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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <CurrentTaxYearMinus1YearAmt>27260</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>761945</CurrentTaxYearAmt>
        <TotalAmt>2175420</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>20500</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>96937</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
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      <GrossReceiptsRltdActivitiesAmt>63805</GrossReceiptsRltdActivitiesAmt>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <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>
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      <RevenueNotReportedAmt>905540</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>761945</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>761945</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>905540</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>897777</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>897777</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 19,537.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 19,537.</ExplanationTxt>
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        <GrossReceiptsTotalAmt>29060</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>9523</CharitableContributionsTotAmt>
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        <RentFcltyCostsTotalEventsAmt>19537</RentFcltyCostsTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>19537</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>0</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
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        <CashPrizesBingoAmt>0</CashPrizesBingoAmt>
        <VolunteerLaborBingoInd>0</VolunteerLaborBingoInd>
        <GrossRevenuePullTabsAmt>0</GrossRevenuePullTabsAmt>
        <CashPrizesPullTabsAmt>0</CashPrizesPullTabsAmt>
        <VolunteerLaborPullTabsInd>0</VolunteerLaborPullTabsInd>
        <GrossRevenueOtherGamingAmt>0</GrossRevenueOtherGamingAmt>
        <CashPrizesOtherGamingAmt>0</CashPrizesOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>0</VolunteerLaborOtherGamingInd>
      </GamingInformationGrp>
      <IndividualWithBooksNm>MICHELE FLAVIN</IndividualWithBooksNm>
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        <AddressLine1Txt>5824 WIDEWATERS PARKWAY</AddressLine1Txt>
        <CityNm>EAST SYRACUSE</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>13057</ZIPCd>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>11</ContributionCnt>
        <NoncashContributionsRptF990Amt>664287</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH OFFICER HAS A BUSINESS RELATIONSHIP WITH THE OTHERS AND TWO OF THE OFFICERS ARE COMMON OWNERS IN VARIOUS ENTITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEW FORM 990 PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE BOARD MUST SIGN A CONFLICT OF INTEREST FORM ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THE BOARD REVIEWS THE RESULTS OF THE AUDIT AND HAS RESPONSIBILITY FOR FINAL APPROVAL OF THE AUDITED FINANCIAL STATEMENTS AS WELL AS APPOINTING OUTSIDE AUDITORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SYRACUSE ORTHOPEDIC SPECIALISTS PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>5824 WIDEWATERS PARKWAY</AddressLine1Txt>
          <CityNm>EAST SYRACUSE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13057</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>PROVIDE ORTHOPEDIC SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
