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      <Form990PartVIISectionAGrp>
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      <ContractorCompensationGrp>
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            <BusinessNameLine1Txt>MDHY</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>NC</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
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            <BusinessNameLine1Txt>FRIEDOMTECH LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>461 OAK GLEN ROAD</AddressLine1Txt>
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            <ZIPCd>07731</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IRONROCK SECURITY LLC</BusinessNameLine1Txt>
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          <USAddress>
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        <ServicesDesc>SECURITY</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ISTA PERSONNEL SOLUTIONS</BusinessNameLine1Txt>
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          <USAddress>
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            <StateAbbreviationCd>NJ</StateAbbreviationCd>
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        <ServicesDesc>OUTSOURCING SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOMECARE THERAPIES LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>20 JERUSALEM AVE</AddressLine1Txt>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTH CARE</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
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        <RelatedOrExemptFuncIncomeAmt>38158770</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE INSURANCE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>2924428</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY</Desc>
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      <ProgramServiceRevenueGrp>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>46204</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3847</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>5362</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>148770</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DONATED VACCINES</Desc>
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        <ProgramServicesAmt>2004459</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>432895</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>19898</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>99661</ProgramServicesAmt>
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        <ProgramServicesAmt>43837209</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12508920</ManagementAndGeneralAmt>
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        <EOYAmt>38244</EOYAmt>
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        <CurrentTaxYearMinus1YearAmt>19102718</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearAmt>1131311</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>852794</CurrentTaxYearAmt>
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        <ExplanationTxt>MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
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        <PersonNm>SOJNA KINNEY</PersonNm>
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        <ExplanationTxt>THE AMOUNT INCLUDED ON PART II, B(II), REPRESENTS BONUSES AND INCENTIVES THAT WERE APPROVED BY THE BOARD. THE AMOUNT WAS INCLUDED IN THE INDIVIDUAL'S W-2.</ExplanationTxt>
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        <ContributionCnt>1</ContributionCnt>
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        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAX RETURN PREPARER SENDS THE BOARD OF DIRECTORS A DRAFT COPY OF THE COMPLETE TAX RETURN FOR THEIR REVIEW AND COMMENTS. AFTER THE BOARD OF DIRECTORS APPROVE THE RETURN, THEY NOTIFY THE PREPARER AND A FINAL VERSION OF THE RETURN IS SENT TO THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR THEN SIGNS THE E-FILE AUTHORIZATION FORM AND RETURNS IT TO THE RETURN PREPARER. THE PREPARER THEN E-FILES THE RTEURN.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. FAILURE TO DISCLOSE A POTENTIAL CONFLIST OF INTEREST MAY RESULT IN DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION. DISCLOSURE FORMS ARE RENEWED ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>TOP MANAGEMENT AND KEY EMPLOYEE COMPENSATION IS DETERMINED BY UTILIZING CONSULTANTS TO DETERMINE FAIR MARKET RATES. PROPOSED INCREASES ARE SUBMITTED TO THE BOARD OF DIRECTORS FOR APPROVAL, AS NECESSARY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION'S GOVERNING DOCUMENTS AND RELATED DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL &amp; OTHER CONSULTANTS: PROGRAM SERVICE EXPENSES 7,869,029. MANAGEMENT AND GENERAL EXPENSES 1,843,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,712,993.</ExplanationTxt>
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