﻿<?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="2025v4.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-09-10T09:43:43-05:00</ReturnTs>
    <TaxPeriodEndDt>2025-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>271895149</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Heveron &amp; Company CPAs PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>260 Plymouth Avenue South</AddressLine1Txt>
        <CityNm>Rochester</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>14608</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2025-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>160743137</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Hearing and Speech Center</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>of Rochester Inc</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>HEAR</BusinessNameControlTxt>
      <PhoneNum>5852710680</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1000 Elmwood Avenue 400</AddressLine1Txt>
        <CityNm>Rochester</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>14620</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Robert Russell</PersonNm>
      <PersonTitleTxt>President/CEO</PersonTitleTxt>
      <PhoneNum>5852710680</PhoneNum>
      <SignatureDt>2026-09-09</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Daniel O'Dea</PreparerPersonNm>
      <PTIN>P01418512</PTIN>
      <PhoneNum>5852322956</PhoneNum>
      <PreparationDt>2026-09-09</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2025</TaxYr>
  </ReturnHeader>
  <ReturnData documentCnt="6">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>Rochester Hearing and Speech Center</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>Robert Russell</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1000 Elmwood Avenue 400</AddressLine1Txt>
        <CityNm>Rochester</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>14620</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>4586073</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>https://www.rhsc.org/</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1928</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>To preserve the right to enjoy communication through innovative, caring speech/hearing services.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>19</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>19</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>81</TotalEmployeeCnt>
      <TotalVolunteersCnt>65</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>628516</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>484149</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>4008600</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>3960918</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>5523</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>3718</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>7206</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>25829</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>4649845</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>4474614</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>3291440</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>3216119</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>188363</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1556080</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1341006</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>4847520</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>4557125</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-197675</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-82511</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1481117</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1558122</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1317353</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>1465461</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>163764</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>92661</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>To preserve the uniquely human right to enjoy communication for life by helping children and adults achieve dreams through innovative, caring speech and hearing services.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>2185387</ExpenseAmt>
      <RevenueAmt>2282539</RevenueAmt>
      <Desc>Speech evaluation and therapy services: Rochester Hearing and Speech Center provides comprehensive evaluation and treatment services including special education, speech and language therapy, occupational therapy, physical therapy and psychological consultation. Approximately 1,000 individuals are served annually.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>1507711</ExpenseAmt>
        <RevenueAmt>1719175</RevenueAmt>
        <Desc>Audiology services: Rochester Hearing and Speech Center provides comprehensive hearing evaluation and treatment services including the dispensing of hearing aids and assistive listening technology. Approximately 4,300 individuals are served annually.</Desc>
      </ProgSrvcAccomActy2Grp>
      <TotalProgramServiceExpensesAmt>3693098</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">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</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>0</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>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>7</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>81</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>19</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>19</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>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>The Organization</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>5852710680</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1000 Elmwood Avenue 400</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14620</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Steven Barnett</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Marianne Gustafson</PersonNm>
        <TitleTxt>Secretary (Ended 6/25)</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kristie Beach</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David Pitcher</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mike Reed</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brian Sauers</PersonNm>
        <TitleTxt>Chair</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey Calabrese</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joe Talbot</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jim Anderson</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lisa Hiley</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Nightingale</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Carly Alicea</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey Rosenbloom</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Melissa Siesto</PersonNm>
        <TitleTxt>Secretary (Began 6/25)</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph Stankaitis</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Vincent Carfagna</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Loren Ranaletta</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel J Connolly</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Paul D'Aiutolo</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Mendoza</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Russell</PersonNm>
        <TitleTxt>President/CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>129386</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7277</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Vicki Carpino</PersonNm>
        <TitleTxt>Controller</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>81611</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1046</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>210997</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>8323</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>106915</FundraisingAmt>
      <GovernmentGrantsAmt>80425</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>296809</AllOtherContributionsAmt>
      <TotalContributionsAmt>484149</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Revenu</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3960918</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3960918</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>3960918</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3525</TotalRevenueColumnAmt>
        <ExclusionAmt>3525</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>78787</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>78594</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>193</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>193</TotalRevenueColumnAmt>
        <ExclusionAmt>193</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>17898</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>106915</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>32865</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-14967</TotalRevenueColumnAmt>
        <ExclusionAmt>-14967</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>40796</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40796</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>40796</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4474614</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4001714</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-11249</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>219320</TotalAmt>
        <ManagementAndGeneralAmt>219320</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2618954</TotalAmt>
        <ProgramServicesAmt>2367618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124699</ManagementAndGeneralAmt>
        <FundraisingAmt>126637</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>9130</TotalAmt>
        <ProgramServicesAmt>8658</ProgramServicesAmt>
        <ManagementAndGeneralAmt>339</ManagementAndGeneralAmt>
        <FundraisingAmt>133</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>158206</TotalAmt>
        <ProgramServicesAmt>112713</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36964</ManagementAndGeneralAmt>
        <FundraisingAmt>8529</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>210509</TotalAmt>
        <ProgramServicesAmt>176197</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24918</ManagementAndGeneralAmt>
        <FundraisingAmt>9394</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>21660</TotalAmt>
        <ManagementAndGeneralAmt>21660</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>56024</TotalAmt>
        <ProgramServicesAmt>15032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40495</ManagementAndGeneralAmt>
        <FundraisingAmt>497</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>71001</TotalAmt>
        <ProgramServicesAmt>56930</ProgramServicesAmt>
        <ManagementAndGeneralAmt>851</ManagementAndGeneralAmt>
        <FundraisingAmt>13220</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>25950</TotalAmt>
        <ProgramServicesAmt>12442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5620</ManagementAndGeneralAmt>
        <FundraisingAmt>7888</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>64744</TotalAmt>
        <ProgramServicesAmt>36413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22033</ManagementAndGeneralAmt>
        <FundraisingAmt>6298</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>322185</TotalAmt>
        <ProgramServicesAmt>212709</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107159</ManagementAndGeneralAmt>
        <FundraisingAmt>2317</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>33607</TotalAmt>
        <ProgramServicesAmt>24007</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9127</ManagementAndGeneralAmt>
        <FundraisingAmt>473</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>28886</TotalAmt>
        <ManagementAndGeneralAmt>28886</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>52863</TotalAmt>
        <ProgramServicesAmt>47284</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4823</ManagementAndGeneralAmt>
        <FundraisingAmt>756</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>38383</TotalAmt>
        <ProgramServicesAmt>28642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2755</ManagementAndGeneralAmt>
        <FundraisingAmt>6986</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Dispensing Equipment</Desc>
        <TotalAmt>457027</TotalAmt>
        <ProgramServicesAmt>457027</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and Maintenance</Desc>
        <TotalAmt>68366</TotalAmt>
        <ProgramServicesAmt>56449</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9851</ManagementAndGeneralAmt>
        <FundraisingAmt>2066</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Credit Card and Bank Fe</Desc>
        <TotalAmt>53003</TotalAmt>
        <ProgramServicesAmt>49160</ProgramServicesAmt>
        <ManagementAndGeneralAmt>789</ManagementAndGeneralAmt>
        <FundraisingAmt>3054</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Clinical Supplies</Desc>
        <TotalAmt>31881</TotalAmt>
        <ProgramServicesAmt>31563</ProgramServicesAmt>
        <ManagementAndGeneralAmt>315</ManagementAndGeneralAmt>
        <FundraisingAmt>3</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>15426</TotalAmt>
        <ProgramServicesAmt>254</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15060</ManagementAndGeneralAmt>
        <FundraisingAmt>112</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4557125</TotalAmt>
        <ProgramServicesAmt>3693098</ProgramServicesAmt>
        <ManagementAndGeneralAmt>675664</ManagementAndGeneralAmt>
        <FundraisingAmt>188363</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>126752</BOYAmt>
        <EOYAmt>94641</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>72555</BOYAmt>
        <EOYAmt>217531</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1451</BOYAmt>
        <EOYAmt>47910</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>354490</BOYAmt>
        <EOYAmt>456684</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>23513</BOYAmt>
        <EOYAmt>16022</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>11579</BOYAmt>
        <EOYAmt>18530</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2704828</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2488907</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>268784</BOYAmt>
        <EOYAmt>215921</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>148719</BOYAmt>
        <EOYAmt>84866</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>473274</BOYAmt>
        <EOYAmt>406017</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1481117</BOYAmt>
        <EOYAmt>1558122</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>447360</BOYAmt>
        <EOYAmt>441561</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>14288</BOYAmt>
        <EOYAmt>60704</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>384833</BOYAmt>
        <EOYAmt>559217</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>470872</BOYAmt>
        <EOYAmt>403979</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1317353</BOYAmt>
        <EOYAmt>1465461</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-93436</BOYAmt>
        <EOYAmt>-89606</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>257200</BOYAmt>
        <EOYAmt>182267</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>163764</BOYAmt>
        <EOYAmt>92661</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1481117</BOYAmt>
        <EOYAmt>1558122</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-82511</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>11408</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <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>1852238</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>452758</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>565778</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>628516</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>484149</CurrentTaxYearAmt>
        <TotalAmt>3983439</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1852238</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>452758</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>565778</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>628516</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>484149</CurrentTaxYearAmt>
        <TotalAmt>3983439</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>143984</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>3839455</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>17798</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13370</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10088</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11987</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3718</CurrentTaxYearAmt>
        <TotalAmt>56961</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>8</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>32622</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12335</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>31929</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>58694</CurrentTaxYearAmt>
        <TotalAmt>135588</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>4175988</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>18939256</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.91940</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97120</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10, Explanation of Other Income:</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Income Special Events Gross Income</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>45329</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>13441</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>58770</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>115761</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>5675</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>76107</OtherExpendituresAmt>
        <EndYearBalanceAmt>45329</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>112664</BeginningYearBalanceAmt>
        <ContributionsAmt>1450</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1647</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>115761</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>112373</BeginningYearBalanceAmt>
        <ContributionsAmt>1250</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-959</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>112664</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>98622</BeginningYearBalanceAmt>
        <ContributionsAmt>3280</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>10471</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>112373</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.19570</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.80430</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1175936</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1084212</DepreciationAmt>
        <BookValueAmt>91724</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1528892</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1404695</DepreciationAmt>
        <BookValueAmt>124197</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>215921</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Beneficial Interests in Al Sigl Foundation, Inc.</Desc>
        <BookValueAmt>8610</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Right-of-Use Assets - Operating Leases</Desc>
        <BookValueAmt>397407</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>406017</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating Lease Liabilities</Desc>
        <Amt>403979</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>403979</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>4500989</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>11408</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>11408</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4489581</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-14967</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-14967</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>4474614</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4572092</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>14967</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>14967</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4557125</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4557125</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Earnings on the endowment is for operating needs and employee quality achievement awards.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Special Event Direct Expenses</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Special Event Direct Expenses</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>Ultimate 80's Gala</Event1Nm>
        <GrossReceiptsEvent1Amt>103891</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>87251</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>16640</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>10455</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>6185</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>6833</OtherDirectExpensesEvent1Amt>
        <Event2Nm>5k</Event2Nm>
        <GrossReceiptsEvent2Amt>20922</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>19664</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>1258</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>766</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>492</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>8134</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>124813</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>106915</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>17898</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>11221</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>6677</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>14967</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>32865</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-14967</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is reviewed and approved by the finance committee of the board of directors, at the same time the Form 990 is available to all board members for their review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest statements are completed by all board members and key employees on an annual basis. Any identified conflicts are made known to all board members. Board members with conflicts involving voting matters refrain from voting on those matters.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>A committee of the board of directors determined and approved the President's compensation based on comparable not-for-profit organizations in the Rochester, NY area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>All policies, financial statements and governing documents are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>