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        <PersonNm>JAMES KNICKMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES MANN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOAN M LEIMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUSSI TAIPALE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA FRIED</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MITCHELL KATZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MUNAWAR AHMED</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OXIRIS BARBOT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND P JONES SR</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT KAUFMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RYAN MILLER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHOSHANNA SOFAER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN SIMCOCK</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TANYA SHAH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE NOLLEN</PersonNm>
        <TitleTxt>VP - CAMS AND CSO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>236185</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48849</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEANETTE LEE</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>229146</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10682</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN FITZPATRICK</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>217497</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58296</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTA LEPPER</PersonNm>
        <TitleTxt>VP LEGAL AFFAIRS GEN COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>171866</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10052</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA DAVID</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>333193</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28672</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA JAKOBSBERG</PersonNm>
        <TitleTxt>VP - DEV. &amp; COMM.</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>197331</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48471</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ZACHARIAH HENNESSEY</PersonNm>
        <TitleTxt>VP - PUBLIC HEALTH PROGR.</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>221208</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29383</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARLA TEPPER</PersonNm>
        <TitleTxt>VP. PUBLIC HEALTH PGR (OUTGOING)</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>31133</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7001</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETTINA CARROLL</PersonNm>
        <TitleTxt>SR. DIR. OF PROG. &amp; CONTRA</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>173524</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26400</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELAINE SANTIAGO</PersonNm>
        <TitleTxt>CONTROLLER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>165434</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27318</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EMILY MORGAN</PersonNm>
        <TitleTxt>CHIEF OF STAFF</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>183405</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19536</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER JENSEN</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>170073</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21577</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSEMARIE SANTOS- SANIDAD</PersonNm>
        <TitleTxt>ASSISTANT CONTROLLER-GRANTS MGMT</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>157129</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10210</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2487124</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>346447</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>46</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HLN CONSULTINGLLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>72810 HEDGEHOG ST</AddressLine1Txt>
            <CityNm>PALM DESERT</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92260</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>259232</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ONCALL LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>60 EAST 42 STREET SUITE 1750</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10165</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>VARIUS OURSOURCED SERVICES</ServicesDesc>
        <CompensationAmt>162410</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MARKS PANETH LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>685 3RD AVE</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AUDIT SERVICES</ServicesDesc>
        <CompensationAmt>156225</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OPAD MEDIA SOLUTIONSLLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>275 MADISON AVE</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10016</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>134074</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MANATTPHELPS&amp; PHILLIPS LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7 TIMES SQ</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10016</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>125000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>236655880</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>12430052</AllOtherContributionsAmt>
      <TotalContributionsAmt>249085932</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>521992</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>521992</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>349301</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>349301</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>871293</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>49384</TotalRevenueColumnAmt>
        <ExclusionAmt>49384</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>34981</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34981</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>34981</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>250041590</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>906274</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>49384</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1878964</TotalAmt>
        <ProgramServicesAmt>368662</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1346418</ManagementAndGeneralAmt>
        <FundraisingAmt>163884</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>27720392</TotalAmt>
        <ProgramServicesAmt>25338455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2257689</ManagementAndGeneralAmt>
        <FundraisingAmt>124248</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>2160858</TotalAmt>
        <ProgramServicesAmt>1871989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>271998</ManagementAndGeneralAmt>
        <FundraisingAmt>16871</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2692148</TotalAmt>
        <ProgramServicesAmt>2390666</ProgramServicesAmt>
        <ManagementAndGeneralAmt>299481</ManagementAndGeneralAmt>
        <FundraisingAmt>2001</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2447340</TotalAmt>
        <ProgramServicesAmt>2073355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>351796</ManagementAndGeneralAmt>
        <FundraisingAmt>22189</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>56577</TotalAmt>
        <ProgramServicesAmt>53991</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2416</ManagementAndGeneralAmt>
        <FundraisingAmt>170</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>90050</TotalAmt>
        <ManagementAndGeneralAmt>90050</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>194077117</TotalAmt>
        <ProgramServicesAmt>193296038</ProgramServicesAmt>
        <ManagementAndGeneralAmt>723009</ManagementAndGeneralAmt>
        <FundraisingAmt>58070</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>460640</TotalAmt>
        <ProgramServicesAmt>438691</ProgramServicesAmt>
        <FundraisingAmt>21949</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>3547927</TotalAmt>
        <ProgramServicesAmt>3295531</ProgramServicesAmt>
        <ManagementAndGeneralAmt>244176</ManagementAndGeneralAmt>
        <FundraisingAmt>8220</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1261832</TotalAmt>
        <ProgramServicesAmt>1186339</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74116</ManagementAndGeneralAmt>
        <FundraisingAmt>1377</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>4461998</TotalAmt>
        <ProgramServicesAmt>3213701</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1228378</ManagementAndGeneralAmt>
        <FundraisingAmt>19919</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>154683</TotalAmt>
        <ProgramServicesAmt>146000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8683</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>123338</TotalAmt>
        <ProgramServicesAmt>115750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>844</ManagementAndGeneralAmt>
        <FundraisingAmt>6744</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>478616</TotalAmt>
        <ProgramServicesAmt>354830</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123786</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>246641</TotalAmt>
        <ProgramServicesAmt>156512</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90129</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES</Desc>
        <TotalAmt>1648177</TotalAmt>
        <ProgramServicesAmt>1580083</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66523</ManagementAndGeneralAmt>
        <FundraisingAmt>1571</FundraisingAmt>
      </OtherExpensesGrp>
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        <Desc>REPAIR AND MAINT</Desc>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO MONITOR AND INFORM PUBLIC HEALTH SOLUTIONS OF THE INTRODUCTION AND PROCESS OF BILLS OF INTEREST, ESPECIALLY IN THE HEALTH AND HUMAN SERVICES FIELD. TO ACT AS AN INTERFACE BETWEEN PUBLIC HEALTH SOLUTIONS AND STATE GOVERNMENT, IN GENERAL, PARTICULARLY THE HEALTH DEPARTMENT, THE OFFICE OF CHILDREN AND FAMILY SERVICES, AND THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, NEW YORK CITY COUNCIL AND HUMAN RESOURCES ADMINISTRATION, AND THE DEPARTMENT OF SOCIAL SERVICES AS REQUESTED FROM TIME TO TIME.</ExplanationTxt>
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        <PersonNm>EMILY MORGAN</PersonNm>
        <TitleTxt>CHIEF OF STAFF</TitleTxt>
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        <PersonNm>ELAINE SANTIAGO</PersonNm>
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        <PersonNm>PETER JENSEN</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
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        <PersonNm>KRISTA LEPPER</PersonNm>
        <TitleTxt>VP LEGAL AFFAIRS GEN COUNSEL</TitleTxt>
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        <PersonNm>ROSEMARIE SANTOS- SANIDAD</PersonNm>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>POTENTIAL. PHS IS UNIQUE IN OUR ABILITY TO PROVIDE BOOTS-ON-THE-GROUND SERVICES IN HIGH-NEED COMMUNITIES, SERVE AS A CONDUIT OF ACCOUNTABILITY FOR HUNDREDS OF COMMUNITY-BASED ORGANIZATIONS TACKLING MAJOR PUBLIC HEALTH ISSUES ACROSS THE FIVE BOROUGHS, AND BRIDGE THE GAP BETWEEN HEALTHCARE AND COMMUNITIES. WE FOCUS ON A WIDE RANGE OF PUBLIC HEALTH ISSUES INCLUDING FOOD AND NUTRITION, HEALTH INSURANCE, MATERNAL AND CHILD HEALTH, SEXUAL AND REPRODUCTIVE HEALTH, TOBACCO CONTROL, AND HIV/AIDS. PHS HAS A STRONG FOCUS ON HEALTH EQUITY TO ENSURE FAMILIES IN NEW YORK CITY HAVE THE BASICS FOR A HEALTHIER LIFE. PHS' MISSION IS TO SUPPORT UNDERSERVED NEW YORK CITY FAMILIES IN ACHIEVING OPTIMAL HEALTH AND BUILDING PATHWAYS TO REACH THEIR POTENTIAL. AS THE LARGEST PUBLIC HEALTH NONPROFIT SERVING NEW YORK CITY, WE IMPROVE HEALTH OUTCOMES AND HELP COMMUNITIES THRIVE BY PROVIDING SERVICES DIRECTLY TO LOW-INCOME FAMILIES, SUPPORTING 200 COMMUNITY-BASED ORGANIZATIONS THROUGH OUR LONG-STANDING PUBLIC-PRIVATE PARTNERSHIPS AND BRIDGING THE GAP BETWEEN HEALTH CARE AND SOCIAL SERVICE ORGANIZATIONS THROUGH A COMMUNITY RESOURCE NETWORK. WE FOCUS ON A WIDE RANGE OF PUBLIC HEALTH ISSUES THAT OVERWHELMINGLY AFFECT THE ABILITY OF UNDERSERVED NEW YORKERS TO LIVE THEIR HEALTHIEST LIFE. THESE ISSUES INCLUDE FOOD AND NUTRITION, HEALTH INSURANCE, MATERNAL AND CHILD HEALTH, REPRODUCTIVE AND SEXUAL HEALTH, TOBACCO CONTROL, AND HIV/AIDS. PHS HAS A STRONG FOCUS ON HEALTH EQUITY TO ENSURE FAMILIES IN NEW YORK CITY HAVE THE BASICS FOR A HEALTHIER LIFE. HIGHLIGHTS OF OUR WORK INCLUDE: MORE THAN 200 COMMUNITY-BASED ORGANIZATIONS AND GOVERNMENT AGENCIES RELY ON PUBLIC HEALTH SOLUTIONS TO DIRECT FUNDS TO NEW YORKERS AND COMMUNITIES MOST IN NEED. WE PROVIDE CONTRACTING AND MANAGEMENT EXPERTISE TO THE NYCDOHMH PROGRAMS THROUGHOUT THE FIVE BOROUGHS, AND SERVE AS A THIRD-PARTY ADMINISTRATOR FOR THE NYC HEALTH + HOSPITALS PERFORMING PROVIDER SYSTEM, ONE OF NEW YORK STATE'S LARGEST MEDICAID DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) PROVIDERS. MORE THAN 27,000 LOW-INCOME WOMEN AND CHILDREN RECEIVE FOOD AND NUTRITION SUPPORT, INCLUDING FOOD PACKAGES, NUTRITION EDUCATION, BREASTFEEDING SUPPORT AND REFERRALS TO OTHER SOCIAL SERVICES THROUGH PHS' NEIGHBORHOOD WIC PROGRAM, WHICH IS THE LARGEST WIC PROGRAM IN NEW YORK STATE. PHS HAS CONTRIBUTED TO THE INCIDENCE OF HIV/AIDS IN NYC REACHING AN ALL-TIME LOW SINCE THE START OF THE EPIDEMIC. OUR WORK PROMOTES THE IMMINENT ERADICATION OF AIDS IN NYC THROUGH RESEARCH, SERVICE DELIVERY AND FUNDING ADMINISTRATION. WE ENGAGE OVER 200 COMMUNITY-BASED ORGANIZATIONS AROUND THE CITY IN HIV-RELATED OUTREACH. PHS SUPPORTS MORE THAN 1,300 FAMILIES ANNUALLY WITH THE LIFE-CHANGING, MULTI-GENERATIONAL IMPACTS OF HOME-VISITING PROGRAMS. BECAUSE OF OUR PROGRAMS, YOUNG MOTHERS ARE MORE LIKELY TO FINISH SCHOOL AND LAND A JOB, THEIR RISK OF DELIVERING A LOW BIRTHWEIGHT BABY IS REDUCED BY HALF, AND THEIR CHILDREN ARE 2.7 TIMES MORE LIKELY TO PARTICIPATE IN A GIFTED LEARNING PROGRAM AND HAVE A 67% REDUCTION IN BEHAVIORAL AND INTELLECTUAL PROBLEMS. OUR PROGRAMS ALSO FOCUS ON FATHERHOOD ENGAGEMENT BY HELPING FATHERS BOND AND CARE FOR THEIR CHILDREN, WE ARE IMPROVING THE HEALTH OF FAMILIES AS A WHOLE. OVER 19,000 APARTMENT UNITS ARE SMOKE-FREE BECAUSE OF PHS' YOUTH ADVOCACY AND COMMUNITY ENGAGEMENT WORK IN THE NYC SMOKE-FREE PROGRAM. EVERY YEAR, PHS ENROLLS OVER 20,000 INDIVIDUALS, INCLUDING 65+ SENIORS AND NEW YORKERS WITH DISABILITIES, IN HEALTH INSURANCE. OUR WORK HAS CONTRIBUTED TO THE RATE OF UNINSURED INDIVIDUALS IN NEW YORK STATE REACHING A HISTORIC LOWEST POINT EVER OF 4.7 PERCENT IN 2018. PHS HELPS PUT FOOD ON THE TABLE FOR MORE THAN 20,000 INDIVIDUAL NEW YORKERS ANNUALLY THROUGH OUR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) ENROLLMENT PROGRAM. SNAP PLAYS A CRITICAL ROLE IN REDUCING HUNGER, MALNUTRITION, AND POVERTY, AND IMPROVING FAMILY SECURITY, CHILD AND ADULT HEALTH, EMPLOYMENT, AND OTHER OUTCOMES. ECONOMISTS CONSIDER SNAP TO BE ONE OF THE MOST EFFECTIVE FORMS OF ECONOMIC STIMULUS. PHS' COMMUNITY RESOURCE NETWORK INCLUDES OVER 210 ORGANIZATIONS WITH AT LEAST 755 DIRECT USERS, AND OFFERS MORE THAN 360 SERVICES ACROSS ALL BOROUGHS OF NEW YORK CITY THAT ADDRESS SOCIAL DETERMINANTS OF HEALTH NEEDS SUCH AS FOOD INSECURITY, HOUSING ASSISTANCE, BENEFITS ENROLLMENT, AND MANY OTHERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PREPARED JOINTLY BY PUBLIC HEALTH SOLUTIONS' INDEPENDENT AUDITOR BASED ON THE INFORMATION GATHERED AS A RESULT OF THE YEAR-END AUDIT AND INFORMATION PROVIDED BY THE FINANCE DEPARTMENT WITH THE ASSISTANCE OF SENIOR MANAGERS FROM RELEVANT DEPARTMENTS, WHERE NECESSARY. A COMPLETE DRAFT IS THEN REVIEWED BY PUBLIC HEALTH SOLUTIONS' EXECUTIVE MANAGEMENT. THE DRAFT IS THEN PROVIDED TO THE AUDIT &amp; COMPLIANCE COMMITTEE FOR THEIR REVIEW AND APPROVAL FOR PRESENTATION TO THE GOVERNING BOARD OF DIRECTORS. AFTER IS DISTRIBUTED TO THE ENTIRE BOARD, FORM 990 IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST STATEMENT AND MANAGEMENT MAINTAINS A RECORD OF ALL BOARD AFFILIATIONS. CONFLICT OF INTEREST SITUATIONS ARE PRECLUDED BY THE ADMINISTRATIVE PROCESSES IN PLACE AT PUBLIC HEALTH SOLUTIONS FOR ENTERING INTO CONTRACTS AND PURCHASING NON-CONTRACTED GOODS AND SERVICES. ALL CONTRACTING AND PURCHASING IS HANDLED BY APPROPRIATE PUBLIC HEALTH SOLUTIONS' STAFF IN ACCORDANCE WITH CORPORATE POLICIES AND PROCEDURES THAT REQUIRE COMPETITION AND INTERNAL APPROVALS AT VARIOUS LEVELS WITHIN THE ORGANIZATION. BOARD APPROVAL IS NOT REQUIRED TO ENTER INTO A CONTRACT OR MAKE A PURCHASE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC HEALTH SOLUTIONS REQUIRES A WORKFORCE CONSISTING OF DIVERSIFIED EDUCATIONAL AND TECHNICAL BACKGROUNDS IN THE AREAS OF CONCERN ADDRESSED BY PUBLIC HEALTH SOLUTIONS. COMPENSATION PHILOSOPHY ENCOURAGES INTERNAL FAIRNESS OF ITS PAY PROGRAM AND EXTERNAL COMPETITIVENESS IN THE VARIOUS MARKET PLACES FOR WHICH IT HIRES EMPLOYEES. BASED ON THE COMPENSATION COMMITTEE'S RECOMMENDATIONS, THE BOARD THEN MAKES A SALARY RECOMMENDATION FOR ITS CEO AND OFFICERS. THE OVERALL GOAL OF THE PUBLIC HEALTH SOLUTIONS COMPENSATION PHILOSOPHY IS TO ATTRACT HIGH-QUALITY EMPLOYEES AT VARIOUS LEVELS IN THE ORGANIZATION AND TO RETAIN THESE EMPLOYEES WITH A COMPREHENSIVE SALARY AND BENEFITS PLAN THAT IS COMPETITIVE IN THE MARKET PLACES FOR WHICH IT COMPETES FOR EMPLOYEES. AN ADDITIONAL GOAL IS TO CREATE CAREER LONGEVITY BY ADHERING TO THE PHILOSOPHY OF INTERNAL EQUITY, EXTERNAL COMPETITIVENESS, AND PERFORMANCE MANAGEMENT. WE AIM TO PAY ALL OUR EMPLOYEES, INCLUDING OFFICERS AND HIGHLY COMPENSATED EMPLOYEES, WITHIN THE MEDIAN OF THE MARKET(S) IN WHICH WE COMPETE FOR TALENT. PUBLIC HEALTH SOLUTIONS PLANS TO CONTINUE ITS PAY PHILOSOPHY FOR THE FUTURE AND WILL MONITOR THE MARKETPLACE FOR TALENT ON A REGULAR BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC HEALTH SOLUTIONS FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ON WWW.GUIDESTAR.COM. THEY ARE ALSO AVAILABLE FROM THE NYS ATTORNEY GENERAL'S OFFICE. PUBLIC HEALTH SOLUTIONS MAKES ITS FINANCIAL STATEMENTS AND 990 AVAILABLE ON ITS WEBSITE WWW.HEALTHSOLUTIONS.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 18,175,443. MANAGEMENT AND GENERAL EXPENSES 723,009. FUNDRAISING EXPENSES 58,070. TOTAL EXPENSES 18,956,522. TITLE X: PROGRAM SERVICE EXPENSES 1,209. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,209. RYAN WHITE: PROGRAM SERVICE EXPENSES 76,807,915. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,807,915. HIV PREVENTION: PROGRAM SERVICE EXPENSES 45,672,050. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,672,050. CTL MASTER ADMINSTRATOR: PROGRAM SERVICE EXPENSES 23,384,066. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,384,066. EMERGENCY PREPAREDNESS: PROGRAM SERVICE EXPENSES 22,275,065. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,275,065. VARIOUS: PROGRAM SERVICE EXPENSES 6,980,290. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,980,290.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION LIABILITY ADJUSTMENT -4,170,962.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
