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      <Form990PartVIISectionAGrp>
        <PersonNm>JACQUELINE ALEMAN</PersonNm>
        <TitleTxt>CHAIRPERSON</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE ADLER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSA MEDINA</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1936206</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>57535</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>27</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CONSILIUM STAFFING LLC</PersonNm>
        </ContractorName>
        <ServicesDesc>CONSULTANT SERVICE</ServicesDesc>
        <CompensationAmt>113193</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LOCUMTENENSCOM</PersonNm>
        </ContractorName>
        <ServicesDesc>IT SERVICE</ServicesDesc>
        <CompensationAmt>201532</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>12210957</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>481580</AllOtherContributionsAmt>
      <NoncashContributionsAmt>330431</NoncashContributionsAmt>
      <TotalContributionsAmt>12692537</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>3894932</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3894932</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medicaid Managed Care</Desc>
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        <TotalRevenueColumnAmt>3163063</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3163063</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NYS Indigent Care</Desc>
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        <RelatedOrExemptFuncIncomeAmt>1302626</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Commercial Insurance</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>133458</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medicare</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>301565</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>174476</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>8970120</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>25580</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossSalesOfInventoryAmt>4189784</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>2431348</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>1758436</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other Revenues</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>76300</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>76300</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>23522973</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10804856</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>25580</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1908871</TotalAmt>
        <ProgramServicesAmt>1659044</ProgramServicesAmt>
        <ManagementAndGeneralAmt>249827</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>10415453</ProgramServicesAmt>
        <ManagementAndGeneralAmt>597656</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2750768</TotalAmt>
        <ProgramServicesAmt>2593033</ProgramServicesAmt>
        <ManagementAndGeneralAmt>157735</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>934368</TotalAmt>
        <ProgramServicesAmt>852349</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82019</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1560828</TotalAmt>
        <ProgramServicesAmt>1337746</ProgramServicesAmt>
        <ManagementAndGeneralAmt>223082</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>721380</TotalAmt>
        <ProgramServicesAmt>653726</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67654</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>796242</TotalAmt>
        <ProgramServicesAmt>753779</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42463</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>128438</TotalAmt>
        <ProgramServicesAmt>107667</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20771</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>202213</TotalAmt>
        <ProgramServicesAmt>156037</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46176</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>825461</TotalAmt>
        <ProgramServicesAmt>663043</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162418</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>135309</TotalAmt>
        <ProgramServicesAmt>120858</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14451</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Equipment Rental R &amp; M</Desc>
        <TotalAmt>876794</TotalAmt>
        <ProgramServicesAmt>806787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70007</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>966029</TotalAmt>
        <ProgramServicesAmt>966029</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Food</Desc>
        <TotalAmt>217761</TotalAmt>
        <ProgramServicesAmt>217761</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Laboratory Fees and Diagnost</Desc>
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        <ProgramServicesAmt>254309</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>402496</TotalAmt>
        <ProgramServicesAmt>391259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11237</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>23694376</TotalAmt>
        <ProgramServicesAmt>21948880</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1745496</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>3344</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>5806510</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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      <AccountsReceivableGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>62737</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>26781377</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8765976</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2926988</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>3574777</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
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        <EOYAmt>2866615</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>8657988</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>21814906</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>21814906</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>28128826</BOYAmt>
        <EOYAmt>30472894</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-171403</ReconcilationRevenueExpnssAmt>
      <DonatedServicesAndUseFcltsAmt>1753729</DonatedServicesAndUseFcltsAmt>
      <OtherChangesInNetAssetsAmt>-1753729</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>11656347</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7573623</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8557232</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8970120</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus2YearsAmt>7573623</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8557232</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8970120</CurrentTaxYearAmt>
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      <PublicSupportTotal170Amt>30697536</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>149767</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>149590</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>45366</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1821</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>25580</CurrentTaxYearAmt>
        <TotalAmt>372124</TotalAmt>
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      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>196556</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>97272</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>167218</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>76300</CurrentTaxYearAmt>
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      <PublicSupportCY170Pct>0.65730</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.76040</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Other income Part II line 10 or Part III line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>MISC2017 AMOUNT: $ 279,4792018 AMOUNT: $ 38,1732019 AMOUNT: $ 76,0982020 AMOUNT: $ 97,2722021 AMOUNT: $ 167,2182022 AMOUNT: $ 76,300TERMINATION OF LONG-TERM OBLIGATION2017 AMOUNT: $ 500,000HHS STIMULUS2019 AMOUNT: $ 120,458</ExplanationTxt>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <BookValueAmt>169200</BookValueAmt>
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        <BookValueAmt>17133689</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>237320</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>3728553</DepreciationAmt>
        <BookValueAmt>475192</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>18015401</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Restricted cash</Desc>
        <BookValueAmt>75236</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other current assets</Desc>
        <BookValueAmt>148499</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Other non current asset</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>Right-of-use assets</Desc>
        <BookValueAmt>2494164</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Construction-in-progress</Desc>
        <BookValueAmt>187988</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to funding agencies</Desc>
        <Amt>280578</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease Liabilities - Current</Desc>
        <Amt>149075</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease Liabilities - Noncurrent</Desc>
        <Amt>2436962</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2866615</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>27708050</TotalRevEtcAuditedFinclStmtAmt>
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      <RevenueNotReportedAmt>1753729</RevenueNotReportedAmt>
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      <RevenueNotReportedFinclStmtAmt>-2431348</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>23522973</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>27879453</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>1753729</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>-2431348</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-677619</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>28557072</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>28557072</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other revenues included on Form 990 (Part XI, line 4b)</FormAndLineReferenceDesc>
        <ExplanationTxt>Cost of Goods Sold (Pharmaceutical Supplies) - $ 2,431,348</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other expenses not included on Form 990 (Part XII, line 2d)</FormAndLineReferenceDesc>
        <ExplanationTxt>Cost of Goods Sold (Pharmaceutical Supplies) - $ 2,431,348</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COUNCIL BELIEVES IT HAD NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2023 AND 2022, IN ACCORDANCE WITH ACCOUNTING STANDARDS CONDIFICATION (ASC) TOPIC 740, INCOME TAXES, WHICH PROVIDES STANDARDS FOR ESTABLISHING AND CLASSIFYING ANY TAX PROVISIONS FOR UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <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>ARTURO PEREZ</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>303049</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5184</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>308233</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AHMED ABEDO</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>178341</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13559</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>191900</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM APONTE</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>267838</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14379</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>282217</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PRITI BORKER</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>209736</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>209736</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANA ROJAS</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>186480</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5184</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>191664</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANICE SCOBIE</PersonNm>
        <TitleTxt>CARDIOLOGISTINTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>230908</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9096</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>240004</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELINA CRUIZE</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>141221</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10133</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>151354</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GINO ZUNINO</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>194108</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>194108</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNE LIFFLANDER</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>224525</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>224525</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>327123</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>DONOR VALUATION</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Other</Desc>
        <NoncashContributionsRptF990Amt>3308</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Amended return information</FormAndLineReferenceDesc>
        <ExplanationTxt>Reclass of items to Part VIII Line 1e Government Grants</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by an independent accounatant and the draft Form 990 Tax Form is distributed to the Board for review and approval before final Form 990 is filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest disclosure statement is distributed and completed by the board members and senior management staff annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors reviews compensation for CEO on an anual basis in a closed board meeting without staff or CEO. Compensation for key employees reviewed by CEO and CFO and/or COO on an annually basis or as required.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for other officers or key employees reviewed by CEO and CFO and/or COO on an annually basis or as required</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest policy and financial statements are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>In-Kind Occupancy - $ 1,753,729.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III response or note to any other line in Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES, FORM 990, PART III, LINE 4DThe Women, Infants and Children (WIC) program provides supplemental food program and provides services to 1,300 enrolees each year.EXPENSES: $ 390,246.00 GRANTS: $ 0.00 REVENUES: $ 0.00</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>