<?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="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2023-11-08T13:01:07-06:00</ReturnTs>
    <TaxPeriodEndDt>2022-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>161092347</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>MENGEL METZGER BARR &amp; CO LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>100 CHESTNUT STREET SUITE 1200</AddressLine1Txt>
        <CityNm>ROCHESTER</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>14604</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>222702285</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>STARBRIDGE SERVICES INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>STAR</BusinessNameControlTxt>
      <PhoneNum>5852247204</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1650 SOUTH AVENUE SUITE 200</AddressLine1Txt>
        <CityNm>ROCHESTER</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>14620</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>NIKISHA RIDGEWAY</PersonNm>
      <PersonTitleTxt>PRESIDENT &amp; CEO</PersonTitleTxt>
      <PhoneNum>5852247204</PhoneNum>
      <SignatureDt>2023-11-07</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>NIKISHA</PersonFirstNm>
        <PersonLastNm>RIDGEWAY</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>MICHELLE CAIN</PreparerPersonNm>
      <PTIN>P00150750</PTIN>
      <PhoneNum>5854231860</PhoneNum>
      <PreparationDt>2023-11-08</PreparationDt>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>2</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>NIKISHA RIDGEWAY</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1650 SOUTH AVENUE SUITE 200</AddressLine1Txt>
        <CityNm>ROCHESTER</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>14620</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>15158400</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.STARBRIDGEINC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1985</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PARTNER WITH PEOPLE WHO HAVE DISABILITIES, THEIR FAMILIES, AND OTHERS WHO SUPPORT THEM, TO REALIZE FULFILLING POSSIBILITIES IN EDUCATION, EMPLOYMENT, HEALTH, AND COMMUNITY LIVING; AND TO TRANSFORM COMMUNITIES TO INCLUDE EVERYONE.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>16</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>16</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>595</TotalEmployeeCnt>
      <TotalVolunteersCnt>18</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>2485590</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2488889</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>10745527</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>12560822</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>9395</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>2742</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>135921</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>96544</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>13376433</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>15148997</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>7932032</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>10755552</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>142135</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>3934993</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>4352587</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>11867025</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>15108139</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1509408</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>40858</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>4814747</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>5259019</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>792393</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1309366</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>4022354</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>3949653</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO PARTNER WITH PEOPLE WHO HAVE DISABILITIES, THEIR FAMILIES, AND OTHERS WHO SUPPORT THEM, TO REALIZE FULFILLING POSSIBILITIES IN EDUCATION, EMPLOYMENT, HEALTH, AND COMMUNITY LIVING; AND TO TRANSFORM COMMUNITIES TO INCLUDE EVERYONE.</MissionDesc>
      <SignificantNewProgramSrvcInd>1</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>1</SignificantChangeInd>
      <ExpenseAmt>10563365</ExpenseAmt>
      <RevenueAmt>10419246</RevenueAmt>
      <Desc>SUPERVISED LIVING (RESIDENTIAL SERVICES):STARBRIDGE OFFERS RESIDENCES THAT ARE STAFFED 24/7 BY TRAINED AND CARING DIRECT-SUPPORT PROFESSIONALS. OUR HOMES AND APARTMENTS ARE LOCATED IN BRIGHTON, IRONDEQUOIT, AND ROCHESTER, AND ARE CERTIFIED BY THE NYS OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES (OPWDD). SUPERVISED RESIDENCES OFFER 24/7 SUPPORT TO MEET EACH PERSON'S NEEDS WHILE HELPING THEM ACHIEVE GREATER PERSONAL INDEPENDENCE.COMMUNITY LIVING (RESIDENTIAL SERVICES &amp; SELF DIRECTED SERVICES):COMMUNITY HABILITATIONSTARBRIDGE OFFERS ONE-ON-ONE SUPPORT TO ADULTS AND YOUNG ADULTS WITH DISABILITIES TO INCREASE INDEPENDENCE IN ACTIVITIES OF DAILY LIVING (ADLS). COMMUNITY HAB COUNSELORS PROVIDE PERSON-CENTERED SUPPORTS AS DIRECTED BY INDIVIDUALS AND THEIR LIFE PLANS. SKILLS THAT THEY WORK ON INCLUDE MONEY MANAGEMENT, IMPROVED HEALTH AND WELLNESS, COOKING, HOUSEHOLD MANAGEMENT, COMMUNITY ENGAGEMENT AND BUDGETING SKILLS.SUPPORTIVE IRASTARBRIDGE'S SUPPORTIVE SETTING OFFERS A HIGH LEVEL OF LIVING INDEPENDENCE, WHILE ENSURING ASSISTANCE FROM HIGHLY TRAINED DIRECT-SUPPORT PROFESSIONALS. OUR STAFF ASSISTS PEOPLE IN IDENTIFYING THE AREAS IN WHICH THEY WOULD LIKE SUPPORT TO REACH A HIGHER LEVEL OF LIVING INDEPENDENCE. SKILLS THAT THEY WORK ON INCLUDE MONEY MANAGEMENT, IMPROVED HEALTH AND WELLNESS, COOKING, HOUSEHOLD MANAGEMENT, COMMUNITY ENGAGEMENT AND BUDGETING SKILLS. SUPPORTS ARE PROVIDED FOLLOWING A PERSON-CENTERED APPROACH AND BASED ON THE GOALS AND OBJECTS PRESCRIBED ON AN INDIVIDUALS' LIFE PLAN. STARBRIDGE'S SUPPORTIVE RESIDENCES ARE ALSO CERTIFIED BY THE NYS OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES (OPWDD).FISCAL INTERMEDIARYSUPPORTS INDIVIDUALS WITH I/DD WITH SELF-DIRECTED BUDGETS TO PAY FOR STAFF AND OTHER SUPPORTS AND SERVICES NEEDED AT HOME AND IN THE COMMUNITY. SELF-DIRECTION MEANS THAT INDIVIDUALS CHOOSE THE SUPPORTS AND SERVICES THAT WORK BEST FOR THEM. INDIVIDUALS ALONG WITH THEIR CIRCLE OF SUPPORT (ALSO KNOWN AS A PLANNING TEAM) DEVELOP A PERSON-CENTERED PLAN, INCLUDING A SELF-DIRECTED BUDGET TO PAY FOR THE STAFF AND OTHER SUPPORTS AND SERVICES NEEDED AT HOME AND IN THE COMMUNITY. THESE CAN INCLUDE ONE-TO-ONE STAFF, RESPITE, EMPLOYMENT SUPPORTS, CLASSES, THERAPIES, TRANSPORTATION, HOUSING SUBSIDIES, AND OTHER ITEMS. THESE BUDGETS ARE INDIVIDUALIZED.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>247643</ExpenseAmt>
        <RevenueAmt>281361</RevenueAmt>
        <Desc>INDIVIDUALIZED CONSUMER SERVICES:INDIVIDUALIZED SUPPORT SERVICES (ISS)HOUSING SUBSIDY TO SUPPORT ADULTS WITH I/DD WHO WISH TO LIVE INDEPENDENTLY IN THEIR COMMUNITY WHO ALSO MAY BE LIVING IN POVERTY. WE CURRENTLY SUPPORT OVER 50 INDIVIDUALS WITH HOUSING SUBSIDIES THROUGHOUT MONROE AND SURROUNDING COUNTIES.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>906483</ExpenseAmt>
        <RevenueAmt>943281</RevenueAmt>
        <Desc>FAMILY ADVOCACY:INDEPENDENT PARENT ADVOACY NETWORK (IPAN)PROVIDES A CONTINUUM OF SERVICES (TECHNICAL ASSISTANCE, ADVOCACY, WORKSHOPS, FAMILY EMPOWERMENT TRAINING SERIES, THE BRIDGE NEWSLETTER) TO ASSIST PARENTS AND FAMILIES OF INDIVIDUALS WITH I/DD LIVING AT HOME TO INCREASE OPPORTUNITIES FOR APPROPRIATE EDUCATION, SUPPORTS AND SERVICES.TRANSPORTATION -GO MONROE IS AN ACCESSIBILITY SERVICE FOR INDIVIDUALS WITH I/DD WHO ARE ELIGIBLE FOR OPWDD SERVICES AND PROVIDES SUPPORT TO INDIVIDUALS TRANSPORTATION NEEDS. MANY INDIVIDUALS LIVING IN MARGINALIZED UNDERSERVED COMMUNITIES BENEFIT FROM THIS SERVICE. INDIVIDUALS ARE ABLE TO ACCESS LYFT AND UBER VOUCHERS AS WELL AS BUS PASSES AT NO COST. FAMILY REIMBURSEMENT PROGRAM (FRP)REIMBURSEMENT FOR GOODS AND SERVICES RELATED TO AN INDIVIDUAL'S DISABILITY. LEADS TO POSITIVE OUTCOMES IN AREAS OF HEALTH, SAFETY, EMOTIONAL WELL-BEING, NORMALIZATION OF LIFE, ACCESSIBILITY TO NEEDED SERVICES, AND PERSONAL GROWTH AND DEVELOPMENT OF THE INDIVIDUAL.PUBLIC EDUCATIONWORKS WITH SCHOOLS, ORGANIZATIONS, AND COMMUNITY GROUPS TO BUILD CAPACITY FOR COMMUNITY INCLUSION OF INDIVIDUALS WITH DISABILITIES.MONROE COUNTY ADVOCACYINDIVIDUALS WITH DISABILITIES WILL INCREASE THEIR ACCESS TO SERVICES THROUGH INFORMATION, REFERRALS AND ADVOCACY.CREATING A LIFE AFTER HIGH SCHOOL EDUCATIONAL SERIES TO HELP STUDENTS WITH I/DD IN MONROE COUNTY AND THEIR FAMILIES TO DEVELOP THE KNOWLEDGE AND SKILLS NEEDED TO PLAN FOR TRANSITION FROM HIGH SCHOOL.PROFESSIONAL DEVELOPMENT, WORKSHOPS &amp; CONFERENCES INCREASE THE CAPACITY OF COMMUNITY MEMBERS TO INTERACT WITH AND INCLUDE INDIVIDUALS WITH DISABILITIES.TOGETHER INCLUDING EVERY STUDENT (TIES)CREATES INCLUSIVE SCHOOLS AND COMMUNITIES BY INCLUDING PEOPLE WITH I/DD IN ALL ACTIVITIES. STUDENTS WITH I/DD ARE PAIRED WITH TRAINED STUDENT VOLUNTEERS TO PARTICIPATE IN EXTRACURRICULAR AND RECREATIONAL ACTIVITIES OF THEIR CHOICE, INCLUDING DRUMMING CIRCLES.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>553389</ExpenseAmt>
        <RevenueAmt>7518</RevenueAmt>
        <Desc>FAMILY &amp; YOUTH ADVOCACY (FAMILY &amp; YOUTH EDUCATION):PARENT TRAINING AND INFORMATION CENTER (PTIC)PROVIDES TRAININGS AND INDIVIDUAL SUPPORT TO PARENTS OF CHILDREN WITH DISABILITIES, PROFESSIONALS, AND YOUTH TO HELP PARENTS AND FAMILIES TO UNDERSTAND THE SPECIAL EDUCATION PROCESS, LEADING TO POSITIVE OUTCOMES.PTIC FOR TRANSITIONFAMILIES OF STUDENTS WITH DISABILITIES IN NYS WILL BE INFORMED ABOUT SPECIAL EDUCATION SYSTEMS AND PROCESSES RELATED TO TRANSITION SERVICES THROUGH DISSEMINATION OF TRANSITION-RELATED PRODUCTS AND RESOURCES.PROJECT ESTEEM (EMPLOYMENT, SKILLS TRAINING, EDUCATION, EXPERIENCE AND MENTORING)RECONNECTS AT-RISK YOUTH WITH COMMUNITY RESOURCES TO COMPLETE THEIR EDUCATION OR OBTAIN A JOB; ACT AS MENTOR TO KEEP STUDENT ENGAGED IN THEIR EDUCATION PROGRAM.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1047074</ExpenseAmt>
        <RevenueAmt>909416</RevenueAmt>
        <Desc>EMPLOYMENT SERVICES (EMPLOYMENT SUPPORT &amp; DAY HABILITATION):DAY HAB EMPLOYMENT TRACKSERVICES THAT ARE GENERALLY PROVIDED TO 2 OR MORE INDIVIDUALS TO PROVIDE LEARNING AND WORK EXPERIENCES, INCLUDING VOLUNTEERING, WHERE AN INDIVIDUAL CAN DEVELOP GENERAL, NON-JOB TASK SPECIFIC STRENGTHS AND SKILLS THAT CONTRIBUTE TO EMPLOYABILITY IN PAID EMPLOYMENT IN INTEGRATED COMMUNITY SETTINGS. SERVICES ARE INTENDED TO DEVELOP AND TEACH GENERAL SKILLS.HEALTH PROFESSIONALS OPPORTUNITY GRANT (HPOG)TRAINING FOR RECIPIENTS OF TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) RECIPIENTS AND OTHER LOW-INCOME INDIVIDUALS TO ACHIEVE EMPLOYMENT IN THE HEALTHCARE FIELD.INTERNSHIP PROGRAMPRE-EMPLOYMENT TRANSITION SERVICES FOR STUDENTS (PRE-ETS) - ASSIST STUDENTS THROUGH THE PROVISION OF PRE-EMPLOYMENT SERVICES WITH THE OBJECTIVE OF PREPARING STUDENTS FOR SUCCESSFUL LONG-TERM EMPLOYMENT CONSISTENT WITH THEIR STRENGTHS, RESOURCES, PRIORITIES, CONCERNS, ABILITIES, CAPABILITIES, INTERESTS, AND INFORMED CHOICE. EMPLOYMENT TRAINING SERVICES (ETS) - ENLIST THE ASSISTANCE OF A COMMUNITY PROVIDER TO AID IN SECURING AN EMPLOYER-BASED (UNPAID OR PAID) WORK EXPERIENCE OPPORTUNITY FOR OUR PARTICIPANTS.SUPPORTED EMPLOYMENT SUPPORT INDIVIDUALS WITH I/DD WITH EMPLOYMENT PLACEMENT INCLUDING CAREER DEVELOPMENT, RESUME CREATION, INTERVIEW COACHING, JOB COACHING, ONGOING STABILIZATION TO MAINTAIN COMPETITIVE EMPLOYMENT MATCHING A PERSON'S TALENTS AND INTERESTS.PREVOCATIONAL EMPLOYMENT NON-CERTIFIED ACTIVITIES SPECIFIED THAT PROVIDE LEARNING AND WORK EXPERIENCES, INCLUDING VOLUNTEERING, WHERE AN INDIVIDUAL CAN DEVELOP GENERAL, NON-JOB TASK SPECIFIC STRENGTHS AND SKILLS THAT CONTRIBUTE TO EMPLOYABILITY IN PAID EMPLOYMENT IN INTEGRATED COMMUNITY SETTINGS. SERVICES ARE INTENDED TO DEVELOP AND TEACH GENERAL SKILLS.YOUTH EMPLOYMENTOFFERS YOUTH PRE-VOCATIONAL WORK READINESS AND SOFT SKILLS TRAINING AND EMPLOYMENT SUPPORTS TO IMPROVE EMPLOYMENT OUTCOMES AND SUPPORT INDEPENDENCE.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>1600463</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>916934</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>13317954</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">1</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">0</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>196</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>595</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>16</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>16</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>TERRY O'HARE</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>5852247204</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1650 SOUTH AVENUE SUITE 200</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14620</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE BABCOCK-STINER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORI BARNARD-NORTHRUP</PersonNm>
        <TitleTxt>AT-LARGE MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LIA FESTENSTEIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUANITA LYDE</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT MOORE</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATT PERDUE</PersonNm>
        <TitleTxt>CO-CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY RICHARDSON</PersonNm>
        <TitleTxt>AT-LARGE MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL RILEY</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN SCHWARZ</PersonNm>
        <TitleTxt>CO-CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY BETH SPEICHER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA STEPHENSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL VISCA</PersonNm>
        <TitleTxt>VICE CHAIR - THRU AUG 2022</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BONNIE WATSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HANIF ABDUL-WAHID</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NAKIA VARGAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRANDY YOUNG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALLISON SCHRAF</PersonNm>
        <TitleTxt>DIRECTOR - JOINED DURING YEAR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY O'HARE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>110582</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37330</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>COLIN GARWOOD</PersonNm>
        <TitleTxt>CEO - THRU JUNE 2022</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>101333</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5764</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NIKISHA RIDGEWAY</PersonNm>
        <TitleTxt>CEO - AS OF JULY 2022</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>120715</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15054</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>332630</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>58148</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>35657</FederatedCampaignsAmt>
      <FundraisingAmt>32955</FundraisingAmt>
      <GovernmentGrantsAmt>2338366</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>81911</AllOtherContributionsAmt>
      <TotalContributionsAmt>2488889</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>624310</BusinessCd>
        <TotalRevenueColumnAmt>9587321</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9587321</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OPWDD FEES</Desc>
        <BusinessCd>624310</BusinessCd>
        <TotalRevenueColumnAmt>2537893</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2537893</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLIENT FEES</Desc>
        <BusinessCd>624310</BusinessCd>
        <TotalRevenueColumnAmt>411592</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>411592</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>624310</BusinessCd>
        <TotalRevenueColumnAmt>23391</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23391</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WORKSHOPS/CONFERENCES</Desc>
        <BusinessCd>624310</BusinessCd>
        <TotalRevenueColumnAmt>625</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>625</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>12560822</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>492</TotalRevenueColumnAmt>
        <ExclusionAmt>492</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>3026</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>776</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>2250</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2250</TotalRevenueColumnAmt>
        <ExclusionAmt>2250</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>32955</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>8627</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-8627</TotalRevenueColumnAmt>
        <ExclusionAmt>-8627</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>DISTRIBUTION FROM CARE COORDINATI</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>105171</TotalRevenueColumnAmt>
        <ExclusionAmt>105171</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>105171</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>15148997</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12560822</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>99286</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>362712</TotalAmt>
        <ProgramServicesAmt>324276</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34396</ManagementAndGeneralAmt>
        <FundraisingAmt>4040</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>8893768</TotalAmt>
        <ProgramServicesAmt>7961598</ProgramServicesAmt>
        <ManagementAndGeneralAmt>834368</ManagementAndGeneralAmt>
        <FundraisingAmt>97802</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>59671</TotalAmt>
        <ProgramServicesAmt>52305</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6579</ManagementAndGeneralAmt>
        <FundraisingAmt>787</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>720754</TotalAmt>
        <ProgramServicesAmt>631792</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79451</ManagementAndGeneralAmt>
        <FundraisingAmt>9511</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>718647</TotalAmt>
        <ProgramServicesAmt>629947</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79218</ManagementAndGeneralAmt>
        <FundraisingAmt>9482</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>9438</TotalAmt>
        <ProgramServicesAmt>239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9199</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>47063</TotalAmt>
        <ProgramServicesAmt>1193</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45870</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>7537</TotalAmt>
        <ManagementAndGeneralAmt>7537</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>85217</TotalAmt>
        <ProgramServicesAmt>27995</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57222</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>4976</TotalAmt>
        <ProgramServicesAmt>3779</ProgramServicesAmt>
        <ManagementAndGeneralAmt>925</ManagementAndGeneralAmt>
        <FundraisingAmt>272</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>103984</TotalAmt>
        <ProgramServicesAmt>78964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19336</ManagementAndGeneralAmt>
        <FundraisingAmt>5684</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>534618</TotalAmt>
        <ProgramServicesAmt>344378</ProgramServicesAmt>
        <ManagementAndGeneralAmt>183115</ManagementAndGeneralAmt>
        <FundraisingAmt>7125</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>702126</TotalAmt>
        <ProgramServicesAmt>660028</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38703</ManagementAndGeneralAmt>
        <FundraisingAmt>3395</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>260889</TotalAmt>
        <ProgramServicesAmt>259297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1576</ManagementAndGeneralAmt>
        <FundraisingAmt>16</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>29557</TotalAmt>
        <ProgramServicesAmt>24445</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4641</ManagementAndGeneralAmt>
        <FundraisingAmt>471</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1404</TotalAmt>
        <ProgramServicesAmt>635</ProgramServicesAmt>
        <ManagementAndGeneralAmt>769</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>108455</TotalAmt>
        <ProgramServicesAmt>88330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20052</ManagementAndGeneralAmt>
        <FundraisingAmt>73</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>30805</TotalAmt>
        <ProgramServicesAmt>26397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4408</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT RELATED EXPENSES</Desc>
        <TotalAmt>2158872</TotalAmt>
        <ProgramServicesAmt>2103121</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55732</ManagementAndGeneralAmt>
        <FundraisingAmt>19</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>117479</TotalAmt>
        <ManagementAndGeneralAmt>117479</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>93554</TotalAmt>
        <ProgramServicesAmt>69475</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24010</ManagementAndGeneralAmt>
        <FundraisingAmt>69</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>26687</TotalAmt>
        <ProgramServicesAmt>10449</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16160</ManagementAndGeneralAmt>
        <FundraisingAmt>78</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>29926</TotalAmt>
        <ProgramServicesAmt>19311</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7304</ManagementAndGeneralAmt>
        <FundraisingAmt>3311</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>15108139</TotalAmt>
        <ProgramServicesAmt>13317954</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1648050</ManagementAndGeneralAmt>
        <FundraisingAmt>142135</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>434087</BOYAmt>
        <EOYAmt>338303</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>954209</BOYAmt>
        <EOYAmt>214982</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2359743</BOYAmt>
        <EOYAmt>2934377</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>44362</BOYAmt>
        <EOYAmt>51245</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3215068</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2686314</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>561037</BOYAmt>
        <EOYAmt>528754</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>431965</BOYAmt>
        <EOYAmt>810870</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>29344</BOYAmt>
        <EOYAmt>380488</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>4814747</BOYAmt>
        <EOYAmt>5259019</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>765841</BOYAmt>
        <EOYAmt>889055</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>4818</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>21734</BOYAmt>
        <EOYAmt>39823</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>380488</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>792393</BOYAmt>
        <EOYAmt>1309366</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4021354</BOYAmt>
        <EOYAmt>3949653</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1000</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4022354</BOYAmt>
        <EOYAmt>3949653</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4814747</BOYAmt>
        <EOYAmt>5259019</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>40858</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-113559</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2204910</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2302187</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1343489</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2485590</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2488889</CurrentTaxYearAmt>
        <TotalAmt>10825065</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2204910</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2302187</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1343489</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2485590</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2488889</CurrentTaxYearAmt>
        <TotalAmt>10825065</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>10825065</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>15</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1099</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>495</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>492</CurrentTaxYearAmt>
        <TotalAmt>2115</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus3YearsAmt>100000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>140000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>141622</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>105171</CurrentTaxYearAmt>
        <TotalAmt>486793</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>11313973</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>49223379</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.95680</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96540</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>DISTRIBUTION FROM CARE COORDINATION ORGANIZATION</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>155000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>155000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1931501</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1670803</DepreciationAmt>
        <BookValueAmt>260698</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>379051</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>376495</DepreciationAmt>
        <BookValueAmt>2556</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>749516</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>639016</DepreciationAmt>
        <BookValueAmt>110500</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>528754</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>FUNDS HELD BY ROCHESTER AREA COMMUNITY FOUNDATION</Desc>
        <BookValueAmt>810870</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>810870</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSETS - OPERATING</Desc>
        <BookValueAmt>380488</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>380488</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES - OPERATING</Desc>
        <Amt>380488</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>380488</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>15044065</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-113559</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>8627</OtherRevenueAmt>
      <RevenueNotReportedAmt>-104932</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>15148997</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>15148997</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15116766</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>8627</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>8627</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>15108139</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>15108139</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE VARIOUS JURISDICTIONS WHERE THEY ARE REQUIRED TO DO SO. THE ORGANIZATION FILES RETURNS IN THE U.S. FEDERAL JURISDICTION AND IN NEW YORK STATE. WITH FEW EXCEPTIONS, AS OF DECEMBER 31, 2022 THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS ENDED PRIOR TO DECEMBER 31, 2019. THE TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2019 THROUGH DECEMBER 31, 2022 ARE STILL SUBJECT TO POTENTIAL AUDIT BY THE IRS AND THE TAXING AUTHORITIES IN NEW YORK STATE. MANAGEMENT OF THE ORGANIZATION BELIEVES IT HAS NO MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECOGNIZED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 8,627.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 8,627.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>CAUSE FOR CELEBRATION</Event1Nm>
        <GrossReceiptsEvent1Amt>32955</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>32955</CharitableContriEvent1Amt>
        <RentFacilityCostsEvent1Amt>500</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>2200</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>500</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>5427</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>32955</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>32955</CharitableContributionsTotAmt>
        <RentFcltyCostsTotalEventsAmt>500</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>2200</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>500</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>5427</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>8627</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-8627</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>A PORTION OF THE ORGANIZATION'S FAMILY &amp; YOUTH ADVOCACY / EDUCATION PROGRAM CALLED THE SYSTEM INTEGRATION PROJECT IS NEW FOR 2022. THE SYSTEMS INTEGRATION PROJECT IS A PROJECT THAT STEMMED FROM RESEARCH SHOWING THE GREATER ROCHESTER AREA IS 'RESOURCE RICH, BUT OUTCOME POOR". THE SYSTEMS INTEGRATION PROJECT'S GOAL IS TO BUILD AND SHARE THE MYWAYFINDER PORTAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>A PORTION OF THE ORGANIZATION'S RESIDENTIAL &amp; DIRECTED SERVICES PROGRAM, THE SUPPORTIVE IRA, WAS CLOSED AS OF AUGUST 31ST, 2022. THE DECISION TO CLOSE THIS PROGRAM SERVICE WAS MADE BECAUSE THE ORGANIZATION FELT MOST OF THE CLIENTS COULD BE BETTER SERVED WITH SELF DIRECTION SERVICES LIVING IN THE COMMUNITY WITH SUPPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>VICE PRESIDENT OF FINANCE REVIEWS FIRST, THEN IT GOES TO FINANCE COMMITTEE FOR THEIR APPROVAL. COPIES OF FORM 990 ARE PROVIDED TO THE FULL BOARD OF DIRECTORS PRIOR TO IT BEING SIGNED AND MAILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD AND COMMITTEE MEMBERS ARE ASKED TO COMPLETE A FORM ANNUALLY THAT IDENTIFIES ANY POTENTIAL CONFLICTS OR CONFIRM THAT THERE ARE NONE. ANY POTENTIAL CONFLICTS IDENTIFIED ARE REVIEWED BY THE AUDIT COMMITTEE AND/OR THE FULL BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS COMPARES THE EXECUTIVE DIRECTOR'S SALARY TO THE MARKETPLACE FIGURES BASED ON LOCAL SURVEY DATA AND AGREES AND DOCUMENTS THE EVALUATION PROCESS AND FINAL DETERMINATION OF SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 AND THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, TAX RETURNS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE DURING NORMAL BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS NOT CHANGED ITS PROCESS FOR SELECTING THE INDEPENDENT AUDITOR NOR HAVE THEY CHANGED THE OVERSIGHT OF THE AUDIT FROM PRIOR YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
