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      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>679896</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>72591</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ORION HEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>75 STATE ST STE 100</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE SERVICES</ServicesDesc>
        <CompensationAmt>2620160</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RHODES GROUP INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1001 WOODWARD PL NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE SERVICES</ServicesDesc>
        <CompensationAmt>1603850</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HBI SOLUTIONS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3000 EL CAMINO REAL BLDG 4 STE 200</AddressLine1Txt>
            <CityNm>PALO ALTO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94306</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE SERVICES</ServicesDesc>
        <CompensationAmt>688136</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COLLECTIVE MEDICAL TECHNOLOGIES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10377 SOUTH JORDAN GATEWAY STE 600</AddressLine1Txt>
            <CityNm>SOUTH JORDAN</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84095</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL USE CASES</ServicesDesc>
        <CompensationAmt>650000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARAWAY RESOURCE AND CONSULTING SOLUTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8030 ASPEN AVE NE</AddressLine1Txt>
            <CityNm>ALBUQUERQUE</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87110</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DATA CONSULTING SERVICES</ServicesDesc>
        <CompensationAmt>590631</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>9865064</GovernmentGrantsAmt>
      <TotalContributionsAmt>9865064</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH INFORMATION NETWORK</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3840859</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3840859</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>3840859</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>174</TotalRevenueColumnAmt>
        <ExclusionAmt>174</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>13706097</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3840859</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>174</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>501661</TotalAmt>
        <ProgramServicesAmt>260446</ProgramServicesAmt>
        <ManagementAndGeneralAmt>241215</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>1309504</TotalAmt>
        <ProgramServicesAmt>935214</ProgramServicesAmt>
        <ManagementAndGeneralAmt>374290</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>22527</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11596</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>353283</TotalAmt>
        <ProgramServicesAmt>233224</ProgramServicesAmt>
        <ManagementAndGeneralAmt>120059</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>136227</TotalAmt>
        <ProgramServicesAmt>89932</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46295</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>17586</TotalAmt>
        <ProgramServicesAmt>17586</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>28142</TotalAmt>
        <ManagementAndGeneralAmt>28142</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>6702963</TotalAmt>
        <ProgramServicesAmt>6697360</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5603</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>971</TotalAmt>
        <ManagementAndGeneralAmt>971</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>21748</TotalAmt>
        <ProgramServicesAmt>11666</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10082</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>156307</TotalAmt>
        <ProgramServicesAmt>117436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38871</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>110901</TotalAmt>
        <ProgramServicesAmt>10836</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100065</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>30022</TotalAmt>
        <ProgramServicesAmt>26582</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3440</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>80204</TotalAmt>
        <ProgramServicesAmt>66855</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13349</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>10915</TotalAmt>
        <ManagementAndGeneralAmt>10915</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>24963</TotalAmt>
        <ManagementAndGeneralAmt>24963</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>96499</TotalAmt>
        <ProgramServicesAmt>58687</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37812</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>28772</TotalAmt>
        <ProgramServicesAmt>27175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1597</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER OUTSIDE SERVICES</Desc>
        <TotalAmt>18051</TotalAmt>
        <ProgramServicesAmt>8121</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9930</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>WELLNESS PROGRAM</Desc>
        <TotalAmt>6633</TotalAmt>
        <ManagementAndGeneralAmt>6633</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TRAINING</Desc>
        <TotalAmt>5215</TotalAmt>
        <ManagementAndGeneralAmt>5215</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>1624</TotalAmt>
        <ProgramServicesAmt>190863</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-189239</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>9676314</TotalAmt>
        <ProgramServicesAmt>8774510</ProgramServicesAmt>
        <ManagementAndGeneralAmt>901804</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>283902</BOYAmt>
        <EOYAmt>68763</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1876188</BOYAmt>
        <EOYAmt>6991363</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1040086</BOYAmt>
        <EOYAmt>99705</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>1038289</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>139799</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>78946</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>60853</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>152682</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>8411655</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>561548</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>1014010</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>165739</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1502191</BOYAmt>
        <EOYAmt>1741297</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2640575</BOYAmt>
        <EOYAmt>6670358</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2640575</BOYAmt>
        <EOYAmt>6670358</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4142766</BOYAmt>
        <EOYAmt>8411655</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>4029783</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>20827123</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13275871</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>801227</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5738402</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9865064</CurrentTaxYearAmt>
        <TotalAmt>50507687</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>2019193</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2496815</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3114328</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3840859</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>15295064</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3298042</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8852730</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13705923</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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        <CurrentTaxYearMinus2YearsAmt>2081320</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2323058</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>971800</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>2323058</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2626217</CurrentTaxYearAmt>
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      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>432</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>241</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>91</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>174</CurrentTaxYearAmt>
        <TotalAmt>1010</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>72</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>432</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>241</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>91</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>174</CurrentTaxYearAmt>
        <TotalAmt>1010</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>17977</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1053</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>19030</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>22395460</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15296549</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3298283</CurrentTaxYearMinus2YearsAmt>
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      <PublicSupportCY509Pct>0.86040</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.83660</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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        <BookValueAmt>60853</BookValueAmt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE PAYABLE</Desc>
        <Amt>165739</Amt>
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      <TotalLiabilityAmt>165739</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>13706097</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>13706097</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>9676314</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>9676314</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SYNCRONYS IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS A PRIVATE FOUNDATION. SYNCRONYS HAS ADOPTED ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA, AS THEY RELATE TO UNCERTAIN TAX POSITIONS. SYNCRONYS IS NOT CURRENTLY UNDER AUDIT NOR HAS SYNCRONYS BEEN CONTACTED BY ANY TAXING JURISDICTION. MANAGEMENT BELIEVES THAT ALL ACTIVITIES OF SYNCRONYS ARE WITHIN THEIR TAX-EXEMPT PURPOSE AND THAT THERE ARE NO UNCERTAIN TAX POSITIONS. ANY INTEREST AND PENALTIES RECOGNIZED ASSOCIATED WITH A TAX POSITION ARE CLASSIFIED AS CURRENT IN SYNCRONYS'S FINANCIAL STATEMENTS. THERE WERE NO INTEREST OR PENALTIES RECORDED AS OF DECEMBER 31, 2024 AND 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERESA L STEWART</PersonNm>
        <TitleTxt>CEO/PRESIDENT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>57500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7946</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21966</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>314002</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES ARE PROVIDED AT THE DISCRETION OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WILL FIRST BE REVIEWED INTERNALLY BY SYNCRONYS' PRESIDENT AND CEO. FOLLOWING THAT REVIEW, THE FORM 990 WILL BE DISTRIBUTED TO THE ORGANIZATION'S BOARD PRIOR TO ITS BOARD MEETING, AT WHICH TIME A VOTE WILL BE TAKEN TO APPROVE THE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BOARD OF DIRECTORS AND OFFICERS DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. ANY BOARD MEMBER OR OFFICER WITH A CONFLICT OF INTEREST DOES NOT PARTICIPATE IN ANY DISCUSSION OR VOTE ON THE TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2023, A HUMAN RESOURCES CONSULTING FIRM CONDUCTED A COMPESNATION ANALYSIS FOR ALL POSITIONS WITHIN THE ORGANIZATION. FORM 990'S FOR SIMILAR-SIZED HEALTH INFORMATION EXCHANGES WERE ALSO REVIEWED FOR COMPENSATION COMPARISONS. THE CHAIRMAN OF THE BOARD, A NON-COMPENSATED INDIVIDUAL, REVIEWS AND DETERMINES THE ANNUAL COMPENSATION OF THE TOP MANAGEMENT, IN DISCUSSION WITH MEMBERS OF THE FINANCE AND AUDIT COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENTITY WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>VARIOUS OTHER OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 544,584. MANAGEMENT AND GENERAL EXPENSES 5,603. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 550,187. SUBCONTRACTOR FEES: PROGRAM SERVICE EXPENSES 6,152,776. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,152,776.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>