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        <TotalAmt>33162993</TotalAmt>
        <ProgramServicesAmt>29846694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3316299</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>742041</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82449</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2712858</TotalAmt>
        <ProgramServicesAmt>2441573</ProgramServicesAmt>
        <ManagementAndGeneralAmt>271285</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1302402</TotalAmt>
        <ProgramServicesAmt>1172162</ProgramServicesAmt>
        <ManagementAndGeneralAmt>130240</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>44835</TotalAmt>
        <ProgramServicesAmt>40351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4484</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>394804</TotalAmt>
        <ProgramServicesAmt>355324</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39480</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>544509</TotalAmt>
        <ProgramServicesAmt>490058</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54451</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1645232</TotalAmt>
        <ProgramServicesAmt>1480709</ProgramServicesAmt>
        <ManagementAndGeneralAmt>164523</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>18066</TotalAmt>
        <ProgramServicesAmt>16259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1807</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>119021</TotalAmt>
        <ProgramServicesAmt>107119</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11902</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>565874</TotalAmt>
        <ProgramServicesAmt>509287</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56587</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>478842</TotalAmt>
        <ProgramServicesAmt>430958</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47884</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES</Desc>
        <TotalAmt>2885260</TotalAmt>
        <ProgramServicesAmt>2596734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>288526</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES &amp; TAXES</Desc>
        <TotalAmt>166336</TotalAmt>
        <ProgramServicesAmt>149702</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16634</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>121944</TotalAmt>
        <ProgramServicesAmt>121944</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROJECT PIVOT</Desc>
        <TotalAmt>27344</TotalAmt>
        <ProgramServicesAmt>24609</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2735</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>19064</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2119</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>40544588</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4491405</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>3124866</EOYAmt>
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        <EOYAmt>1326623</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>711236</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>5981508</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2533683</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>3447825</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>3341997</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>3377101</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>14271622</BOYAmt>
        <EOYAmt>15329648</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>3552712</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>16841813</BOYAmt>
        <EOYAmt>20909235</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>22071629</BOYAmt>
        <EOYAmt>24461947</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>-7800007</BOYAmt>
        <EOYAmt>-9132299</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-7800007</BOYAmt>
        <EOYAmt>-9132299</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>15329648</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-1332292</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>25215290</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26974470</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>29331079</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23219858</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>42933593</CurrentTaxYearAmt>
        <TotalAmt>147674290</TotalAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>26974470</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>29331079</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23219858</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>42933593</CurrentTaxYearAmt>
        <TotalAmt>147674290</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
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      <PublicSupportTotal509Amt>147674290</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus1YearAmt>72</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>510</CurrentTaxYearAmt>
        <TotalAmt>582</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus1YearAmt>72</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>510</CurrentTaxYearAmt>
        <TotalAmt>582</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>599529</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>247186</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>333671</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>302755</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>769598</CurrentTaxYearAmt>
        <TotalAmt>2252739</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>25814819</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>27221656</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>29664750</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23522685</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>43703701</CurrentTaxYearAmt>
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      <PublicSupportPY509Pct>0.98720</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12, EXPLANATION FOR OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL RECORDS 2018 AMOUNT: $ 593 2019 AMOUNT: $ 1,045 MOUNTAINSIDE EKG 2018 AMOUNT: $ 3,416 NYS CONTROLLER (TAX REFUND) 2018 AMOUNT: $ 86,644 PEPSI COMMISSION 2018 AMOUNT: $ 428 QUALITY INSURANCE INCENTIVE 2015 AMOUNT: $ 179,017 2016 AMOUNT: $ 23,870 2017 AMOUNT: $ 87,195 2018 AMOUNT: $ 43,121 2019 AMOUNT: $ 656,251 RESEARCH REVENUE 2018 AMOUNT: $ 168,553 2019 AMOUNT: $ 111,352 STUDY REVENUE 2015 AMOUNT: $ 418,635 2016 AMOUNT: $ 222,155 2017 AMOUNT: $ 242,799 OTHER REVENUE 2015 AMOUNT: $ 1,877 2016 AMOUNT: $ 1,161 2017 AMOUNT: $ 3,677 2019 AMOUNT: $ 950</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FILED A SHORT PERIOD RETURN FOR FISCAL YEAR 2019 (1/1/19-9/30/19). AS A RESULT OF THE MERGER WITH WESTERN CONNECTICUT HEALTH NETWORK (WCHN), HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC CHANGED ITS TAX YEAR FROM 12/31 TO 9/30 TO ALIGN WITH WCHN AND AFFILIATES. THE AMOUNTS REPORTED IN COLUMN (D) FOR 2018 REPRESENT THE 9 MONTH PERIOD FOR FISCAL YEAR ENDED 9/30/19 AND THE AMOUNTS REPORTED IN COLUMN (E) FOR 2019 REPRESENT THE 12-MONTH PERIOD ENDED 9/30/20. DUE TO REPORTING THE SHORT PERIOD FISCAL YEAR 2019 IN COLUMN (D), 2019, THE PUBLIC SUPPORT REPORTED IN PART III, SECTIONS A &amp; B IS AS FOLLOWS: (A) 2015 (YEAR ENDING 12/31/2016) (B) 2016 (YEAR ENDING 12/31/2017) (C) 2017 (YEAR ENDING 12/31/2018) (D) 2018 (YEAR ENDING 9/30/2019) (E) 2019 (YEAR ENDING 9/30/2020).</ExplanationTxt>
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    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>431679</DepreciationAmt>
        <BookValueAmt>1170728</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>2182594</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>94503</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3447825</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>788715</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECEIVABLE - CURRENT</Desc>
        <BookValueAmt>91374</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECEIVABLE</Desc>
        <BookValueAmt>570434</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RETIREMENT INVESTMENTS</Desc>
        <BookValueAmt>1926578</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>3377101</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>18320847</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION - CURRENT</Desc>
        <Amt>91374</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>570435</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>RETIREMENT INVESTMENTS</Desc>
        <Amt>1926579</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>20909235</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE D, PART X, LINE 2: AS OF SEPTEMBER 30, 2020, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVEN H ROSENBERG</PersonNm>
        <TitleTxt>CFO &amp; TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>653858</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>532200</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>343141</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>605000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>39898</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>2174097</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>311957</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL J O'DEA MD</PersonNm>
        <TitleTxt>FORMER PRESIDENT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>1176988</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>26444</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>16800</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>30964</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>1251196</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ZUBAIR JAFAR MD</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>500304</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>4644</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>37707</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1147870</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationFilingOrgAmt>5843</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>39407</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1124175</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOUIS W KANTAROS MD</PersonNm>
        <TitleTxt>PHYSICIAN INTERVENTIONAL</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>463946</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>26039</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>40407</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1114512</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>19242</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <PersonNm>LAWRENCE W SOLOMON MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GLENN A LOOMIS MD</PersonNm>
        <TitleTxt>FORMER HVCP PRESIDENT</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENISE GEORGE</PersonNm>
        <TitleTxt>FORMER CORP. SECRETARY</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>654834</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER M LEHRACH MD</PersonNm>
        <TitleTxt>HVCP PRES./CHIEF PHYSICIAN EXECUTIVE</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>261381</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>19260</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>398491</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER B BIEDE</PersonNm>
        <TitleTxt>FORMER AVP BUS. DEV. &amp; SVC LINES</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>850</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>24201</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>272519</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC RELIED ON HEALTH QUEST SYSTEMS, A RELATED ORGANIZATION, WHICH USED AN EXECUTIVE COMPENSATION COMMITTEE, AN INDEPENDENT THIRD PARTY, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEYS OR STUDIES AND, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO GATHER COMPARABLE DATA TO APPROVE AND DETERMINE COMPENSATION FOR THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECEIVED SEVERANCE DURING THE CALENDAR YEAR ENDING DECEMBER 31, 2019, GLENN A. LOOMIS, MD RECEIVED $279,167 IN SEVERANCE PAYMENTS, MONTHLY, STARTING AUGUST, 2019 AND ENDING IN JULY, 2020. THE PAYMENTS STARTED APPROXIMATELY 60 DAYS AFTER HIS TERMINATION DATE OF JUNE, 2019. PART VII OF THE CURRENT YEAR'S TAX RETURN REFLECTS THIS AMOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>WESTERN CONNECTICUT HEALTH NETWORK (WCHN), A RELATED ORGANIZATION, PREVIOUSLY ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WHICH PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO KEY MEMBERS OF THE EXECUTIVE GROUP UNDER THE AGREEMENTS FOR THE SERP, AMOUNTS PROMISED TO ELIGIBLE EXECUTIVES ARE BASED ON TARGETED RETIREMENT BENEFITS AND THE PAYMENT OF BENEFITS IS SUBJECT TO VESTING. THE BENEFITS AT THE VESTED AGE ARE PROVIDED IN THE FORM OF AN ACTUARIAL EQUIVALENT LUMP SUM PLUS A TAX GROSS-UP AMOUNT TO THE PARTICIPANTS. WCHN MAINTAINS AN ACCRUAL ON ITS BOOKS FOR THE PARTICIPANTS OF THE SERP. THE ACCRUALS ARE MAINTAINED SOLELY FOR ACCOUNTING PURPOSES AND ARE UNFUNDED. STEVEN H. ROSENBERG AND DENISE GEORGE PARTICIPATED IN THE SERP AND ACCRUED BENEFITS AS OF SEPTEMBER 30, 2020. THE ACCRUALS ARE MAINTAINED SOLELY FOR ACCOUNTING PURPOSES AND ARE UNFUNDED. FOR CALENDAR YEAR 2019, STEVEN H. ROSENBERG RECEIVED A PAYOUT OF $311,957 AND DENISE GEORGE RECEIVED A PAYOUT OF $48,812, WHICH IS REFLECTED AS COMPENSATION ON SCHEDULE J, PART II ON THE FORM 990, FOR THE CURRENT YEAR. GLENN A. LOOMIS, MD PARTICIPATED IN A SERP PLAN WITH HEALTH QUEST SYSTEMS, INC. (HEALTH QUEST), A RELATED ORGANIZATION. THE ACCRUALS ARE MAINTAINED SOLELY FOR ACCOUNTING PURPOSES AND ARE UNFUNDED. FOR THE CALENDAR YEAR, HEALTH QUEST CONTRIBUTED $52,023. DURING 2019 HE RECEIVED A PAYOUT OF $137,878 BOTH AMOUNTS WERE REPORTED ON SCHEDULE J, PART II.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN (EXCERPTS FROM) THE PURPOSE OF THE NUVANCE HEALTH ANNUAL LEADERSHIP INCENTIVE PLAN ("PLAN") IS TO ENGAGE AND MOTIVATE THE ORGANIZATION'S LEADERS TO FURTHER THE CHARITABLE MISSION OF NUVANCE HEALTH AND ITS AFFILIATES AND SUBSIDIARIES, BY PROMOTING EFFECTIVE MANAGEMENT OF OPERATIONS, DELIVERY OF HIGH QUALITY CARE AND SERVICE, AND RESPONSIBLE USE OF RESOURCES TO MEET COMMUNITY NEEDS. THIS PLAN IS INTENDED TO ASSIST NUVANCE HEALTH, AND ITS AFFILIATES AND SUBSIDIARIES TO ATTRACT AND RETAIN LEADERSHIP WITH THE TALENT AND EXPERIENCE NEEDED TO BE SUCCESSFUL BY PROVIDING MEANINGFUL INCENTIVES AND REWARDS FOR OUTSTANDING PERFORMANCE. INDIVIDUALS MUST BE AN ELIGIBLE EMPLOYEE TO BE CONSIDERED AS A PARTICIPANT IN THIS PLAN. AN ELIGIBLE EMPLOYEE IS AN INDIVIDUAL EMPLOYED BY NUVANCE HEALTH AND HOLDS A POSITION ASSIGNED TO ONE OF THE FOLLOWING TIERS, AS OF APRIL 30TH OF THE PLAN YEAR: - TIER I, PRESIDENT, CEO, SENIOR EXECUTIVE - TIER II, EXECUTIVE - TIER III, SENIOR LEADER (A) - TIER III, SENIOR LEADER (B) - TIER IV, LEADER (A) ORGANIZATIONAL GOALS ARE GENERALLY BASED ON THE FOLLOWING CATEGORIES AND ARE WEIGHTED THROUGH A SPLIT BETWEEN ORGANIZATIONAL AND INDIVIDUAL: - QUALITY AND SERVICE - PEOPLE AND CULTURE - PATIENT EXPERIENCE - FINANCIAL STRENGTH EACH PLAN YEAR, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD ("THE COMMITTEE"), IN ITS SOLE DISCRETION AND UNLESS OTHERWISE APPROPRIATELY DELEGATED, SELECTS PARTICIPANTS FROM A LIST OF ELIGIBLE EMPLOYEES NOMINATED BY THE CEO. THE CEO, EX OFFICIO, IS AN ELIGIBLE EMPLOYEE FOR PURPOSES OF SELECTION TO PARTICIPATE IN THE PLAN. EACH PLAN YEAR, THE COMMITTEE, BASED ON INPUT FROM THE CEO, MAY ESTABLISH A THRESHOLD AWARD, A TARGET AWARD AND/OR A MAXIMUM AWARD FOR EACH PARTICIPANT. AWARD OPPORTUNITIES ARE ESTABLISHED BASED ON COMPETITIVE MARKET PRACTICES AND ON NUVANCE HEALTH'S COMPENSATION PHILOSOPHY. AWARD OPPORTUNITIES MAY BE BASED ON ADDITIONAL FACTORS, INCLUDING NUVANCE HEALTH'S FINANCIAL AND OPERATIONAL PERFORMANCE, REFLECTING MARKET PAY PRACTICES AND BENCHMARKING FOR COMPARABLE POSITIONS, AND ANY OTHER FACTORS DEEMED RELEVANT BY THE COMMITTEE. EACH PLAN YEAR, THE COMMITTEE, AND UNLESS OTHERWISE APPROPRIATELY DELEGATED FOR ANY PLAN YEAR, SHALL ESTABLISH PERFORMANCE GOALS TO EVALUATE THE PERFORMANCE OF EACH PARTICIPANT. AFTER COMPLETION OF EACH PLAN YEAR, THE COMMITTEE MAY EVALUATE WHETHER THE PERFORMANCE OF NUVANCE HEALTH AND PARTICIPANT MEETS OR EXCEEDS THE PERFORMANCE GOALS ESTABLISHED FOR THE PLAN YEAR. IF PERFORMANCE WARRANTS, THE COMMITTEE MAY APPROVE A FINAL AWARD AMOUNT FOR EACH PARTICIPANT AND APPROVE ANY ADDITIONAL CONDITION ON PAYMENT OF THE AWARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO INDEPENDENT TRUSTEES. HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC ("HVCP") IS A SINGLE SHAREHOLDER CORPORATION. HVCP IS PART OF AN INTEGRATED DELIVERY SYSTEM THAT DOES HAVE A MORE THAN MAJORITY INDEPENDENT BOARD. FURTHER, THIS GOVERNANCE STRUCTURE HAS NOT CHANGED RELATIVE TO INDEPENDENCE SINCE IT WAS RECOGNIZED AS EXEMPT BY THE IRS AFTER IT WAS ORGANIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>HUDSON VALLEY CARDIOVASCULAR PRACTICE, PC ("HVCP") IS A SOLE SHAREHOLDER STOCK CORPORATION WITH STOCK ISSUED TO THE PRESIDENT CHRISTOPHER M. LEHRACH, MD. HVCP IS AN AFFILIATE OF HEALTH QUEST SYSTEM, INC. NUVANCE HEALTH IS THE SOLE MEMBER OF HEALTH QUEST SYSTEMS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRISTOPHER M. LEHRACH, MD IS THE SOLE SHAREHOLDER AND BOARD MEMBER OF THE ORGANIZATION, AND SERVES AS THE NOMINEE OF HEALTH QUEST SYSTEM ("HQS"). HQS (THE PARENT), THROUGH THIS RELATIONSHIP, RETAINS ULTIMATE AUTHORITY TO APPROVE/MAKE LARGE GOVERNANCE DECISIONS SUCH AS TERMINATION, MERGER OR LARGE CAPITAL EXPENDITURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE ORGANIZATION AND A DRAFT FORM 990 IS REVIEWED BY INTERNAL MANAGEMENT. A COMPLETE DRAFT IS THEN POSTED TO AN INTRANET SITE FOR NUVANCE BOARD MEMBERS, THE ULTIMATE PARENT OF THE ORGANIZATION, TO REVIEW PRIOR TO FILING. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, TRUSTEES/DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. RESPONSES ARE REVIEWED BY THE CHIEF COMPLIANCE, AUDIT &amp; PRIVACY OFFICER. AFTER A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED ALONG WITH ALL RELATED MATERIAL FACTS, THE BOARD PROCEEDS TO DISCUSS AND DETERMINE THROUGH A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. IF THE INTERESTED PERSON IS PRESENT AT THE START OF THE DISCUSSION, HE OR SHE MAY ANSWER QUESTIONS RELATED TO THE MATTER AND PROVIDE ADDITIONAL, RELEVANT FACTS BUT IS REQUIRED TO LEAVE THE MEETING DURING DELIBERATIONS REGARDING WHETHER AN ACTUAL CONFLICT OR DUALITY OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 14: THE ORGANIZATION FOLLOWS A RECORD RETENTION POLICY THAT HAS BEEN APPROVED ONLY BY THE AUDIT COMMITTEE, NOT THE FULL BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE CEO, TOP MANAGEMENT AND OTHER KEY EMPLOYEES IS ESTABLISHED BY THE HEALTH QUEST EXECUTIVE COMPENSATION COMMITTEE BASED ON INFORMATION AND SUPPORT OF AN INDEPENDENT THIRD PARTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICIES AND FINANCIAL STATEMENTS FOR THE AFFILIATE ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE PROVIDED EITHER ELECTRONICALLY OR PAPER COPIES. IN ADDITION, CERTAIN FINANCIAL INFORMATION IS AVAILABLE ON VARIOUS WEBSITES DUE TO REGULATORY FILINGS SUCH AS THE 990 AND BOND HOLDER AGREEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII (ADDT'L INFORMATION)</FormAndLineReferenceDesc>
        <ExplanationTxt>JENNIFER B. BIEDE BECAME A KEY EMPLOYEE ON OCTOBER 1, 2019. FOR THOSE OFFICERS AND TOP 5 EMPLOYEES, FOR WHICH ONLY 40 HOURS IS NOTED TO REFLECT PAID HOURS, ACTUAL HOURS WORKED EXCEEDED THIS AMOUNT. NOTE: ALL AMOUNTS IN COLUMN F, OF PART VII,"ESTIMATED AMOUNT OF OTHER COMPENSATION," REPRESENT BENEFITS, AND DO NOT REFLECT ANY COMPENSATION FOR WHICH THE AVERAGE AMOUNT OF TIME WORKED CAN BE REFLECTED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>ALAMO AMBULANCE SERVICES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>1351 ROUTE 55</AddressLine1Txt>
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        <LegalDomicileStateCd>CT</LegalDomicileStateCd>
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          <AddressLine1Txt>14 RESEARCH DRIVE SUITE 201A</AddressLine1Txt>
          <CityNm>BETHEL</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06801</ZIPCd>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>HEALTH QUEST HOME CARE INC (CERT)</BusinessNameLine1Txt>
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          <AddressLine1Txt>2649 SOUTH ROAD SUITE 220</AddressLine1Txt>
          <CityNm>POUGHKEEPSIE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12601</ZIPCd>
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          <BusinessNameLine1Txt>HQ</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>HEALTH QUEST HOME CARE INC (LIC)</BusinessNameLine1Txt>
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          <AddressLine1Txt>2649 SOUTH ROAD SUITE 220</AddressLine1Txt>
          <CityNm>POUGHKEEPSIE</CityNm>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>NDH FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>6531 SPRING BROOK AVENUE</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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        <USAddress>
          <AddressLine1Txt>PO BOX 5112</AddressLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTHERN DUTCHESS RES HLTH FACILITY INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>6526 SPRINGBROOK AVENUE</AddressLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORWALK HOSPITAL FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>34 MAPLE STREET</AddressLine1Txt>
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          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06850</ZIPCd>
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          <BusinessNameLine1Txt>WCHN</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NUVANCE HEALTH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1351 ROUTE 55</AddressLine1Txt>
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        <EIN>834214573</EIN>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NUVANCE HEALTH MEDICAL PRACTICE CT</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>14 RESEARCH DRIVE SUITE 201A</AddressLine1Txt>
          <CityNm>BETHEL</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06801</ZIPCd>
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        <PrimaryActivitiesTxt>PHYSICIAN SERVICES</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>WCHN</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>NUVANCE HEALTH MEDICAL PRACTICE PC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>45 READE PLACE</AddressLine1Txt>
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        <PrimaryActivitiesTxt>MEDICAL CARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>HQ</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PUTNAM HOSPITAL CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>670 STONELEIGH AVENUE</AddressLine1Txt>
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          <ZIPCd>10512</ZIPCd>
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        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>HQ</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PUTNAM HOSPITAL CENTER FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>670 STONELEIGH AVENUE</AddressLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE NORWALK HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>24 STEVENS STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>WCHN</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VASSAR BROTHERS HOSPITAL FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>45 READE PLACE</AddressLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VASSAR BROTHERS MEDICAL CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>45 READE PLACE</AddressLine1Txt>
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        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VASSAR HEALTH CONNECTICUT INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>50 HOSPITAL HILL ROAD</AddressLine1Txt>
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        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WELLS MANOR HOUSING DEVELOP FUND CORP</BusinessNameLine1Txt>
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          <AddressLine1Txt>56 ASTOR DRIVE</AddressLine1Txt>
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        <PrimaryActivitiesTxt>LOW INCOME</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WESTERN CONNECTICUT HOME CARE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>100 SAW MILL ROAD</AddressLine1Txt>
          <CityNm>DANBURY</CityNm>
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          <ZIPCd>06810</ZIPCd>
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          <BusinessNameLine1Txt>WCHN</BusinessNameLine1Txt>
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          <AddressLine1Txt>95 LOCUST AVENUE</AddressLine1Txt>
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          <AddressLine1Txt>24 HOSPITAL AVENUE</AddressLine1Txt>
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          <BusinessNameLine1Txt>NUVANCE</BusinessNameLine1Txt>
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          <AddressLine1Txt>21 ELM STREET</AddressLine1Txt>
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          <BusinessNameLine1Txt>NORWALK SURGERY CENTER LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>40 CROSS STREET SUITE 120</AddressLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WCHN INVESTMENTS LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>24 HOSPITAL AVE</AddressLine1Txt>
          <CityNm>DANBURY</CityNm>
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        <PrimaryActivitiesTxt>INVESTMENTS</PrimaryActivitiesTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>NUVANCE HEALTH INSURANCE COMPANY LTD</BusinessNameLine1Txt>
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          <AddressLine1Txt>23 LIME TREE BAY PO BOX 105</AddressLine1Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
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        <EIN>980438151</EIN>
        <PrimaryActivitiesTxt>MALPRACTICE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>SWC CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>24 STEVENS STREET</AddressLine1Txt>
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          <StateAbbreviationCd>CT</StateAbbreviationCd>
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          <BusinessNameLine1Txt>VBH INSURANCE CO LTD</BusinessNameLine1Txt>
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          <AddressLine1Txt>62 FORUM LANE 3RD FLOOR</AddressLine1Txt>
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        <PrimaryActivitiesTxt>MALPRACTICE</PrimaryActivitiesTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TACONIC IPA INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1351 ROUTE 55</AddressLine1Txt>
          <CityNm>LAGRANGEVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12540</ZIPCd>
        </USAddress>
        <EIN>223007320</EIN>
        <PrimaryActivitiesTxt>MEDICAL CARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>VASSAR HQ MED PRACTICE OF CT INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1351 ROUTE 55</AddressLine1Txt>
          <CityNm>LAGRANGEVILLE</CityNm>
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        <EIN>821466583</EIN>
        <PrimaryActivitiesTxt>MEDICAL CARE</PrimaryActivitiesTxt>
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