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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MARIA GORETH FIDALGO</BusinessNameLine1Txt>
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        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SHARI WARD-CUSHNIE</BusinessNameLine1Txt>
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        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SONYA LEE-CHUNG</BusinessNameLine1Txt>
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        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>WENDY GARDNER</BusinessNameLine1Txt>
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        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MARIANNE MUISE</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>VINCENT RUSSELL</BusinessNameLine1Txt>
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        <TitleTxt>CEO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>LISA MANES</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MEERA SHAH</BusinessNameLine1Txt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DOMINGO RIVERA LAKE</BusinessNameLine1Txt>
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        <TitleTxt>CLINICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>LIBBY BRUBAKER</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MARTIN MCNICHOLAS</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SUSAN HEVER</BusinessNameLine1Txt>
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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 56</AddressLine1Txt>
            <CityNm>VAILS GATE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TEGRETE CORPORATION</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>ST MICHAEL</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55376</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REVELEMEDICAL BILLING</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 88974</AddressLine1Txt>
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            <StateAbbreviationCd>WI</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL PROFESSIONALS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 910569</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOFFMAN GRAYSON LOIZIDES VANDREI VANDREI ARCHITECTS LLP</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>90 HIGH STREET</AddressLine1Txt>
            <CityNm>HUNTINGTON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11743</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>2295094</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <FundraisingAmt>13792</FundraisingAmt>
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        <ProgramServicesAmt>2022630</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>1655</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <EOYAmt>1974249</EOYAmt>
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        <EOYAmt>901221</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>320549</EOYAmt>
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        <TitleTxt>VP OF IT &amp; FACILITIES</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S BONUS AND ALL OTHER BONUSES ARE DETERMINED AND APPROVED BY THE BOARD. THE BONUSES ARE IN RECOGNITION OF SERVICES PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
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            <BusinessNameLine1Txt>MARIANNE MUISE</BusinessNameLine1Txt>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>OWNS MORE THAN 35% OF HMS</RelationshipDescriptionTxt>
        <TransactionAmt>809509</TransactionAmt>
        <TransactionDesc>MANAGEMENT SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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        <ContributionCnt>11</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Securities - Publicly traded - THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS.</ExplanationTxt>
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    </IRS990ScheduleM>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONSISTS OF KEY OFFICERS AND OTHER BOARD MEMBERS EMPOWERED TO ACT ON BEHALF OF THE FULL BOARD IF AND WHEN NECESSARY, GENERALLY WHEN A PRESSING MATTER MUST BE RESOLVED AND THE TIMING DOES NOT ALLOW FOR THE CONVENING OF THE FULL BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS REVIEWED FIRST BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS, ALONG WITH A PARTNER OF OUR INDEPENDENT AUDITING FIRM. ONCE APPROVED AND AND FINAILZED, THE RETURN WAS MADE AVAILABLE TO ALL BOARD MEMBERS, VIA SECURE INTERNET SITE, FOR THEIR REVIEW AND COMMENT PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS, ALL BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND TO DISCLOSE ANY CONFLICTS TO THE AUDIT AND COMPLIANCE COMMITTEE. THE COMMITTEE THEN DECIDES IF THE REPORTED ITEMS WARRENT FURTHER ACTION. IF THERE IS A CONFLICT, THE INDIVIDUAL MUST RECUSE HIM/HERSELF FROM ANY RELATED DICUSSIONS AND DECISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS, THE PRESIDENT/CEO COMPENSATION IS REVIEWED BY THE BOARD COMPENSATION COMMITTEE USING A MARKET-BASED COMPENSATION ANALYSIS AND RECOMMENDED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. ONCE A PRESIDENT/CEO PERFORMANCE EVALUATION HAS BEEN CONDUCTED BY THE ENTIRE BOARD, THE EXECUTIVE COMMITTEE CAN VOTE TO APPROVE THE PRESIDENT/CEO COMPENSATION. THIS PROCESS IS DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMMITTEE, AND THE FINAL TERMS OF THE COMPENSATION ARE COMMUNICATED TO THE PRESIDENT AND CEO IN A LETTER FROM THE BOARD CHAIR. PPHP USES A COMPENSATION PROGRAM CALCULATOR TO DETERMINE THE FAIR MARKET BASE PAY COMPENSATION FOR EVERY JOB. THIS PROGRAM PROVIDES THE FAIR AND EQUITABLE METHOD OF COMPENSATION AND IS REVIEWED AT LEAST ANNUALLY BY HUMAN RESOURCES STAFF TO ASCERTAIN IF ANY JOBS REQUIRE ADJUSTMENTS TO BRING THEM TO FAIR MARKET RATES. THIS WAS LAST PERFORMED IN 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HIRED HEALTHCARE MANAGEMENT SOLUTIONS, LLC (HMS) TO PROVIDE AN INTERIM CHIEF FINANCIAL OFFICER. HMS PROVIDED MARIANNE L. MUISE, A PRINCIPAL OF HMS, TO PROVIDE THESE SERVICES. NO COMPENSATION IS BEING REPORTED ON PART VII, AS THE 1099-MISC IN THE AMOUNT OF $809,509 WAS ISSUED TO HMS, NOT MARIANNE L. MUISE, FOR SERVICES PROVIDED DURING THE 2023 REPORTING PERIOD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in value of beneficial interest - 57082;</ExplanationTxt>
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          <BusinessNameLine1Txt>PP HUDSON PECONIC ACTION FUND</BusinessNameLine1Txt>
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          <AddressLine1Txt>570 TAXTER RD</AddressLine1Txt>
          <CityNm>ELMSFORD</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>HEALTH ACCESS</PrimaryActivitiesTxt>
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