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        <ReportableCompFromOrgAmt>184604</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AUNG THANT</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>18108</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH SNODGRASS</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>183597</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25187</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES STOLZFUS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>195425</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17542</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLA HENKE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>182643</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24585</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ZACCHARY TENHUISEN</PersonNm>
        <TitleTxt>FORMER CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>79728</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15374</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>174839</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>31</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RESETARITS CONSTRUCTION CO</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1500 UNION ROAD</AddressLine1Txt>
            <CityNm>WEST SENECA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14224</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>1395633</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WESTSIDE MINISTRIES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14213</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KING DIRECT DELIVERY SERVICE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 592</AddressLine1Txt>
            <CityNm>AMHERST</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DELIVERY/COURIER SERVICES</ServicesDesc>
        <CompensationAmt>430633</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DOPKINS &amp; COMPANY LLP</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <ZIPCd>14221</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING SERVICES</ServicesDesc>
        <CompensationAmt>429421</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PACIFIC INTERPRETERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 204313</AddressLine1Txt>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>425036</FundraisingAmt>
      <GovernmentGrantsAmt>5781508</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>11851086</NoncashContributionsAmt>
      <TotalContributionsAmt>21180308</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL PROGRAMS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>26133624</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26133624</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>2360042</RelatedOrExemptFuncIncomeAmt>
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        <ProgramServicesAmt>5367167</ProgramServicesAmt>
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        <CurrentTaxYearMinus3YearsAmt>31716</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus3YearsAmt>31716</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus3YearsAmt>2993557</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>914582</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>89448</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>61498</CurrentTaxYearAmt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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        <BookValueAmt>283079</BookValueAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOHN LEE WESTSIDE MINISTRIES BOARD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>889951</TransactionAmt>
        <TransactionDesc>PROPERTY MANAGEMENT SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOYCE GLICK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF MYRON GLICK, OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>55841</TransactionAmt>
        <TransactionDesc>COMPENSATION FOR SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MARK HERSKIND MOSAIC 659 FOUNDATIO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD PRESIDENT</RelationshipDescriptionTxt>
        <TransactionAmt>552680</TransactionAmt>
        <TransactionDesc>RENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>322</ContributionCnt>
        <NoncashContributionsRptF990Amt>11851086</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>CASH</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>IN SEPTEMBER 2013, THE ORGANIZATION PURCHASED THE ASSETS OF JRFP AND PROCEEDED WITH MERGING OPERATIONS. IN NOVEMBER 2013, THE ORGANIZATION RECEIVED DESIGNATION AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), ONE OF 236 NEW PRIMARY CARE SITES AWARDED UNDER THE AFFORDABLE CARE ACT. COMMUNITY HEALTH CENTERS HAVE SERVED AS OUR NATION'S HEALTHCARE SAFETY NET FOR THE PAST 45 YEARS, PROVIDING COMPREHENSIVE, CULTURALLY COMPETENT, QUALITY PRIMARY HEALTHCARE SERVICES TO MEDICALLY UNDERSERVED COMMUNITIES AND VULNERABLE POPULATIONS. THIS STRATEGIC CHANGE HAD BEEN EXPLORED AND PLANNED OVER THE PAST SIX YEARS, ENGAGING BOARD, STAFF AND CONSULTANT SUPPORT TO ACHIEVE IMPLEMENTATION. THE ORGANIZATION SERVES APPROXIMATELY 24,000 PATIENTS THROUGH MORE THAN 100,000 PATIENT VISITS A YEAR. EIGHTY PERCENT OF PATIENTS ARE EITHER ENROLLED IN MEDICAID OR ARE UNINSURED, AND MORE THAN HALF DO NOT SPEAK ENGLISH AS THEIR NATIVE LANGUAGE. THE ORGANIZATION OVERCOMES THE LANGUAGE AND CULTURAL BARRIERS OF THOSE SERVED BY ENGAGING A CULTURALLY DIVERSE STAFF, REPRESENTATIVE OF THE COMMUNITY. IN ADDITION TO PRIMARY MEDICAL CARE, THE ORGANIZATION PROVIDES SERVICES SUCH AS PREGNANCY MENTORING, EARLY CHILDHOOD LITERACY, BEHAVIORAL HEALTH SERVICES, PHYSICAL THERAPY, A PHARMACY, FINANCIAL AND HOMEOWNERSHIP CLASSES, ENGLISH LANGUAGE LEARNING SUPPORT, SPIRITUAL CARE, LIFE SKILLS DEVELOPMENT, AND MORE TO SERVE PATIENTS HOLISTICALLY. THE ORGANIZATION ENGAGES IN MANY COLLABORATIVE AND STRATEGIC PARTNERSHIPS, REFERRING CLIENTS TO EXISTING COMMUNITY SERVICES AND WORKING WITH COMPLIMENTARY SERVICE ENTITIES TO PROVIDE COORDINATED, IMPROVED AND UNDUPLICATED SERVICES. HUNDREDS OF VOLUNTEERS FROM AREA CHURCHES AND THE SURROUNDING COMMUNITIES ARE ENGAGED WITH THE ORGANIZATION IN MEANINGFUL SERVICE OPPORTUNITIES EACH YEAR. THE ORGANIZATION ALSO OPERATES GLOBAL HEALTH OUTREACH INITIATIVES IN SIERRA LEONE, THE DEMOCRATIC REPUBLIC OF CONGO (DRC) AND NEPAL. THE TWO CLINICS IN SIERRA LEONE ARE LED BY A JRCHC STAFF MEMBER (AN RN) NATIVE TO SIERRA LEONE, WHO RETURNED TO ESTABLISH, OPERATE AND GROW TWO OF THE THREE PRIMARY CARE CLINICS. IN PARTNERSHIP WITH LOCAL SIERRA LEONEANS AND OTHER WNY ORGNANIZATIONS THROUGH THE SIERRA LEONE ALLIANCE, BOTH PRIMARY CARE AND SUPPORTING SERVICES ARE BEING PROVIDED. JRCHC'S CLINIC IN GOMA, DRC IS IN OPERATION FOR PRIMARY CARE AND SUPPORTING SERVICES IN PARTNERSHIP WITH THE NEW HOPE CENTER. THE ORGANIZATION IS LED BY FOUNDER AND CHIEF EXCUTIVE OFFICER, DR. MYRON GLICK. MARK HERSKIND PRESIDES OVER THE JRCHC BOARD OF DIRECTORS, WHICH IS COMPOSED OF OVER 50% PATIENTS. THE ORGANIZATION HAS ATTAINED THE HIGHEST LEVEL OF RECOGNITION AS PATIENT-CENTERED MEDICAL HOME BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>VIVE SHELTER MOVED INTO ITS NEW HOME AT 1500 MAIN STREET. THE MOVE ALLOWS FAMILIES TO STAY TOGETHER IN PRIVATE DORMS, CREATING A MORE TRAUMA-INFORMED ENVIRONMENT FOR NEW NEIGHBORS SEEKING SAFETY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MARK HERSKIND AND JILL MEYER ARE BROTHER AND SISTER-IN-LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING THE 990, THE FULL BOARD OF DIRECTORS IS PROVIDED WITH FORM 990 RETURN FOR REVIEW AND APPROVAL. THE CHIEF FINANCIAL OFFICER ALSO PERFORMS A REVIEW OF THE 990 PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY IS CONTINUALLY REVIEWED BY THE EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY THREE YEARS THE CHIEF EXECUTIVE OFFICER'S COMPENSATION CONTRACT COMES UP FOR RENEWAL. THE PROCESS FOR DETERMINING COMPENSATION OF THE CEO'S SALARY STARTS WITH A COMPENSATION STUDY PERFORMED BY THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT FOR COMPARABLE SALARY RANGES IN THE AREA THAT ARE OF RELATIVE SIZE AND IN THE SAME INDUSTRY. THIS SALARY INFORMATION IS PROVIDED TO THE BOARD OF DIRECTORS TO DETERMINE AND NEGOTIATE THE APPROPRIATE SALARY WITH THE CEO. ONCE THE AGREED UPON SALARY IS FULLY NEGOTIATED, THE FULL BOARD OF DIRECTORS WILL VOTE ON THE FINAL COMPENSATION AMOUNT AND CONTRACT TO BE IN PLACE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC VIA THEIR WEBSITE, OR UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>