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      <Form990PartVIISectionAGrp>
        <PersonNm>KENISE ETWARU</PersonNm>
        <TitleTxt>VP, CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>439461</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN KEIGHER</PersonNm>
        <TitleTxt>VP, CHIEF CLINICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>45045</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NICHOLE RENADETTE</PersonNm>
        <TitleTxt>SENIOR PROGRAM ADMINISTRATOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>304676</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID ORTIZ-HERRERA</PersonNm>
        <TitleTxt>DIRECTOR OF CARE MANAGEMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>268741</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22531</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3174355</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>255537</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>146</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>COOK KRUPA</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>81 JERICHO TURNPIKE</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>INTEGRATED HEALTH ANALYTICS</PersonNm>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MYRIANE ISIDORE</PersonNm>
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        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
        <ServicesDesc>PSYCHIATRIST</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MICHELLE ALSTROM</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>176-20 148TH AVENUE</AddressLine1Txt>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11434</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PSYCHIATRIST</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>AS TECHNOLOGY</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>34 E MAIN STREET</AddressLine1Txt>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11787</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT CONSULTANTS</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>21</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>628170</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>75000</AllOtherContributionsAmt>
      <TotalContributionsAmt>703170</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>105806802</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>105806802</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>2150</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2150</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>105808952</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>5970826</TotalRevenueColumnAmt>
        <ExclusionAmt>5970826</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>53537996</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>52141026</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1396970</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1396970</TotalRevenueColumnAmt>
        <ExclusionAmt>1396970</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>75972</TotalRevenueColumnAmt>
        <ExclusionAmt>75972</ExclusionAmt>
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      <OtherRevenueTotalAmt>75972</OtherRevenueTotalAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>1139322</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>823149</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <InvestmentIncomeCYPct>0.04150</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.03630</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
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      </Form990ScheduleAPartVIGrp>
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        <CurrentYearAmt>1000000</CurrentYearAmt>
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        <CurrentYearMinus1Amt>30050</CurrentYearMinus1Amt>
        <CurrentYearAmt>30250</CurrentYearAmt>
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      <AvgGrassrootsNontaxableGrp>
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        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSHUA KLEIN</PersonNm>
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        <PersonNm>KENISE ETWARU</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN KEIGHER</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWARD KLEIN</PersonNm>
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        <PersonNm>NICHOLE RENADETTE</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID ORTIZ-HERRERA</PersonNm>
        <TitleTxt>DIRECTOR OF CARE MANAGEMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>261241</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAINTAINS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN DESCRIBED IN IRC SECTION 457(F) FOR CERTAIN EMPLOYEES. THE ORGANIZATION MADE A $23,000 CONTRIBUTION TO THE PLAN DURING THE REPORTING PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM AN INDEPENDENT STUDY AND ANALYSIS FOR BONUS PAYMENTS TO EXECUTIVE STAFF, WHICH IS REPORTED TO AND SHARED WITH THE BOARD OF DIRECTORS FOR REVIEW AND DELIBERATION BEFORE FINAL APPROVAL AND DISTRIBUTION TO THESE EMPLOYEES OF THE ORGANIZATION.</ExplanationTxt>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <NameOfInterested>
          <PersonNm>EDWARD KLEIN CPA</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>RELATIONSHIP TO CEO - CFO</RelationshipDescriptionTxt>
        <TransactionAmt>441232</TransactionAmt>
        <TransactionDesc>COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOSHUA KLEIN CPA</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>RELATIONSHIP TO CEO - VP, STRATEGY &amp; BUSINESS OPERATIONS</RelationshipDescriptionTxt>
        <TransactionAmt>500733</TransactionAmt>
        <TransactionDesc>COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ESTHER KLEIN-WINTER LMSW</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>RELATIONSHIP TO CEO - QUALITY ASSURANCE MANAGER</RelationshipDescriptionTxt>
        <TransactionAmt>257790</TransactionAmt>
        <TransactionDesc>COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SANDRA KLEIN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>RELATIONSHIP TO CEO - DIRECTOR, ADMINISTRATION &amp; MARKETING</RelationshipDescriptionTxt>
        <TransactionAmt>296140</TransactionAmt>
        <TransactionDesc>COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>EDWARD KLEIN, CFO IS THE BROTHER OF ELLIOTT KLEIN, CEO. DEVORA BRICKMAN, DIRECTOR, AND SHARON HABERMAN, DIRECTOR, ARE MOTHER AND DAUGHTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INDEPENDENT AUDITOR PREPARES THE FORM 990 AND ALL REQUIRED SCHEDULES BASED ON INFORMATION PROVIDED BY OUR FISCAL STAFF. THE DRAFT 990 IS THEN REVIEWED BY THE CONTROLLER AND CFO. ONCE THAT REVIEW IS COMPLETE. IT IS DISTRIBUTED TO KEY STAFF MEMBERS INCLUDING THE CEO AND EXECUTIVE LEADERSHIP TEAM. THE FINAL DRAFT 990 IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS FOR DISCUSSION AND REVIEW AT THEIR NEXT SCHEDULED MEETING. FOLLOWING DISCUSSION, THE BOARD OF DIRECTORS VOTES ON THE APPROVAL OF THE 990. ONCE APPROVED, THE FORM 990 IS SIGNED BY THE APPROPRIATE OFFICERS AND THE INDEPENDENT AUDITOR OR CFO FILE WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR CONFLICT OF INTEREST POLICY IS WRITTEN IN THE PERSONNEL POLICIES AND PROCEDURES MANUAL, WHICH IS GIVEN TO EACH EMPLOYEE UPON HIRE. A CONFLICT OF INTEREST POLICY FOR DIRECTORS AND OFFICERS IS GIVEN TO EACH DIRECTOR AND OFFICER ON AN ANNUAL BASIS. EACH DIRECTOR AND OFFICER IS ASKED TO REVIEW, COMPLETE, SIGN, AND RETURN THE QUESTIONNAIRE TO THE ORGANIZATION'S COMPLIANCE OFFICER. ALL OFFICERS AND DIRECTORS OF THE ORGANIZATION UNDERSTAND THEIR OBLIGATIONS TO REPORT POTENTIAL CONFLICTS AND RELATED PARY TRANSACTIONS. UPON DISCLOSURE OF MATERIAL FACTS PERTINENT TO A POTENTIAL CONFLICT OF INTEREST, THE DIRECTORS DETERMINE IF A CONFLICT EXISTS. IF SO, THE INTERESTED PARTY DOES NOT PARTICIPATE IN DECISION-MAKING REGARDING ANY TRANSACTION OF VENTURE IN WHICH HE OR SHE HAS AN INTEREST. DISCUSSIONS AND DECISIONS REGARDING CONFLICTS OF INTEREST ARE DOCUMENTED IN MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM AN INDEPENDENT STUDY AND ANALYSIS REVIEWING COMPARABLE DATA FOR COMPENSATION OF THE ORGANIZATION'S EXECUTIVE MANAGEMENT TEAM. AFTER THE COMPENSATION SUREVEY IS INDEPENDENTLY PREPARED, IT IS SHARED AND DISTRIBUTED WITH THE BOARD OF DIRECTORS FOR REVIEW AND CONSIDERATION BEFORE FINAL APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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</Return>