing general information about the organization and its services. This is accomplished via our website, newsletters, annual report, e-mail blasts, trainings, brochures and direct mail. It is our intention to ensure that the ACLD brand is consistent and we are developing and maintaining all the necessary relationships to maximize our ability to be a resource to the community. Expenses $ 201530. including grants of $ 0. Revenue $ 0.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 10</Identifier>
        <Explanation>a detailed review of form 990 is performed by the controller and Chief financial officer before the form is filed with the IRS. Additionally, before form 990 is filed with the IRS, our external auditors give the finance and audit committee a formal presentation about the filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>The Corporate Compliance Officer ensures through an annual monitoring process, that officers, directors, trustees and key employees have completed an annual conflict of interest statement.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>The salaries for the Executive Director and CFO are reviewed by an outside, independent consultant. The results of this analysis are presented to the Compensation Committee of the Board of Directors, who review the analysis and approve the salaries of the Exceutive Director and CFO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>Copies of ACLD'S governing documents, conflict of interest policy and financial statements are available for inspection at our main office or upon request. ACLD'S website has a copy of our annual report.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Schedule A, Part III, Line 12</Identifier>
        <ReturnReference>Explanation for Other Income</ReturnReference>
        <Explanation>OTHER INCOME</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 Part I Summary Line 1</Identifier>
        <ReturnReference>Describe the Organizations mission or most significant activities</ReturnReference>
        <Explanation>Our Mission is to Support the Pursuit of an Enviable Life for Individuals with Developmental Disabilities. PArt I line 1 - ACLD is a leading not for profit agency (501(c)(3))on Long Island which, for more than fifty years, has served the needs of nearly 3,000 children, teens and adults with developmental disabilities and their families. ACLD was founded in 1957 by a group of families seeking educational and recreational services for their children. During the seventies and eighties, residential and day program development became a cornerstone of the organization's activities and this continues today. Today, ACLD is a full-service agency with nearly 1,000 full and part-time staff employed across an array of more than 74 program sites in Nassau and Suffolk Counties. ACLD'S Residential Division operates 26 community-based residences and 37 apartment sites in the two counties, serving nearly 300 adults in residential placements. These residential programs provide counseling, training and support services to enable individuals with disabilities to work, live and recreate in the mainstream of community life on Long Island. Day Service options for 420 adults include the CHOICES, BRIDGES and OASIS Day Habilitation. These programs foster independence, individualization, integration and productivity as well as emphasize community-based training through educational, social/recreational and volunteer opportunities. The Golden Opportunities Program offers specialized programming for individuals as they age. The Connections Program is designed for individuals who have an Autism Spectrum Diagnosis or present with similar strengths and challenges. The Gail and Don Mitzner Career and Community Services Center located in Melville assists more than 200 adults to secure and maintain employment through ACLD's Vocational Program. In addition, 500 individuals receive quality Medicaid Service Coordination. Family Support Services are also available and include in-home and center-based respite services, as well as information and referral resources utilized by the entire Long Island region. Finally, a self-pay recreation program is also coordinated out of this location. ACLD'S Early Childhood Program at The Kramer Learning Center in Bay Shore provides comprehensive diagnostic, educational and therapeutic services for more than 250 children from 3 to 5 years of age with physical and developmental disabilities. The programs goal is to provide young children with comprehensive services and supports to reduce the future need for them to rely on intensive educational and therapeutic services and costly residential placement. In addition, The After-School Therapeutic Recreation Program provides recreation and socialization opportunities for children ages 6 to 18. The Health Services Center with locations in Nassau and Suffolk counties, provides a full range of quality medical, dental, mental health and rehabilitation services for more than 1700 individuals with special needs throughout Long Island. Highly trained physicians and staff provide personalized medical care with a focus on preventative health screenings and attention to the individual's circle of support family and residential staff.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PART VII, COMPENSATION, SECTION A</Identifier>
        <ReturnReference>AMENDED RETURN COMPENSATION AMOUNTS</ReturnReference>
        <Explanation>AMENDON THE ORIGINALLY FILED FORM 990,COMPENSATION AMOUNTS FOR ALL THOSE REQUIRED TO BE LISTED IN PART VII, SECTION A WERE INADVERTENTLY OVERSTATED VIA DOUBLE COUNTING OF SOME AMOUNTS. THIS AMENDED RETURN ACCURATELY REFLECTS ALL FORM W-2 COMPENSATION AND RETIREMENT AND OTHER BENEFIT AMOUNTS FOR ALL PERSONS REQUIRED TO BE LISTED ON PART VII, SECTION A.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>