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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL SMITH</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NORMA JOHNSON</PersonNm>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT HEATLEY</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SANDRA CUELLAR OXFORD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE K NOLON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES SINKOFF</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.50</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>195000</ReportableCompFromRltdOrgAmt>
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        <PersonNm>ALLISON DUBOIS-ADACH</PersonNm>
        <TitleTxt>EVP COO</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>860005</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMANDA ASCHER</PersonNm>
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        <OtherCompensationAmt>21475</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARL PILLITTERI</PersonNm>
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        <ReportableCompFromOrgAmt>400806</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KARAMCHAND RAMESHWAR</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40862</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH DESA</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRINA PHILLIP KING</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>QURATULAIN ZEESHAN</PersonNm>
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        <ReportableCompFromOrgAmt>531041</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18975</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>195000</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>327059</TotalOtherCompensationAmt>
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      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UMG CLEANING</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>146 S COUNTRY ROAD SUITE 6 BELLP</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11713</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WHITECAP SEARCH INC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>52 VANDERBILT AVENUE 17TH FLOOR</AddressLine1Txt>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WATCH GUARD 247 LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>71 16 MYRTLE AVE GLENDALE NY 11385</AddressLine1Txt>
            <CityNm>GLENDALE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11385</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>1332578</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARENET HEALTHCARE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 2503</AddressLine1Txt>
            <CityNm>SAN ANTONIO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78299</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP SERVICES</ServicesDesc>
        <CompensationAmt>1187793</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DELMONT HEALTHCARE SERVICES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>55 NORTH MAIN STREET</AddressLine1Txt>
            <CityNm>FREEPORT</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11520</ZIPCd>
          </USAddress>
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        <CompensationAmt>1055742</CompensationAmt>
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      <FederatedCampaignsAmt>429160</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>53598789</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>845689</NoncashContributionsAmt>
      <TotalContributionsAmt>58710279</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID MANAGED CARE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>69309874</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>69309874</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>NEW YORK STATE MEDICAID MANGED CA</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>45783016</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45783016</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>29467908</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29467908</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>24900653</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24900653</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>19050241</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>42511104</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>42511104</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>6404868</ExclusionAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>667092</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>667092</TotalRevenueColumnAmt>
        <ExclusionAmt>667092</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>3175130</TotalRevenueColumnAmt>
        <ExclusionAmt>3175130</ExclusionAmt>
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        <Desc>CONTRACTED MANAGEMENT SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueMiscGrp>
        <Desc>PUBLIC TRANSPORATION REIMB.</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>166535</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>77791</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>1792793</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>10247090</ExclusionAmt>
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        <ProgramServicesAmt>3413908</ProgramServicesAmt>
        <ManagementAndGeneralAmt>601267</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>118760718</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>886981</ManagementAndGeneralAmt>
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        <FundraisingAmt>62181</FundraisingAmt>
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        <ProgramServicesAmt>14325856</ProgramServicesAmt>
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        <FundraisingAmt>84668</FundraisingAmt>
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        <ManagementAndGeneralAmt>1024378</ManagementAndGeneralAmt>
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        <TotalAmt>807613</TotalAmt>
        <ManagementAndGeneralAmt>807613</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4334820</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1053993</ManagementAndGeneralAmt>
        <FundraisingAmt>7436</FundraisingAmt>
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        <ProgramServicesAmt>2084659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>367156</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>11321510</ProgramServicesAmt>
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        <ProgramServicesAmt>1157637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>192372</ManagementAndGeneralAmt>
        <FundraisingAmt>1310</FundraisingAmt>
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        <ProgramServicesAmt>1298831</ProgramServicesAmt>
        <ManagementAndGeneralAmt>371337</ManagementAndGeneralAmt>
        <FundraisingAmt>15660</FundraisingAmt>
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        <ProgramServicesAmt>22623</ProgramServicesAmt>
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        <FundraisingAmt>5214</FundraisingAmt>
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        <ProgramServicesAmt>14067356</ProgramServicesAmt>
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        <ProgramServicesAmt>9300251</ProgramServicesAmt>
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        <ProgramServicesAmt>9207637</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>4697481</ProgramServicesAmt>
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        <ProgramServicesAmt>2956083</ProgramServicesAmt>
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        <ProgramServicesAmt>250977495</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47375953</ManagementAndGeneralAmt>
        <FundraisingAmt>985597</FundraisingAmt>
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        <EOYAmt>55979139</EOYAmt>
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        <EOYAmt>5074078</EOYAmt>
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        <EOYAmt>16861289</EOYAmt>
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        <EOYAmt>17208972</EOYAmt>
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        <EOYAmt>3498134</EOYAmt>
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        <EOYAmt>72607753</EOYAmt>
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        <EOYAmt>268577888</EOYAmt>
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        <EOYAmt>47833645</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>66224937</BOYAmt>
        <EOYAmt>56327760</EOYAmt>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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          <AddressLine2>RESTRICTED</AddressLine2>
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        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIVIDUALS LISTED ON SCHEDULE J, PART II, RECEIVED BONUSES BASED ON PERFORMANCE WHICH WERE VOTED ON BY THE BOARD OF DIRECTORS. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUALS W-2'S, AND ARE SHOWN ON SCH J, PART II, COLUMN B(II). THE CENTER HAS ESTABLISHED A DISCRETIONARY 162 PERFORMANCE BONUS PLAN (THE "162 BONUS PLAN") FOR CERTAIN ELIGIBLE EMPLOYEES. THE 162 BONUS PLAN IS EXEMPT FROM ERISA AND IS INTENDED TO BE EXEMPT FROM SECTION 409A OF THE CODE UNDER THE SHORT-TERM DEFERRAL EXCEPTION. THE 162 BONUS PLAN INCLUDES A BASE CONTRIBUTION OF 8% OF THE PARTICIPANT'S COMPENSATION FOR THE FIRST PLAN YEAR; BASE CONTRIBUTION FOR SUBSEQUENT PLAN YEARS SHALL BE DETERMINED BY THE BOARD OF DIRECTORS OF THE CENTER. THE CENTER MAY ALSO MAKE DISCRETIONARY CONTRIBUTIONS TO THE 162 BONUS PLAN FOR ANY PLAN YEAR. PARTICIPANTS WILL BE 100% VESTED IN CONTRIBUTIONS MADE TO THE 162 BONUS PLAN. BONUS CONTRIBUTIONS ARE GROSSED UP FOR TAX PURPOSE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART IV, QUESTION 20A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS LICENSED UNDER ARTICLE 28, ARTICLE 31 AND ARTICLE 32 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT. IT IS THEN PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD WHICH PRESENTS IT TO THE FULL BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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        <ExplanationTxt>BASE-PAY REALIGNMENTS TO THE MARKET ARE DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS PERTAINING TO THE COMPENSATION OF INDIVIDUALS SERVING AS THE PRESIDENT, CEO AND OTHER OFFICERS. THE BOARD OF DIRECTORS USES AN EXTERNAL COMPENSATION CONSULTANT, PROXUS CONSULTING GROUP BASED IN PHILADELPHIA, PA, TO ADVISE THE BOARD OF DIRECTORS IN ITS DECISIONS REGARDING CHANGES TO THE ANNUAL BASE COMPENSATION OF THE PRESIDENT AND CEO AND OTHER OFFICERS. EXTERNAL MARKET DATA IS COLLECTED BY PROXUS, FROM THREE PUBLISHED SURVEY SOURCES: ECONOMIC RESEARCH INSTITUTE, THE HAY HEALTHCARE SURVEY, AND THE WARREN HMO SALARY SURVEY. MARKET DATA IS EXTRAPOLATED BASED ON THE MAIN DUTIES AND RESPONSIBILITES OUTLINED IN THE JOB DESCRIPTION. THE SURVEY DATA IS ABLE TO PROVIDE DATA SPECIFICALLY FOR THE PEEKSKILL, NY MARKET AREA, THE HEADQUARTERS OF SUN RIVER HEALTH, INC. MARKET DATA IS REVIEWED AT THE MEDIAN (50TH PERCENTILE) WHICH FOLLOWS HISTORICAL AND TRADITIONAL COMPENSATION PRACTICES FOR MOST ORGANIZATIONS STRIVING TO BE COMPETITIVE AT THE 50TH PERCENTILE. ONCE THE ANALYSIS IS COMPLETED, A RECOMMENDATION IS MADE REGARDING BASE COMPENSATION. THE COMPENSATION COMMITTEE OF THE BOARD MEETS TO DISCUSS, WITH THE CONSULTANTS, THEIR WORK AND FINDINGS, DELIBERATES, AND DECIDES, WITHOUT THE CONSULTANTS BEING PRESENT, WHAT CHANGES TO ANNUAL BASE COMPENSATION ARE WARRANTED.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
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        <ExplanationTxt>HEALTHCARE CONSULTANTS: PROGRAM SERVICE EXPENSES 12,041,554. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,041,554. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 16,652,876. MANAGEMENT AND GENERAL EXPENSES 11,603,894. FUNDRAISING EXPENSES 13,658. TOTAL EXPENSES 28,270,428.</ExplanationTxt>
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      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOLUTIONS 4 COMMUNITY HEALTH INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>1792793</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ADMINISTRATIVE AGREEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BRIGHTPOINT CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>13060851</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ADMINISTRATIVE AGREEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BRIGHTPOINT CARE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>540795</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SRH CHN LEAD HEALTH HOME LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>1456813</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ADMINISTRATIVE AGREEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HUDSON RIVER PRIMARY MEDICAL CENTER PC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>115317</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ADMINISTRATIVE AGREEMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>