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        <PersonNm>CARL CAMERON MD</PersonNm>
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        <PersonNm>ELLIE FRALICK</PersonNm>
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        <PersonNm>MARGARET MORSE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOELLEN PINKHAM</PersonNm>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN ACCORSO</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS MAHONEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WADE NORWOOD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALBERT BLANKLEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DINA FATICONE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMIE KULAK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA WENDLAND</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
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      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>24000</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>33555</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>FLHSA (D/B/A CGH) HAS AN AGREEMENT WITH LEGAL COUNSEL TO PROVIDE LOBBYING ACTIVITIES. THE AGREEMENT WAS FOR $2,000 PER MONTH, INCLUDING INCIDENTAL EXPENSES. WADE S. NORWOOD, CEO, AND OTHER DESIGNATED STAFF DEVOTES APPROXIMATELY 1-3% OF THEIR TIME TO DIRECT CONTACT WITH LEGISLATORS, GOVERNMENT OFFICIALS, AND THEIR STAFF ABOUT FUNDING FOR THE AGENCY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>138358</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>249260</DepreciationAmt>
        <BookValueAmt>-110902</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>308361</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>106335</DepreciationAmt>
        <BookValueAmt>202026</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>91124</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>5683060</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>147676</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>147676</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>5535384</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>7990</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>7990</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>5543374</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5643442</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5643442</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>7990</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>7990</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5651432</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY IS ORGANIZED AS A NON-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE REGULATIONS. ACCORDINGLY, NO PROVISION FOR FEDERAL AND STATE INCOME TAXES HAS BEEN MADE. THE AGENCY HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE VARIOUS JURISDICTIONS WHERE THEY ARE REQUIRED TO DO SO. THE AGENCY FILES FORM 990 TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND IN NEW YORK STATE. WITH FEW EXCEPTIONS, AS OF MARCH, 31, 2021 THE AGENCY IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDED PRIOR TO MARCH 31, 2018. THE TAX RETURNS FOR YEARS ENDED MARCH 31, 2018 THROUGH MARCH 31, 2021 ARE STILL SUBJECT TO POTENTIAL AUDIT BY THE IRS AND TAXING AUTHORITIES IN NEW YORK STATE. MANAGEMENT OF THE AGENCY BELIEVES THEY HAVE NO MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, THEY HAVE NOT RECOGNIZED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <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>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS MAHONEY</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>171212</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10142</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>240</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>181594</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WADE NORWOOD</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>156441</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9387</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1749</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>167577</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>S2AY</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>COMMON BOARD MEMBER, V. SWINEHART</RelationshipDescriptionTxt>
        <TransactionAmt>100000</TransactionAmt>
        <TransactionDesc>PAYMENTS MADE FOR SUBCONTRACTOR SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>EXCELLUS</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>COMMON BOARD MEMBER, M. GARDNER</RelationshipDescriptionTxt>
        <TransactionAmt>200000</TransactionAmt>
        <TransactionDesc>RECEIPT OF PAYMENTS FOR ANNUAL SUPPORT AND AAA REPORT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>EXCELLUS</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>COMMON BOARD MEMBER, M. GARDNER</RelationshipDescriptionTxt>
        <TransactionAmt>2046332</TransactionAmt>
        <TransactionDesc>RECEIPT OF PAYMENT FROM NYS ENHANCED VALUE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MVP</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>COMMON BOARD MEMBER, C. CAMERON</RelationshipDescriptionTxt>
        <TransactionAmt>25000</TransactionAmt>
        <TransactionDesc>RECEIPT OF PAYMENT FOR ANNUAL SUPPORT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MVP</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>COMMON BOARD MEMBER, C. CAMERON</RelationshipDescriptionTxt>
        <TransactionAmt>212000</TransactionAmt>
        <TransactionDesc>RECEIPT OF PAYMENT FOR NYS ENHANCED VALUE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>U OF R</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>COMMON BOARD MEMBER, K PARRINELLO</RelationshipDescriptionTxt>
        <TransactionAmt>258041</TransactionAmt>
        <TransactionDesc>RECEIPT OF PAYMENT FOR MOTHER CABRINI GRANT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MONROE COUNTY</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>COMMON BOARD MEMBER, MIKE MENDOZA</RelationshipDescriptionTxt>
        <TransactionAmt>134012</TransactionAmt>
        <TransactionDesc>RECEIPT OF PAYMENT FOR ROC COVID GRANT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MONROE COUNTY</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>COMMON BOARD MEMBER, MIKE MENDOZA</RelationshipDescriptionTxt>
        <TransactionAmt>30000</TransactionAmt>
        <TransactionDesc>RECEIPT OF PAYMENT FOR REGIONAL HEALTH PLANNING</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WILL BE EMAILED TO ALL VOTING MEMBERS FOR REVIEW PRIOR TO SUBMISSION. THE 990 WILL BE CONSIDERED APPROVED FOR FILING IF NO MEMBER HAS EMAILED ANY QUESTIONS WITHIN A CERTAIN TIME PERIOD STATED WITHIN THE EMAIL TO THE DIRECTOR OF FINANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. CONFLICTS ARE DISCLOSED AND THEN MANAGED IN ACCORDANCE WITH THE POLICIES AND PROCEDURES SET FORTH IN THE AGENCY BY-LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO IS REVIEWED ANNUALLY BY THE BOARD CHAIR OR AN INDEPENDENT CONSULTANT. OFFICERS RECEIVE ANNUAL REVIEWS FROM THE CEO. SALARY LEVELS ARE CHECKED AGAINST COMPARABILITY DATA PROVIDED BY CONSULTANT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE AT THE OFFICES OF FLHSA UPON REQUEST DURING NORMAL BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 957,213. MANAGEMENT AND GENERAL EXPENSES 39,780. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 996,993.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS IS CONSISTENT WITH PRIOR YEARS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
