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        <ExplanationTxt>NYCHSRO is a not-for-profit company that is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code (IRC) and classified by the Internal Revenue Service (IRS) as a charitable organization. NYCHSRO is exempt from federal excise tax, but is subject to federal, state, and city income tax on its unrelated business taxable income. The measurement of uncertainty in income taxes pursuant to GAAP prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in an enterprise's tax return. For those benefits to be recognized, a tax position must more likely than not be sustained upon examination by taxing authorities. FOR THE YEAR ENDED DECEMBER 31, 2023, THE COMPANY DID NOT RECOGNIZE INTEREST OR PENALTIES RELATED TO INCOME TAXES. GENERALLY, FEDERAL, STATE, AND LOCAL AUTHORITIES MAY EXAMINE THE COMPANY'S TAX RETURNS FOR THREE YEARS FROM THE DATE OF FILING. AS OF DECEMBER 31, 2023, THE COMPANY'S TAX RETURNS REMAIN SUBJECT TO EXAMINATION BEGINNING WITH THE TAX YEAR ENDED DECEMBER 31, 2020. THE COMPANY CURRENTLY DOES NOT HAVE ANY TAX EXAMINATIONS IN PROGRESS.</ExplanationTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT ROSENBLOOM</PersonNm>
        <TitleTxt>SVP - LEGAL/COMPLIANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>55218</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>220872</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>24000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2450</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9802</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>703</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2810</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>64371</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>257484</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Winnie Yuen</PersonNm>
        <TitleTxt>Director of Finance</TitleTxt>
        <BaseCompensationFilingOrgAmt>8401</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>159617</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1250</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>23750</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>382</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>7252</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>10033</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>190619</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>Bonuses were taxable and reported on the individuals' 2023 form w-2s/1099S, and included on schedule j, part ii in column b (ii).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S FINANCIAL DEPARTMENT. A COPY OF THE DRAFT FORM 990 WILL BE CIRCULATED AT THE NEXT BOARD MEETING FOR DISCUSSION AND COMMENTS. THE COMPLETE FORM 990 WILL BE CIRCULATED TO THE FULL BOARD OF TRUSTEES IN EITHER PAPER OR ELECTRONIC FORM BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYMENT AGREEMENTS AS WELL AS ALL CONTRACTS ARE MONITORED BY OF COUNSEL ROBERT ROSENBLOOM TO BE COMPLIANT WITH ALL RULES OF GOVERNANCE BEFORE BEING IMPLEMENTED BY THE ORGANIZATION. MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST FORMS ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NPR Health Management LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>50 WEST 23RD STREET 9TH FLR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10010</ZIPCd>
        </USAddress>
        <EIN>113421903</EIN>
        <PrimaryActivitiesTxt>N/A</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <OwnershipPct>0.00000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEDREVIEW INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>199 WATER STREET 27TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10038</ZIPCd>
        </USAddress>
        <EIN>133240352</EIN>
        <PrimaryActivitiesTxt>MEDICAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NYCHSRO</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>64032705</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>101740435</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MEDREVIEW INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>1000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>