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      <Form990PartVIISectionAGrp>
        <PersonNm>NICHOLAS ROBINSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SONNY STETZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSANNAH ABBATE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRICIA RYAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VINCENT TUZZALO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EILEEN PERALTA</PersonNm>
        <TitleTxt>OUTGOING BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHERINE MARCOS-GORNO</PersonNm>
        <TitleTxt>OUTGOING CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>137038</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12134</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERICKER L ONAGA</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>207125</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9908</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE ARNETH</PersonNm>
        <TitleTxt>OUTGOING EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.50</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>58756</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASMIN VALENTIN</PersonNm>
        <TitleTxt>CHIEF PROGRAM OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>141172</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>485335</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>144540</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>23335</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>106749</FederatedCampaignsAmt>
      <FundraisingAmt>122800</FundraisingAmt>
      <GovernmentGrantsAmt>5105708</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>6398397</AllOtherContributionsAmt>
      <TotalContributionsAmt>11733654</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>850385</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>850385</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>850385</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>37918</TotalRevenueColumnAmt>
        <ExclusionAmt>37918</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>805</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>805</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>805</TotalRevenueColumnAmt>
        <ExclusionAmt>805</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>38951</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>122800</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>57240</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-18289</TotalRevenueColumnAmt>
        <ExclusionAmt>-18289</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>HEALTH INSURANCE REFUND</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>516294</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>516294</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>23504</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23504</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>539798</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>13144271</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1390183</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>20434</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>366205</TotalAmt>
        <ProgramServicesAmt>348857</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17348</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7243577</TotalAmt>
        <ProgramServicesAmt>6926713</ProgramServicesAmt>
        <ManagementAndGeneralAmt>316864</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>113172</TotalAmt>
        <ProgramServicesAmt>101399</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11773</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1107904</TotalAmt>
        <ProgramServicesAmt>992650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>115254</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>603707</TotalAmt>
        <ProgramServicesAmt>540904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62803</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>400</TotalAmt>
        <ManagementAndGeneralAmt>400</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>26708</TotalAmt>
        <ProgramServicesAmt>13208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13500</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>750655</TotalAmt>
        <ProgramServicesAmt>474113</ProgramServicesAmt>
        <ManagementAndGeneralAmt>276542</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>28411</TotalAmt>
        <ProgramServicesAmt>17206</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11205</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>153677</TotalAmt>
        <ProgramServicesAmt>136768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16909</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>242743</TotalAmt>
        <ProgramServicesAmt>147009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95734</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>874484</TotalAmt>
        <ProgramServicesAmt>764398</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110086</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>196511</TotalAmt>
        <ProgramServicesAmt>167402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29109</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>7799</TotalAmt>
        <ManagementAndGeneralAmt>7799</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>248725</TotalAmt>
        <ManagementAndGeneralAmt>248725</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>93263</TotalAmt>
        <ManagementAndGeneralAmt>93263</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONSUMABLE SUPPLIES</Desc>
        <TotalAmt>578252</TotalAmt>
        <ProgramServicesAmt>452637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124074</ManagementAndGeneralAmt>
        <FundraisingAmt>1541</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIR AND MAINTENANCE</Desc>
        <TotalAmt>62295</TotalAmt>
        <ProgramServicesAmt>30700</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31595</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>12931</TotalAmt>
        <ProgramServicesAmt>5914</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7017</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>37882</TotalAmt>
        <ProgramServicesAmt>20460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3980</ManagementAndGeneralAmt>
        <FundraisingAmt>13442</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>12749301</TotalAmt>
        <ProgramServicesAmt>11140338</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1593980</ManagementAndGeneralAmt>
        <FundraisingAmt>14983</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2082</BOYAmt>
        <EOYAmt>1400</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3124248</BOYAmt>
        <EOYAmt>2959502</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>7255152</BOYAmt>
        <EOYAmt>6135428</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>68244</BOYAmt>
        <EOYAmt>112246</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>69538</BOYAmt>
        <EOYAmt>47918</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>4891829</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2239939</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2419625</BOYAmt>
        <EOYAmt>2651890</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>510271</BOYAmt>
        <EOYAmt>530634</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>1800164</BOYAmt>
        <EOYAmt>2179130</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>117961</BOYAmt>
        <EOYAmt>137950</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>15367285</BOYAmt>
        <EOYAmt>14756098</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>973259</BOYAmt>
        <EOYAmt>1156660</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>113597</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
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        <EOYAmt>3912968</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>6185936</BOYAmt>
        <EOYAmt>5183225</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>9181349</BOYAmt>
        <EOYAmt>9572873</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9181349</BOYAmt>
        <EOYAmt>9572873</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15367285</BOYAmt>
        <EOYAmt>14756098</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>394970</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-3446</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>9780285</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10556390</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12026442</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11927450</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11422433</CurrentTaxYearAmt>
        <TotalAmt>55713000</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>9780285</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10556390</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12026442</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11927450</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11422433</CurrentTaxYearAmt>
        <TotalAmt>55713000</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>55713000</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>24118</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5926</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25332</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>22640</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>38723</CurrentTaxYearAmt>
        <TotalAmt>116739</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>264333</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>27173</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>46787</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>29760</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>851019</CurrentTaxYearAmt>
        <TotalAmt>1219072</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>57048811</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>5209626</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97660</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99020</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE - 2020 AMOUNT: $ 264,333. 2021 AMOUNT: $ 27,173. 2022 AMOUNT: $ 46,787. 2023 AMOUNT: $ 29,760. 2024 AMOUNT: $ 851,019.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1025000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1025000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1580562</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>542352</DepreciationAmt>
        <BookValueAmt>1038210</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1171874</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>921092</DepreciationAmt>
        <BookValueAmt>250782</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1114393</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>776495</DepreciationAmt>
        <BookValueAmt>337898</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2651890</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
        <Amt>1611901</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>2301067</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3912968</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>355929431</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-3446</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>342731366</OtherRevenueAmt>
      <RevenueNotReportedAmt>342727920</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>13201511</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-57240</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-57240</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>13144271</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>324447868</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>311698567</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>311698567</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>12749301</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>12749301</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY CHASI AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2024, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR AN ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. CHASI'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2021 ARE CLOSED, AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATIONS' REVENUE 376,035,662. INTERCOMPANY ELMINATION -33,304,296.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATIONS' EXPENSES 342,553,347. INTERCOMPANY ELIMINATIONS -30,912,020. FUNDRAISING EXPENSES 57,240.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SUN RIVER HEALTHCARE, INC. IS THE SOLE MEMBER OF COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>SUN RIVER HEALTHCARE, INC. IS THE SOLE MEMBER OF COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC. AND, THEREFORE, HAS THE POWER TO APPOINT BOARD MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PREPARED FORM 990 IS REVIEWED BY THE ORGANIZATION FISCAL MANAGEMENT TEAM, AFTER THAT IT IS REVIEWED BY THE ORGANIZATIONS CHIEF FINANCIAL OFFICER AND THE CHIEF OPERATING OFFICER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED BY THE OFFICERS AND DIRECTORS OF THE AGENCY UPON INITIATION OF THEIR TERM OF SERVICE AND IS RENEWED ANNUALLY. SHOULD AN OFFICER OR A DIRECTOR HAVE A CONFLICT OF INTEREST, THEY MUST DISCLOSE AND RECUSE THEMSELVES FROM THE RESPECTIVE DECISION. THE BOARD'S AUDIT AND COMPLIANCE SUBCOMMITTEE REVIEWS ANY INTERNAL DECISIONS INVOLVING A CONFLICT OF INTEREST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>CHASI EXECUTIVE COMMITTEE AND BOARD OF DIRECTORS EVALUATES THE EXECUTIVE DIRECTOR PERFORMANCE AND MAKES A RECOMMENDATION TO SUN RIVER HEALTHCARE, INC. FOR THE COMPENSATION TO BE EARNED. SUN RIVER HEALTHCARE, INC. CEO AND EXECUTIVE COMMITTEE THEN APPROVES THE COMPENSATION TO BE PAID.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DOCUMENTS ARE AVAILABLE BY REQUEST.</ExplanationTxt>
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