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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>224626</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21447</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIAL SHTRAYKHER</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <AverageHoursPerWeekRt>37.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>217271</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22423</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2046582</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>158715</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>53</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SCRIBEAMERICA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 417756</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02241</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SCRIBES</ServicesDesc>
        <CompensationAmt>173046</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DAC ENTERPRISING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3806 12TH AVENUE</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11218</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING SERVICES</ServicesDesc>
        <CompensationAmt>135829</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RIGHTWAY CLEANING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>98 BEARD STREET</AddressLine1Txt>
            <CityNm>BROOKLYN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11231</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING SERVICES</ServicesDesc>
        <CompensationAmt>104064</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>9960192</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1860800</AllOtherContributionsAmt>
      <NoncashContributionsAmt>338872</NoncashContributionsAmt>
      <TotalContributionsAmt>11820992</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NEW YORK STATE MEDICAID MANAGED C</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>12001915</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12001915</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID AND MEDICAID MANAGED CAR</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>8760936</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8760936</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE INSURANCE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1819242</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1819242</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NEW YORK STATE SAFETY NET AWARD</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1214765</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1214765</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE AND MEDICARE MANAGED CAR</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>900277</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>900277</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>2306029</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2306029</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>27003164</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1801</TotalRevenueColumnAmt>
        <ExclusionAmt>1801</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>573</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>573</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>573</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>573</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>66909</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>66909</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>66909</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>38893439</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27070646</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1801</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>18000</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1226747</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>129120</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>71833</TotalAmt>
        <ManagementAndGeneralAmt>71833</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>60000</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1748501</TotalAmt>
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        <TotalAmt>63163</TotalAmt>
        <ManagementAndGeneralAmt>63163</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>492297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>719108</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>664118</TotalAmt>
        <ProgramServicesAmt>412336</ProgramServicesAmt>
        <ManagementAndGeneralAmt>251782</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>40905</TotalAmt>
        <ProgramServicesAmt>12969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27936</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>61934</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32458</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>558089</ProgramServicesAmt>
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        <ProgramServicesAmt>83208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83111</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>2475939</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL</Desc>
        <TotalAmt>448223</TotalAmt>
        <ProgramServicesAmt>435055</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
        <Desc>MISC. EXPENSES</Desc>
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        <ProgramServicesAmt>27717</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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      <SavingsAndTempCashInvstGrp>
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      <AccountsReceivableGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <FSAuditedBasisGrp>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus1YearAmt>8002337</CurrentTaxYearMinus1YearAmt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueSubtotalAmt>38893439</RevenueSubtotalAmt>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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        <DeferredCompensationFlngOrgAmt>346</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>315881</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIAZER IGEL</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>283474</TotalCompensationFilingOrgAmt>
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        <PersonNm>ROBERT KADAR</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>DAVID FRIEDMAN</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AWARDS BONUSES TO EMPLOYEES BASED ON SERVICE THROUGHOUT THE YEAR.</ExplanationTxt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR AND CFO REVIEW THE 990 AND SUGGEST CHANGES OR CORRECTIONS AS THEY SEE NECESSARY. THE 990 IS THEN PRESENTED TO THE BOARD OF DIRECTORS AT THE NEXT BOARD MEETING FOR THEIR REVIEW AND APPROVAL. IF THEY DON'T APPROVE OR HAVE AN ISSUE, THEY BRING IT UP TO THE CFO FOR CLARIFICATION OR CORRECTIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PER OUR CONFLICT OF INTEREST POLICY, WE HAVE OUR DIRECTORS AND OFFICERS COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ON AN ANNUAL BASIS WHICH DISCLOSES ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS AND AFFIRMS THAT THEY HAVE READ, UNDERSTAND, AND AGREE TO COMPLY WITH THE POLICY. ALL POSSIBLE CONFLICTS OF INTEREST ARE REPORTED TO THE BOARD OR THE FINANCE AND AUDIT COMMITTEE. THE INTERESTED PERSON IS EXCLUDED FROM ANY MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION RESULTING IN THE CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2019, THE BOARD HIRED AN INDEPENDENT CONSULTING COMPANY TO REVIEW THE SALARIES OF TOP OFFICIALS FOR APPROPRIATENESS. THE COMPENSATION COMMITTEE REVIEWED THE SALARIES OF OFFICERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
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</Return>
