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      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11516935</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO GOVERNMENT AGENCIES</Desc>
        <Amt>1933769</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT PAYABLE</Desc>
        <Amt>2779154</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>4712923</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>76808808</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>677236</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>677236</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>76131572</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>76131572</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>75476886</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>677236</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>677236</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>74799650</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>74799650</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>QSAC assesses tax positions in accordance with FASB ASC Topic 740 and has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements. QSAC is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. QSAC believes it is no longer subject to income tax examinations prior to 2014.</ExplanationTxt>
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    </IRS990ScheduleD>
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        <Event1Nm>ANNUAL GALA</Event1Nm>
        <GrossReceiptsEvent1Amt>372768</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>234768</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>138000</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>61848</RentFacilityCostsEvent1Amt>
        <OtherDirectExpensesEvent1Amt>50135</OtherDirectExpensesEvent1Amt>
        <Event2Nm>5K MARATHON</Event2Nm>
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        <CharitableContriEvent2Amt>71405</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>12000</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>1806</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>73809</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>59841</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>13968</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>4379</RentFcltyCostsOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>21563</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>529982</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>366014</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>163968</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>66227</RentFcltyCostsTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>73504</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>139731</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>24237</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
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      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>GRANT/ASSISTANCE</GrantTypeTxt>
        <CashGrantAmt>781577</CashGrantAmt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE ASSISTANCE IS BROKEN DOWN BETWEEN TWO PROGRAMS - $437,090 FOR THE RESIDENTIAL PROGRAM. THIS PART REPRESENTS THE PERSONAL ALLOWANCE AND CLOTHING ALLOWANCE THAT EACH INDIVIDUAL LIVING IN OUR RESIDENTIAL FACILITIES IS ENTITLED TO THROUGH OUT THE YEAR. THESE MONIES ARE PAID TO OUR 180 COnSUMERS (RESIDENTS) ON A MONTHLY BASIS FOR THE P/A, AND EVERY 6 MONTHS FOR THE C/A GUIDLINES GOVERNING THESE FUNDS COME FROM THE STATE MENTAL HYGIENCE LAW. THE REMAINING GRANT IN THE AMOUNT OF $344,487 IS FOR SERVICE COORDINATION AND OTHER SERVICES PROGRAM.</ExplanationTxt>
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    </IRS990ScheduleI>
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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        <TitleTxt>EXECUTIVE DIRECTOR / CEO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>168012</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>22881</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1245373</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>829717</CompReportPrior990FilingOrgAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>444891</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>707616</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>441196</CompReportPrior990FilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>100069</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>17386</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>105716</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7035</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>316738</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>V RAMSAY</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2296</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>52305</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>185318</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>221218</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>F Monegro</PersonNm>
        <TitleTxt>DIRECTOR OF CLINICAL SERVIce</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>54919</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>226820</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>35177</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>L COSTA</PersonNm>
        <TitleTxt>DIRECTOR OF IT</TitleTxt>
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        <OtherCompensationFilingOrgAmt>5187</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>31474</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>25336</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>177433</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>J AMODEO</PersonNm>
        <TitleTxt>sr. DIRECTOR OF DEVELOPMENT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>3594</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>7933</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>170870</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 4B: THE FOLLOWING EMPLOYEES HAD PAYMENTS MADE TO 457F PLANS DURING THE 2016/2017 CALENDAR YEAR. THESE FUNDS REMAIN ASSETS OF THE EMPLOYER UNTIL RETIREMENT AGE OF THE EMPLOYEE. G MAFFEI: $150,012 P NARANJO: $81,635 C POLSHANSKY: $75,005 L VEGLIA: $78,585 M CHOI: $41,717 F MONEGRO: $35,817 L COSTA: $27,369 J AMODEO $32,653 V RAMSAY $36,415 PART II B(III) INCLUDES AMOUNTS FOR IMPUTED INCOME ADDED TO EMPLOYEES' SALARY FOR VEHICLE USAGE, LIFE INSURANCE, ETC. PART II B(III) AND F INCLUDE A 457F FINAL DISTRIBUTION. G MAFFEI: $829,717 P NARANJO: $441,196 F MONEGRO: $35,177 G MAFFEI, P NARANJO and F MONEGRO met retirement age and had contributions and distributions during fiscal year 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <IssuerName>
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      <TaxExemptBondsIssuesGrp>
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        <IssuerName>
          <BusinessNameLine1Txt>NASSAU COUNTY INDUSTRIAL DEVELOPMENT AGENCY SERIES 2006</BusinessNameLine1Txt>
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        <IssuePriceAmt>840000</IssuePriceAmt>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
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      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
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        <AdvanceRefundingInd>0</AdvanceRefundingInd>
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        <AdequateBooksAndRecMaintInd>0</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
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        <SubstantialCompletionYr>2008</SubstantialCompletionYr>
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        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>0</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>0</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
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        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
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        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
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        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
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        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <BooksAndPublicationsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>8523</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Catalog</MethodOfDeterminingRevenuesTxt>
      </BooksAndPublicationsGrp>
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>14700</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>catalog</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>926</ContributionCnt>
        <NoncashContributionsRptF990Amt>4535</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>fair market value</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Technology</Desc>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>5525</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair Market Value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>miscellaneous</Desc>
        <ContributionCnt>15</ContributionCnt>
        <NoncashContributionsRptF990Amt>2105</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Listed Price</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Event Tickets</Desc>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>1820</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Catalog</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY MANAGEMENT AND THEN PRESENTED TO THE BOARD OF DIRECTORS, PRIOR TO SUBMISSION TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of QSAC's Board of Directors and executive management complete annual Conflict of Interest Forms. All forms are reviewed by the Board's Audit and Nominating Committees and all conflicts, if any, are disclosed to the full board and noted in the minutes of the meeting. The agency's Conflict of Interest Policy prohibits board members from participating in decisions with which they have a conflict.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS DETERMINED BY COMPARISON OF 990'S, INDUSTRY SURVEYS, AND APPROVED BY THE BOARD OF DIRECTORS AND DECISIONS DOCUMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ONLINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>this process has not changed from prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>