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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>17030809</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11648057</DepreciationAmt>
        <BookValueAmt>5382752</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>138340</OtherCostOrOtherBasisAmt>
        <BookValueAmt>138340</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>42336354</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Goodwill</Desc>
        <BookValueAmt>2998806</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Loan Receivable-481 IFH Inv Fund</Desc>
        <BookValueAmt>23036660</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other Long Term Assets</Desc>
        <BookValueAmt>375844</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Assets limited as to use</Desc>
        <BookValueAmt>13797</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Investment in Family Health Center</Desc>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>of New Paltz Properties LLC</Desc>
        <BookValueAmt>189778</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>26614885</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to IFH Properties</Desc>
        <Amt>478825</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Rent Liability</Desc>
        <Amt>1590100</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other long-term liability</Desc>
        <Amt>375844</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Third Party</Desc>
        <Amt>592412</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3037181</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>Neil Calman</PersonNm>
        <TitleTxt>President &amp; Chief Executive Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>612458</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8042</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24971</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>645471</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alan Woghin CPA</PersonNm>
        <TitleTxt>VP of Fin Chief Financial Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>221938</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1631</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24971</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>248540</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Walter Woodley</PersonNm>
        <TitleTxt>Regional Director Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>256063</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2248</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>258311</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert Schiller</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>343750</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6851</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24971</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>375572</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dominique Delma</PersonNm>
        <TitleTxt>Physician - OBGYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>296814</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2018</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16647</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>315479</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Emanual AVEZBAKIYEV</PersonNm>
        <TitleTxt>Psychiatric Nurse Practioner</TitleTxt>
        <BaseCompensationFilingOrgAmt>258453</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1564</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24971</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>284988</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Maxine Golub</PersonNm>
        <TitleTxt>Sr Vice President Planning &amp; Dvlp</TitleTxt>
        <BaseCompensationFilingOrgAmt>237500</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5400</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24971</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>267871</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Edward M Fried</PersonNm>
        <TitleTxt>Sr Vice President of Administration</TitleTxt>
        <BaseCompensationFilingOrgAmt>188000</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4957</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>192957</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Virna Little</PersonNm>
        <TitleTxt>Sr Vice Pres of Psychosocial Servic</TitleTxt>
        <BaseCompensationFilingOrgAmt>182651</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3166</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16647</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>202464</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nicole Nurse</PersonNm>
        <TitleTxt>Vice President of Clinical Affairs</TitleTxt>
        <BaseCompensationFilingOrgAmt>154954</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2493</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7750</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>165197</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kwame Kitson</PersonNm>
        <TitleTxt>VP of Compliance and Quality Affair</TitleTxt>
        <BaseCompensationFilingOrgAmt>190222</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4002</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16647</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>210871</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Augustus Bentsi-Barnes</PersonNm>
        <TitleTxt>OBGYN Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>281948</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1878</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16647</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>300473</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ephraim Back</PersonNm>
        <TitleTxt>Physician &amp; Director of Residency</TitleTxt>
        <BaseCompensationFilingOrgAmt>234200</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1399</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13310</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>248909</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lisa Oldham</PersonNm>
        <TitleTxt>VP of Operations-Chief Nursing Off</TitleTxt>
        <BaseCompensationFilingOrgAmt>146869</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>855</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15501</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>163225</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="990L">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Family Life Ventures</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EmployeesOfficer</RelationshipDescriptionTxt>
        <TransactionAmt>1007006</TransactionAmt>
        <TransactionDesc>Real Property Rental</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Daniel Calman</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Son of President and CEO</RelationshipDescriptionTxt>
        <TransactionAmt>15271</TransactionAmt>
        <TransactionDesc>Employee</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>1177724</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair market value</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule H - The organization is licensed under article 28 of New York State Public Health Law. However, subsection 10 of article 28 excludes certain healthcare facilities from the definition of general hospital. Therefore, the organization is not including schedule H in the current year form 990 as the organization does not meet this definition. The 990 is prepared by the Chief Financial Officer of the organization. The 990 is reviewed by executive management prior to the submission of the return. The final 990 is provided to the finance committee and the board of directors for their review and approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Center reviews on an ongoing basis new contracts and new vendor agreements. In addition, on an annual basis requires all board members to sign a financial conflict of interest policy with the organization</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>A committee (compensation) of the finance committee was formed to review the president/chief executive officers annual compensation and present their recommendations to the Board of Directors for their approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is made available upon request Government documents and policies and organization financial statements are made available to the public upon request and supervised by a member of management.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General explanation attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 Part VII Question 2 - The Institute for Family Health has a total (including the 8 listed on Part VII Question 1) of 152 employees paid over $100,000 in reportable compensation from the organization. Schedule D (Form 990) Part IX (4):Loan receivable - 481 IFH Investment Fund represents part of the new market tax credit transaction that the Institute entered into to help build a new facilty in Harlem.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Family HC of New Paltz Prop LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2006 Madison Avenue</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10035</ZIPCd>
        </USAddress>
        <EIN>471463274</EIN>
        <PrimaryActivitiesTxt>Holds Real Estate</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>-386346</TotalIncomeAmt>
        <EndOfYearAssetsAmt>189778</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Institute for Family Health</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>IFH Properties</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2006 Madison Avenue</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10035</ZIPCd>
        </USAddress>
        <EIN>364726064</EIN>
        <PrimaryActivitiesTxt>real estate entity</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>-1136059</TotalIncomeAmt>
        <EndOfYearAssetsAmt>-2819841</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>IFH Foundation Institute for Family</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>IFH Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2006 Madison Avenue</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10035</ZIPCd>
        </USAddress>
        <EIN>453769292</EIN>
        <PrimaryActivitiesTxt>fin tech and propert mgmt to IFH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Mid Hudson Family Health</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2006 Madison Avenue</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10035</ZIPCd>
        </USAddress>
        <EIN>141791535</EIN>
        <PrimaryActivitiesTxt>to support the operations of IFH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdRelatedTaxExemptOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Family Health Center of New Paltz P</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>k</TransactionTypeTxt>
        <MethodOfAmountDeterminationTxt>Fair Market Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>IFH Properties</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>k</TransactionTypeTxt>
        <MethodOfAmountDeterminationTxt>Fair Market Value - NMTC</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>