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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>63500</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>0</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>14477068</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1051246</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>None</PersonNm>
        </ContractorName>
        <ContractorAddress />
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <TotalContributionsAmt>0</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>524114</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>-6190061</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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        <ExclusionAmt>1030938</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1383396</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1383332</SecuritiesAmt>
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      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>64</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>-6190061</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>1031002</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
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      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
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      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
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      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
        <TotalAmt>0</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>-1897</ProgramServicesAmt>
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      <AdvertisingGrp>
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      <OfficeExpensesGrp>
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        <ManagementAndGeneralAmt>21504</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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      <RoyaltiesGrp>
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      <OccupancyGrp>
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      <TravelGrp>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>580534</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ManagementAndGeneralAmt>1268</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>-226276</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Pharmacy Expense</Desc>
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        <ProgramServicesAmt>-4</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>52</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Regulatory Expense</Desc>
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        <ProgramServicesAmt>750</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>-227427</ProgramServicesAmt>
        <ManagementAndGeneralAmt>603358</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>10969</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>45571787</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>855321</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>0</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>0</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>7379925</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7379925</LandBldgEquipAccumDeprecAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>0</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>66836</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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      <EscrowAccountLiabilityGrp>
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      <LoansFromOfficersDirectorsGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>6978643</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <TotalAmt>875370299</TotalAmt>
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      <GrossReceiptsNonUnrltBusGrp>
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      </GrossReceiptsNonUnrltBusGrp>
      <TaxRevLeviedOrgnztnlBnft509Grp>
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      <GovtFurnSrvcFcltsVl509Grp>
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        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
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        <DepreciationAmt>7379925</DepreciationAmt>
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      </EquipmentGrp>
      <OtherLandBuildingsGrp />
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>6693849</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6693849</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, QUESTION 2</FormAndLineReferenceDesc>
        <ExplanationTxt>To account for uncertainty in income taxes, a tax position can be recognized in the financial statements only when it is more likely than not that the position will be sustained upon examination by the relevant taxing authority based on the technical merits of the position. A position that meets this standard is measured at the largest amount of benefit that will more likely than not be realized upon settlement. A liability is established for differences between positions taken in a tax return and amounts recognized in the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>false</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>true</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Denise Gonick</PersonNm>
        <TitleTxt>Dir(thru 6/6), CEO(thru 8/31)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>543954</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>3467496</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>365520</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12631</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>5753862</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher DelVecchio</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carl Cameron</PersonNm>
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        <PersonNm>Emily Titsworth</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch J Part I Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The payment of these expenses is made as part of the total rewards package to executives as reviewed within our overall compensation philosophy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch J Part I Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>The following employees listed on Schedule J received separation payments during 2019: Denise Gonick $3,019,169</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch J Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>During the year, several of the persons listed on Schedule J participated in a supplemental non-qualified retirement plan. Employer and employee contributions during the year to this plan have been reported, as required, on Schedule J, Part II, Columns (B)(III) and (C). The following officers and key employees received payments under this supplemental non-qualified retirement plan during the year: Gonick, Denise $ 427,399 DelVecchio, Christopher $ 42,230 Austen, Karla $ 30,579 Buhler Clancy, Catherine $ 35,707 Montgomery, Susan $ 20,003 Cameron, Carl $ 41,243 Martin, Augusta $ 33,793 Della Villa, Michael $ 2,090 Metheny, Laurie $ 21,741</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch J Part I Line 5b</FormAndLineReferenceDesc>
        <ExplanationTxt>Relative to bonuses, MVP's board has a compensation committee made up of four board members who provide governance oversight procedures to ensure adequate board oversight of its executive compensation programs. The compensation committee meets at least two times per year and maintains formal minutes evidencing this oversight. Additionally, MVP engages an independent consultant to evaluate the competitiveness of existing remuneration levels for purposes of attracting and retaining talented staff at all levels. MVP provides bonus programs to employees that tie variable pay and individual performance to the corporate goals of the organization. The plans include long-term incentives for executives, management incentives for management-level and above performance incentive for the balance of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINES 6, 7A &amp; 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization is a membership (not a stock) corporation under New York State law. The organization's sole corporate member is MVP Health Plan, Inc., a related not for profit entity. The member appoints Chair and Vice Chair of the organization's baord of directors, approves amendments to the organization's Certificate of Incorporation and/or the Bylaws. The member designates additional members or classes of members to the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's sole corporate member elects the members of the governing body annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The form 990 is reviewed by the organization's management (i.e. a team comprised of representatives of the finance, human resources, and legal affairs departments) in consultation with the organization's tax accountants at KPMG LLP. The financial review is based on the organization's audited financial statements for the relevant time period. Before the form 990 is filed with the IRS, the audit committee of MVP Health Plan, Inc.'s board of directors reviews the form 990 and provides a copy of the same to the organization's full board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>As a term and condition of employment/appointment, upon employment/appointment and annually thereafter, each employee and officer of the organization is required to complete a conflict of interest disclosure form, providing management with sufficient information about their personal interests and relationships that management can: 1) make a determination as to whether an actual or perceived conflict of interest exists 2) monitor work assignments/responsibilities to avoid placing the individual in a position where there may be a question as to objectivity and to avoid any appearance of impropriety. Employees and officers are also obligated to promptly notify their managers of any changes to their disclosures throughout the year. Directors of the organization are also required to complete a conflict of interest disclosure form upon appointment/election and annually thereafter. Directors' conflict of interest disclosure forms are submitted to the legal affairs department. The legal affairs department tracks these forms to ensure that each and every director completes one. The legal affairs department then reviews the directors' disclosures, prepares a chart listing each one, and provides a copy of the chart to each director so that all directors are made aware of all directors' potential conflicts of interest. When an issue which presents a potential conflict of interest comes before the board of directors, the affected director must recuse himself/herself from all related votes or approvals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>An independent consultant was hired to evaluate the compensation arrangements for the CEO and the CEO's direct reports and compare them to industry standards to determine/confirm that the compensation structure is reasonable. Such compensation arrangements are subject to the final approval of the compensation committee. This process meets the requirements of the rebuttable presumption standard.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available to the public (upon request) in accordance with applicable law and regulation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MVP Health Plan Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>625 State Street</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>141640868</EIN>
        <PrimaryActivitiesTxt>HMO/MCARE/MCD</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(4)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVPHP Hold</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MVP Health Care Inc</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>MVP Select Care Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>625 State Street</AddressLine1Txt>
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      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
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      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
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      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>