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      <OtherExpensesGrp>
        <Desc>Telephone</Desc>
        <TotalAmt>10722</TotalAmt>
        <ProgramServicesAmt>6358</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4364</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Miscelaneous</Desc>
        <TotalAmt>7872</TotalAmt>
        <ProgramServicesAmt>7861</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Postage</Desc>
        <TotalAmt>6488</TotalAmt>
        <ProgramServicesAmt>6476</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Printing and Publicatio</Desc>
        <TotalAmt>3318</TotalAmt>
        <ProgramServicesAmt>3094</ProgramServicesAmt>
        <ManagementAndGeneralAmt>224</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1315</TotalAmt>
        <ProgramServicesAmt>1315</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1380564</TotalAmt>
        <ProgramServicesAmt>1244200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136364</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>31186</BOYAmt>
        <EOYAmt>61517</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>0</BOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>317582</BOYAmt>
        <EOYAmt>242058</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>0</BOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>0</BOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>81574</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>50439</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>38251</BOYAmt>
        <EOYAmt>31135</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>0</BOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>101708</BOYAmt>
        <EOYAmt>231469</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>488727</BOYAmt>
        <EOYAmt>566179</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>52819</BOYAmt>
        <EOYAmt>81164</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>32235</BOYAmt>
        <EOYAmt>18512</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>260211</BOYAmt>
        <EOYAmt>119989</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>100971</BOYAmt>
        <EOYAmt>399104</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>446236</BOYAmt>
        <EOYAmt>618769</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>42491</BOYAmt>
        <EOYAmt>-52590</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>42491</BOYAmt>
        <EOYAmt>-52590</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>488727</BOYAmt>
        <EOYAmt>566179</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-97638</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>2557</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>470871</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1138621</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1218855</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1235446</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1282926</CurrentTaxYearAmt>
        <TotalAmt>5346719</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>470871</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1138621</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1218855</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1235446</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1282926</CurrentTaxYearAmt>
        <TotalAmt>5346719</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>5346719</PublicSupportTotal170Amt>
      <TotalSupportAmt>5346719</TotalSupportAmt>
      <PublicSupportCY170Pct>1.00000</PublicSupportCY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>11122</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11122</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>70452</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>39317</DepreciationAmt>
        <BookValueAmt>31135</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>31135</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Right-of-Use Asset</Desc>
        <BookValueAmt>231469</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>231469</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Related Party Loan Payable</Desc>
        <Amt>160900</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating Lease Liabilities</Desc>
        <Amt>210260</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Current Portion of Debt/Lease</Desc>
        <Amt>27944</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>399104</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>1282926</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1282926</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1282926</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1380564</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1380564</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>1380564</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of IRS Form 990 and NYS Char 500 are provided to board members for review and their approval prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>A conflict of interest form is completed each year by board members. The President reviews and follows up on any disclosed conflicts of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Director recieves and annual evaluation. Changes to salary are based on goal attainment, performance and comparable salaries for similar positions in the area. The Executive Director performs an annual performance review of all employees. Changes to salaries are made based on performance, goal attainment and similar positions in the area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Disclosure of governing documents, policies and financial statements are made available based upon written request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Educaiton, Data &amp; Medical Consultants: Program service expenses 578,869. Management and general expenses 10,325. Fundraising expenses 0. Total expenses 589,194. Translation/Transcription: Program service expenses 16,861. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,861.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>