<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-05-13T11:12:55-05:00</ReturnTs>
    <TaxPeriodEndDt>2023-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>161226221</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>FUSTCHARLES LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>220 S WARREN STREET</AddressLine1Txt>
        <CityNm>SYRACUSE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>13202</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>150539090</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ELMCREST CHILDREN'S CENTER INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>ELMC</BusinessNameControlTxt>
      <PhoneNum>3154466250</PhoneNum>
      <USAddress>
        <AddressLine1Txt>960 SALT SPRINGS ROAD</AddressLine1Txt>
        <CityNm>SYRACUSE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>13224</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DIANE NAPPA</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>3154466250</PhoneNum>
      <SignatureDt>2024-05-09</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>DIANE</PersonFirstNm>
        <PersonLastNm>NAPPA</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>THOMAS J GIUFRE</PreparerPersonNm>
      <PTIN>P00841958</PTIN>
      <PhoneNum>3154463600</PhoneNum>
      <PreparationDt>2024-05-09</PreparationDt>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>2</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>DIANE NAPPA</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>960 SALT SPRINGS ROAD</AddressLine1Txt>
        <CityNm>SYRACUSE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>13224</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>40630536</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.ELMCREST.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1855</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>PROVIDE CARE &amp; TREATMENT FOR CHILDREN AND FAMILIES IN ORDER TO IMPROVE HEALTH AND WELL-BEING.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>18</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>18</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>707</TotalEmployeeCnt>
      <TotalVolunteersCnt>60</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>920827</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>751012</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>26221710</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>28279078</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>1047968</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1494528</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>468758</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>479801</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>28659263</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>31004419</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>20778507</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>28476039</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>219506</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>4770653</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>5444284</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>25549160</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>33920323</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>3110103</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-2915904</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>35626206</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>36898073</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>7269260</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>6904929</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>28356946</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>29993144</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>PROVIDE CARE AND TREATMENT FOR CHILDREN AND FAMILIES IN NEED IN ORDER TO IMPROVE THEIR HEALTH AND WELL BEING.</MissionDesc>
      <SignificantNewProgramSrvcInd>1</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>11904320</ExpenseAmt>
      <RevenueAmt>11010730</RevenueAmt>
      <Desc>HARD TO PLACE PROGRAMS - RESIDENTIAL TREATMENT PROGRAMS THAT SERVE THE HARD TO PLACE BOYS IN THE CENTRAL NEW YORK AREA. TO MEET SAFETY AND TREATMENT GOALS A HIGHER LEVEL OF SUPERVISION AS WELL AS A GREATER NUMBER OF SUPPORTIVE SERVICES ARE REQUIRED.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>3268953</ExpenseAmt>
        <RevenueAmt>2731425</RevenueAmt>
        <Desc>SPECIAL PRESCHOOL INTERVENTION FOR CHILDREN'S EDUCATION (SPICE) - A THERAPEUTIC ENVIRONMENT FOR 46 PRESCHOOLERS AGES 3 TO 5 WITH DISABILITIES. SPICE PROVIDES EDUCATIONAL AND THERAPEUTIC SERVICES TO MEET THE NEEDS OF EACH INDIVIDUAL CHILD AS WELL AS COUNSELING AND SUPPORTIVE SERVICES TO FAMILIES.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>6791917</ExpenseAmt>
        <RevenueAmt>6024270</RevenueAmt>
        <Desc>MANAGED CARE- CASE MANAGEMENT - CASE MANAGERS ARE A SINGLE POINT OF CONTACT FOR FAMILIES, PROVIDING SUPPORT AND AN INDIVIDUAL PLAN OF CARE BASED ON EACH CHILD'S NEEDS AND STRENGTHS. CASE MANAGEMENT IS AVAILABLE TO ANYONE AGED 0-21 WHO HAS EXPERIENCED TRAUMA OR WHO HAS SERIOUS HEALTH OR BEHAVIORAL ISSUES AND HAS OR IS ELIGIBLE FOR MEDICAID.- CHILD AND FAMILY TREATMENT &amp; SUPPORT SERVICES (CFTSS) - NEW MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES AVAILABLE WITH NYS CHILDREN'S MEDICAID. THERAPY SERVICES INCLUDE ASSESSMENTS AS WELL AS INDIVIDUAL AND GROUP THERAPIES. REHABILITATION SERVICES INCLUDE LEARNING TO INCORPORATE THERAPY GOALS INTO EVERYDAY LIFE, BUILDING RELATIONSHIPS AND LEARNING SELF-CARE.-HOME AND COMMUNITY BASED SERVICES (HCBS) - MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES AVAILABLE WITH NYS CHILDREN'S MEDICAID. THERAPY SERVICES INCLUDE LEARNING TO INCORPORATE THERAPY GOALS INTO EVERYDAY LIFE, BUILDING RELATIONSHIPS AND LEARNING SELF-CARE.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>8068149</ExpenseAmt>
        <RevenueAmt>8512653</RevenueAmt>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>8068149</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>8512653</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>30033339</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>1</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">1</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041300001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041300001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043500001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043500001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043500001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043500001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>45</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>707</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <DAFExcessBusinessHoldingsInd>0</DAFExcessBusinessHoldingsInd>
      <TaxableDistributionsInd>0</TaxableDistributionsInd>
      <DistributionToDonorInd>0</DistributionToDonorInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>18</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>18</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>TERRI TULOWIECKI ELMCREST CHILDREN'S CENTER INC</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>3154466250</PhoneNum>
        <USAddress>
          <AddressLine1Txt>960 SALT SPRINGS ROAD</AddressLine1Txt>
          <CityNm>SYRACUSE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13224</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>BHATTACHARJEE MERRY</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAPRIOTTI DAVID</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLEARY DENNIS</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAZARSKI FRANK J</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MCGUIRE THOMAS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MANN J BRADFORD</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MULDOON JAMES</PersonNm>
        <TitleTxt>BOARD PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MILLER ALISON K</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AIELLO DAVID</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LOUCKS DANA</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROWSER SAMUEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YOUNG JENNIFER</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BROWN ERIC</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VAN WIE JANETTE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BOBBETT JODI C</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGHERTY SEAN P</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GAINEY SHYNIQUE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAMS BRUCE JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TULOWIECKI TERRI</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>131711</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11621</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEGLIA JOSEPH</PersonNm>
        <TitleTxt>EXEC. DIRECTOR -END. 6/30/2023</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>169451</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18869</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE NAPPA</PersonNm>
        <TitleTxt>EXEC. DIRECTOR -BEG. 7/1/2023</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CASEY PATRICK</PersonNm>
        <TitleTxt>CLINICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>169713</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16437</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>470875</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>46927</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DAVID J HUBBARD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 324</AddressLine1Txt>
            <CityNm>SYRACUSE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13214</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SUPPORT SERVICES CONTRACTOR</ServicesDesc>
        <CompensationAmt>138262</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>YAJAIRA PAPARONE MD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>125 YAUPON TRAIL</AddressLine1Txt>
            <CityNm>SAN ANTONIO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78256</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CHILD PSYCHIATRIST</ServicesDesc>
        <CompensationAmt>128700</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>64057</FederatedCampaignsAmt>
      <FundraisingAmt>46667</FundraisingAmt>
      <AllOtherContributionsAmt>640288</AllOtherContributionsAmt>
      <NoncashContributionsAmt>18759</NoncashContributionsAmt>
      <TotalContributionsAmt>751012</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HARD TO PLACE PROGRAMS</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>11010730</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11010730</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGED CARE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>6024270</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6024270</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EARLY EDUCATION</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>2731425</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2731425</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>8512653</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8512653</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>28279078</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>457184</TotalRevenueColumnAmt>
        <ExclusionAmt>457184</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>402571</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>402571</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>402571</TotalRevenueColumnAmt>
        <ExclusionAmt>402571</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>10624812</SecuritiesAmt>
        <OtherAmt>800</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>9588268</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1036544</SecuritiesAmt>
        <OtherAmt>800</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1037344</TotalRevenueColumnAmt>
        <ExclusionAmt>1037344</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>115079</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>46667</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>37849</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>77230</TotalRevenueColumnAmt>
        <ExclusionAmt>77230</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>31004419</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>28279078</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1974329</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>318979</TotalAmt>
        <ManagementAndGeneralAmt>318979</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>18790163</TotalAmt>
        <ProgramServicesAmt>16948593</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1732843</ManagementAndGeneralAmt>
        <FundraisingAmt>108727</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>5911178</TotalAmt>
        <ProgramServicesAmt>5341905</ProgramServicesAmt>
        <ManagementAndGeneralAmt>536162</ManagementAndGeneralAmt>
        <FundraisingAmt>33111</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1449306</TotalAmt>
        <ProgramServicesAmt>1274041</ProgramServicesAmt>
        <ManagementAndGeneralAmt>164900</ManagementAndGeneralAmt>
        <FundraisingAmt>10365</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2006413</TotalAmt>
        <ProgramServicesAmt>1813186</ProgramServicesAmt>
        <ManagementAndGeneralAmt>181988</ManagementAndGeneralAmt>
        <FundraisingAmt>11239</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>76954</TotalAmt>
        <ProgramServicesAmt>22667</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54287</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>75575</TotalAmt>
        <ManagementAndGeneralAmt>75575</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>911295</TotalAmt>
        <ProgramServicesAmt>911295</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>268542</TotalAmt>
        <ProgramServicesAmt>168420</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86861</ManagementAndGeneralAmt>
        <FundraisingAmt>13261</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1106437</TotalAmt>
        <ProgramServicesAmt>990553</ProgramServicesAmt>
        <ManagementAndGeneralAmt>115884</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>275582</TotalAmt>
        <ProgramServicesAmt>250718</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24864</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>31738</TotalAmt>
        <ProgramServicesAmt>28617</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2913</ManagementAndGeneralAmt>
        <FundraisingAmt>208</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>746690</TotalAmt>
        <ProgramServicesAmt>597352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149338</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>133024</TotalAmt>
        <ProgramServicesAmt>93117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39907</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD AND CLOTHING</Desc>
        <TotalAmt>547987</TotalAmt>
        <ProgramServicesAmt>534354</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13633</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
        <TotalAmt>531479</TotalAmt>
        <ProgramServicesAmt>486057</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37852</ManagementAndGeneralAmt>
        <FundraisingAmt>7570</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER ADMINISTRATIVE EX</Desc>
        <TotalAmt>340471</TotalAmt>
        <ProgramServicesAmt>200213</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131492</ManagementAndGeneralAmt>
        <FundraisingAmt>8766</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL AND HEALTH</Desc>
        <TotalAmt>273662</TotalAmt>
        <ProgramServicesAmt>273662</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>124848</TotalAmt>
        <ProgramServicesAmt>98589</ProgramServicesAmt>
        <FundraisingAmt>26259</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>33920323</TotalAmt>
        <ProgramServicesAmt>30033339</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3667478</ManagementAndGeneralAmt>
        <FundraisingAmt>219506</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>439308</BOYAmt>
        <EOYAmt>457858</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4200795</BOYAmt>
        <EOYAmt>3008586</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>231696</BOYAmt>
        <EOYAmt>150424</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>5082576</BOYAmt>
        <EOYAmt>5606833</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>2662</BOYAmt>
        <EOYAmt>6883</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>90785</BOYAmt>
        <EOYAmt>49277</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>23258518</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>13521982</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>9326500</BOYAmt>
        <EOYAmt>9736536</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>14666889</BOYAmt>
        <EOYAmt>15175012</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1584995</BOYAmt>
        <EOYAmt>2706664</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>35626206</BOYAmt>
        <EOYAmt>36898073</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2384765</BOYAmt>
        <EOYAmt>2941060</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1087019</BOYAmt>
        <EOYAmt>406539</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>3797476</BOYAmt>
        <EOYAmt>3557330</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>7269260</BOYAmt>
        <EOYAmt>6904929</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>26227901</BOYAmt>
        <EOYAmt>27904214</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>2129045</BOYAmt>
        <EOYAmt>2088930</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>28356946</BOYAmt>
        <EOYAmt>29993144</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>35626206</BOYAmt>
        <EOYAmt>36898073</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-2915904</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-571298</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>5123400</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>479670</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2981292</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2661752</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>920827</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>751012</CurrentTaxYearAmt>
        <TotalAmt>7794553</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <CurrentTaxYearMinus4YearsAmt>25000918</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>23878802</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23265659</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26221710</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>28279079</CurrentTaxYearAmt>
        <TotalAmt>126646168</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>25480588</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26860094</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25927411</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>27142537</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>29030091</CurrentTaxYearAmt>
        <TotalAmt>134440721</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>134440721</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>909567</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>806914</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>744638</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>941621</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>856660</CurrentTaxYearAmt>
        <TotalAmt>4259400</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>397</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7411</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>99914</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>69059</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>77230</CurrentTaxYearAmt>
        <TotalAmt>254011</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>138954132</TotalSupportAmt>
      <PublicSupportCY170Pct>0.96750</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96680</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EVENTS - 2018 AMOUNT: $ 397. 2019 AMOUNT: $ 7,411. 2020 AMOUNT: $ 99,914. 2021 AMOUNT: $ 69,059. 2022 AMOUNT: $ 77,230.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>2129045</BeginningYearBalanceAmt>
        <ContributionsAmt>585240</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>78975</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>704330</OtherExpendituresAmt>
        <EndYearBalanceAmt>2088930</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2287509</BeginningYearBalanceAmt>
        <ContributionsAmt>695853</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-327755</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>526562</OtherExpendituresAmt>
        <EndYearBalanceAmt>2129045</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2080312</BeginningYearBalanceAmt>
        <ContributionsAmt>1988727</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>364063</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2145593</OtherExpendituresAmt>
        <EndYearBalanceAmt>2287509</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2387901</BeginningYearBalanceAmt>
        <ContributionsAmt>2793606</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>15236</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3116431</OtherExpendituresAmt>
        <EndYearBalanceAmt>2080312</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2275853</BeginningYearBalanceAmt>
        <ContributionsAmt>200639</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>51627</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>140218</OtherExpendituresAmt>
        <EndYearBalanceAmt>2387901</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.73335</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.26665</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>284313</OtherCostOrOtherBasisAmt>
        <BookValueAmt>284313</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>17972180</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10164420</DepreciationAmt>
        <BookValueAmt>7807760</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1578074</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>485899</DepreciationAmt>
        <BookValueAmt>1092175</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1991522</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1770126</DepreciationAmt>
        <BookValueAmt>221396</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1432429</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1101537</DepreciationAmt>
        <BookValueAmt>330892</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9736536</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>U.S. GOVERMENT SECURITIES</Desc>
        <BookValueAmt>1935997</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>CORPORATE BONDS</Desc>
        <BookValueAmt>4978041</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>MUTUAL FUNDS</Desc>
        <BookValueAmt>8260974</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>15175012</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN TRUST</Desc>
        <BookValueAmt>1531907</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN CHHUNY</Desc>
        <BookValueAmt>30000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>MISCELLANEOUS ACCOUNTS RECEIVABLE</Desc>
        <BookValueAmt>58653</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE RIGHT-OF-USE</Desc>
        <BookValueAmt>1086104</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2706664</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PENSION LIABILITY</Desc>
        <Amt>2559511</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE RIGHT-OF-USE</Desc>
        <Amt>997819</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3557330</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>30323227</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-571298</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>37849</OtherRevenueAmt>
      <RevenueNotReportedAmt>-533449</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>30856676</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>147743</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>147743</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>31004419</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>33829896</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>37849</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>37849</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>33792047</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>128276</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>128276</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>33920323</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO FUND PROGRAM SHORTFALLS, PROVIDE CAPITAL FOR NEW CONSTRUCTION AND PROVIDE FOR THE AGENCY'S FUTURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER IS A NOT-FOR-PROFIT ORGANIZATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT HAS BEEN DETERMINED THAT THE CENTER IS NOT A PRIVATE FOUNDATION. AS OF JUNE 30, 2023 AND 2022, THE CENTER DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE JUNE 30, 2020 THROUGH JUNE 30, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES 37,849.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT EXPENSES 75,575. BAD DEBT EXPENSE 52,701. PASS-THROUGH INCOME NOT RECORDED ON BOOKS 19,467.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECT FUNDRAISING EXPENSES 37,849.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT EXPENSES 75,575. BAD DEBT EXPENSE 52,701.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF TOURNAMENT</Event1Nm>
        <GrossReceiptsEvent1Amt>101299</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>101299</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>13572</RentFacilityCostsEvent1Amt>
        <OtherDirectExpensesEvent1Amt>23381</OtherDirectExpensesEvent1Amt>
        <Event2Nm>175TH ANNIVERSARY</Event2Nm>
        <GrossReceiptsEvent2Amt>60447</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>46667</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>13780</GrossRevenueEvent2Amt>
        <OtherDirectExpensesEvent2Amt>896</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>161746</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>46667</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>115079</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>13572</RentFcltyCostsTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>24277</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>37849</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>77230</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GEGLIA JOSEPH</PersonNm>
        <TitleTxt>EXEC. DIRECTOR -END. 6/30/2023</TitleTxt>
        <BaseCompensationFilingOrgAmt>169451</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18869</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>188320</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CASEY PATRICK</PersonNm>
        <TitleTxt>CLINICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>169713</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16437</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>186150</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MENTAL HEALTH CRISIS RESPITE, A RESIDENTIAL PROGRAM THROUGH OMH THAT PROVIDES SHORT-TERM RESPITE SERVICES FOR YOUTH WHO ARE EXPERIENCING A MENTAL HEALTH CRISIS. THEIR STAY CAN BE UP TO 21 DAYS AND FOCUSES ON TREATMENT THAT RESOLVES CONFLICT AND DE-ESCALATES CRISES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE REVIEWS THE FORM 990 PRIOR TO FILING. THE FORM 990 IS MADE AVAILABLE TO THE ENTIRE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BEFORE EACH BOARD OR COMMITTEE MEETING THAT INCLUDES A DIRECTOR WITH A POTENTIAL CONFLICT OF INTEREST THE CONFLICT IS DISCLOSED TO THE GROUP. THE DIRECTOR IS EXCUSED FROM THE MEETING BEFORE THE VOTE AND DOES NOT VOTE. COMMITTEE CHAIRS AND SENIOR STAFF ENFORCE COMPLIANCE WITH THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WHO REVIEW COMPARABILITY DATA FROM VARIOUS SOURCES INCLUDING SALARY STUDIES PUBLISHED BY THE CHILD WELFARE LEAGUE OF AMERICA AND THE COUNCIL OF FAMILY AND CHILD CARING AGENCIES. THE SENIOR STAFF COMPENSATION IS DETERMINED BY THE EXECUTIVE DIRECTOR OF THE AGENCY WHO REVIEWS COMPARABILITY DATA FROM VARIOUS SOURCES INCLUDING SALARY STUDIES PUBLISHED BY THE CHILD WELFARE LEAGUE OF AMERICA AND THE COUNCIL OF FAMILY AND CHILD CARING AGENCIES.</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 UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 5,111,957. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 30,910. PASS-THROUGH INCOME NOT RECORDED ON BOOKS -19,467.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043500001">
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SYRACUSE PSYCHOLOGICAL SERVICES PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>960 SALT SPRINGS ROAD</AddressLine1Txt>
          <CityNm>SYRACUSE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13224</ZIPCd>
        </USAddress>
        <EIN>465736604</EIN>
        <PrimaryActivitiesTxt>PROMOTE &amp; SUPPORT CHARITABLE PURPOSES OF ELMCREST CHILDREN'S CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ELMCREST CHILDREN'S CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
