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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES KRAJACIC</PersonNm>
        <TitleTxt>VICE PRESIDENT, FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>165242</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7695</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE OGDEN</PersonNm>
        <TitleTxt>CHIEF OPERATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>228378</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18271</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MEGAN O'CONNER HEBERT</PersonNm>
        <TitleTxt>VICE PRESIDENT OF CARE MANAGEMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>105994</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12506</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>832784</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>43099</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDISKED</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>850 UNIVERSITY AVE</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14607</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING SERVICES</ServicesDesc>
        <CompensationAmt>1063124</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROBERT HALF TECHNOLOGY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2613 CAMINO RAMON</AddressLine1Txt>
            <CityNm>SAN RAMON</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94583</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY EMPLOYEE SERVICES</ServicesDesc>
        <CompensationAmt>199722</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AM WINSSPECIALTY CASUAL SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10 SOUTH LASALLE ST SUITE 2000</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60603</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING AND UNDERWRITING SERVICES</ServicesDesc>
        <CompensationAmt>143609</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PAYCOM PAYROLL LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7501 W MEMORIAL ROAD</AddressLine1Txt>
            <CityNm>OKLAHOMA CITY</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73142</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PAYROLL SERVICES</ServicesDesc>
        <CompensationAmt>130578</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH HOME CARE MANAGEMENT</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>55158915</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>55158915</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>55158915</TotalProgramServiceRevenueAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>55158915</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>55158915</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>690572</TotalAmt>
        <ManagementAndGeneralAmt>690572</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>29631273</TotalAmt>
        <ProgramServicesAmt>28687413</ProgramServicesAmt>
        <ManagementAndGeneralAmt>943860</ManagementAndGeneralAmt>
      </CompDisqualPersonsGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1918252</TotalAmt>
        <ProgramServicesAmt>1822669</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95583</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4800166</TotalAmt>
        <ProgramServicesAmt>4575537</ProgramServicesAmt>
        <ManagementAndGeneralAmt>224629</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2670719</TotalAmt>
        <ProgramServicesAmt>2531899</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138820</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>174487</TotalAmt>
        <ManagementAndGeneralAmt>174487</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>177575</TotalAmt>
        <ManagementAndGeneralAmt>177575</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1996353</TotalAmt>
        <ProgramServicesAmt>1165808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>830545</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>53515</TotalAmt>
        <ManagementAndGeneralAmt>53515</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>954133</TotalAmt>
        <ProgramServicesAmt>763306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>190827</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>446398</TotalAmt>
        <ProgramServicesAmt>446398</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>508911</TotalAmt>
        <ProgramServicesAmt>430861</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78050</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>512336</TotalAmt>
        <ProgramServicesAmt>512336</ProgramServicesAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>244976</TotalAmt>
        <ManagementAndGeneralAmt>244976</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>295951</TotalAmt>
        <ProgramServicesAmt>295951</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>177235</TotalAmt>
        <ManagementAndGeneralAmt>177235</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>LICENSE FEES</Desc>
        <TotalAmt>1092315</TotalAmt>
        <ProgramServicesAmt>1092315</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TRAINING AND RECRUITING</Desc>
        <TotalAmt>808771</TotalAmt>
        <ProgramServicesAmt>763574</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45197</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>INTERNET AND TELEPHONE</Desc>
        <TotalAmt>493030</TotalAmt>
        <ProgramServicesAmt>394424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98606</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE AND REPAIRS</Desc>
        <TotalAmt>209982</TotalAmt>
        <ProgramServicesAmt>209982</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>24452</TotalAmt>
        <ManagementAndGeneralAmt>24452</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>47881402</TotalAmt>
        <ProgramServicesAmt>43692473</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4188929</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>255698</BOYAmt>
        <EOYAmt>8009356</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>620560</BOYAmt>
        <EOYAmt>6433628</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>175000</BOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <EOYAmt>769866</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2832594</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>295951</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>2536643</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <EOYAmt>2000000</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>1051258</BOYAmt>
        <EOYAmt>19749493</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>80357</BOYAmt>
        <EOYAmt>6158522</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <EOYAmt>146789</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1200000</BOYAmt>
        <EOYAmt>1200000</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>5195768</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1280357</BOYAmt>
        <EOYAmt>12701079</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>-229099</BOYAmt>
        <EOYAmt>7048414</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-229099</BOYAmt>
        <EOYAmt>7048414</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1051258</BOYAmt>
        <EOYAmt>19749493</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>7277513</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus1YearAmt>44038</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>44038</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus1YearAmt>44038</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>44038</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>44038</PublicSupportTotal170Amt>
      <TotalSupportAmt>44038</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>55158915</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>1.00000</PublicSupportCY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>119223</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6475</DepreciationAmt>
        <BookValueAmt>112748</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1844298</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>235047</DepreciationAmt>
        <BookValueAmt>1609251</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>869073</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>54429</DepreciationAmt>
        <BookValueAmt>814644</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2536643</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO FUNDING SOURCES</Desc>
        <Amt>2836772</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ADMINISTRATIVE ADVANCES PAYABLE</Desc>
        <Amt>2358996</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5195768</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>55158915</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>55158915</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>55158915</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>47881402</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>47881402</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>47881402</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES MORAN</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>222655</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>110515</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2679</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1948</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>337797</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES KRAJACIC</PersonNm>
        <TitleTxt>VICE PRESIDENT, FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>165242</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1719</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5976</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>172937</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNE OGDEN</PersonNm>
        <TitleTxt>CHIEF OPERATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>158567</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>69811</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1920</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16351</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>246649</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>NEW YORK STATE IMPLEMENTED THE NEW CARE MANAGEMENT PROGRAM UNDER THE CCO ON JULY 1, 2018, WHICH IS WHEN THE COMPANY BEGAN OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>IN NOVEMBER 2017, THE COMPANY BORROWED $1,200,000 FROM MEMBER AGENCIES TO FINANCE PREOPERATIONAL EXPENSES OF THE COMPANY. THESE NOTES ARE TO BE REPAID IN FULL BY JULY 31, 2021 AND BEAR INTEREST AT THE RATE OF 2% PER ANNUM. AMOUNTS PAYABLE TO EACH MEMBER AGENCY AT DECEMBER 31, 2018 ARE AS FOLLOWS: NEW YORK INTEGRATED NETWORK FOR PERSONS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES $ 306,000 PARTNERSHIPS FOR HEALTHCARE SOLUTIONS, INC. 306,000 CAPITAL NORTH CARES, LLC 219,000 YOUNG ADULT INSTITUTE, INC. 183,000 HUDSON VALLEY CARE COORDINATION SERVICES, INC. 75,000 NEW YORK ASSOCIATION OF EMERGING AND MULTICULTURAL PROVIDERS, INC. 75,000 ASIAN AMERICAN CARE NETWORK, INC. 36,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH MEMBER HAS A MEMBERSHIP INTEREST IN THE COMPANY. THE MEMBERS HEREBY AGREE THAT A MEMBERSHIP INTEREST IN THE COMPANY SHALL FOR ALL INTENTS AND PURPOSES BE CLASSIFIED AS PERSONAL PROPERTY. THE MEMBERS HAVE NO OWNDERSHIP INTEREST IN SPECIFIC COMPANY PROPERTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONAL MEMBERS MAY BE ADMITTED TO THE COMPANY UPON APPROVAL OF ALL THE MEMBERS .</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING ACTIONS SHALL REQUIRE APPROVAL BY ALL ONE HUNDRED (100) VOTES OF THE MEMBERS: (I) A SALE, LEASE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE COMPANY; (II) MERGER, CONSOLIDATION, OR DISSOLUTION OF THE COMPANY; (III) ADMISSION, TERMINATION, RESIGNATION, REDEMPTION, OR REPURCHASE, OR TRANSFER OF MEMBERSHIP INTERESTS REQUIRING ALL EXISTING MEMBERS TO APPROVE THE ADMISSION OF A NEW MEMBER AND (IV) AMENDMENT OR REPEAL OF THE ARTICLES OF ORGANIZATION OR THIS AGREEMENT. THE FOLLOWING ACTIONS SHALL REQUIRE APPROVAL BY AT LEAST SEVENTY-FIVE (75) VOTES OF THE MEMBERS: (I) ANY EXPENDITURES BY THE COMPANY OVET $150,000 THAT WERE NOT APPROVED AS PART OF THE COMPANY'S BUDGET; (II) ANY INCURRENCE OF DEBT BY THE COMPANY FROM THE MEMBERS OR OTHER ENTITIES OVER $150,000; (III) ANY CHANGE IN THE PURPOSES OR MISSION OF THE COMPANY; (IV) ADOPTION OF ANY LONG-RANGE STRATEGIC PLANS; AND (V) CONVERSION FROM A LIMITED LIABILITY COMPANY TO ANY OTHER CORPORATE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWED AND APPROVED THE FORM 990 AND AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER COMPLETION OF THE FIRST DRAFT OF THE RETURN, THE RETURN IS PRESENTED TO THE BOARD OF MANAGERS FOR REVIEW AND COMMENT. ALL COMMENTS ARE COLLECTED AND DISCUSSED AT A SPECIAL BOARD MEETING IF NEEDED. ANY CHANGES, IF NEEDED, ARE MADE TO THE FINAL 990 RETURN BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OFFICERS AND BOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. ANY PERSONAL REMUNERATION OR GAIN FROM THE VENDORS, RELATED PARTIES ARE RESTRICTLY FORBIDDEN. THE COMPLIANCE DEPARTMENT OFFERS AN ANNUAL MANDATORY TRAINING FOR ALL EMPLOYEES AS WELL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>