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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Carlos Delcristo</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rodney Warner</PersonNm>
        <TitleTxt>Vice Chairman</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2570048</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>18</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MADISON SECURITY GROUP INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 12105</AddressLine1Txt>
            <CityNm>Birmingham</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>35202</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVICES</ServicesDesc>
        <CompensationAmt>250263</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LAUREN K POPPE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3333 HENRY HUDSON PARKWAY SUITE 11</AddressLine1Txt>
            <CityNm>Bronx</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10463</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAW OFFICE</ServicesDesc>
        <CompensationAmt>270800</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>INVENTA GROUP INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>340 MADISON AVE 19TH FLOOR</AddressLine1Txt>
            <CityNm>New York</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10173</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SUPPORT CONSULT</ServicesDesc>
        <CompensationAmt>1013084</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SOLUTIONS 4 COMMUNITY HEALTH</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1200 BROWN STREET</AddressLine1Txt>
            <CityNm>Peekskill</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10566</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING SERVICES</ServicesDesc>
        <CompensationAmt>311534</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>THE MARQUIS GROUP INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5220 S UNIVERSITY DRIVE C-202</AddressLine1Txt>
            <CityNm>Fort Lauderdale</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33328</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPLIANCE CONSULT</ServicesDesc>
        <CompensationAmt>259200</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3775898</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>39263</AllOtherContributionsAmt>
      <NoncashContributionsAmt>39263</NoncashContributionsAmt>
      <TotalContributionsAmt>3815161</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Medicaid</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4508266</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4508266</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medicare</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>214333</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>214333</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Commercial</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>254035</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>254035</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Self-pay</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>73372</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>73372</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Section 340B</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2653520</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2653520</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>776179</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>776179</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>8479705</TotalProgramServiceRevenueAmt>
      <GrossRentsGrp>
        <RealAmt>1429646</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1429646</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1429646</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1429646</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Others</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>238904</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>238904</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>238904</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>13963416</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10148255</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>7062166</TotalAmt>
        <ProgramServicesAmt>5273814</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1788352</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>505401</TotalAmt>
        <ProgramServicesAmt>394643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110758</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>451022</TotalAmt>
        <ProgramServicesAmt>357623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93399</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1767295</TotalAmt>
        <ProgramServicesAmt>1522701</ProgramServicesAmt>
        <ManagementAndGeneralAmt>244594</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <AdvertisingGrp>
        <TotalAmt>23495</TotalAmt>
        <ProgramServicesAmt>23495</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>518288</TotalAmt>
        <ProgramServicesAmt>475015</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43273</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>802731</TotalAmt>
        <ProgramServicesAmt>795678</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7053</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>831579</TotalAmt>
        <ProgramServicesAmt>768807</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62772</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>55479</TotalAmt>
        <ProgramServicesAmt>18650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36829</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>80751</TotalAmt>
        <ProgramServicesAmt>80729</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>311825</TotalAmt>
        <ProgramServicesAmt>279805</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32020</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>247874</TotalAmt>
        <ProgramServicesAmt>153835</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94039</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Repairs &amp; maintenance</Desc>
        <TotalAmt>303400</TotalAmt>
        <ProgramServicesAmt>294448</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8952</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Security</Desc>
        <TotalAmt>312840</TotalAmt>
        <ProgramServicesAmt>312840</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Vehicle</Desc>
        <TotalAmt>15700</TotalAmt>
        <ProgramServicesAmt>9100</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6600</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment &amp; storage</Desc>
        <TotalAmt>59965</TotalAmt>
        <ProgramServicesAmt>47231</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12734</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>682856</TotalAmt>
        <ProgramServicesAmt>607874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74982</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>14032667</TotalAmt>
        <ProgramServicesAmt>11416288</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2616379</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>469475</BOYAmt>
        <EOYAmt>679935</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>35123</BOYAmt>
        <EOYAmt>32735</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>826765</BOYAmt>
        <EOYAmt>260675</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1812387</BOYAmt>
        <EOYAmt>2169098</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>76370</BOYAmt>
        <EOYAmt>52380</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>11159387</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7910712</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3155266</BOYAmt>
        <EOYAmt>3248675</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1102153</BOYAmt>
        <EOYAmt>1334650</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>7477539</BOYAmt>
        <EOYAmt>7778148</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>6404946</BOYAmt>
        <EOYAmt>7005151</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>253186</BOYAmt>
      </GrantsPayableGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>6400136</BOYAmt>
        <EOYAmt>6347745</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <EOYAmt>77620</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>13058268</BOYAmt>
        <EOYAmt>13430516</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-5580729</BOYAmt>
        <EOYAmt>-5652368</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-5580729</BOYAmt>
        <EOYAmt>-5652368</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>7477539</BOYAmt>
        <EOYAmt>7778148</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-69251</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-2388</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>4053059</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3020831</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4212132</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3825744</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3775898</CurrentTaxYearAmt>
        <TotalAmt>18887664</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>5185820</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5150431</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7589866</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8916470</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7704705</CurrentTaxYearAmt>
        <TotalAmt>34547292</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>9238879</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8171262</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11801998</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12742214</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11480603</CurrentTaxYearAmt>
        <TotalAmt>53434956</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>53434956</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>353</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>416</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>769</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>353</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>416</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>769</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>1871499</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2601927</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1661682</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1668550</CurrentTaxYearAmt>
        <TotalAmt>8949637</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>10385211</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10043177</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14403925</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14403896</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13149153</CurrentTaxYearAmt>
        <TotalAmt>62385362</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.85650</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.83930</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>34232</OtherCostOrOtherBasisAmt>
        <BookValueAmt>34232</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>8986236</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6314214</DepreciationAmt>
        <BookValueAmt>2672022</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>962451</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>962451</DepreciationAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>880763</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>634047</DepreciationAmt>
        <BookValueAmt>246716</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>295705</OtherCostOrOtherBasisAmt>
        <BookValueAmt>295705</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3248675</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Security deposits</Desc>
        <BookValueAmt>21161</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Restricted cash</Desc>
        <BookValueAmt>832901</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due from affiliated organization</Desc>
        <BookValueAmt>404335</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Right-of-use assets</Desc>
        <BookValueAmt>76253</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1334650</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease liabilities - Current portion</Desc>
        <Amt>17056</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease liabilities - Net of current</Desc>
        <Amt>60564</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>77620</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>13961028</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-2388</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-2388</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>13963416</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>13963416</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14032667</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>14032667</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>14032667</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Douglas Blomberg</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>426002</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>45000</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>471002</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sandra G Blundetto</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>424516</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>74350</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>498866</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kerah N Williams</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>285740</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>40000</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>325740</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Danielle F Milano</PersonNm>
        <TitleTxt>Chief of Medical Affairs</TitleTxt>
        <BaseCompensationFilingOrgAmt>303742</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>318742</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Akosua Abankwah</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>200000</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>200000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert L Jones</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>236923</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>236923</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Marlene Taylor</PersonNm>
        <TitleTxt>Physician AssistantDirector of HIV</TitleTxt>
        <BaseCompensationFilingOrgAmt>238775</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>50000</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>288775</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Olga Wildfeuer</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>230000</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>230000</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>39263</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>DONOR VALUATION</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of Form 990 was provided to all members of the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All Directors, Officers, and Employees have an affirmative duty to immediately disclose to the Chairman of the Board or his/her designee all knowledge of potential or actual situations involving Conflict of Interest. The Board shall issue such policies and procedures as it deems appropriate.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of Agencys employees indicated in Part VI are approved by the Board Compensation Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of other officers or Key Employees are approved by the Board Compensation Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Agency makes its Governing Documents, Conflict of Interest Policy and Financial Statements available to the Public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EMSTAR INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>526 W 152nd Street</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10031</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HERITAGE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WASHINGTON HEIGHTS WEST HARLEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1649 AMSTERDAM AVENUE</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10031</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HERITAGE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>