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      <PersonNm>Hallie Klein</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Devon Rivera</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Molloy</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>69418</TotalOtherCompensationAmt>
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      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>NYSARC Inc Nassau County Chapter</BusinessNameLine1Txt>
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        <ContractorAddress>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <OtherExpensesGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>An Endowment Fund was established for the maintenance of the grounds, lawns, shrubbery, flower beds, storage and irrigation (the "Landscaping Maintenance") at an Intermediate Care Facility ("ICF") formerly operated by AHRC Suffolk, located in Shoreham, New York.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Citizens adopted the provisions of ASC 740, Accounting for Uncertainty in Income Taxes. Under ASC 740, an organization must recognize the tax benefit associated with the tax position taken for tax return purposes when it is more likely than not that the position will not be sustained. The implementation of ASC 740 had no impact on Citizens' consolidating financial statements. Citizens does not believe there are any material uncertain tax positions and, accordingly, it will recognize any liability for unrecognized tax benefits. Citizens has filed for and received income tax exemptions in the jurisdiction where it is required to do so. Additionally, Citizens has filed Internal Revenue Service (IRS) form 990, tax returns, as required, and all other applicable returns in jurisdictions where it is required. For the year ended December 31, 2022, there was no interest or penalties recorded or included in the consolidating statement of activities. Citizens is subject to routine audits by taxing authorities. As of December 31, 2022, Citizens was not subject to any examination by taxing authority.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Year-end bonuses were approved by the Board of Directors to be awarded to all employees of the agency based on longevity and full-time and part-time status.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>During the year ended December 31, 2022, Citizens received $9,379,467 of Federal Medical Assistance Percentage (FMAP) funding that was designated under Section 9817 of the American Rescue Plan Act of 2021. These monies were received from NYS OPWDD and was be paid to eligible direct support professional ("DSP") employees as workforce stabilization bonuses ("WSI"). The WSI initiative included four bonuses; including a vaccine incentive, covid service pay, longevity and retention bonus. Each eligible DSP could receive approximately $500 for a vaccine incentive, $1,000 for covid service pay, and 20% of salaries earned during April 01, 2020, through March 31, 2021, for each of the longevity and retention bonuses. As a result, included in Part VII -line 1(a) and Schedule J - Part II are reportable bonus compensation for employees who would not otherwise be reported as a highest compensated employee. As this is a nonexchange transaction in which no commensurate value is exchanged, they are reported as government grants (contributions) in Part VIII - line 1(e). During the year ended December 31, 2022, $9,379,467 was distributed to eligible employees as bonuses and is included in salaries and payroll taxes in Part IX - lines 7,10.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Management Services are provided to Citizens Options Unlimited, Inc. ("Citizens, Inc.") by NYSARC Inc., Nassau County Chapter ("AHRC Nassau") for which management fees of $3,580,486 were paid for the year 2022. Management services included abut are not limited to, executive leadership, program operations management, corporate compliance, administrative support services, information technology, purchasing, accounts payable, payroll processing, human resources, budgeting, accounting and financial reporting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Nassau County AHRC Foundation ("The Foundation") is the sole member of Citizens, Inc. and appoints the Board of Directors of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation is the sole member of Citizens, Inc. and appoints the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation may approve certain decisions of the Citizens, Inc governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by AHRC Nassau Finance department personnel and is reviewed by independent accountants. The form 990 is provided to the Citizens, Inc. Finance Committee and Board of Directors prior to filling.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All Board Members complete and submit a conflict-of-interest questionnaire annually to the Chairperson of the Board's Corporate Compliance Committee. Completed questionnaires are reviewed by this committee and a presentation made to the full Board of Directors. As per the Conflict of interest policy for Key and Supervisory personnel: New employees to whom this policy applies will be required to disclose any other employment, independent consulting assignments, family relationships to Agency employees or other potential conflict of interest at the time of hire. The "Potential Conflict of Interest Disclosure Form" is provided to the employees by Human Resources Department and must be completed with all the other pre-employment paperwork and are forwarded to the Department for review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors of AHRC Nassau has a designated Compensation Committee which reviews compensation of its employees, including but not limited to those employees who provide management services to Citizens, Inc. The AHRC Nassau management team utilizes and retains for its records, comparable industry data, employee tenure and skills evaluations, and the financial condition of the organization. AHRC Nassau also engages an independent compensation consultant who provides a compensation study of salary and benefits, reviewed by AHRC Nassau Compensation Committee, and opines as to compliance with Federal and State regulatory and best practice. Further, Citizens, Inc. has a Finance Committee which conducts a review of annual budgeted salary and benefits expenses and to which compensation policy is subject to review and approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Citizens, Inc. makes its governing documents, conflict of interest policy, and financial statements available upon request to the public.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>During the year ended December 31, 2022, Citizens, Inc. received $9,379,467 of Federal Medical Assistance Percentage (FMAP) funding that was designated under Section 9817 of the American Rescue Plan Act of 2021. These monies were received from NYS OPWDD and were to be paid to eligible direct support professional ("DSP") employees as workforce stabilization bonuses ("WSI"). The WSI initiative included four bonuses; including a vaccine incentive, covid service pay, longevity and retention bonus. Each eligible DSP could receive approximately $500 for a vaccine incentive, $1,000 for covid service pay, and 20% of salaries earned during April 01, 2020, through March 31, 2021, for each of the longevity and retention bonuses. As a result, included in Part VII -line 1(a) and Schedule J - Part II are reportable bonus compensation for employees who would not otherwise be reported as a highest compensated employee. As this is a nonexchange transaction in which no commensurate value is exchanged, they are reported as government grants (contributions) in Part VIII - line 1(e). During the year ended December 31, 2022, $9,379,467 was distributed to eligible employees as bonuses and is included in salaries and payroll taxes in Part IX - lines 7,10. Additionally, on March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act (the CARES Act) was enacted. The CARES Act, among other things, appropriated funds for the Small Business Administration (SBA) Paycheck Protection Program (PPP) loans that are forgivable in certain situations to promote continued employment. On May 26, 2021, Citizens Options received funds of $7,881,858 from the SBA PPP. In July 2022 Citizens Options received full forgiveness in the amount of $7,881,858 of its PPP loan from their lender and the SBA. The application for these PPP loan funds required Citizens, Inc. to, in good faith, certify that the current economic uncertainty made the loan request necessary to support the ongoing operations of Citizens Options. This certification further required Citizens, Inc. to take into account its current business activity and ability to access other sources of liquidity sufficient to support ongoing operations in a manner that is not significantly detrimental to the business. The receipt of these funds, and the forgiveness of the loan attendant to these funds, is dependent on Citizens, Inc. having initially qualified for the loan and qualifying for the forgiveness of such loan based on its future adherence to the forgiveness criteria. The forgiveness of this loan has been included in forgiveness of debt on the accompanying consolidating statement of activities. Finally, the salary expense for the VP Operations is allocated partially to another agency, BCCS, as she provides oversight to the Intermediate Care Facilities program within that agency.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 1h</FormAndLineReferenceDesc>
        <ExplanationTxt>During the year ended December 31, 2022, Citizens, Inc. received $9,379,467 of Federal Medical Assistance Percentage (FMAP) funding that was designated under Section 9817 of the American Rescue Plan Act of 2021. These monies were received from NYS OPWDD and intended to be paid to eligible direct support professional ("DSP") employees as workforce stabilization bonuses ("WSI"). The WSI initiative included four bonuses; including a vaccine incentive, covid service pay, longevity and retention bonus. Each eligible DSP could receive approximately $500 for a vaccine incentive, $1,000 for covid service pay, and 20% of salaries earned during April 01, 2020, through March 31, 2021, for each of the longevity and retention bonuses. As a result, included in Part VII -line 1(a) and Schedule J - Part II are reportable bonus compensation for employees who would not otherwise be reported as a highest compensated employee. As this is a nonexchange transaction in which no commensurate value is exchanged, they are reported as government grants (contributions) in Part VIII - line 1(e). During the year ended December 31, 2022, $9,379,467 was distributed to eligible employees as bonuses and is included in salaries and payroll taxes in Part IX - lines 7,10. Additionally, on March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act (the CARES Act) was enacted. The CARES Act, among other things, appropriated funds for the Small Business Administration (SBA) Paycheck Protection Program (PPP) loans that are forgivable in certain situations to promote continued employment. On May 26, 2021, Citizens Options received $7,881,858 from the SBA PPP. In July 2022 Citizens, Inc. received full forgiveness in the amount of $7,881,858 of its PPP loan from their lender and the SBA. The application for these PPP loan funds required Citizens Options to, in good faith, certify that the current economic uncertainty made the loan request necessary to support the ongoing operations of Citizens, Inc. This certification further required Citizens, Inc. to take into account its current business activity and ability to access other sources of liquidity sufficient to support ongoing operations. The receipt of these funds, and the forgiveness of the loan attendant to these funds, is dependent on Citizens Options having initially qualified for the loan and qualifying for the forgiveness of such loan based on its future adherence to the forgiveness criteria. The forgiveness of this loan has been included in government grants (contributions) in the accompanying consolidating statement of activities.</ExplanationTxt>
      </SupplementalInformationDetail>
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