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        <PersonNm>AMY LOUNSBERY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ARTHUR PEARSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARVIN REED</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JIM REYNOLDS</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN RIDGEWAY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICKY RYDER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN SHEETS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBRA FENOCCHI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIA FRAWLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>L J FREITAG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT GOODFELLOW JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE PEARLMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN SCHULTZ</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>102809</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16382</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE WOLFSON</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27268</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL JOSLYN</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR/CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>112673</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23748</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>327117</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>67398</TotalOtherCompensationAmt>
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      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GENAPOLE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8223 MOLSON WAY</AddressLine1Txt>
            <CityNm>LIVERPOOL</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13090</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ONSITE FACILITY SERVICES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5 LUMBER WAY</AddressLine1Txt>
            <CityNm>LIVERPOOL</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13090</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION CONTRACTOR</ServicesDesc>
        <CompensationAmt>149930</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GRASSHOPPER LANDSCAPING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6411 ISLAND ROAD</AddressLine1Txt>
            <CityNm>CICERO</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13039</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GROUNDS KEEPING SERVICE</ServicesDesc>
        <CompensationAmt>126342</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACCOUNTEMPS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>255 EAST AVE STE 401</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14604</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HR WORKS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 WILLOWBROOK OFFICE PARK</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14450</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>114315</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>46870</FederatedCampaignsAmt>
      <FundraisingAmt>90642</FundraisingAmt>
      <AllOtherContributionsAmt>221449</AllOtherContributionsAmt>
      <TotalContributionsAmt>358961</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>30069323</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30069323</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER GOVERNMENT SUPPORT</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>7089300</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7089300</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLIENT FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>2629437</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2629437</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>39788060</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3920</TotalRevenueColumnAmt>
        <ExclusionAmt>3920</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>23335</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>90642</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>37401</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-14066</TotalRevenueColumnAmt>
        <ExclusionAmt>-14066</ExclusionAmt>
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        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>925171</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <ProgramServicesAmt>22405613</ProgramServicesAmt>
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        <ProgramServicesAmt>2359112</ProgramServicesAmt>
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        <ProgramServicesAmt>3088632</ProgramServicesAmt>
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        <FundraisingAmt>13400</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>1183</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>57730</TotalAmt>
        <ManagementAndGeneralAmt>57730</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>282953</ProgramServicesAmt>
        <ManagementAndGeneralAmt>430824</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>82150</ProgramServicesAmt>
        <ManagementAndGeneralAmt>299739</ManagementAndGeneralAmt>
        <FundraisingAmt>7597</FundraisingAmt>
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        <ProgramServicesAmt>1996304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162670</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>660501</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70260</ManagementAndGeneralAmt>
        <FundraisingAmt>1341</FundraisingAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>214918</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34537</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>430053</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53147</ManagementAndGeneralAmt>
        <FundraisingAmt>1125</FundraisingAmt>
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        <ProgramServicesAmt>90111</ProgramServicesAmt>
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        <ProgramServicesAmt>3344748</ProgramServicesAmt>
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        <FundraisingAmt>4010</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>306916</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>222676</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>94297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160455</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>35727863</ProgramServicesAmt>
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        <EOYAmt>5241400</EOYAmt>
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        <EOYAmt>6611917</EOYAmt>
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        <EOYAmt>219533</EOYAmt>
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        <EOYAmt>8653791</EOYAmt>
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        <EOYAmt>563153</EOYAmt>
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        <EOYAmt>21471806</EOYAmt>
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        <EOYAmt>2543727</EOYAmt>
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        <EOYAmt>8863440</EOYAmt>
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        <EOYAmt>14000</EOYAmt>
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        <EOYAmt>25500</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>21471806</EOYAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>435838</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>254803</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>444740</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>358961</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>444740</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>358961</CurrentTaxYearAmt>
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