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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13726</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ABIGAIL J HERRON</PersonNm>
        <TitleTxt>VP AND CHIEF BEHAVIORAL HEALTH OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC GAYLE</PersonNm>
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        <OtherCompensationAmt>36202</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KWAME KITSON</PersonNm>
        <TitleTxt>VP COMPLIANCE &amp; QUALITY IMPR.</TitleTxt>
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        <OtherCompensationAmt>13860</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MAXINE GOLUB</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE PENNY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NICOLE NURSE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH NOSAL</PersonNm>
        <TitleTxt>VP FOR INNOVATION AND OPTIMIZATION</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTINA URSITTI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MAREK BALUTOWSKI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MEGAN MCMULLAN</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20557</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSRUTH PINNAMANENI</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WALTER WOODLEY</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15905</OtherCompensationAmt>
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      <TotalOtherCompensationAmt>362984</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>278</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MGI CONSTRUCTION &amp; CONSULTING</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>31 W 34TH STSTE 7060</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PA MECHANICAL SERVICES LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 912</AddressLine1Txt>
            <CityNm>EASTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>18044</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COHNREZNICK LLP</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1301 AVENUE OF THE AMERICAS</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>235815</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SMITH ARNOLD PARTNERS LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3 LANDMARK SQ</AddressLine1Txt>
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            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06901</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ATLAS SEARCH LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1540 BROADWAY</AddressLine1Txt>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10011</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>28158685</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>1238517</NoncashContributionsAmt>
      <TotalContributionsAmt>40436065</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID &amp; MEDICAID MANAGED CARE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>31189805</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31189805</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NYRX PAYMENT</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>13667424</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13667424</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE AND MEDICARE MANAGED CAR</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>13077557</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>12766138</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>NEW YORK STATE MEDICAID MANAGED C</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>12324235</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>41435950</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>124461109</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>1764722</TotalRevenueColumnAmt>
        <ExclusionAmt>1764722</ExclusionAmt>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>278617</TotalRevenueColumnAmt>
        <ExclusionAmt>278617</ExclusionAmt>
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        <RelatedOrExemptFuncIncomeAmt>105009</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>STOP LOSS INSURANCE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>30623</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>PHYSICIAN INCENTIVES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>29438</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>323265</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <ManagementAndGeneralAmt>766437</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1403312</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>64066</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>63381</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>19801620</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>488260</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>517061</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144287</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>633568</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>582444</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>146481556</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36544459</ManagementAndGeneralAmt>
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        <EOYAmt>3016414</EOYAmt>
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        <EOYAmt>5010947</EOYAmt>
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        <EOYAmt>12684517</EOYAmt>
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        <EOYAmt>1087860</EOYAmt>
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        <EOYAmt>48099829</EOYAmt>
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        <EOYAmt>20131466</EOYAmt>
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        <EOYAmt>2821541</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>47868717</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>314283</BOYAmt>
        <EOYAmt>314797</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>162498293</EOYAmt>
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        <EOYAmt>13559942</EOYAmt>
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        <EOYAmt>5514572</EOYAmt>
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        <EOYAmt>73723594</EOYAmt>
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        <EOYAmt>108135594</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-16247893</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
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        <CurrentYearMinus1Amt>62386</CurrentYearMinus1Amt>
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      <SupplementalInformationDetail>
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        <PersonNm>KWAME KITSON</PersonNm>
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        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>IFH HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY EXECUTIVE MANAGEMENT PRIOR TO THE SUBMISSION OF THE RETURN. IT IS ELECTRONICALLY SENT TO THE FINANCE COMMITEE AND THE BOARD OF DIRECTOR FOR THEIR REVIEW AND APPROVAL. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS ANNUALLY MONITORED, REQUIRING ALL OF THE ORGANIZATION'S THE BOARD OF DIRECTORS, ALL MANAGEMENT AND SENIOR EMPLOYEES TO DISCLOSE ANY FINANCIAL INTEREST THAT MAY BE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST TO THE ORGANIZATION. ALL ACTUAL AND POTENTIAL CONFLICTS OF INTERESTS SHALL BE DISCLOSED BY BOARD OF DIRECTORS, ALL MANAGEMENT AND SENIOR EMPLOYEES TO THE COMPLIANCE OFFICER THROUGH THE ANNUAL DISCLOSURE FORM AND/OR WHENEVER A CONFLICT ARISES. THE DISINTERESTED MEMBERS OF THE BOARD SHALL MAKE A DETERMINATION AS TO WHETHER A CONFLICT EXISTS AND WHAT SUBSEQUENT ACTION IS APPROPRIATE (IF ANY) WITH THE INTERESTED BOARD MEMBER(S) RECUSED FROM PARTICIPATING IN DEBATES AND VOTING ON THE MATTER. THE BOARD SHALL RETAIN THE ULTIMATE ENFORCEMENT AUTHORITY WITH RESPECT TO THE INTERPRETATION AND APPLICATION OF THIS POLICY. IN ADDITION, ON AN ANNUAL BASIS THE CENTER REQUIRES ALL BOARD MEMBERS AND MEMBERS OF THE SENIOR MANAGEMENT TEAM TO SIGN A FINANCIAL CONFLICT OF INTEREST POLICY WITH THE ORGANIZATION, AND THE SIGNED POLICIES ARE DOCUMENTED IN BOARD MEETING MINUTES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPENSATION COMMITTEE OF THE FINANCE COMMITTEE WAS FORMED TO REVIEW THE PRESIDENT/CHIEF EXECUTIVE OFFICER'S ANNUAL COMPENSATION AND PRESENT THEIR RECOMMENDATIONS TO THE BOARD FOR THEIR APPROVAL. THE CEO HAS AN EMPLOYMENT AGREEMENT. THERE IS ALSO A SALARY SURVEY DONE EVERY FEW YEARS TO DETERMINE IF CERTAIN COMPENSATION ARE APPROPRIATE. THOSE POSITIONS INCLUDE CEO, CFO, SVP OF CLINICAL AFFAIRS AND SVP OF PLANNING AND DEVELOPMENT. COMPENSATION OF OTHER POSITIONS ARE APPROVED BY THE CEO. THE PROCESS WAS LAST UNDERTAKEN IN 2020 AND DOCUMENTED IN COMPENSATION COMMITTEE MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLICATION INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, FORM 990, CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND FACULTY AND STAFF HANDBOOKS ARE AVAILABLE UPON REQUEST AT 2006 MADISON AVE, NEW YORK, NY 10035.</ExplanationTxt>
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