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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY BETH SPEICHER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA STEPHENSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NAKIA VARGAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLARA WASHINGTON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BONNIE WATSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRANDY YOUNG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERESA O'HARE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>125780</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13118</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NIKISHA RIDGEWAY</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>160570</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13857</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IDA JONES</PersonNm>
        <TitleTxt>VP OF WORKFORCE (HR)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>106771</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11574</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>393121</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>38549</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CENTER INFORMATION SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1000 ELMWOOD AVENUE</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14620</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER SUPPORT SERVICES</ServicesDesc>
        <CompensationAmt>291403</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AUTISMUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>50 SCIENCE PARKWAY</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14620</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROGRAM SUPPORT SERVICES</ServicesDesc>
        <CompensationAmt>154245</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>7206</FederatedCampaignsAmt>
      <FundraisingAmt>44677</FundraisingAmt>
      <GovernmentGrantsAmt>2023194</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1891327</AllOtherContributionsAmt>
      <TotalContributionsAmt>3966404</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>624310</BusinessCd>
        <TotalRevenueColumnAmt>16014362</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16014362</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OPWDD FEES</Desc>
        <BusinessCd>624310</BusinessCd>
        <TotalRevenueColumnAmt>2783239</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2783239</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLIENT FEES</Desc>
        <BusinessCd>624310</BusinessCd>
        <TotalRevenueColumnAmt>524079</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>524079</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>19321680</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>43025</TotalRevenueColumnAmt>
        <ExclusionAmt>43025</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>44677</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>14408</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-14408</TotalRevenueColumnAmt>
        <ExclusionAmt>-14408</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>624310</BusinessCd>
        <TotalRevenueColumnAmt>435302</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>435302</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>DISTRIBUTION FROM CARE COORDINATI</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>63108</TotalRevenueColumnAmt>
        <ExclusionAmt>63108</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>498410</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>23815111</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19756982</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>91725</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>393121</TotalAmt>
        <ProgramServicesAmt>347656</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40403</ManagementAndGeneralAmt>
        <FundraisingAmt>5062</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>12220097</TotalAmt>
        <ProgramServicesAmt>10853469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1247339</ManagementAndGeneralAmt>
        <FundraisingAmt>119289</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>176385</TotalAmt>
        <ProgramServicesAmt>155985</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18128</ManagementAndGeneralAmt>
        <FundraisingAmt>2272</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>617909</TotalAmt>
        <ProgramServicesAmt>523559</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83255</ManagementAndGeneralAmt>
        <FundraisingAmt>11095</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>936784</TotalAmt>
        <ProgramServicesAmt>828443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96278</ManagementAndGeneralAmt>
        <FundraisingAmt>12063</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>12913</TotalAmt>
        <ManagementAndGeneralAmt>12913</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>53464</TotalAmt>
        <ManagementAndGeneralAmt>53464</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>162481</TotalAmt>
        <ProgramServicesAmt>31737</ProgramServicesAmt>
        <ManagementAndGeneralAmt>130744</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>224530</TotalAmt>
        <ProgramServicesAmt>175177</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37695</ManagementAndGeneralAmt>
        <FundraisingAmt>11658</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>763832</TotalAmt>
        <ProgramServicesAmt>501711</ProgramServicesAmt>
        <ManagementAndGeneralAmt>256371</ManagementAndGeneralAmt>
        <FundraisingAmt>5750</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>353631</TotalAmt>
        <ProgramServicesAmt>307903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41101</ManagementAndGeneralAmt>
        <FundraisingAmt>4627</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>1104315</TotalAmt>
        <ProgramServicesAmt>1103011</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1304</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>64662</TotalAmt>
        <ProgramServicesAmt>22886</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41045</ManagementAndGeneralAmt>
        <FundraisingAmt>731</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>714</TotalAmt>
        <ProgramServicesAmt>140</ProgramServicesAmt>
        <ManagementAndGeneralAmt>574</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>112489</TotalAmt>
        <ProgramServicesAmt>90826</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21128</ManagementAndGeneralAmt>
        <FundraisingAmt>535</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>37251</TotalAmt>
        <ProgramServicesAmt>27680</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9571</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT-RELATED EXPENSES</Desc>
        <TotalAmt>3761911</TotalAmt>
        <ProgramServicesAmt>3601182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123798</ManagementAndGeneralAmt>
        <FundraisingAmt>36931</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>92938</TotalAmt>
        <ProgramServicesAmt>77382</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15552</ManagementAndGeneralAmt>
        <FundraisingAmt>4</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CULTIVATION</Desc>
        <TotalAmt>86654</TotalAmt>
        <ProgramServicesAmt>3333</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65790</ManagementAndGeneralAmt>
        <FundraisingAmt>17531</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>64301</TotalAmt>
        <ProgramServicesAmt>23621</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40251</ManagementAndGeneralAmt>
        <FundraisingAmt>429</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>-173400</TotalAmt>
        <ProgramServicesAmt>3729</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-177141</ManagementAndGeneralAmt>
        <FundraisingAmt>12</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>21066982</TotalAmt>
        <ProgramServicesAmt>18679430</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2159563</ManagementAndGeneralAmt>
        <FundraisingAmt>227989</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>441925</BOYAmt>
        <EOYAmt>454869</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1461574</BOYAmt>
        <EOYAmt>1388292</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <EOYAmt>1795925</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2938138</BOYAmt>
        <EOYAmt>4081156</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>45049</BOYAmt>
        <EOYAmt>41141</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3441403</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3006746</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>472716</BOYAmt>
        <EOYAmt>434657</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>920034</BOYAmt>
        <EOYAmt>993802</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>277553</BOYAmt>
        <EOYAmt>232287</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>6556989</BOYAmt>
        <EOYAmt>9422129</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1330949</BOYAmt>
        <EOYAmt>1432848</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>26879</BOYAmt>
        <EOYAmt>13489</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>277553</BOYAmt>
        <EOYAmt>232287</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1635381</BOYAmt>
        <EOYAmt>1678624</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4921608</BOYAmt>
        <EOYAmt>5947580</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <EOYAmt>1795925</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4921608</BOYAmt>
        <EOYAmt>7743505</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6556989</BOYAmt>
        <EOYAmt>9422129</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>2748129</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>73768</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</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>1343489</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2485590</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2488889</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>826412</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3966404</CurrentTaxYearAmt>
        <TotalAmt>11110784</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1343489</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2485590</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2488889</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>826412</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3966404</CurrentTaxYearAmt>
        <TotalAmt>11110784</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>11110784</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1099</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>495</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>492</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33092</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>43025</CurrentTaxYearAmt>
        <TotalAmt>78203</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>140000</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>141622</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>105171</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>269884</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>498410</CurrentTaxYearAmt>
        <TotalAmt>1155087</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>12344074</TotalSupportAmt>
      <PublicSupportCY170Pct>0.90010</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.92270</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION FOR OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>DISTRIBUTION FROM CARE COORDINATION ORGANIZATION.</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">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>155000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>155000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2001700</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1805837</DepreciationAmt>
        <BookValueAmt>195863</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>379051</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>378354</DepreciationAmt>
        <BookValueAmt>697</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>905652</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>822555</DepreciationAmt>
        <BookValueAmt>83097</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>434657</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>FUNDS HELD BY ROCHESTER AREA COMMUNITY FOUNDATION</Desc>
        <BookValueAmt>993802</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>993802</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>232287</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>232287</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>23903287</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>73768</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>14408</OtherRevenueAmt>
      <RevenueNotReportedAmt>88176</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>23815111</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>23815111</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>21081390</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>14408</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>14408</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>21066982</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>21066982</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 14,408.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 14,408.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>CAUSE FOR CELEBRATION</Event1Nm>
        <GrossReceiptsEvent1Amt>44677</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>44677</CharitableContriEvent1Amt>
        <RentFacilityCostsEvent1Amt>12140</RentFacilityCostsEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2268</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>44677</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>44677</CharitableContributionsTotAmt>
        <RentFcltyCostsTotalEventsAmt>12140</RentFcltyCostsTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>2268</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>14408</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-14408</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <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>NIKISHA RIDGEWAY</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>160570</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5899</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7958</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>174427</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO REVIEWS FIRST AND THEN THE RETURN GOES TO THE FINANCE COMMITTEE FOR THEIR APPROVAL. COPIES OF FORM 990 ARE PROVIDED TO THE FULL BOARD OF DIRECTORS PRIOR TO IT BEING SIGNED AND MAILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD AND COMMITTEE MEMBERS ARE ASKED TO COMPLETE A FORM ANNUALLY THAT IDENTIFIES ANY POTENTIAL CONFLICTS OR CONFIRM THAT THERE ARE NONE. ANY POTENTIAL CONFLICTS IDENTIFIED ARE REVIEWED BY THE AUDIT COMMITTEE AND/OR THE FULL BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS COMPARES THE EXECUTIVE DIRECTOR'S SALARY TO THE MARKETPLACE FIGURES BASED ON LOCAL SURVEY DATA AND AGREES AND DOCUMENTS THE EVALUATION PROCESS AND FINAL DETERMINATION OF SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 AND THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, TAX RETURNS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE DURING NORMAL BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS NOT CHANGED ITS PROCESS FOR SELECTING THE INDEPENDENT AUDITOR NOR HAVE THEY CHANGED THE OVERSIGHT OF THE AUDIT FROM PRIOR YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>