﻿<?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="2010v3.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-11-15T15:57:38-06:00</Timestamp>
    <TaxPeriodEndDate>2010-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>JH COHN LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>4 BECKER FARM ROAD</AddressLine1>
        <City>ROSELAND</City>
        <State>NJ</State>
        <ZIPCode>070681739</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>132828349</EIN>
      <Name>
        <BusinessNameLine1>HUDSON RIVER HEALTHCARE INC</BusinessNameLine1>
      </Name>
      <NameControl>HUDS</NameControl>
      <Phone>9147348718</Phone>
      <USAddress>
        <AddressLine1>1037 MAIN STREET</AddressLine1>
        <City>PEEKSKILL</City>
        <State>NY</State>
        <ZIPCode>10566</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>JAMES D SINKOFF</Name>
      <Title>CFO</Title>
      <Phone>9147348718</Phone>
      <DateSigned>2011-11-15</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>THOMAS LANNING</Name>
      <Phone>2123721000</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>ANNE K NOLON</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>1037 MAIN STREET</AddressLine1>
        <City>PEEKSKILL</City>
        <State>NY</State>
        <ZIPCode>10566</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>53542914</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.HRHCARE.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1975</YearFormation>
      <StateLegalDomicile>NY</StateLegalDomicile>
      <ActivityOrMissionDescription>TO INCREASE ACCESS TO PRIMARY AND PREVENTIVE HEALTH CARE AND TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY, ESPECIALLY FOR THE UNDERSERVED AND VULNERABLE.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>19</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>19</NbrIndependentVotingMembers>
      <TotalNbrEmployees>647</TotalNbrEmployees>
      <TotalNbrVolunteers>0</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>17628883</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>22371485</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>27231874</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>30678206</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>17952</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>0</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>365693</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>493223</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>45244402</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>53542914</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>29130009</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>33057146</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>13224021</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>14062319</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>42354030</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>47119465</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>2890372</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>6423449</RevenuesLessExpensesCY>
      <TotalAssetsBOY>25096113</TotalAssetsBOY>
      <TotalAssetsEOY>35680816</TotalAssetsEOY>
      <TotalLiabilitiesBOY>10720120</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>14708050</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>14375993</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>20972766</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>TO OPERATE FREESTANDING DIAGNOSTIC AND TREATMENT CENTERS, LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE HEALTH LAW, LOCATED IN THE HUDSON VALLEY REGION OF NEW YORK STATE. THE ORGANIZATION PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>13488621</Expense>
      <Revenue>30678206</Revenue>
      <Description>CHC 330 - HRHCARE PROVIDES INNOVATIVE PROGRAMS AND COMPREHENSIVE HEALTH SERVICES TO MEET THE NEEDS OF AT RISK POPULATIONS THROUGHOUT THE HUDSON VALLEY. IN 2009, HRHCARE HAD FOURTEEN PRIMARY CARE SITES THROUGHOUT SOUTHEASTERN NEW YORK STATE. HRHCARE HAS SERVED OVER 61,500 PEOPLE THROUGH 214,000 VISITS.</Description>
      <Activity2>
        <Expense>6522430</Expense>
        <Description>NYS DEPARTMENT OF HEALTH - PREVENTIVE HEALTH</Description>
      </Activity2>
      <Activity3>
        <Expense>5240653</Expense>
        <Description>WIC AND AMERICORP</Description>
      </Activity3>
      <ActivityOther>
        <Expense>11715532</Expense>
        <Description>OTHER MISCELLANEOUS PROGRAMS</Description>
      </ActivityOther>
      <TotalOfOtherProgramServiceExp>11715532</TotalOfOtherProgramServiceExp>
      <TotalProgramServiceExpense>36967236</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <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">1</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital referenceDocumentId="RetDoc1041500001">1</Hospital>
      <FinancialStmtAttached>0</FinancialStmtAttached>
      <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">1</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>122</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>647</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>19</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>19</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>DENISE CALABRESE</NamePerson>
        <TelephoneNumber>9147348718</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1200 BROWN STREET</AddressLine1>
          <City>PEEKSKILL</City>
          <State>NY</State>
          <ZIPCode>10566</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>RAMONA CEBALLOS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SANDRA CUELLAR OXFORD</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERTO CRUZ SALINAS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELIZABETH DRUBACK CELAYA</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 GILLEO</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES HEISEY</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARCIA JACOBOWITZ-PAZ</NamePerson>
        <Title>VICE CHAIRPERSON</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NORMA JOHNSON</NamePerson>
        <Title>VICE CHAIRPERSON</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>HENRY LOPEZ</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>F BRYAN PAZ</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NORMA PEREIRA-MORA</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANDREW S RICHTER PHD</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SISTER MARGARET SMYTH OP</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROSA FAISON</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ALAN L STEINER</NamePerson>
        <Title>CHAIRMAN</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LUKE HILPERT</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ATTIE TUCKER</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANNETTE SHANDS PHD</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES STEETS</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 K NOLON</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>388496</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14700</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES SINKOFF</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>213573</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATHERINE BRIEGER</NamePerson>
        <Title>COO</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>187952</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11482</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BLAISE NAPOLITANO MD</NamePerson>
        <Title>SITE MEDICAL DIRECTOR</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>173439</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10988</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KENNETH DESA MD</NamePerson>
        <Title>SITE MEDICAL DIRECTOR</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>193711</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12000</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SOPHIA MCINTYRE MD</NamePerson>
        <Title>SITE MEDICAL DIRECTOR</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>180321</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10928</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRYON LABRENZ MD</NamePerson>
        <Title>SITE MEDICAL DIRECTOR</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>163038</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>9782</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RASHMI KAR MD</NamePerson>
        <Title>OB/GYN</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>173722</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10422</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CARMEN CHINEA MD</NamePerson>
        <Title>MEDICAL DIRECTOR</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>176636</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11388</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CLIFFORD HAMES DDS</NamePerson>
        <Title>DENTAL DIRECTOR</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>163022</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10358</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ALLISON DUBOIS-ADACH</NamePerson>
        <Title>VP HEALTH CENTER AMINISTRA</Title>
        <AverageHoursPerWeek>35.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>173777</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11277</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2187687</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>113325</TotalOtherCompensation>
      <NumberIndividualsGT100K>11</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CUDDY &amp; FEDER LLP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>445 HAMILTON AVENNUE</AddressLine1>
            <City>WHITE PLAINS</City>
            <State>NY</State>
            <ZIPCode>10601</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LEGAL</DescriptionOfServices>
        <Compensation>148382</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>LATMAN CONSULTING SERVICES LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>305 E 24TH ST 15U</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10010</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>FINANCIAL</DescriptionOfServices>
        <Compensation>120409</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>2</NumberOfContractorsGT100K>
      <GovernmentGrants>22371485</GovernmentGrants>
      <TotalContributions>22371485</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MEDICAID &amp; MEDICARE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>13587498</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>13587498</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MANAGED CARE PLANS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>7254758</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7254758</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SELF-PAY</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>3267547</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3267547</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>NYS UNCOMP. CARE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2934929</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2934929</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER THIRD PARTY</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2830487</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2830487</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>802987</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>802987</RelatedOrExemptFunctionIncome>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>30678206</TotalProgramServiceRevenue>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>493223</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>493223</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>493223</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>53542914</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>31171429</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalRevenue>
      <OtherSalariesAndWages>
        <Total>27024854</Total>
        <ProgramServices>20857708</ProgramServices>
        <ManagementAndGeneral>6167146</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <OtherEmployeeBenefits>
        <Total>6032292</Total>
        <ProgramServices>4655220</ProgramServices>
        <ManagementAndGeneral>1377072</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <FeesForServicesLegal>
        <Total>135935</Total>
        <ManagementAndGeneral>135935</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>119693</Total>
        <ManagementAndGeneral>119693</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>1628653</Total>
        <ProgramServices>829223</ProgramServices>
        <ManagementAndGeneral>799430</ManagementAndGeneral>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>794818</Total>
        <ProgramServices>648396</ProgramServices>
        <ManagementAndGeneral>146422</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>1942845</Total>
        <ProgramServices>1379490</ProgramServices>
        <ManagementAndGeneral>563355</ManagementAndGeneral>
      </Occupancy>
      <ConferencesMeetings>
        <Total>475719</Total>
        <ProgramServices>408623</ProgramServices>
        <ManagementAndGeneral>67096</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>339827</Total>
        <ProgramServices>211752</ProgramServices>
        <ManagementAndGeneral>128075</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>1857592</Total>
        <ProgramServices>1406351</ProgramServices>
        <ManagementAndGeneral>451241</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>224526</Total>
        <ProgramServices>179223</ProgramServices>
        <ManagementAndGeneral>45303</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>CONSUMABLE SUPPLIES</Description>
        <Total>2103220</Total>
        <ProgramServices>2054873</ProgramServices>
        <ManagementAndGeneral>48347</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>HEALTHCARE CONSULTANTS</Description>
        <Total>1696168</Total>
        <ProgramServices>1696168</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROVISION FOR BAD DEBT</Description>
        <Total>1668601</Total>
        <ProgramServices>1668601</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LABORATORY &amp; RADIOLOGY</Description>
        <Total>326039</Total>
        <ProgramServices>326039</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS AND MAINTENANCE</Description>
        <Total>231572</Total>
        <ProgramServices>178831</ProgramServices>
        <ManagementAndGeneral>52741</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>517111</Total>
        <ProgramServices>466738</ProgramServices>
        <ManagementAndGeneral>50373</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>47119465</Total>
        <ProgramServices>36967236</ProgramServices>
        <ManagementAndGeneral>10152229</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>4937811</BOY>
        <EOY>6351771</EOY>
      </CashNonInterestBearing>
      <PledgesAndGrantsReceivable>
        <BOY>1444525</BOY>
        <EOY>4864677</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>4251570</BOY>
        <EOY>5214583</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>395515</BOY>
        <EOY>439507</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>31238814</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>14262077</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>12717353</BOY>
        <EOY>16976737</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>1349339</BOY>
        <EOY>1833541</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>25096113</BOY>
        <EOY>35680816</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>4122194</BOY>
        <EOY>6550101</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>279355</BOY>
        <EOY>508568</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>4681997</BOY>
        <EOY>5161324</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>1636574</BOY>
        <EOY>2488057</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>10720120</BOY>
        <EOY>14708050</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>13569118</BOY>
        <EOY>19971461</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>806875</BOY>
        <EOY>1001305</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>14375993</BOY>
        <EOY>20972766</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>25096113</BOY>
        <EOY>35680816</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>6423449</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>173324</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>0</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>15950737</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>19574872</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>16885906</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17628883</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>22371485</CurrentTaxYear>
        <Total>92411883</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>15950737</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>19574872</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>16885906</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17628883</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>22371485</CurrentTaxYear>
        <Total>92411883</Total>
      </Total170>
      <PublicSupportTotal170>92411883</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>132420</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>97320</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>37934</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17952</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>107219</CurrentTaxYear>
        <Total>392845</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <CurrentTaxYearMinus3Years>46383</CurrentTaxYearMinus3Years>
        <Total>46383</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>168590</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>226774</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>153717</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>300823</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>580434</CurrentTaxYear>
        <Total>1430338</Total>
      </OtherIncome170>
      <TotalSupport>94281449</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>114965296</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.98020</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.97920</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>855144</BeginningOfYearBalance>
        <Contributions>194430</Contributions>
        <OtherExpenditures>0</OtherExpenditures>
        <EndOfYearBalance>1049574</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>721831</BeginningOfYearBalance>
        <Contributions>219735</Contributions>
        <OtherExpenditures>86422</OtherExpenditures>
        <EndOfYearBalance>855144</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>759727</BeginningOfYearBalance>
        <Contributions>112104</Contributions>
        <OtherExpenditures>150000</OtherExpenditures>
        <EndOfYearBalance>721831</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>499440</OtherCostOrOtherBasis>
        <BookValue>499440</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>12026844</OtherCostOrOtherBasis>
        <BookValue>12026844</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>2681520</OtherCostOrOtherBasis>
        <BookValue>2681520</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>12559845</OtherCostOrOtherBasis>
        <BookValue>12559845</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>3471165</OtherCostOrOtherBasis>
        <Depreciation>14262077</Depreciation>
        <BookValue>-10790912</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>16976737</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>344590</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEFERRED COMPENSATION ACCOUNT</Description>
        <BookValue>487646</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>FOUNDATION (FASB 136)</Description>
        <BookValue>1001305</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>1833541</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>CAPITAL LEASE OBLIGATIONS</Description>
        <Amount>924525</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED COMP LIABILITY</Description>
        <Amount>487646</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO THIRD PARTY PAYOR</Description>
        <Amount>1075886</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2488057</TotalOfAmounts>
      <TotalRevenue>53542914</TotalRevenue>
      <TotalExpenses>47119465</TotalExpenses>
      <ExcessOrDeficitForYear>6423449</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>194430</NetUnrealizedGLOnInvestments>
      <OtherAmount>-21106</OtherAmount>
      <TotalAdjustments>173324</TotalAdjustments>
      <ExcessOrDeficitPerFS>6596773</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>53542914</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>53542914</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>53542914</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>47119465</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>47119465</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>47119465</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>THE FUNDS WILL USED WHEN THE ORGANIZATION HAS MET THE CONDITIONS OF THE RESTRICTIONS AND THE BOARD DESIGNATED FUNDS WILL BE UTILIZED FOR FUTURE OPERATIONAL RESERVES.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>ON JANUARY 1, 2009, THE CENTER ADOPTED THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CODIFIED IN ACCOUNTING STANDARDS CODIFICATION ("ASC") 740, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE CENTER MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. MANAGEMENT EVALUATED THE CENTER'S TAX POSITIONS AND CONCLUDED THAT THE CENTER HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2007, WHICH IS THE STANDARD STATUTE OF LIMITATIONS LOOK-BACK PERIOD.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>SOLUTIONS FOR COMMUNITY HEALTH NET ASSETS</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>11172964</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5426165</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5746799</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.12200</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>23332446</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>19243078</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4089368</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08680</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>1925458</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1631297</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>294161</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00620</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>36430868</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>26300540</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>10130328</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.21500</PercentOfTotalExpense>
      </TotalCharityCare>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>36430868</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>26300540</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>10130328</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.21500</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1668601</BadDebtExpenseAmount>
      <AmountAttributableTo>1668601</AmountAttributableTo>
      <AmountReimbursedByMedicare>2197160</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>1928841</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>268319</MedicareSurplusOrShortfall>
      <NumberOfHospitalFacilities>16</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>AMENIA</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>3360 ROUTE 343</AddressLine1>
          <City>AMENIA</City>
          <State>NY</State>
          <ZIPCode>12501</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>BEACON</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>6 HENRY STREET</AddressLine1>
          <City>BEACON</City>
          <State>NY</State>
          <ZIPCode>12508</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>DOVER PLAINS</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>3174 ROUTE 22</AddressLine1>
          <City>DOVER PLAINS</City>
          <State>NY</State>
          <ZIPCode>12522</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>4</FacilityNumber>
        <Name>
          <BusinessNameLine1>GOSHEN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>888 PULASKI HIGHWAY</AddressLine1>
          <City>GOSHEN</City>
          <State>NY</State>
          <ZIPCode>10924</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>5</FacilityNumber>
        <Name>
          <BusinessNameLine1>GREENPORT</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>327 FRONT STREET</AddressLine1>
          <City>GREENPORT</City>
          <State>NY</State>
          <ZIPCode>11944</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>6</FacilityNumber>
        <Name>
          <BusinessNameLine1>HAVERSTRAW</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>26 NEW MAIN STREET</AddressLine1>
          <City>HAVERSTRAW</City>
          <State>NY</State>
          <ZIPCode>10927</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>7</FacilityNumber>
        <Name>
          <BusinessNameLine1>MONTICELLO</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>23 LAKEWOOD AVENUE</AddressLine1>
          <City>MONTICELLO</City>
          <State>NY</State>
          <ZIPCode>12701</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>8</FacilityNumber>
        <Name>
          <BusinessNameLine1>NEW PALTZ</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1 PARADIES LANE</AddressLine1>
          <City>NEW PALTZ</City>
          <State>NY</State>
          <ZIPCode>12561</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>9</FacilityNumber>
        <Name>
          <BusinessNameLine1>PEEKSKILL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1037 MAIN STREET</AddressLine1>
          <City>PEEKSKILL</City>
          <State>NY</State>
          <ZIPCode>10566</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>10</FacilityNumber>
        <Name>
          <BusinessNameLine1>BOHLMAN TOWERS</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>807 MAIN STREET</AddressLine1>
          <City>PEEKSKILL</City>
          <State>NY</State>
          <ZIPCode>10566</ZIPCode>
        </Address>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>11</FacilityNumber>
        <Name>
          <BusinessNameLine1>PINE PLAINS</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>11 PILCH DRIVE</AddressLine1>
          <City>PINE PLAINS</City>
          <State>NY</State>
          <ZIPCode>12567</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>12</FacilityNumber>
        <Name>
          <BusinessNameLine1>POUGHKEEPSIE ATRIUM</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1 WEBSTER AVENUE SUITE 202</AddressLine1>
          <City>POUGHKEEPSIE</City>
          <State>NY</State>
          <ZIPCode>10601</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>13</FacilityNumber>
        <Name>
          <BusinessNameLine1>POUGHKEEPSIE FAMILY PARTNERSHIP CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>29 NORTH HAMILTON STREET</AddressLine1>
          <City>POUGHKEEPSIE</City>
          <State>NY</State>
          <ZIPCode>10601</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>14</FacilityNumber>
        <Name>
          <BusinessNameLine1>WALDEN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>75 ORANGE AVENUE</AddressLine1>
          <City>WALDEN</City>
          <State>NY</State>
          <ZIPCode>12586</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>15</FacilityNumber>
        <Name>
          <BusinessNameLine1>YONKERS - PARK CARE</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2 PARK AVENUE</AddressLine1>
          <City>YONKERS</City>
          <State>NY</State>
          <ZIPCode>10703</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>16</FacilityNumber>
        <Name>
          <BusinessNameLine1>YONKERS - VALENTINE LANE</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>503 SOUTH BROADWAY</AddressLine1>
          <City>YONKERS</City>
          <State>NY</State>
          <ZIPCode>10705</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ARTICLE 28 D&amp;TC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <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>
        <NamePerson>ANNE K NOLON</NamePerson>
        <BaseCompensationFilingOrg>261102</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>126000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1394</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>14700</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>403196</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES SINKOFF</NamePerson>
        <BaseCompensationFilingOrg>207740</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5833</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>213573</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KATHERINE BRIEGER</NamePerson>
        <BaseCompensationFilingOrg>187952</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11482</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>199434</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BLAISE NAPOLITANO MD</NamePerson>
        <BaseCompensationFilingOrg>144869</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>28570</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10988</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>184427</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KENNETH DESA MD</NamePerson>
        <BaseCompensationFilingOrg>154937</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>38774</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12000</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>205711</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SOPHIA MCINTYRE MD</NamePerson>
        <BaseCompensationFilingOrg>159411</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>20910</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10928</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>191249</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRYON LABRENZ MD</NamePerson>
        <BaseCompensationFilingOrg>156758</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>6280</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9782</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>172820</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RASHMI KAR MD</NamePerson>
        <BaseCompensationFilingOrg>173649</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>73</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10422</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>184144</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CARMEN CHINEA MD</NamePerson>
        <BaseCompensationFilingOrg>175384</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1252</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11388</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>188024</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CLIFFORD HAMES DDS</NamePerson>
        <BaseCompensationFilingOrg>162652</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>370</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10358</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>173380</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ALLISON DUBOIS-ADACH</NamePerson>
        <BaseCompensationFilingOrg>173777</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11277</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>185054</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>FORM 990 IS BEING PRESENTED TO AUDIT COMMITTEE OF THE BOARD WHICH PRESENTS TO THE FULL BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>HRHCARE HAS A COMPLIANCE COMMITTEE OF THE BOARD, AN ANONYMOUS TIP LINE WITH A RELATION WHISTLE BLOWER POLICY. WE HAVE CONFLICT OF INTEREST DISCLAIMER FORMS THAT ARE REVIEWED ON A REGULAR BASIS BY THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>BASE-PAY REALIGNMENTS TO THE MARKET ARE DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS PERTAINING TO THE COMPENSATION OF INDIVIDUALS SERVING AS THE PRESIDENT AND CEO. THE BOARD OF DIRECTORS USES AN EXTERNAL COMPENSATION CONSULTANT, PROXUS CONSULTING GROUP BASED IN PHILADELPHIA, PA TO ADVISE THE BOARD OF DIRECTORS IN ITS DECISIONS REGARDING CHANGES TO THE ANNUAL BASE COMPENSATION OF THE PRESIDENT AND CEO. EXTERNAL MARKET DATA IS COLLECTED BY PROXUS, FROM THREE PUBLISHED SURVEY SOURCES: ECONOMIC RESEARCH INSTITUTE, THE HAY HEALTHCARE SURVEY, AND THE WARREN HMO SALARY SURVEY. MARKET DATA IS EXTRAPOLATED BASED ON THE MAIN DUTIES AND RESPONSIBILITES OUTLINED IN THE JOB DESCRIPTION. THE SURVEY DATA IS ABLE TO PROVIDE DATA SPECIFICALLY FOR THE PEEKSKILL, NY MARKET AREA: THE HEADQUARTERS OF HUDSON RIVER HEALTHCARE, INC. MARKET DATA IS REVIEWED AT THE MEDIA (50TH PERCENTILE) WHICH FOLLOWS HISTORICAL AND TRADITIONAL COMPENSATION PRACTICES FOR MOST ORGANIZATIONS STRIVING TO BE COMPETITIVE AT THE 50TH PERCENTILE. ONCE THE ANALYSIS IS COMPLETED, A RECOMMENDATION IS MADE REGARDING BASE COMPENSATION. THE COMPENSATION COMMITTEE OF THE BOARD MEETS TO DISCUSS, WITH THE CONSULTANTS, THEIR WORK AND FINDINGS, DELIBERATES, AND DECIDES, WITHOUT THE CONSULTANTS BEING PRESENT, WHAT CHANGES TO ANYYAL BASE COMPENSATION ARE WARRANTED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 194,430. SOLUTIONS FOR COMMUNITY HEALTH NET ASSETS -21,106. TOTAL TO FORM 990, PART XI, LINE 5: 173,324.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MONTICELLO LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>19 LAKEWOOD AVENUE</AddressLine1>
          <City>MONTICELLO</City>
          <State>NY</State>
          <ZIPCode>12701</ZIPCode>
        </AddressUS>
        <EIN>272572593</EIN>
        <PrimaryActivities>REAL ESTATE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <TotalIncome>79925</TotalIncome>
        <EOYAssets>2848643</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>HUDSON RIVER HEALTHCARE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HUDSON RIVER HEALTHCARE FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1037 MAIN STREET</AddressLine1>
          <City>PEEKSKILL</City>
          <State>NY</State>
          <ZIPCode>10566</ZIPCode>
        </AddressUS>
        <EIN>200151252</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HUDSON RIVER HEALTHCARE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SOLUTIONS 4 COMMUNITY HEALTH INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1037 MAIN STREET</AddressLine1>
          <City>PEEKSKILL</City>
          <State>NY</State>
          <ZIPCode>10566</ZIPCode>
        </AddressUS>
        <EIN>753241273</EIN>
        <PrimaryActivity>MEDICAL BILLING</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <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>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HUDSON RIVER HEALTHCARE FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>187120</AmountInvolved>
        <MethodOfAmtDetermination>FAIR VALUE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>