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        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REV NELSON MCALLISTER</PersonNm>
        <TitleTxt>BOARD SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIM SCANNELL</PersonNm>
        <TitleTxt>BOARD TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WAYNE DAY</PersonNm>
        <TitleTxt>BOARD CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AVI SILBER MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>302767</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42263</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID JOLLY</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>219130</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31453</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA S MULLER</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>456202</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53006</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK R MURPHY</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>274436</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48518</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALLAN FERNANDEZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>227502</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18811</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEMEL M BINGHAM</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>262379</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24377</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NATALIE M JOUVE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>225350</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH J LANZA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>228527</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24080</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STANLEY SWABY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>293810</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24377</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2490103</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>266885</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>53</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COHNREZNICK LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1301 AVENUE OF THE AMERICAS</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10019</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING</ServicesDesc>
        <CompensationAmt>274878</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DELL MARKETING LP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>C/O DELL USA LP PO BOX 643561</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15264</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TECHNOLOGY</ServicesDesc>
        <CompensationAmt>216714</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>340B TECHNOLOGIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>900 THIRD AVE 19TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADMINISTRATIVE</ServicesDesc>
        <CompensationAmt>166339</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LIGHTOWER FIBER NETWORKS II LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 28730</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10087</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TECHNOLOGY</ServicesDesc>
        <CompensationAmt>147793</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CATANIA MAHON MILLIGRAM &amp; RIDER PLLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>ONE CORWIN COURT PO BOX 1479</AddressLine1Txt>
            <CityNm>NEWBURGH</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12550</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
        <CompensationAmt>142341</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>220339</FundraisingAmt>
      <GovernmentGrantsAmt>9874809</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1922093</AllOtherContributionsAmt>
      <NoncashContributionsAmt>775695</NoncashContributionsAmt>
      <TotalContributionsAmt>12017241</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>22788808</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22788808</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER THIRD PARTY</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>3575907</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3575907</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>3451619</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3451619</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NEW YORK STATE UNCOMPENSATED CARE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>3026790</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3026790</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>3012778</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3012778</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>1418052</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1418052</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>37273954</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2810</TotalRevenueColumnAmt>
        <ExclusionAmt>2810</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>100589</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>94500</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>6089</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>6089</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>6089</UnrelatedBusinessRevenueAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>71474</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>71474</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>71474</TotalRevenueColumnAmt>
        <ExclusionAmt>71474</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>81825</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>220339</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>111429</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-29604</TotalRevenueColumnAmt>
        <ExclusionAmt>-29604</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>CONSULTING SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>245717</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>245717</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>58800</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58800</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>13295</TotalRevenueColumnAmt>
        <ExclusionAmt>13295</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>317812</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>49659776</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37332754</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>251806</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>57975</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>1170773</ProgramServicesAmt>
        <ManagementAndGeneralAmt>256999</ManagementAndGeneralAmt>
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        <TotalAmt>27851954</TotalAmt>
        <ProgramServicesAmt>22838603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5013351</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>184890</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40586</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2963354</TotalAmt>
        <ProgramServicesAmt>2429951</ProgramServicesAmt>
        <ManagementAndGeneralAmt>533403</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>2429416</TotalAmt>
        <ProgramServicesAmt>1992121</ProgramServicesAmt>
        <ManagementAndGeneralAmt>437295</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>148153</TotalAmt>
        <ManagementAndGeneralAmt>148153</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>195282</TotalAmt>
        <ManagementAndGeneralAmt>195282</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
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        <TotalAmt>1318968</TotalAmt>
        <ProgramServicesAmt>1081554</ProgramServicesAmt>
        <ManagementAndGeneralAmt>237414</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>407849</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113988</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>817372</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90819</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>152189</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33407</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>48438</TotalAmt>
        <ProgramServicesAmt>39719</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8719</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>575567</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63952</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1585848</ProgramServicesAmt>
        <ManagementAndGeneralAmt>176205</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>202049</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23454</ManagementAndGeneralAmt>
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        <Desc>CONSUMABLE SUPPLIES</Desc>
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        <ProgramServicesAmt>2455821</ProgramServicesAmt>
        <ManagementAndGeneralAmt>303528</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LAB/PHARMACY/RADIOLOGY</Desc>
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        <ProgramServicesAmt>1269791</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>1244322</TotalAmt>
        <ProgramServicesAmt>1244322</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>948057</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105340</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>1885682</ProgramServicesAmt>
        <ManagementAndGeneralAmt>208672</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>41282158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7990567</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>741460</BOYAmt>
        <EOYAmt>806584</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>1091497</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1277554</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3481774</BOYAmt>
        <EOYAmt>7575947</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>33206</BOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>568448</BOYAmt>
        <EOYAmt>511268</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>36351824</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10103815</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>26248009</EOYAmt>
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        <EOYAmt>31259</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>1955556</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>994723</BOYAmt>
        <EOYAmt>1203025</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>37996962</BOYAmt>
        <EOYAmt>40700699</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4492648</BOYAmt>
        <EOYAmt>3775443</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>12809012</EOYAmt>
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        <EOYAmt>22324553</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus1YearAmt>129218</CurrentTaxYearMinus1YearAmt>
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        <BookValueAmt>2627441</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST RATE SWAP PAYABLE</Desc>
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        <Desc>REFUNDABLE ADVANCES</Desc>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24080</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>252607</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <BaseCompensationFilingOrgAmt>293258</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>552</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24377</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>318187</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN MANAGEMENT OFFICIALS LISTED ON SCHEDULE J, PART II, PARTICIPATE IN A 457(F) SUPPLEMENTAL RETIREMENT PLAN THE AMOUNT ACCRUDED TO THE PLAN DURING 2018 ARE AS FOLLOWS: DAVID JOLLY: $10,770 LINDA MULLER: $34,195 PATRICK MURPHY: $24,249 AVI K. SILBER: $17,271</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) REPRESENT BONUSES APPROVED BY THE BOARD AND INCLUDED IN THE INDIVIDUAL'S W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>775695</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE OF THE BOARD IS PROVIDED WITH THE FORM 990 IN DRAFT FORM, REVIEWS AND APPROVES THE TAX RETURN. THE BOARD RATIFIES THE APPROVED TAX RETURN FILING PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY'S CONFLICT OF INTEREST POLICY IS REGULARLY REVIEWED AT THE BOARD LEVEL AND THE POLICY IS INCLUDED IN THE CONTINUAL CORPORATE COMPLIANCE TRAINING. ALL OFFICERS AND STAFF ARE REQUIRED TO ATTEND CORPORATE COMPLIANCE TRAINING AS SCHEDULED ANNUALLY DURING THE YEAR. ALL BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY FILL OUT A CONFLICT OF INTEREST QUESTIONNAIRE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY UTILIZES AN ANNUAL REVIEW PROCESS OF COMPENSATION FOR ITS CEO AND TOP MANAGEMENT OFFICIALS. THE PROCESS INCLUDES ANNUAL INDIVIDUAL PERFORMANCE EVALUATIONS FOR EACH OF THE TOP OFFICIALS AND SENIOR STAFF WHICH ARE TIED TO PRE-DETERMINED CORPORATE GOALS. THE PROCESS ALSO INCLUDES AN EVALUATION OF SALARY AND BENEFIT LEVELS THROUGH THE USE OF AN OUTSIDE COMPENSATION CONSULTING FIRM WHICH CONDUCTS AN IN-DEPTH COMPETITIVE MARKET STUDY TO DETERMINE THE COMPANY'S POSITION IN THE MARKETPLACE, AS WELL AS A FOCUS ON INTERNAL PRACTICES USED BY THE BOARD IN THE DETERMINATION OF EXECUTIVE COMPENSATION AND THE RELATED DOCUMENTATION AS REQUIRED BY IRC SECTION 4958 AND THE FORM 990. THE EXECUTIVE COMMITTEE OF THE BOARD CONDUCTS THE HIRING OF THE FIRM, AND MEETS WITH THE HIRED FIRM DIRECTLY TO REVIEW RESULTS OF THE ENGAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DOCUMENTS ARE AVAILBLE UPON REQUEST, AS WELL AS, AS A FQHC, THE COMPANY'S FINANCIAL STATEMENTS ARE FILED WITH CERTAIN GOVERNMENTAL AGENCIES AND REGULATORY AUTHORITIES WHICH MAY BE AVAILABLE UNDER THE FREEDOM OF INFORMATION ACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SELECTION AND OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990, PART IV, LINE 20A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 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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        </DisregardedEntityName>
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          <AddressLine1Txt>2570 ROUTE 9W STE 10</AddressLine1Txt>
          <CityNm>CORNWALL</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12518</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <EndOfYearAssetsAmt>119673</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>CORNERSTONE FAMILY HEALTHCARE</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>CORNERSTONE FH CHARITABLE FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>2570 US HIGHWAY 9W STE 10</AddressLine1Txt>
          <CityNm>CORNWALL</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12518</ZIPCd>
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        <EIN>825335397</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CONRNERSTONE FAMILY HEALTHCARE</BusinessNameLine1Txt>
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      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>