﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2017v2.3">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2018-10-08T14:59:13-04:00</ReturnTs>
    <TaxPeriodEndDt>2017-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>141604297</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>RBT CPAS LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>11 RACQUET RD</AddressLine1Txt>
        <CityNm>NEWBURGH</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>12550</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2017-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>203842923</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>HUDSON VALLEY MENTAL HEALTH INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>HUDS</BusinessNameControlTxt>
      <PhoneNum>8454521110</PhoneNum>
      <USAddress>
        <AddressLine1Txt>29 NORTH HAMILTON STREET</AddressLine1Txt>
        <CityNm>POUGHKEEPSIE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>12601</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MARK SASVARY</PersonNm>
      <PersonTitleTxt>INTERIM PRESIDENT</PersonTitleTxt>
      <PhoneNum>8454521110</PhoneNum>
      <SignatureDt>2018-09-28</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>DAVIDE DIGENOVA CPA</PreparerPersonNm>
      <PTIN>P00955704</PTIN>
      <PhoneNum>8455679000</PhoneNum>
      <PreparationDt>2018-09-28</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>71.169.2.122</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2018-10-08</IPDt>
      <IPTm>13:59:13</IPTm>
      <IPTimezoneCd>CD</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>AB2EE020BE5C2C1BBB6EEB822B5280B3120E6E47</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>7407711984FA7865C665A8E3F4485A530CB171D0</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2017</TaxYr>
    <BuildTS>2018-06-14 16:35:46Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc5">
      <PrincipalOfficerNm>MARK SASVARY</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>29 NORTH HAMILTON STREET</AddressLine1Txt>
        <CityNm>POUGHKEEPSIE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>12601</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>9141085</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.HVMH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2005</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>HUDSON VALLEY MENTAL HEALTH, INC. PROVIDES CLINICAL TREATMENT SERVICES TO APPROXIMATELY 5,000 CLIENTS ON AN ANNUAL BASIS IN DUTCHESS AND ULSTER COUNTIES. OUR OUTPATIENT CLINIC SERVICES ARE UNDER THE NYS OFFICE OF MENTAL HEALTH LICENSURE AS ARTICLE 31 OUTPATIENT CLINIC SERVICES. TREATMENT SERVICES INCLUDE ASSESSMENT, INDIVIDUAL THERAPY, GROUP THERAPY, PSYCHIATRIC ASSESSMENT, MEDICATION MANAGEMENT AND COMPLEX CARE MANAGEMENT. ALL INDIVIDUALS RECEIVING TREATMENT AT HVMH CLINICS HAVE A BEHAVIORAL HEALTH RELATED DIAGNOSIS AND MANY HAVE CONCOMITANT SUBSTANCE ABUSE DISORDERS. CLIENTS RECEIVING SERVICES AT HVMH ARE PROVIDED INDIVIDUAL AND/OR GROUP THERAPY SESSIONS BY A LICENSED CLINICIAN AND ARE FOLLOWED BY THE PRESCRIBER (PSYCHIATRIST AND/OR NURSE PRACTITIONER) FOR EVALUATION, MEDICATION, AND MEDICATION MANAGEMENT. EACH CLIENT HAS AN INDIVIDUALIZED SERVICE PLAN WHICH IS REVIEWED IN COLLABORATION WITH THE TREATMENT TEAM. AS A CONTRACT AGENCY OF DUTCHESS AND ULSTER COUNTIES HVMH MEETS COUNTY AS</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>8</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>8</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>106</TotalEmployeeCnt>
      <TotalVolunteersCnt>2</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>2225613</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2464387</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>6575012</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>6463033</CYProgramServiceRevenueAmt>
      <CYInvestmentIncomeAmt>0</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>119059</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>213665</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>8919684</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>9141085</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>5566902</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>5201915</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>3443797</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>3710737</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>9010699</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>8912652</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-91015</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>228433</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>2115281</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>2199482</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1019342</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>890179</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>1095939</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>1309303</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>HUDSON VALLEY MENTAL HEALTH, INC. PROVIDES CLINICAL TREATMENT SERVICES TO APPROXIMATELY 5,000 CLIENTS ON AN ANNUAL BASIS IN DUTCHESS AND ULSTER COUNTIES. OUR OUTPATIENT CLINIC SERVICES ARE UNDER THE NYS OFFICE OF MENTAL HEALTH LICENSURE AS ARTICLE 31 OUTPATIENT CLINIC SERVICES. TREATMENT SERVICES INCLUDE ASSESSMENT, INDIVIDUAL THERAPY, GROUP THERAPY, PSYCHIATRIC ASSESSMENT, MEDICATION MANAGEMENT AND COMPLEX CARE MANAGEMENT. ALL INDIVIDUALS RECEIVING TREATMENT AT HVMH CLINICS HAVE A BEHAVIORAL HEALTH RELATED DIAGNOSIS AND MANY HAVE CONCOMITANT SUBSTANCE ABUSE DISORDERS. CLIENTS RECEIVING SERVICES AT HVMH ARE PROVIDED INDIVIDUAL AND/OR GROUP THERAPY SESSIONS BY A LICENSED CLINICIAN AND ARE FOLLOWED BY THE PRESCRIBER (PSYCHIATRIST AND/OR NURSE PRACTITIONER) FOR EVALUATION, MEDICATION, AND MEDICATION MANAGEMENT. EACH CLIENT HAS AN INDIVIDUALIZED SERVICE PLAN WHICH IS REVIEWED IN COLLABORATION WITH THE TREATMENT TEAM. AS A CONTRACT AGENCY OF DUTCHESS AND ULSTER COUNTIES HVMH MEETS COUNTY AS</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>8151267</ExpenseAmt>
      <RevenueAmt>6463033</RevenueAmt>
      <Desc>HUDSON VALLEY MENTAL HEALTH, INC. PROVIDES CLINICAL TREATMENT SERVICES TO APPROXIMATELY 5,000 CLIENTS ON AN ANNUAL BASIS IN DUTCHESS AND ULSTER COUNTIES. OUR OUTPATIENT CLINIC SERVICES ARE UNDER THE NYS OFFICE OF MENTAL HEALTH LICENSURE AS ARTICLE 31 OUTPATIENT CLINIC SERVICES. TREATMENT SERVICES INCLUDE ASSESSMENT, INDIVIDUAL THERAPY, GROUP THERAPY, PSYCHIATRIC ASSESSMENT, MEDICATION MANAGEMENT AND COMPLEX CARE MANAGEMENT. ALL INDIVIDUALS RECEIVING TREATMENT AT HVMH CLINICS HAVE A BEHAVIORAL HEALTH RELATED DIAGNOSIS AND MANY HAVE CONCOMITANT SUBSTANCE ABUSE DISORDERS. CLIENTS RECEIVING SERVICES AT HVMH ARE PROVIDED INDIVIDUAL AND/OR GROUP THERAPY SESSIONS BY A LICENSED CLINICIAN AND ARE FOLLOWED BY THE PRESCRIBER (PSYCHIATRIST AND/OR NURSE PRACTITIONER) FOR EVALUATION, MEDICATION, AND MEDICATION MANAGEMENT. EACH CLIENT HAS AN INDIVIDUALIZED SERVICE PLAN WHICH IS REVIEWED IN COLLABORATION WITH THE TREATMENT TEAM. AS A CONTRACT AGENCY OF DUTCHESS AND ULSTER COUNTIES HVMH MEETS COUNTY AS WELL AS STATE REQUIRED QUALITY OF SERVICES TARGETS AND WE PARTICIPATE IN RECOGNIZED QUALITY IMPROVEMENT INITIATIVES. HVMH PROVIDES SERVICES IN ACCORDANCE WITH BEST PRACTICES. DURING 2017 HVMH CONTINUED WITH ITS DIALECTICAL BEHAVIORAL THERAPY TRAINING TO ITS CLINICAL STAFF. THIS TRAINING WAS PROVIDED BY THE LINEHAN INSTITUTE. HVMH WORKS COLLABORATIVELY WITH OTHER COMMUNITY AGENCIES TO ENHANCE THE SERVICES OFFERED AT ITS SITES AND TO IMPROVE CLIENT ENGAGEMENT AND OVERALL EXPERIENCE. HVMH IS A MEMBER OF THE CBHS IPA. CBHS IS COMPRISED OF 10 NOT FOR PROFIT AGENCIES PROVIDING BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITY SERVICES. IT HELPS MORE THAN 60,000 INDIVIDUALS ANNUALLY AND IS PREPARING AGENCIES INDIVIDUALLY AND COLLECTIVELY TO MEET THE NEEDS OF THE CHANGING HEALTH CARE SYSTEM. AS PART OF THE CONTRACT WITH DUTCHESS COUNTY, HVMH CONTINUES PROVIDING CLINICAL SUPPORT TO THE RE-ENTRY SUPPORTIVE TRANSITION AND REINTEGRATION TRACK (RESTART) IN THE DUTCHESS COUNTY JAIL. THE RESTART PROGRAM IS AN INNOVATIVE PROGRAM TARGETING HIGH RECIDIVISM RATES FOR INCARCERATION AND IS COMPRISED OF STAFF FROM HVMH, PROJECT MORE, &amp; DCDBCH. IN 2017 HVMH BEGAN PROVIDING SERVICES AS PART OF THE TRANSITION OF CARE WELLNESS PROJECT WITH ACCESS SUPPORTS FOR LIVING, OUR CBHS PARTNER AND WITH WESTCHESTER MEDICAL CENTER (WMC). HVMH IS TARGETING CLIENTS WHO ARE BEING DISCHARGED FROM THE WMC POUGHKEEPSIE CAMPUS. THIS PROJECT AIMS TO IMPROVE CLIENT ENGAGEMENT WITHIN 48 HOURS OF HOSPITAL DISCHARGE.</Desc>
      <TotalProgramServiceExpensesAmt>8151267</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc7">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc3">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc4">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc6">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc6">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc6">false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc6">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>26</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>106</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>8</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>8</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>NATALIE BORQUIST</PersonNm>
        <PhoneNum>8454521110</PhoneNum>
        <USAddress>
          <AddressLine1Txt>29 NORTH HAMILTON STREET</AddressLine1Txt>
          <CityNm>POUGHKEEPSIE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12601</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER LUMB</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN CILLEY</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAM LAGANARO</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANDY LUDLUM</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE GEORGE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL JENKINS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAY L MAMIYA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIAN CRUZ JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM LICHTENBERG</PersonNm>
        <TitleTxt>RESIGNED SEP</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN HAZUCHA</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>128670</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27761</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YOUNG J SHIN</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>28.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>156301</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27465</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE SLOCUM</PersonNm>
        <TitleTxt>NURSE PRACTI</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>126040</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27689</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY CORBIN</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>16.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>115390</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5390</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHERINE G MCDONALD</PersonNm>
        <TitleTxt>NURSE PRACTI</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>112822</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24997</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>639223</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>113302</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>JACKSON COKER LOCUMTENENS LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 277638</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303847638</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>847971</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MVP NETWORK CONSULTING LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1297 HERTEL AVE</AddressLine1Txt>
            <CityNm>BUFFALO</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14216</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT CONSULTING</ServicesDesc>
        <CompensationAmt>324838</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BARTON ASSOCIATES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 417844</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022417844</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>206071</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NETSMART</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4950 COLLEGE BLVD</AddressLine1Txt>
            <CityNm>OVERLAND PARK</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66211</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING</ServicesDesc>
        <CompensationAmt>168962</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CERNER</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 959156</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>631959156</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING</ServicesDesc>
        <CompensationAmt>128934</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2464387</GovernmentGrantsAmt>
      <TotalContributionsAmt>2464387</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CLIENT SERVICE FEES</Desc>
        <TotalRevenueColumnAmt>6463033</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6463033</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>6463033</TotalProgramServiceRevenueAmt>
      <GrossRentsGrp>
        <RealAmt>23412</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>23412</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>23412</TotalRevenueColumnAmt>
        <ExclusionAmt>23412</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <TotalRevenueColumnAmt>190253</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>190253</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>190253</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>9141085</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6653286</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>23412</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>156431</TotalAmt>
        <ProgramServicesAmt>154789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1642</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4005729</TotalAmt>
        <ProgramServicesAmt>3963673</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42056</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>113421</TotalAmt>
        <ProgramServicesAmt>112231</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1190</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>509496</TotalAmt>
        <ProgramServicesAmt>504151</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5345</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>416838</TotalAmt>
        <ProgramServicesAmt>412465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4373</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>670761</TotalAmt>
        <ManagementAndGeneralAmt>670761</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>11048</TotalAmt>
        <ManagementAndGeneralAmt>11048</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>21500</TotalAmt>
        <ManagementAndGeneralAmt>21500</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1484116</TotalAmt>
        <ProgramServicesAmt>1484116</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>12226</TotalAmt>
        <ProgramServicesAmt>12226</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>177760</TotalAmt>
        <ProgramServicesAmt>176825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>935</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>329953</TotalAmt>
        <ProgramServicesAmt>329953</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>382750</TotalAmt>
        <ProgramServicesAmt>382750</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>12586</TotalAmt>
        <ProgramServicesAmt>12586</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>24132</TotalAmt>
        <ProgramServicesAmt>24132</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>6878</TotalAmt>
        <ProgramServicesAmt>6878</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>44645</TotalAmt>
        <ProgramServicesAmt>44645</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>74866</TotalAmt>
        <ProgramServicesAmt>72331</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2535</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>383860</TotalAmt>
        <ProgramServicesAmt>383860</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>61252</TotalAmt>
        <ProgramServicesAmt>61252</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM EXPENSES</Desc>
        <TotalAmt>12404</TotalAmt>
        <ProgramServicesAmt>12404</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>8912652</TotalAmt>
        <ProgramServicesAmt>8151267</ProgramServicesAmt>
        <ManagementAndGeneralAmt>761385</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1100</BOYAmt>
        <EOYAmt>1100</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>839858</BOYAmt>
        <EOYAmt>120216</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1037868</BOYAmt>
        <EOYAmt>987598</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>73005</BOYAmt>
        <EOYAmt>83740</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>839086</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>557120</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>152335</BOYAmt>
        <EOYAmt>281966</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>11115</BOYAmt>
        <EOYAmt>724862</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>2115281</BOYAmt>
        <EOYAmt>2199482</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>815909</BOYAmt>
        <EOYAmt>875110</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>15069</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>203433</BOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1019342</BOYAmt>
        <EOYAmt>890179</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1027932</BOYAmt>
        <EOYAmt>1269858</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>68007</BOYAmt>
        <EOYAmt>39445</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1095939</BOYAmt>
        <EOYAmt>1309303</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2115281</BOYAmt>
        <EOYAmt>2199482</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>228433</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-15069</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>648628</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1506119</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2089961</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2225613</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2464387</CurrentTaxYearAmt>
        <TotalAmt>8934708</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>5552273</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6215249</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6057531</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6575012</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6653286</CurrentTaxYearAmt>
        <TotalAmt>31053351</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>6200901</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7721368</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8147492</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8800625</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9117673</CurrentTaxYearAmt>
        <TotalAmt>39988059</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>39988059</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>83846</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>82198</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>54</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>75868</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23412</CurrentTaxYearAmt>
        <TotalAmt>265378</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>83846</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>82198</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>54</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>75868</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23412</CurrentTaxYearAmt>
        <TotalAmt>265378</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>5821</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7554</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19881</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>43191</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>76447</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>6290568</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7811120</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8167427</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8919684</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9141085</CurrentTaxYearAmt>
        <TotalAmt>40329884</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99150</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98900</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME 76,447</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1" />
    <IRS990ScheduleD documentId="RetDoc3">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>29213</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8643</DepreciationAmt>
        <BookValueAmt>20570</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>809873</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>548477</DepreciationAmt>
        <BookValueAmt>261396</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>281966</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES</Desc>
        <BookValueAmt>713747</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSIT</Desc>
        <BookValueAmt>11115</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>724862</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>10034542</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>908526</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-15069</OtherRevenueAmt>
      <RevenueNotReportedAmt>893457</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>9141085</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>9141085</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>9821178</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>908526</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>908526</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>8912652</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>8912652</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FILES AN ANNUAL FORM 990 AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO FEDERAL OR NEW YORK STATE TAXES ARE PAID BY THE ORGANIZATION. THE ORGANIZATION HAS BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509 (A) AND QUALIFIES FOR DEDUCTIBLE CONTRIBUTIONS AS PROVIDED IN SECTION 170 (B)(1)(A)(VI). THE ORGANIZATION ADOPTED THE PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REGARDING ACCOUNTING FOR UNCERTAIN TAX POSITIONS. MANAGEMENT EVALUATED THE ORGANIZATIONS TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS IN ORDER TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS PRIOR TO 2014.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>REFUND OF CONTRACT -15,069</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN HAZUCHA</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>128670</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7674</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20087</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>156431</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YOUNG J SHIN</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>156301</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3063</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24402</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>183766</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE SLOCUM</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>126040</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8012</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19677</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>153729</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>HUDSON VALLEY MENTAL HEALTH, INC. PROVIDES CLINICAL TREATMENT SERVICES TO APPROXIMATELY 5,000 CLIENTS ON AN ANNUAL BASIS IN DUTCHESS AND ULSTER COUNTIES. OUR OUTPATIENT CLINIC SERVICES ARE UNDER THE NYS OFFICE OF MENTAL HEALTH LICENSURE AS ARTICLE 31 OUTPATIENT CLINIC SERVICES. TREATMENT SERVICES INCLUDE ASSESSMENT, INDIVIDUAL THERAPY, GROUP THERAPY, PSYCHIATRIC ASSESSMENT, MEDICATION MANAGEMENT AND COMPLEX CARE MANAGEMENT. ALL INDIVIDUALS RECEIVING TREATMENT AT HVMH CLINICS HAVE A BEHAVIORAL HEALTH RELATED DIAGNOSIS AND MANY HAVE CONCOMITANT SUBSTANCE ABUSE DISORDERS. CLIENTS RECEIVING SERVICES AT HVMH ARE PROVIDED INDIVIDUAL AND/OR GROUP THERAPY SESSIONS BY A LICENSED CLINICIAN AND ARE FOLLOWED BY THE PRESCRIBER (PSYCHIATRIST AND/OR NURSE PRACTITIONER) FOR EVALUATION, MEDICATION, AND MEDICATION MANAGEMENT. EACH CLIENT HAS AN INDIVIDUALIZED SERVICE PLAN WHICH IS REVIEWED IN COLLABORATION WITH THE TREATMENT TEAM. AS A CONTRACT AGENCY OF DUTCHESS AND ULSTER COUNTIES HVMH MEETS COUNTY AS WELL AS STATE REQUIRED QUALITY OF SERVICES TARGETS AND WE PARTICIPATE IN RECOGNIZED QUALITY IMPROVEMENT INITIATIVES. HVMH PROVIDES SERVICES IN ACCORDANCE WITH BEST PRACTICES. DURING 2017 HVMH CONTINUED WITH ITS DIALECTICAL BEHAVIORAL THERAPY TRAINING TO ITS CLINICAL STAFF. THIS TRAINING WAS PROVIDED BY THE LINEHAN INSTITUTE. HVMH WORKS COLLABORATIVELY WITH OTHER COMMUNITY AGENCIES TO ENHANCE THE SERVICES OFFERED AT ITS SITES AND TO IMPROVE CLIENT ENGAGEMENT AND OVERALL EXPERIENCE. HVMH IS A MEMBER OF THE CBHS IPA. CBHS IS COMPRISED OF 10 NOT FOR PROFIT AGENCIES PROVIDING BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITY SERVICES. IT HELPS MORE THAN 60,000 INDIVIDUALS ANNUALLY AND IS PREPARING AGENCIES INDIVIDUALLY AND COLLECTIVELY TO MEET THE NEEDS OF THE CHANGING HEALTH CARE SYSTEM. AS PART OF THE CONTRACT WITH DUTCHESS COUNTY, HVMH CONTINUES PROVIDING CLINICAL SUPPORT TO THE RE-ENTRY SUPPORTIVE TRANSITION AND REINTEGRATION TRACK (RESTART) IN THE DUTCHESS COUNTY JAIL. THE RESTART PROGRAM IS AN INNOVATIVE PROGRAM TARGETING HIGH RECIDIVISM RATES FOR INCARCERATION AND IS COMPRISED OF STAFF FROM HVMH, PROJECT MORE, &amp; DCDBCH. IN 2017 HVMH BEGAN PROVIDING SERVICES AS PART OF THE TRANSITION OF CARE WELLNESS PROJECT WITH ACCESS SUPPORTS FOR LIVING, OUR CBHS PARTNER AND WITH WESTCHESTER MEDICAL CENTER (WMC). HVMH IS TARGETING CLIENTS WHO ARE BEING DISCHARGED FROM THE WMC POUGHKEEPSIE CAMPUS. THIS PROJECT AIMS TO IMPROVE CLIENT ENGAGEMENT WITHIN 48 HOURS OF HOSPITAL DISCHARGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICATION, AND MEDICATION MANAGEMENT. EACH CLIENT HAS AN INDIVIDUALIZED SERVICE PLAN WHICH IS REVIEWED IN COLLABORATION WITH THE TREATMENT TEAM. AS A CONTRACT AGENCY OF DUTCHESS AND ULSTER COUNTIES HVMH MEETS COUNTY AS WELL AS STATE REQUIRED QUALITY OF SERVICES TARGETS AND WE PARTICIPATE IN RECOGNIZED QUALITY IMPROVEMENT INITIATIVES. HVMH PROVIDES SERVICES IN ACCORDANCE WITH BEST PRACTICES. DURING 2017 HVMH CONTINUED WITH ITS DIALECTICAL BEHAVIORAL THERAPY TRAINING TO ITS CLINICAL STAFF. THIS TRAINING WAS PROVIDED BY THE LINEHAN INSTITUTE. HVMH WORKS COLLABORATIVELY WITH OTHER COMMUNITY AGENCIES TO ENHANCE THE SERVICES OFFERED AT ITS SITES AND TO IMPROVE CLIENT ENGAGEMENT AND OVERALL EXPERIENCE. HVMH IS A MEMBER OF THE CBHS IPA. CBHS IS COMPRISED OF 10 NOT FOR PROFIT AGENCIES PROVIDING BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITY SERVICES. IT HELPS MORE THAN 60,000 INDIVIDUALS ANNUALLY AND IS PREPARING AGENCIES INDIVIDUALLY AND COLLECTIVELY TO MEET THE NEEDS OF THE CHANGING HEALTH CARE SYSTEM. AS PART OF THE CONTRACT WITH DUTCHESS COUNTY, HVMH CONTINUES PROVIDING CLINICAL SUPPORT TO THE RE-ENTRY SUPPORTIVE TRANSITION AND REINTEGRATION TRACK (RESTART) IN THE DUTCHESS COUNTY JAIL. THE RESTART PROGRAM IS AN INNOVATIVE PROGRAM TARGETING HIGH RECIDIVISM RATES FOR INCARCERATION AND IS COMPRISED OF STAFF FROM HVMH, PROJECT MORE, &amp; DCDBCH. IN 2017 HVMH BEGAN PROVIDING SERVICES AS PART OF THE TRANSITION OF CARE WELLNESS PROJECT WITH ACCESS SUPPORTS FOR LIVING, OUR CBHS PARTNER AND WITH WESTCHESTER MEDICAL CENTER (WMC). HVMH IS TARGETING CLIENTS WHO ARE BEING DISCHARGED FROM THE WMC POUGHKEEPSIE CAMPUS. THIS PROJECT AIMS TO IMPROVE CLIENT ENGAGEMENT WITHIN 48 HOURS OF HOSPITAL DISCHARGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>FAMILY SERVICES, INC. IS THE PARENT COMPANY OF HUDSON VALLEY MENTAL HEALTH, INC. THIS AFFILIATE IS INCORPORATED AS A MEMBER CORPORATION WITH FAMILY SERVICES, INC. AS ITS SOLE MEMBER. FAMILY SERVICES, INC. PROVIDES ADMINISTRATIVE SUPPORT TO THE AFFILIATE AS PART OF THIS LEGAL RELATIONSHIP. SERVICE FEES ARE PAID TO THE PARENT COMPANY FOR THE PROVISION OF THESE FUNCTIONS, INCLUDING ACCOUNTING, FINANCIAL MANAGEMENT, HUMAN RESOURCES, AND INFORMATION TECHNOLOGY. SOME OF THESE DUTIES WOULD CUSTOMARILY BE PERFORMED OR SUPERVISED BY THE AFFILIATE PRESIDENT OR KEY EMPLOYEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE ANNUAL MEETING OF THE SOLE MEMBER (FAMILY SERVICES, INC.), THE BOARD OF DIRECTORS OF THE SOLE MEMBER WILL ELECT THE DIRECTORS OF HVMH FROM THE APPROVED SLATE, AS PROVIDED BY HVMH BOARD MEMBER(S) SERVING ON THE JOINT GOVERNANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>HUDSON VALLEY MENTAL HEALTH WAS INCORPORATED AS A MEMBER ORGANIZATION, WITH FAMILY SERVICES, INC. AS THE SOLE MEMBER. THE GOVERNING BODY OF FAMILY SERVICES, INC. HAS AUTHORITY OVER THE FOLLOWING AREAS OF BUSINESS: SALE OF REAL PROPERTY OR FACILITIES, CAPITAL EXPENDITURES, AMENDMENT OF CERTIFICATE OF INCORPORATION, AMENDMENT OF BY-LAWS, TRUSTEE ELECTION AND REPLACEMENT, TERMINATION OF FAMILY SERVICES, INC. AS SOLE MEMBER, ABANDONMENT OF MATERIAL DIMINUTION OF SERVICES OR PROGRAMS, REORGANIZATIONS OF SUBSTANTIALLY ALL THE ASSETS, ASSUMPTION OF DEBT, OPERATING AND CAPITAL BUDGETS, ALLOCATION OF FUNDS, NEW AFFILIATED AGENCIES AND JOINT VENTURES. VARIOUS DECISIONS OF THE HVMH GOVERNING BOARD ARE SUBJECT TO RATIFICATION BY THE FAMILY SERVICES INC. BOARD, I.E. BUDGETS, BY-LAW AMENDMENTS, ASSUMPTION OF DEBT, DISSOLUTION OF ASSETS, ETC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE ENGAGEMENT AND CONTRACTING PROCESS WITH AN AUDITING FIRM, HVMH INCLUDES THE STIPULATION THAT THE FORM 990 BE ELECTRONICALLY SUBMITTED BY THE AUDITORS TO THE ORGANIZATION PRIOR TO FILING WITH THE IRS. ONCE RECEIVED, THE ORGANIZATION'S PRESIDENT, CFO AND AUDIT COMMITTEE OF THE BOARD CONVENE TO REVIEW AND APPROVE THE DRAFT VERSION. THE REVIEW CONSISTS OF COMPREHENSIVE EVALUATION OF BOTH NARRATIVE AND FINANCIAL INFORMATION. AFTER THIS REVIEW, HVMH DISTRIBUTES THE FORM 990 TO THE ORGANIZATION'S ENTIRE GOVERNING BODY PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO INITIAL ELECTION, AND ANNUALLY THEREAFTER, EACH DIRECTOR SHALL BE REQUIRED TO COMPLETE, SIGN AND SUBMIT TO THE SECRETARY, OR AN AUTHORIZED DESIGNEE, AS APPROPRIATE, A WRITTEN STATEMENT IDENTIFYING, TO THE BEST OF THE DIRECTOR'S KNOWLEDGE, ANY ENTITY OF WHICH SUCH DIRECTOR IS AN OFFICER, DIRECTOR, TRUSTEE, MEMBER, OWNER (EITHER AS A SOLE PROPRIETOR OR A PARTNER), OR EMPLOYEE AND WITH WHICH THE CORPORATION HAS A RELATIONSHIP, AND ANY TRANSACTION IN WHICH THE CORPORATION IS A PARTICIPANT, AND IN WHICH THE DIRECTOR MIGHT HAVE A CONFLICTING INTEREST. THE SECRETARY SHALL PROVIDE A COPY OF ALL COMPLETED DISCLOSURE STATEMENTS TO THE CHAIR OF THE AFFILIATED PARTNERS AUDIT COMMITTEE. A COPY OF EACH DISCLOSURE STATEMENT SHALL BE AVAILABLE TO ANY DIRECTOR ON REQUEST. IF AT ANY TIME DURING HIS OR HER TERM OF SERVICE, A DIRECTOR, OFFICER OR KEY EMPLOYEE ACQUIRES AN INTEREST, OR CIRCUMSTANCES OTHERWISE ARISE, WHICH COULD GIVE RISE TO A REAL OR POTENTIAL RELATED PARTY TRANSACTION, OR ANY OTHER CONFLICTED MATTER, HE OR SHE SHALL PROMPTLY DISCLOSE, IN GOOD-FAITH, TO THE BOARD OF DIRECTORS, OR AN AUTHORIZED COMMITTEE THEREOF, AS APPROPRIATE, THE MATERIAL FACTS CONCERNING SUCH INTEREST. THE AFFILIATED PARTNERS AUDIT COMMITTEE SHALL REVIEW ANY REAL, OR POTENTIAL, RELATED PARTY TRANSACTION, OR ANY OTHER MATTER WHICH MIGHT BE CONSIDERED TO CONSTITUTE A CONFLICT OF INTEREST FOR A PARTICULAR RELATED PARTY. IN ANY INSTANCE WHERE A RELATED PARTY TRANSACTION, OR OTHER CONFLICTED MATTER, IS BEING REVIEWED, AND IS SO MATERIAL THAT IT WOULD CUSTOMARILY WARRANT FORMAL APPROVAL BY THE AFFILIATED PARTNERS AUDIT COMMITTEE, SAID COMMITTEE SHALL THOROUGHLY REVIEW THE TRANSACTION OR MATTER AND SUBMIT TO THE BOARD OF DIRECTORS, A RECOMMENDATION AS WHETHER OR NOT IT SHOULD BE TO APPROVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>AT LEAST ANNUALLY, THE BOARD OF DIRECTORS AND/OR THE EXECUTIVE COMMITTEE SHALL ENGAGE IN A COMPENSATION ANALYSIS OF THE CEO AND OTHER KEY EMPLOYEE (S) TO RUN CONCURRENTLY WITH THE ANNUAL PERFORMANCE EVALUATION OF SUCH EMPLOYEE(S). THE BOARD OF DIRECTORS AND/OR THE EXECUTIVE COMMITTEE, SHALL, AFTER DUE DELIBERATION AND DISCUSSION REGARDING THE TOTAL COMPENSATION, RENDER A DETERMINATION REGARDING WHETHER THE COMPENSATION IS REASONABLE AND WHETHER SUFFICIENT, COMPARATIVE INFORMATION EXISTED FROM LIKE, OR SIMILAR ENTITIES, TO CONCLUDE THAT THE TOTAL COMPENSATION OF THE CEO, OR ANY OTHER KEY EMPLOYEE(S), IS REASONABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>AT LEAST ANNUALLY, THE BOARD OF DIRECTORS AND/OR THE EXECUTIVE COMMITTEE SHALL ENGAGE IN A COMPENSATION ANALYSIS OF THE CEO AND OTHER KEY EMPLOYEE (S) TO RUN CONCURRENTLY WITH THE ANNUAL PERFORMANCE EVALUATION OF SUCH EMPLOYEE(S). THE BOARD OF DIRECTORS AND/OR THE EXECUTIVE COMMITTEE, SHALL, AFTER DUE DELIBERATION AND DISCUSSION REGARDING THE TOTAL COMPENSATION, RENDER A DETERMINATION REGARDING WHETHER THE COMPENSATION IS REASONABLE AND WHETHER SUFFICIENT, COMPARATIVE INFORMATION EXISTED FROM LIKE, OR SIMILAR ENTITIES, TO CONCLUDE THAT THE TOTAL COMPENSATION OF THE CEO, OR ANY OTHER KEY EMPLOYEE(S), IS REASONABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>HVMH MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE IRS CODE BY MAKING IT AVAILABLE UPON REQUEST. FORMS 990 AND 1023, AS WELL AS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY, ARE AVAILABLE BY CALLING THE ORGANIZATION DIRECTLY AT 845-452-1110. FORMS ARE ALSO AVAILABLE ON GUIDESTAR.ORG AND OTHER SIMILAR WEBSITES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING AND HIRED SERVICES 1,274,264 0 0 CONTRACT SERVICES 209,852 0 0 TOTAL 1,484,116 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>REFUND OF CONTRACT -15,069</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc6">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FAMILY SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>29 NORTH HAMILTON STREET</AddressLine1Txt>
          <CityNm>POUGHKEEPSIE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12601</ZIPCd>
        </USAddress>
        <EIN>141338399</EIN>
        <PrimaryActivitiesTxt>ASSISTANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BIG BROTHERS BIG SISTERS OF ULSTER</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>29 NORTH HAMILTON STREET</AddressLine1Txt>
          <CityNm>POUGHKEEPSIE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12601</ZIPCd>
        </USAddress>
        <EIN>510222946</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>FAMILY SER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FAMILY SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>682605</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FAMILY SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>33583</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FAMILY SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>670761</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>