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      <ProgramServiceRevenueGrp>
        <Desc>CLINIC REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2076084</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>799388</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CASE MANAGEMENT</Desc>
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        <TotalRevenueColumnAmt>682861</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>682861</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>269297</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>13544436</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>167598</TotalRevenueColumnAmt>
        <ExclusionAmt>167598</ExclusionAmt>
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        <OtherAmt>22498</OtherAmt>
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        <ExclusionAmt>-95841</ExclusionAmt>
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        <ExclusionAmt>-27786</ExclusionAmt>
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        <BusinessCd>624100</BusinessCd>
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        <EOYAmt>7546465</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>24780770</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1082054</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>542869</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>1078</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <CurrentTaxYearMinus3YearsAmt>887102</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2069599</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1751896</CurrentTaxYearMinus1YearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearAmt>203529</CurrentTaxYearAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus2YearsAmt>17314582</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14716956</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16183253</CurrentTaxYearAmt>
        <TotalAmt>84671865</TotalAmt>
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      <PublicSupportCY509Pct>0.98790</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99170</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00750</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00590</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <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>
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        <InvestmentEarningsOrLossesAmt>282014</InvestmentEarningsOrLossesAmt>
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      <CYMinus1YrEndwmtFundGrp>
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        <EndYearBalanceAmt>3860672</EndYearBalanceAmt>
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        <EndYearBalanceAmt>3505348</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
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        <EndYearBalanceAmt>3217148</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
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        <EndYearBalanceAmt>3849749</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
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        <BookValueAmt>27170</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <BookValueAmt>2187123</BookValueAmt>
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        <BookValueAmt>1792981</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>135056</BookValueAmt>
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        <BookValueAmt>5227724</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>ASSETS HELD BY NNY COMMUNITY FOUNDATION</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT OF USE LEASE LIABILITY</Desc>
        <Amt>5427788</Amt>
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      <TotalLiabilityAmt>5427788</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>16631359</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>542869</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>28864</OtherRevenueAmt>
      <RevenueNotReportedAmt>571733</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>16059626</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>16059626</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15005358</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>27786</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>27786</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>14977572</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>14977572</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD CODIFICATION, INCOME TAXES. IN DETERMINING THE RECOGNITION OF UNCERTAIN TAX POSITIONS, THE ORGANIZATION APPLIES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND DETERMINES THE MEASUREMENT OF UNCERTAIN TAX POSITIONS CONSIDERING THE AMOUNTS AND PROBABILITIES OF THE OUTCOMES THAT COULD BE REALIZED UPON ULTIMATE SETTLEMENT WITH TAXING AUTHORITIES. THE ORGANIZATION RECOGNIZES POTENTIAL LIABILITIES ASSOCIATED WITH ANTICIPATED TAX AUDIT ISSUES THAT MAY ARISE DURING AN EXAMINATION. INTEREST AND PENALTIES THAT ARE ANTICIPATED TO BE DUE UPON EXAMINATION ARE RECOGNIZED AS ACCRUED INTEREST AND OTHER LIABILITIES WITH AN OFFSET TO INTEREST AND OTHER EXPENSE. THE ORGANIZATION ANALYZED ITS TAX POSITIONS TAKEN ON THEIR FEDERAL AND STATE TAX RETURNS FOR THE OPEN TAX YEARS. BASED ON OUR ANALYSIS, THE ORGANIZATION DETERMINED THAT THERE WERE NO UNCERTAIN TAX POSITIONS AND THAT THE ORGANIZATION SHOULD PREVAIL UPON EXAMINATION BY THE TAXING AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES NETTED OUT 27,786. CHANGE IN ASSETS HELD BY COMMUNITY FOUNDATION 1,078.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES NETTED OUT 27,786.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        <Event1Nm>GOLF TOURNAMENT</Event1Nm>
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        <OtherDirectExpensesEvent1Amt>27786</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>103481</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>103481</CharitableContributionsTotAmt>
        <OthDirectExpnssTotalEventsAmt>27786</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>27786</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-27786</NetIncomeSummaryAmt>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>MICHELLE MONNAT</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>180677</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <TotalCompensationFilingOrgAmt>193136</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 11B EXPLANATION - FORM 990 IS MADE AVAILABLE TO BOARD MEMBERS FOR THEIR REVIEW BEFORE IT IS FILED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CORPORATE COMPLIANCE COMMITTEE MEETS QUARTERLY. THE COMMITTEE CONSISTS OF BOARD MEMBERS AND EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE REVIEWS SALARIES OF KEY EMPLOYEES ON AN ANNUAL BASIS AND COMPARES TO OTHER LOCAL NON PROFIT ORGANIZATIONS. EXECUTIVE DIRECTOR'S SALARY IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE AND COMPARED TO POSITIONS IN LIKE ORGANIZATIONS STATEWIDE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS AVAILABLE UPON REQUEST AND ALSO IS ON GUIDESTAR. COPIES OF THE 990 AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN ASSETS HELD BY COMMUNITY FOUNDATION 1,078.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE HAVE BEEN NO CHANGES TO THE OVERSIGHT PROCESS.</ExplanationTxt>
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    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>CHHUNY LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>2300 BUFFALO RD BUILDING 500B</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>OVERSEE SERVICES PROVIDED UNDER NYSDOH'S CHILDREN'S HEALTH HOME</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>7379</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>500826</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
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      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
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      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>