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        <OtherCompensationAmt>11606</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL GABRIEL</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>232014</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18323</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADWOA MANU-BOATENG</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>24.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>142500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5841</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VERONICA SZALKOWSKI-LEHANE</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>180732</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8792</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1545632</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>78504</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JEREMIAH'S FRIENDLY CONTRACTING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2966 EAGER RD</AddressLine1Txt>
            <CityNm>LAFAYETTE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13084</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION/RENOVATION</ServicesDesc>
        <CompensationAmt>357115</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLEAN START SYSTEMS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2480 BROWNCROFT BLVD SUITE 218</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14625</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOUSE KEEPING</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REV</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>3383671</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3383671</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT SERVICE REV</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>69000</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>6229</TotalRevenueColumnAmt>
        <ExclusionAmt>6229</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>110861</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>13238</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>97623</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>97623</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>97623</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>INCENTIVE INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>611104</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>611104</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>340B PROGRAM INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>227927</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>227927</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISC. INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>91516</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>91516</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>930547</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>7188013</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4480841</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>6229</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>727112</TotalAmt>
        <ProgramServicesAmt>366548</ProgramServicesAmt>
        <ManagementAndGeneralAmt>360564</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>20995</TotalAmt>
        <ManagementAndGeneralAmt>20995</ManagementAndGeneralAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3590859</TotalAmt>
        <ProgramServicesAmt>2850555</ProgramServicesAmt>
        <ManagementAndGeneralAmt>740304</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>74296</TotalAmt>
        <ProgramServicesAmt>55907</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18389</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>331257</TotalAmt>
        <ProgramServicesAmt>244460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86797</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>296312</TotalAmt>
        <ProgramServicesAmt>218105</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78207</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>24226</TotalAmt>
        <ProgramServicesAmt>3451</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20775</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>74571</TotalAmt>
        <ProgramServicesAmt>17874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56697</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>569248</TotalAmt>
        <ProgramServicesAmt>296975</ProgramServicesAmt>
        <ManagementAndGeneralAmt>272273</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>6393</TotalAmt>
        <ProgramServicesAmt>1267</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5126</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>271135</TotalAmt>
        <ProgramServicesAmt>162437</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108698</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>648165</TotalAmt>
        <ProgramServicesAmt>384199</ProgramServicesAmt>
        <ManagementAndGeneralAmt>263966</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>4078</TotalAmt>
        <ProgramServicesAmt>368</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3710</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>58396</TotalAmt>
        <ProgramServicesAmt>31616</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26780</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>234687</TotalAmt>
        <ProgramServicesAmt>199334</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>44844</TotalAmt>
        <ProgramServicesAmt>9982</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34862</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>808259</TotalAmt>
        <ProgramServicesAmt>794837</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13422</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>34274</TotalAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>9075</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>5680375</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2176757</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1097480</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>419057</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>137737</EOYAmt>
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        <EOYAmt>9015942</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>7943500</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8612619</BOYAmt>
        <EOYAmt>7943500</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>9015942</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-669119</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>2969553</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6148701</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4121279</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2700943</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus2YearsAmt>6148701</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4121279</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2700943</CurrentTaxYearAmt>
        <TotalAmt>19027050</TotalAmt>
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      <PublicSupportTotal170Amt>19027050</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>9</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>688</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2153</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6229</CurrentTaxYearAmt>
        <TotalAmt>9087</TotalAmt>
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        <CurrentTaxYearMinus2YearsAmt>659819</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>567387</CurrentTaxYearMinus1YearAmt>
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        <ContributorUSAddress>
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        <BookValueAmt>134484</BookValueAmt>
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      <BuildingsGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL GABRIEL</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>APRIL MILES</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>174673</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTIAN GONZALEZ</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>155456</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>251040</NoncashContributionsRptF990Amt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MEMBERS ARE PROVIDED WITH A COPY OF THE 990 BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS SIGN A NEW CONFLICT OF INTEREST STATEMENT ANNUALLY. THE BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE CONFLICT OF INTEREST STATEMENTS THROUGHOUT THE YEAR, AS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARIES FOR THE CEO, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WERE DETERMINED BY A PROCESS INVOLVING SENIOR MANAGEMENT AND APROVAL BY THE BOARD OF DIRECTORS FOR ALL POSITIONS EXCEPT THE CEO. FOR THE CEO, THE BOARD PRESIDENT COLLECTS THE RELATIVE INFORMATION AND PRESENTS TO THE REMAINING MEMBERS OF THE BOARD FOR APPROVAL. IN BOTH PROCESSES, MARKET INFORMATION, INTERNAL STRUCTURE, AND CANDIDATE QUALIFICATIONS ARE CONSIDERED IN DETERMINING THE APPROPRIATE SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE DOCUMENTS ARE AVAILABLE UPON REQUEST AT EAST HILL'S ADMINISTRATIVE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XXI, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>EAST HILL FAMILY MEDICAL, INC. HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS FOR THE AUDIT DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
