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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR GWENDOLYN JACK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HOPE MASON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN MCINDOE</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>402589</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>75912</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT MORGAN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>276068</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>78997</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANA TARAS</PersonNm>
        <TitleTxt>CHIEF OF STRATEGIC DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21771</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE PARGAMENT</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR OF RYAN NENA</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>215855</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46938</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN FRIED</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20113</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEANNE MARIE CAREY</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER, BEG. 9/28/20</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>239200</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>51135</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LIANA LEUNG</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER, THRU 6/30/20</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>232543</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29906</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT TASCA</PersonNm>
        <TitleTxt>DIRECTOR OF DENTAL &amp; RADIOLOGY</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>174516</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38274</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BERTHA RAMOS-RAMIREZ</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>241710</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21145</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON OGISTE</PersonNm>
        <TitleTxt>UROLOGIST</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>223418</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38040</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL BAXTER</PersonNm>
        <TitleTxt>MEDICAL COORDINATOR</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>221376</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25275</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RASHANNA LYNCH</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>212703</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>51389</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2873874</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>498895</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>60</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GILBANE BUILDING COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7 JACKSON WALKWAY</AddressLine1Txt>
            <CityNm>PROVIDENCE</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02903</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>2564046</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ST LUKE'S ROOSEVELT HOSPITAL</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>150 E 42ND STREET 5TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>1360326</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECLINICAL WORKS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>110 TURNPIKE ROAD</AddressLine1Txt>
            <CityNm>WESTBORO</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01581</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>773299</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY EYECARE ASSOCIATES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>229 E 79TH STREET</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10021</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EYE CARE SERVICES</ServicesDesc>
        <CompensationAmt>757794</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LANGUAGE LINE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 202564</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRANSLATION SERVICES</ServicesDesc>
        <CompensationAmt>293111</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>21</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>3089561</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>14774953</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3324522</AllOtherContributionsAmt>
      <NoncashContributionsAmt>839342</NoncashContributionsAmt>
      <TotalContributionsAmt>21189036</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY (340B)</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>9725473</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9725473</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NYS AND CHILD HEALTH PLUS WRAPARO</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>8557345</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8557345</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>DSRIP</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>7647128</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7647128</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>4410774</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4410774</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID MANAGED CARE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>4199927</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4199927</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>9885748</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9885748</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>44426395</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>97845</TotalRevenueColumnAmt>
        <ExclusionAmt>97845</ExclusionAmt>
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        <Desc>ADMIN AND SUPPORT SERVICES</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>1200000</TotalRevenueColumnAmt>
        <ExclusionAmt>1200000</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>61446</TotalRevenueColumnAmt>
        <ExclusionAmt>61446</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>19016</TotalRevenueColumnAmt>
        <ExclusionAmt>19016</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>172</TotalRevenueColumnAmt>
        <ExclusionAmt>172</ExclusionAmt>
      </MiscellaneousRevenueGrp>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>66993910</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>44426395</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>955322</TotalAmt>
        <ProgramServicesAmt>955322</ProgramServicesAmt>
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        <TotalAmt>2124923</TotalAmt>
        <ProgramServicesAmt>1740502</ProgramServicesAmt>
        <ManagementAndGeneralAmt>384421</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>24357377</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5569519</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1759478</ProgramServicesAmt>
        <ManagementAndGeneralAmt>315683</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5799278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1040496</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>2730510</TotalAmt>
        <ProgramServicesAmt>2315133</ProgramServicesAmt>
        <ManagementAndGeneralAmt>415377</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>67327</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50146</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>21840</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90879</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>84350</ProgramServicesAmt>
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        <ProgramServicesAmt>5204283</ProgramServicesAmt>
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        <ProgramServicesAmt>118265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73758</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1034069</ProgramServicesAmt>
        <ManagementAndGeneralAmt>268706</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>792739</ProgramServicesAmt>
        <ManagementAndGeneralAmt>176783</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>19281</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21818</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>6587</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19978</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1183771</ProgramServicesAmt>
        <ManagementAndGeneralAmt>192707</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2749321</ProgramServicesAmt>
        <ManagementAndGeneralAmt>447563</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>119612</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44029</ManagementAndGeneralAmt>
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        <Desc>PHARMACEUTICAL EXPENSES</Desc>
        <TotalAmt>5313705</TotalAmt>
        <ProgramServicesAmt>5313705</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>1383023</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>597482</ProgramServicesAmt>
        <ManagementAndGeneralAmt>186059</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>RADIOLOGY AND TRAINING</Desc>
        <TotalAmt>105691</TotalAmt>
        <ProgramServicesAmt>105691</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>115840</TotalAmt>
        <ProgramServicesAmt>74872</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40968</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>66457209</TotalAmt>
        <ProgramServicesAmt>55803308</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10653901</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>329814</BOYAmt>
        <EOYAmt>113537</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>16931237</BOYAmt>
        <EOYAmt>26374061</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1513177</BOYAmt>
        <EOYAmt>1660164</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>4017529</BOYAmt>
        <EOYAmt>5228822</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>176770</BOYAmt>
        <EOYAmt>349654</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>214494</BOYAmt>
        <EOYAmt>91968</EOYAmt>
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        <BOYAmt>1056478</BOYAmt>
        <EOYAmt>1398297</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>90700698</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>48521695</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>42179003</EOYAmt>
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        <BOYAmt>2079285</BOYAmt>
        <EOYAmt>1843496</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>67389584</BOYAmt>
        <EOYAmt>79239002</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>9352337</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>451228</BOYAmt>
        <EOYAmt>2269005</EOYAmt>
      </DeferredRevenueGrp>
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        <PersonNm>LIANA LEUNG</PersonNm>
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        <PersonNm>JASON OGISTE</PersonNm>
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        <PersonNm>DANIEL BAXTER</PersonNm>
        <TitleTxt>MEDICAL COORDINATOR</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANA TARAS</PersonNm>
        <TitleTxt>CHIEF OF STRATEGIC DEVELOPMENT</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN FRIED</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>205100</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <PersonNm>ROBERT TASCA</PersonNm>
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        <OtherCompensationFilingOrgAmt>2033</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>3152</DeferredCompensationFlngOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>LIANA LEUNG, CHIEF MEDICAL OFFICER, RECEIVED SEVERANCE TOTALING $69,231, WHICH WAS REPORTED ON HER 2020 FORM W-2. THE PRESIDENT AND CEO IS A PARTICIPANT IN A SPLIT-DOLLAR INSURANCE PLAN. A PREMIUM LOAN IN THE AMOUNT OF $172,882 WAS PAID IN CALENDAR YEAR 2020. THE PRESIDENT AND CEO IS THE OWNER OF THE POLICY UTILIZED IN THE ARRANGEMENT, AND RYAN HEALTH SHALL RECEIVE REPAYMENT OF ALL PREMIUM LOANS, INCLUDING INTEREST, IN ACCORDANCE WITH THE PLAN DOCUMENTS. FOR TAX PURPOSES, THE PREMIUMS ARE TREATED AS NONRECOURSE SPLIT-DOLLAR LOANS UNDER 26 CFR 1.7872-15. THE OBLIGATION OF THE PRESIDENT &amp; CEO TO REPAY RYAN HEALTH IS A NON-RECOURSE OBLIGATION. RYAN HEALTH MAY ONLY RECOVER AMOUNTS DUE FROM THE POLICIES.</ExplanationTxt>
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        <PersonNm>BRIAN MCINDOE</PersonNm>
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        <WrittenAgreementInd>1</WrittenAgreementInd>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>839342</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>DONOR VALUE</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS.</ExplanationTxt>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT &amp; CEO, CHIEF FINANCIAL OFFICER AND CONTROLLER REVIEW THE FORM 990 BEFORE IT IS PRESENTED AND REVIEWED BY THE BOARD OF DIRECTORS. ONCE THE FORM 990 HAS BEEN APPROVED BY THE FULL BOARD AT THE BOARD OF DIRECTORS MEETING, IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHAIR OF THE BOARD OF DIRECTORS ENSURES THAT ALL BOARD MEMBERS AND THE PRESIDENT &amp; CEO SUBMIT ATTESTATIONS ON AN ANNUAL BASIS. KEY EMPLOYEES SUBMIT THEIR ATTESTATIONS TO THE PRESIDENT AND CEO. ANY CASES OF POTENTIAL CONFLICTS OF INTEREST ARE DEALT WITH APPROPRIATELY. AS PER POLICY, THE INDIVIDUAL WITH THE CONFLICT OF INTEREST SHALL ABSTAIN FROM ANY DISCUSSION OF, OR VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN DETERMINING COMPENSATION FOR THE ORGANIZATION'S PRESIDENT &amp; CEO, OTHER TOP MANAGEMENT OFFICIALS, AND KEY EMPLOYEES THE HUMAN RESOURCES DEPARTMENT CONTACTS THE HR DEPARTMENT OF OTHER COMMUNITY HEALTH CENTERS AND HEALTH INSTITUTIONS FOR COMPARISON OF SALARY, INCLUDING BENEFITS, AND VISITS RELEVANT WEBSITES. ADDITIONALLY, RYAN HEALTH USED MARKET RESEARCH AND STUDIES TO DETERMINE COMPENSATION. RYAN HEALTH PARTICIPATES IN THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS ANNUAL HEALTH CENTER SALARY AND BENEFIT SURVEY. THE DECISIONS AND DELIBERATIONS OF THE BOARD PERTAINING TO THESE MATTERS ARE DOCUMENTED WITHIN THE MINUTES OF THE MEETING. THIS PROCESS WAS LAST UNDERTAKEN IN 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 AND FORM 1023 ARE AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND SIMILAR WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, ARTICLES OF INCORPORATION, AND BY-LAWS ARE ALSO AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S AUDIT COMMITTEE SHALL BE RESPONSIBLE FOR OVERSEEING THE ACCOUNTING AND FINANCIAL REPORTING PROCESSES OF THE ORGANIZATION AND THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AFIA FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PARKWEST FIN STATION PO BOX 20997</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10025</ZIPCd>
        </USAddress>
        <EIN>203957960</EIN>
        <PrimaryActivitiesTxt>TO SUPPORT INITIATIVES THAT PROVIDE HEALTH CARE TO UNDERSERVED POPULATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>
