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        <PersonNm>ANNA RENKIEWICZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>30.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>151692</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>60170</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUDY HOLDER</PersonNm>
        <TitleTxt>FAMILY NURSE PRACTITIONER</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>112207</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26953</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW MARSENISON</PersonNm>
        <TitleTxt>DIRECTOR OF HUMAN RESOURCE</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>122721</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7585</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA HOBERMAN</PersonNm>
        <TitleTxt>NURSE CARE MANAGER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>103851</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24487</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON CHU MD</PersonNm>
        <TitleTxt>FAMILY PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>101473</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14326</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1352192</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>225421</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TANDYM GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>675 THIRD AVENUE 5FL</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTUAL WORKERS</ServicesDesc>
        <CompensationAmt>452516</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECLINICALWORKS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 TECHNOLOGY DRIVE</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>015811727</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SOFTWARE SUPPORT</ServicesDesc>
        <CompensationAmt>130250</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REVELE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11715 FOX ROAD SUITE 400 178</AddressLine1Txt>
            <CityNm>INDIANAPOLIS</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46236</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING COLLECTIONS</ServicesDesc>
        <CompensationAmt>126538</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMPUTERO INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 21688</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>100871688</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICE</ServicesDesc>
        <CompensationAmt>113467</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3878480</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1042797</AllOtherContributionsAmt>
      <TotalContributionsAmt>4921277</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REV.</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>3448746</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3448746</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PARENTING FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>8205</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8205</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>3456951</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>247</TotalRevenueColumnAmt>
        <ExclusionAmt>247</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8378475</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3456951</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>247</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>852147</TotalAmt>
        <ProgramServicesAmt>656651</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195496</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>3416536</TotalAmt>
        <ProgramServicesAmt>3250679</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98942</ManagementAndGeneralAmt>
        <FundraisingAmt>66915</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>111890</TotalAmt>
        <ProgramServicesAmt>107735</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1898</ManagementAndGeneralAmt>
        <FundraisingAmt>2257</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>414948</TotalAmt>
        <ProgramServicesAmt>386753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21401</ManagementAndGeneralAmt>
        <FundraisingAmt>6794</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>371456</TotalAmt>
        <ProgramServicesAmt>340051</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25789</ManagementAndGeneralAmt>
        <FundraisingAmt>5616</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>59584</TotalAmt>
        <ManagementAndGeneralAmt>59584</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>87287</TotalAmt>
        <ProgramServicesAmt>87287</ProgramServicesAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1333623</TotalAmt>
        <ProgramServicesAmt>1147478</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30234</ManagementAndGeneralAmt>
        <FundraisingAmt>155911</FundraisingAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>74872</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27321</ManagementAndGeneralAmt>
        <FundraisingAmt>2532</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>415511</TotalAmt>
        <ProgramServicesAmt>382637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28848</ManagementAndGeneralAmt>
        <FundraisingAmt>4026</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>591227</ProgramServicesAmt>
        <ManagementAndGeneralAmt>163012</ManagementAndGeneralAmt>
        <FundraisingAmt>24591</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>12002</TotalAmt>
        <ProgramServicesAmt>10490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1512</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>5635</TotalAmt>
        <ProgramServicesAmt>5635</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>161778</TotalAmt>
        <ManagementAndGeneralAmt>161778</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>113263</TotalAmt>
        <ProgramServicesAmt>77337</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35926</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>393136</TotalAmt>
        <ProgramServicesAmt>393136</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>208955</TotalAmt>
        <ProgramServicesAmt>208955</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>122147</TotalAmt>
        <ProgramServicesAmt>56124</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63003</ManagementAndGeneralAmt>
        <FundraisingAmt>3020</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>STAFF DEVELOPMENT</Desc>
        <TotalAmt>60909</TotalAmt>
        <ProgramServicesAmt>57359</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2704</ManagementAndGeneralAmt>
        <FundraisingAmt>846</FundraisingAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>68696</TotalAmt>
        <ProgramServicesAmt>41474</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8696</ManagementAndGeneralAmt>
        <FundraisingAmt>18526</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>9093058</TotalAmt>
        <ProgramServicesAmt>7875880</ProgramServicesAmt>
        <ManagementAndGeneralAmt>926144</ManagementAndGeneralAmt>
        <FundraisingAmt>291034</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>941238</BOYAmt>
        <EOYAmt>998690</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1269948</BOYAmt>
        <EOYAmt>1001195</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>224394</BOYAmt>
        <EOYAmt>173106</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>342102</BOYAmt>
        <EOYAmt>320903</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>65619</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>1909052</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>639032</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1262526</BOYAmt>
        <EOYAmt>1270020</EOYAmt>
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        <EOYAmt>6611412</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>10440945</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1190748</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>729141</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>500000</BOYAmt>
        <EOYAmt>495530</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>6573563</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>8988982</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2167327</BOYAmt>
        <EOYAmt>1451963</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2167327</BOYAmt>
        <EOYAmt>1451963</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4335079</BOYAmt>
        <EOYAmt>10440945</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-714583</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-781</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3000421</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4958096</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4405709</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4483679</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4921277</CurrentTaxYearAmt>
        <TotalAmt>21769182</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3000421</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4958096</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4405709</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4483679</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4921277</CurrentTaxYearAmt>
        <TotalAmt>21769182</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>21769182</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>109</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>345</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>420</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>250</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>247</CurrentTaxYearAmt>
        <TotalAmt>1371</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>777</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2564</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8767</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>28</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>12136</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>21782689</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>20223877</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99940</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99820</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>PARENTING FEES - NYS UNCLAIMED FUNDS / REFUNDS - 2021 AMOUNT: $ 7,350. MEDICAL RECORDS FEE - 2019 AMOUNT: $ 160. 2020 AMOUNT: $ 240. OTHER REVENUE - 2019 AMOUNT: $ 617. 2020 AMOUNT: $ 2,324. 2021 AMOUNT: $ 1,417. 2022 AMOUNT: $ 28.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1120140</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>102930</DepreciationAmt>
        <BookValueAmt>1017210</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>192855</DepreciationAmt>
        <BookValueAmt>239420</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>343247</DepreciationAmt>
        <BookValueAmt>13390</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1270020</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSIT</Desc>
        <BookValueAmt>199398</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE (ROU) ASSET - OPERATING LEASE, NET</Desc>
        <BookValueAmt>6412014</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6611412</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY, OPERATING LEASE</Desc>
        <Amt>6573563</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6573563</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>7985339</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>7985339</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>393136</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>393136</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>8378475</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8700703</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>781</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>781</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>8699922</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>393136</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>393136</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>9093058</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR THE PERIODS PRIOR TO DECEMBER 31, 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT NET WITH REVENUE ON FINANCIAL STATEMENTS 393,136.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON UNCOLLECTIBLE GRANTS 781.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT NET WITH REVENUE ON FINANCIAL STATEMENTS 393,136.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <PersonNm>ANN MENDELSOHN</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>205329</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3200</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10266</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22904</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>241699</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIELY FERNANDEZ MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>209006</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>10450</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>3185</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>225841</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNA RENKIEWICZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>148492</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3200</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>7425</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>52745</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>211862</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TONIA ELVIN</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>170536</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3200</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8527</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14213</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>196476</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE GADOT</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>162577</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3200</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8129</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14226</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>188132</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAID DISCRETIONARY BONUSES TO CERTAIN EMPLOYEES REPORTED IN PART VII AND SCHEDULE J, WHICH WAS INCLUDED IN THEIR REPORTABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENTLY, WE PROVIDE AN ARRAY OF SERVICES SPANNING PEDIATRICS TO GERIATRICS, WITH TARGETED SUPPORT FOR OUR PATIENT POPULATION, INCLUDING MEDICATION-ASSISTED SUBSTANCE USE TREATMENT; OUTPATIENT SUBSTANCE USE TREATMENT; GROUP AND INDIVIDUAL COUNSELING; PSYCHIATRY; PARENTING AND HEALTH EDUCATION; OVERDOSE PREVENTION TRAINING AND NALOXONE DISTRIBUTION; AND PRIMARY CARE SERVICES, INCLUDING INTERNAL MEDICINE, HIV PREVENTION AND TREATMENT SERVICES, WOMEN'S HEALTH, PEDIATRICS AND TREATMENT FOR CHRONIC CONDITIONS SUCH AS HYPERTENSION, DIABETES, AND ASTHMA. WE ALSO PROVIDE FREE CHILDCARE FOR PATIENTS ACCESSING SERVICES, ADDRESSING A MAJOR BARRIER TO CARE FOR PARENTS AND CARETAKERS. IN 2023, CCHP RELOCATED ALL OF ITS SERVICES TO A NEWLY DESIGNED AND RENOVATED, STATE-OF-THE-ART, FULLY-CUSTOMIZED, AND ACCESSIBLE COMMUNITY HEALTH CENTER, WITHIN EASY REACH OF OUR EXISTING PATIENTS. WITH THE RENOVATION AND RETROFIT, OUR TOP PRIORITY WAS THAT ALL SPACES AND TECHNOLOGY ENCOURAGE STRONG STAFF AND PATIENT INTERACTIONS TO BEST ALIGN WITH AND SUPPORT OUR INTEGRATED MODEL OF CARE. THE RESULT, WE BELIEVE, IS A UNIQUELY EFFECTIVE HEALTHCARE FACILITY IN OUR GEOGRAPHIC REGION THAT IS CUSTOMIZED TO SUPPORT IMPROVED OUTCOMES FOR OUR PATIENT POPULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM, AND IS PRESENTED TO MANAGEMENT AND THE AUDIT COMMITTEE. ONCE ALL QUESTIONS AND ISSUES HAVE BEEN ADDRESSED A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES WHICH IS ENFORCED BY THE BOARD OF DIRECTORS. ALL OFFICERS AND MEMBERS OF THE BOARD ANNUALLY COMPLETE AND SIGN A DISCLOSURE FORM, DISCLOSING ANY POTENTIAL CONFLICTS THAT MAY EXIST. ANY PERSON WITH A POTENTIAL CONFLICT DISCLOSES ALL MATERIAL FACTS TO THE BOARD, COMMITTEE, OR CHAIR OF THE MEETING IN WHICH THE CONFLICT IS TO BE DISCUSSED. IF IT IS NOT CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE CHAIR OR CHAIR'S DESIGNEE MAKES THE DETERMINATION. A PERSON WHO HAS A CONFLICT CANNOT PARTICIPATE IN OR HEAR THE BOARD'S OR COMMITTEE'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. THE EXISTENCE OF ALL SUCH CONFLICTS OF INTEREST AND THEIR RESOLUTIONS, AS WELL AS ANY ISSUES RELATING TO THEM, ARE DOCUMENTED IN THE MINUTES OF THE MEETING. THE ORGANIZATION HAS A CONFLICTOFINTEREST POLICY THAT APPLIES TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES WHICH IS ENFORCED BY THE BOARD OF DIRECTORS. ALL OFFICERS AND MEMBERS OF THE BOARD ANNUALLY COMPLETE AND SIGN A DISCLOSURE FORM, DISCLOSING ANY POTENTIAL CONFLICTS THAT MAY EXIST. ANY PERSON WITH A POTENTIAL CONFLICT DISCLOSES ALL MATERIAL FACTS TO THE BOARD, COMMITTEE, OR CHAIR OF THE MEETING IN WHICH THE CONFLICT IS TO BE DISCUSSED. IF IT IS NOT CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE CHAIR OR CHAIR'S DESIGNEE MAKES THE DETERMINATION. A PERSON WHO HAS A CONFLICT CANNOT PARTICIPATE IN OR HEAR THE BOARD'S OR COMMITTEE'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. THE EXISTENCE OF ALL SUCH CONFLICTS OF INTEREST AND THEIR RESOLUTIONS, AS WELL AS ANY ISSUES RELATING TO THEM, ARE DOCUMENTED IN THE MINUTES OF THE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS APPROVED IN CONJUNCTION WITH CEO AND CFO. THE PROCESS INCLUDES SALARY COMPARISONS WITH OTHER NONPROFITS SIMILAR IN SIZE AND FUNCTION AS WELL AS A REVIEW CURRENT SALARY TRENDS FOR ALL POSITIONS BEING FILLED, AND WAS LAST UNDERTAKEN IN 2023. THE DELIBERATIONS AND DECISIONS WERE CONTEMPORANEOUSLY DOCUMENTED IN JOB POSTINGS, OFFER LETTERS, PAYROLL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE ORGANIZATION MAKES ITS FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 840,912. MANAGEMENT AND GENERAL EXPENSES 5,882. FUNDRAISING EXPENSES 150,738. TOTAL EXPENSES 997,532. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 188,344. MANAGEMENT AND GENERAL EXPENSES 18,842. FUNDRAISING EXPENSES 2,001. TOTAL EXPENSES 209,187. SECURITY: PROGRAM SERVICE EXPENSES 72,156. MANAGEMENT AND GENERAL EXPENSES 3,964. FUNDRAISING EXPENSES 3,172. TOTAL EXPENSES 79,292. JANITORIAL: PROGRAM SERVICE EXPENSES 45,466. MANAGEMENT AND GENERAL EXPENSES 1,546. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,012. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 600.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE - GRANTS -781.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>