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        <ProgramServicesAmt>17040</ProgramServicesAmt>
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        <EOYAmt>3198120</EOYAmt>
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        <EOYAmt>3333313</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus2YearsAmt>941847</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>975841</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>997693</CurrentTaxYearAmt>
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      <InvestmentIncomePYPct>0.00090</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2018 AMOUNT: $ 600. 2019 AMOUNT: $ 1,556. 2020 AMOUNT: $ 8,715. 2021 AMOUNT: $ 350. INSURANCE REIMBURSMENT - 2021 AMOUNT: $ 6,516.</ExplanationTxt>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>41552</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>1472764</DepreciationAmt>
        <BookValueAmt>189187</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>230739</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <DonatedServicesAndUseFcltsAmt>155265</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>155265</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2876061</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>430286</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>430286</RevenueNotReportedFinclStmtAmt>
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      <TotExpnsEtcAuditedFinclStmtAmt>2303878</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>155265</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>155265</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2148613</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>430286</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>430286</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2578899</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HEMS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT HEMS HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. HEMS IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYER RETENTION CREDIT NETTED AGAINST EXPENSE 430,286.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYER RETENTION CREDIT NETTED AGAINST EXPENSE 430,286.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE ANY AUTHORITATIVE COMMITTEES, ONLY A BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>HEMS HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY THE DIRECTOR OF OPERATIONS AND EXECUTIVE DIRECTOR AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD FOR APPROVAL. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY COMMUNICATING THE POLICY TO THE ORGANIZATION'S EMPLOYEES. THE DIRECTORS, OFFICERS AND EMPLOYEES RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY AND A STATEMENT REGARDING CONFLICT OF INTERESTS WHICH MUST BE SIGNED BY ALL DIRECTORS, OFFICERS, AND EMPLOYEES ANNUALLY. IF A CONFLICT OF INTEREST ARISES THE INDIVIDUAL IS RECUSED FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION FOR THE EXECUTIVE DIRECTOR WAS APPROVED BY THE FINANCIAL COMMITTEE MADE UP OF THE CHAIRMAN, VICE-CHAIRMAN AND TREASURER. THE DECISION TO HIRE AND COMPENSATE THE EXECUTIVE DIRECTOR WAS APPROVED BY THE BOARD OF DIRECTORS AND DOCUMENTED IN SEPTEMBER 2017. THE TREASURER PROVIDED AN INDEPENDENT PERSPECTIVE CONCERNING COMPENSATION/SALARY LEVEL BASED ON BEING INVOLVED IN THE MANAGEMENT OF ANOTHER NOT-FOR-PROFIT ORGANIZATION. HEM'S GOAL WAS TO HIRE AN EXPERIENCED BUSINESS MANAGER TO GUIDE AND DIRECT THE AGENCY TO BUILD A SOUND FINANCIAL BASE AND INTERNAL OPERATIONS FOR THE AGENCY. ALL THE AGENCY'S ASSETS AND CAPABILITIES MUST BE ABLE TO SERVICE THE PROJECTED GROWTH OF 911 CALLS DUE TO THE INCREASED NUMBER OF URGENT CARE FACILITIES THAT HAVE SIGNED LONG-TERM LEASES IN THE TOWN-VILLAGE OF HARRISON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
