﻿<?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="2024v5.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-10-24T10:41:20-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>161131146</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BONADIO &amp; CO LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>6 WEMBLEY CT</AddressLine1Txt>
        <CityNm>ALBANY</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>12205</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>141536222</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ST JOSEPH'S REHABILITATION CENTER INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>STJO</BusinessNameControlTxt>
      <PhoneNum>5188913950</PhoneNum>
      <USAddress>
        <AddressLine1Txt>159 GLENWOOD DRIVE</AddressLine1Txt>
        <CityNm>SARANAC LAKE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>12983</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JAMES D BUTTON</PersonNm>
      <PersonTitleTxt>CHIEF EXECUTIVE OFFICER</PersonTitleTxt>
      <PhoneNum>5184831251</PhoneNum>
      <SignatureDt>2025-10-20</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>0</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>KENNETH MCGIVNEY</PreparerPersonNm>
      <PTIN>P01324731</PTIN>
      <PhoneNum>5184644080</PhoneNum>
      <PreparationDt>2025-10-20</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>ST JOSEPH'S ADDICTION</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>TREATMENT AND RECOVERY CENTERS</BusinessNameLine2Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>JAMES D BUTTON</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>159 GLENWOOD DRIVE</AddressLine1Txt>
        <CityNm>SARANAC LAKE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>12983</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>18031567</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>HTTPS://WWW.STJOESTREATMENT.ORG/</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1971</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROMOTE HEALING AND RECOVERY FOR INDIVIDUALS AND THEIR FAMILIES SUFFERING FROM THE ILLNESS OF ALCOHOLISM AND CHEMICAL DEPENDENCY.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>242</TotalEmployeeCnt>
      <TotalVolunteersCnt>15</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>10190523</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>6631464</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>11271631</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>10954646</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>21681</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>11489</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>463789</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>433968</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>21947624</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>18031567</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>12525768</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>10961903</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>1126</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>7692143</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>6737906</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>20217911</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>17699809</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1729713</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>331758</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>23146009</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>23444786</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>23132818</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>23097832</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>13191</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>346954</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO PROMOTE HEALING AND RECOVERY FOR INDIVIDUALS AND THEIR FAMILIES SUFFERING FROM THE ILLNESS OF ALCOHOLISM AND CHEMICAL DEPENDENCY AND MENTAL HEALTH DISORDERS.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>5805231</ExpenseAmt>
      <RevenueAmt>7068370</RevenueAmt>
      <Desc>INPATIENT PROGRAM PROVIDES MODERN TREATMENT FACILITIES FOR MEN AND WOMEN WITH SUBSTANCE USE DISORDER. UPON ADMISSION, EACH CLIENT IS ASSIGNED TO A MULTIDISCIPLINARY TREATMENT TEAM. WITHIN THE FIRST 72 HOURS OF ADMISSION, A COMPREHENSIVE BIOPSYCHOSOCIAL EVALUATION IS COMPLETED. THE EVALUATION SERVES AS THE FOUNDATION FOR AN INDIVIDUALIZED TREATMENT PLAN DEVELOPED TO SERVE THE NEEDS OF THE CLIENT. IN ADDITION TO INDIVIDUAL AND GROUP COUNSELING, PERSONAL ADJUSTMENT TRANSITION (PAT), INTENSIVE RELAPSE PREVENTION COUNSELING, AND SPIRITUAL COUNSELING, AFTER CARE PLANNING, RECREATION AND RELAXATION-TECHNIQUE ACTIVITIES, INPATIENT SERVICES ALSO INCLUDE A FAMILY COMPONENT FOR FAMILY AND SIGNIFICANT OTHERS. 19,944 DAYS OF SERVICE PROVIDED.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>2643615</ExpenseAmt>
        <RevenueAmt>1480512</RevenueAmt>
        <Desc>OUTPATIENT LOCATIONS IN MALONE, MASSENA, SARANAC LAKE, TUPPER LAKE, ELIZABETHTOWN, KEESEVILLE, LAKE PLACID, AND TICONDEROGA, OFFERING SUBSTANCE USE DISORDER SERVICES TO RESIDENTS OF THE NORTH COUNTRY OF UPSTATE NEW YORK. OUTPATIENT SERVICES ALLOW PEOPLE THE OPPORTUNITY TO RECOVER FROM SUBSTANCE USE DISORDER WHILE REMAINING IN THEIR HOME COMMUNITIES. SERVICES AT THE CLINICS INCLUDE EVALUATIONS, INDIVIDUAL AND GROUP COUNSELING, RELAPSE PREVENTION, FAMILY &amp; ADOLESCENT, MEDICATION ASSISTED TREATMENT, REFERRALS, AND SERVICES UNDER THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) CONTINUUM OF CARE. 8,432 VISITS PROVIDED.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>2476558</ExpenseAmt>
        <RevenueAmt>1449355</RevenueAmt>
        <Desc>THE VETERANS PROGRAM PROVIDES TRAUMA-INFORMED SUBSTANCE USE AND CO-OCCURRING TREATMENT TO MEN WHO SERVED IN THE NATION'S MILITARY WHO ARE SUFFERING FROM ADDICTION, PTSD AND TRAUMATIC BRAIN INJURY. MOST OF THE VETERAN'S PROGRAM RESIDENTS HAVE CO-OCCURRING MENTAL HEALTH ISSUES. THIS TREATMENT IS PROVIDED WITHIN THE SAFE CONFINES OF A RESIDENTIAL PROGRAM. UPON ADMISSION, THE RESIDENT IS ASSIGNED TO THE MULTI-DISCIPLINARY TREATMENT TEAM FOR THE PURPOSES OF CREATING AND IMPLEMENTING A PERSON-CENTERED TREATMENT PLAN. EACH INDIVIDUAL WILL BE ASSESSED FOR NEED AND PLACED INTO A SERIES OF INDIVIDUAL AND GROUP SETTING TO BEST MEET THEIR IDENTIFIED NEED(S). IN ADDITION TO THESE SERVICES THE INDIVIDUAL IS PROVIDED WITH A PROGRAM STRUCTURE THAT IS DESIGNED TO RESTORE THE INDIVIDUAL TO PRACTICAL FUNCTIONING. THE PROGRAM ALSO INCLUDES FAMILY AND VOCATIONAL SERVICES TO CREATE A HEALTHY AND SUCCESSFUL OPPORTUNITY FOR THEIR REINTEGRATION INTO SOCIETY AND HAS PARTNERED WITH NYU LANGONE HEALTH'S MILITARY FAMILY CENTER TO PROVIDE ASSESSMENT AND TREATMENT FOR TRAUMATIC BRAIN INJURIES. 8,807 DAYS OF SERVICE PROVIDED. A NUMBER OF THE RESIDENTS WHO GRADUATE FROM THE ST. JOSEPH'S VETERAN'S PROGRAM SUCCESSFULLY SEEK RESIDENCE AT THE ST. JOSEPH'S SUPPORTIVE HOUSING FACILITY, HARVEY HOUSE, LOCATED IN SARANAC LAKE. JOSEPH'S HOUSE, LOCATED IN POUGHKEEPSIE, IS A 12 BED, NEW YORK STATE OASAS-LICENSED SUPPORTIVE LIVING PROGRAM SERVING CHEMICALLY ADDICTED MEN AND WOMEN WHO ARE IN NEED OF CONTINUED SUPPORT FOLLOWING CARE IN AN INPATIENT, INTENSIVE RESIDENTIAL, COMMUNITY RESIDENCE, OR TRANSITIONAL LIVING SITUATION. 9,879 DAYS OF SERVICE PROVIDED.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1744773</ExpenseAmt>
        <RevenueAmt>857436</RevenueAmt>
        <Desc>THE INPATIENT ADOLESCENT PROGRAM PROVIDES TRAUMA INFORMED SUBSTANCE USE AND COOCCURRING DISORDER TREATMENT TO ADOLESCENT AGES 12 TO 16 AND YOUNG ADULTS AGES 17 TO 20. THE TREATMENT IS PROVIDED IN A SAFE AND SECURE RESIDENTIAL SETTING, WHICH ALLOWS US TO MEET EACH RESIDENT'S UNIQUE NEEDS. THE YOUNG PEOPLE WHEN ENTERING INTO TREATMENT ARE EACH ASSIGNED A SPECIFIC TREATMENT TEAM CONSISTING OF A PRIMARY COUNSELOR, MENTAL HEALTH COUNSELOR AND FAMILY COUNSELOR WHO IS FOCUSED ON MEETING THEIR UNIQUE NEEDS. EACH RESIDENT HAS AN INDIVIDUALIZED CARE PLAN WHICH IS REVIEWED MONTHLY BY A MULTIDISCIPLINARY TREATMENT TEAM. THE FOLLOWING SERVICES ARE OFFERED ON A DAILY BASIS TO OUR RESIDENTS: EDUCATIONAL SERVICES, MEDICAL SERVICES, TREATMENT SERVICES, PSYCHIATRIC CONSULTATION, MEDICATION MANAGEMENT, FAMILY SERVICES AND RECREATIONAL SERVICES. THESE SERVICES ARE OFFERED ON AN INDIVIDUAL AND GROUP BASIS WITH AN EMPHASIS ON TRAUMA INFORMED CARE. OUR GOAL IS TO IMPROVE THE FUNCTIONING OF YOUNG PEOPLE WHO ARE STRUGGLING WITH ADDICTION AND MENTAL HEALTH ISSUES ALLOWING THEM TO DEVELOP SKILLS TO ENABLE THEM TO HAVE A PRODUCTIVE LIFE. 1,840 DAYS OF SERVICE PROVIDED.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1116588</ExpenseAmt>
        <RevenueAmt>148364</RevenueAmt>
        <Desc>ST. JOSEPH'S SUPPORTIVE HOUSING PROGRAMS SHARE THE GOALS OF PROVIDING SAFE AND SECURE HOUSING, AND STABILITY FOR INDIVIDUALS AND FAMILIES IN AN ENVIRONMENT THAT MAXIMIZES STRENGTHS, BUILDS BOTH SELF-RELIANCE AND MUTUAL SUPPORT, HELPS IN RECONNECTING WITH POSITIVE FAMILY MEMBERS OR NATURAL SUPPORTS, AND OPENS OPPORTUNITIES FOR EDUCATIONAL (PARTICULARLY COMMUNITY COLLEGE) AND SKILLS-TRAINING PROGRAMS WITH THE OBJECTIVE OF SECURING STEADY, LIVING-WAGE EMPLOYMENT. THE PROGRAMS OPERATE WITH A "HOUSING FIRST" PROTOCOL AND PROVIDE AFFORDABLE SUBSIDIZED HOUSING WITH ON-SITE AND IN-HOME SUPPORT SERVICES TO ASSIST INDIVIDUALS AND FAMILIES IN REDUCING THE RISK OF HOMELESSNESS, SUPPORTING THEIR SUD RECOVERY, AND BUILDING SKILLS TO PROMOTE LIFESTYLE STABILITY AND SUCCESS. 10,718 DAYS OF SERVICE PROVIDED.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>2295769</ExpenseAmt>
        <RevenueAmt>384577</RevenueAmt>
        <Desc>OTHER PROGRAMS INCLUDE TREATMENT FOR INCARCERATED INDIVIDUALS, OPEN ACCESS CENTER SERVICES, MOBILE TREATMENT UNITS, GAMBLING TREATMENT, AND DETOX FACILITY.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>5157130</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>1390377</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>16082534</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>1</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</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>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</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 referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">0</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>34</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>242</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>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>1</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>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>KATI JOCK</PersonNm>
        <PhoneNum>5188913950</PhoneNum>
        <USAddress>
          <AddressLine1Txt>159 GLENWOOD DRIVE</AddressLine1Txt>
          <CityNm>SARANAC LAKE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12983</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>DALLAS SUTTON</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BROCK ARNOLD THRU SEPT 2024</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FELIX TAM</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN LAWSON THRU FEB 2024</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BECKY PREVE</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICOLAS EELLS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARC D GITLITZ</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL GOODROW</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCE ARQUIETT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORETTA FOWLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES BUTTON</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>395115</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47523</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATI JOCK</PersonNm>
        <TitleTxt>CHIEF OPERATIONS OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>282365</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15931</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN PILLEN</PersonNm>
        <TitleTxt>LEAD PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>226165</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26982</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMMY LANDERWAY</PersonNm>
        <TitleTxt>DIRECTOR OF INPATIENT SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>100122</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9626</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEREMY BAUMANN</PersonNm>
        <TitleTxt>DIRECTOR OF VETERAN'S PROGRAM</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>108181</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1047</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ZACHARY RANDOLPH</PersonNm>
        <TitleTxt>ASSOC VP OF OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>147784</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1396</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBIN GAY</PersonNm>
        <TitleTxt>DIRECTOR OF HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>120110</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21380</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAMUEL HALL</PersonNm>
        <TitleTxt>SR. DIRECTOR OF OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>123431</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1192</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>825793</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>677480</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>125077</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CITIZEN ADVOCATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 608</AddressLine1Txt>
            <CityNm>MALONE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12953</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT/CONSULTING</ServicesDesc>
        <CompensationAmt>2180110</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NETSMART TECHNOLOGIES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 823519</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>19182</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE</ServicesDesc>
        <CompensationAmt>262736</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>6349221</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>282243</AllOtherContributionsAmt>
      <TotalContributionsAmt>6631464</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>INPATIENT REHABILITATION PROGRAM</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>7060989</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7060989</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENTIAL PROGRAMS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1448871</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1448871</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OUTPATIENT REHABILITATION PROGRAM</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1438510</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1438510</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ROSE HILL ADOLESCENT PROGRAM</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>857019</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>857019</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SUPPORTIVE LIVING FACILITY</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>148364</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>148364</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>893</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>893</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>10954646</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>11489</TotalRevenueColumnAmt>
        <ExclusionAmt>11489</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>433968</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>433968</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>433968</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18031567</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11388614</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>11489</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompDisqualPersonsGrp>
        <TotalAmt>143013</TotalAmt>
        <ManagementAndGeneralAmt>143013</ManagementAndGeneralAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>8859713</TotalAmt>
        <ProgramServicesAmt>8102841</ProgramServicesAmt>
        <ManagementAndGeneralAmt>756872</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>53734</TotalAmt>
        <ProgramServicesAmt>48273</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5461</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1034958</TotalAmt>
        <ProgramServicesAmt>892356</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142602</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>870485</TotalAmt>
        <ProgramServicesAmt>784085</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86400</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>23036</TotalAmt>
        <ProgramServicesAmt>1975</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21061</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>138231</TotalAmt>
        <ProgramServicesAmt>12765</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124442</ManagementAndGeneralAmt>
        <FundraisingAmt>1024</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2316269</TotalAmt>
        <ProgramServicesAmt>2233925</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82344</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>239118</TotalAmt>
        <ProgramServicesAmt>186654</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52362</ManagementAndGeneralAmt>
        <FundraisingAmt>102</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>765033</TotalAmt>
        <ProgramServicesAmt>757206</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7827</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>33034</TotalAmt>
        <ProgramServicesAmt>27220</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5814</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>97327</TotalAmt>
        <ProgramServicesAmt>46318</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51009</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>121073</TotalAmt>
        <ProgramServicesAmt>91239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29834</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1477763</TotalAmt>
        <ProgramServicesAmt>1463333</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14430</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>555896</TotalAmt>
        <ProgramServicesAmt>490747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65149</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>487143</TotalAmt>
        <ProgramServicesAmt>487081</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES</Desc>
        <TotalAmt>212338</TotalAmt>
        <ProgramServicesAmt>210867</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1471</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MINOR EQUIPMENT</Desc>
        <TotalAmt>180482</TotalAmt>
        <ProgramServicesAmt>154486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25996</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CREDIT LOSS</Desc>
        <TotalAmt>91163</TotalAmt>
        <ProgramServicesAmt>91163</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>17699809</TotalAmt>
        <ProgramServicesAmt>16082534</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1616149</ManagementAndGeneralAmt>
        <FundraisingAmt>1126</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>746817</BOYAmt>
        <EOYAmt>1604415</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>15553</BOYAmt>
        <EOYAmt>11684</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>670079</BOYAmt>
        <EOYAmt>1178924</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>881779</BOYAmt>
        <EOYAmt>748893</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>206613</BOYAmt>
        <EOYAmt>155809</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>31138326</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11940205</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>20097474</BOYAmt>
        <EOYAmt>19198121</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>26893</BOYAmt>
        <EOYAmt>33314</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>500801</BOYAmt>
        <EOYAmt>513626</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>23146009</BOYAmt>
        <EOYAmt>23444786</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>944929</BOYAmt>
        <EOYAmt>1470533</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>13273834</BOYAmt>
        <EOYAmt>13010319</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>7501059</BOYAmt>
        <EOYAmt>7185319</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>500000</BOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>912996</BOYAmt>
        <EOYAmt>1431661</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>23132818</BOYAmt>
        <EOYAmt>23097832</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-187858</BOYAmt>
        <EOYAmt>142017</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>201049</BOYAmt>
        <EOYAmt>204937</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13191</BOYAmt>
        <EOYAmt>346954</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>23146009</BOYAmt>
        <EOYAmt>23444786</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>331758</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>2005</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </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">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>19405</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>19405</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>19405</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>19405</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>19405</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>19405</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>19405</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>19405</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>19405</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>19405</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>46300</OtherCostOrOtherBasisAmt>
        <BookValueAmt>46300</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>29719064</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10903117</DepreciationAmt>
        <BookValueAmt>18815947</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1372962</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1037088</DepreciationAmt>
        <BookValueAmt>335874</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>19198121</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO OASAS</Desc>
        <Amt>169573</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATE</Desc>
        <Amt>512315</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTY PAYERS</Desc>
        <Amt>225919</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITY</Desc>
        <Amt>138010</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>385844</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1431661</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>18033572</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2005</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>2005</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>18031567</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>18031567</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>17699809</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>17699809</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>17699809</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS ARE RESTRICTED BY DONORS TO BE MAINTAINED IN PERPETUITY. THE INCOME FROM THESE RESOURCES IS AVAILABLE FOR GENERAL OPERATING PURPOSES.</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>JAMES BUTTON</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>395115</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>20700</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>26823</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>442638</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATI JOCK</PersonNm>
        <TitleTxt>CHIEF OPERATIONS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>282365</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6473</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9458</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>298296</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN PILLEN</PersonNm>
        <TitleTxt>LEAD PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>226165</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26982</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>253147</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION EXECUTED A MEMORANDUM OF UNDERSTANDING WITH CITIZEN ADVOCATES, INC. (CITIZEN), A COMMUNITY-BASED ORGANIZATION OFFERING PRIMARILY MENTAL HEALTH TREATMENT BASED IN MALONE, NEW YORK, IN ORDER TO EXPLORE POSSIBLE AFFILIATION OPPORTUNITIES BETWEEN THE TWO ORGANIZATIONS AND TO ASSIST WITH IMPLEMENTING ACTIONS TO IMPROVE THE PROFITABILITY, LIQUIDITY, AND VIABILITY OF THE ORGANIZATIONS BY IMPROVING VOLUME OF SERVICES PROVIDED, ENHANCING REIMBURSEMENT, AND MANAGING OPERATING COSTS. IN FEBRUARY 2023, THE ORGANIZATIONS EXECUTED A MANAGEMENT SERVICES AGREEMENT WITH CITIZEN TO ALLOW CITIZEN TO FURTHER ASSIST AND SUPPORT MANAGEMENT OF THE ORGANIZATIONS WITH IMPLEMENTING THE ACTIONS DESCRIBED ABOVE. THE ORGANIZATIONS ARE CHARGED A MONTHLY MANAGEMENT FEE PER THE MANAGEMENT SERVICES AGREEMENT. TOTAL MANAGEMENT FEE EXPENSE WAS APPROXIMATELY $1,600,000 AT DECEMBER 31, 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY MANAGEMENT AND IS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND KEY MANAGEMENT EMPLOYEES ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST STATEMENTS ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HUMAN RESOURCE DEPARTMENT COMPILES COMPARABILITY DATA OF THE CEO'S SALARY WHICH IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. FOR MEMBERS OF THE EXECUTIVE TEAM, THE HUMAN RESOURCE DEPARTMENT COMPILES COMPARABILITY DATA. FOR SPECIFIC POSITIONS, (INPATIENT DIRECTOR, OUTPATIENT DIRECTOR, QI DIRECTOR, DEVELOPMENT DIRECTOR, AND EXECUTIVE ASSISTANT) THIS INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE WHICH MAKES RECOMMENDATIONS TO THE CEO, WHO MAKES THE FINAL DECISION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,233,925. MANAGEMENT AND GENERAL EXPENSES 82,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,316,269.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE HAVE BEEN NO CHANGES IN THE PROCESS FROM PRIOR YEARS. THE BOARD OF DIRECTORS TAKES RESPONSIBILITY FOR THE AUDIT PROCESS AND ASSUMES RESPONSIBILITY FOR HIRING THE INDEPENDENT AUDITORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ROSE HILL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>159 GLENWOOD DRIVE</AddressLine1Txt>
          <CityNm>SARANAC LAKE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12983</ZIPCd>
        </USAddress>
        <EIN>161518379</EIN>
        <PrimaryActivitiesTxt>TO SUPPORT SUBSTANCE ABUSE PROGRAMS FOR YOUTH.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ST JOSEPH'S REHABILITATION CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ROSE HILL FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>51021</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>