﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2017v2.3">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2018-11-15T07:52:56-06:00</ReturnTs>
    <TaxPeriodEndDt>2017-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmName>
        <BusinessNameLine1Txt>KPMG LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>515 Broadway 4th Floor</AddressLine1Txt>
        <CityNm>Albany</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>122072974</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2017-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>141640868</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>MVP HEALTH PLAN INC</BusinessNameLine1Txt>
      </BusinessName>
      <InCareOfNm>% Karla A Austen</InCareOfNm>
      <BusinessNameControlTxt>MVPH</BusinessNameControlTxt>
      <PhoneNum>5183882357</PhoneNum>
      <USAddress>
        <AddressLine1Txt>625 State Street</AddressLine1Txt>
        <CityNm>Schenectady</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>12305</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>KARLA AUSTEN</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>5183882357</PhoneNum>
      <SignatureDt>2018-11-14</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Todd P Teresco</PreparerPersonNm>
      <PTIN>P00247720</PTIN>
      <PhoneNum>5184274600</PhoneNum>
      <PreparationDt>2018-11-14</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>167.68.102.5</IPv4AddressTxt>
      </IPAddress>
      <FederalOriginalSubmissionId>14012520183195000003</FederalOriginalSubmissionId>
      <FederalOriginalSubmissionIdDt>2018-11-15</FederalOriginalSubmissionIdDt>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>7B5190DACD7950FB62E11B317DAE60956DD6A6E7</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>1C799DD8F88AC149058D05F58595DBEBA38292AF</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2017</TaxYr>
    <BuildTS>2019-02-21 02:37:17Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <PrincipalOfficerNm>KARLA AUSTEN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>625 State Street</AddressLine1Txt>
        <CityNm>Schenectady</CityNm>
        <StateAbbreviationCd>NY</StateAbbreviationCd>
        <ZIPCd>12305</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>2977264168</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501cInd organization501cTypeTxt="4">X</Organization501cInd>
      <WebsiteAddressTxt>www.mvphealthcare.com</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1982</FormationYr>
      <LegalDomicileStateCd>NY</LegalDomicileStateCd>
      <ActivityOrMissionDesc>a not-for-profit health maintenance org serving upstate NY and VT communities including their NY Medicaid, CHIP, HARP, Essential Plan, Medicare &amp; Exchange populations.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>12</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>12</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>1946</TotalEmployeeCnt>
      <TotalVolunteersCnt>0</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>0</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>0</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>2514347768</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>2541946581</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>4574252</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>8697688</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>1153482</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>1599909</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2520075502</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>2552244178</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>996059</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>1014364</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1144308</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>859108</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>2498689921</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>2495327363</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>2500830288</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2497200835</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>19245214</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>55043343</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>722814462</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>693936722</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>298416228</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>286827996</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>424398234</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>407108726</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>Improving health. Providing peace of mind. Serving upstate NY and VT communities including their NY Medicaid, NY Child Health Plus, NY Essential Plan, NY HARP, Medicare, &amp; Exchange populations.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>2308210928</ExpenseAmt>
      <GrantAmt>1014364</GrantAmt>
      <RevenueAmt>2541946581</RevenueAmt>
      <Desc>Exempt purposes achievements - 2017 THE ORGANIZATION, MVP HEALTH PLAN, INC. ("MVP"), IS A NOT-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION (HMO) SERVING UPSTATE NEW YORK AND VERMONT COMMUNITIES, INCLUDING THEIR MEDICAID MANAGED CARE, CHILD HEALTH PLUS (CHP), HEALTH AND RECOVERY PLAN (HARP), ESSENTIAL PLAN, AND MEDICARE ADVANTAGE POPULATIONS. DURING THE YEAR 2017, MVP HAD MEDICAID MANAGED CARE, CHP, HARP, AND ESSENTIAL PLAN ENROLLMENT OF 210,040 IN NEW YORK STATE. MVP MEDICARE ADVANTAGE ENROLLMENT TOTALED 61,342 DURING 2017 THROUGH ITS MEDICARE ADVANTAGE CONTRACTS. MVP ALSO HAD 2017 COMMERCIAL (LARGE AND SMALL GROUP AND INDIVIDUAL) HMO ENROLLMENT TOTALING 91,199. WHILE SERVING THE POPULATIONS WHO RELY ON MEDICARE ADVANTAGE, MEDICAID MANAGED CARE, CHP, HARP, AND ESSENTIAL PLAN IS CENTRAL TO MVPS PURPOSE, MVP ALSO PROMOTES AND IMPROVES THE DELIVERY OF HEALTH CARE SERVICE IN THE COMMUNITY AND THE EFFICIENCY AND QUALITY OF HEALTH CARE SERVICES THROUGH ITS EFFORTS TO SERVE COMMERCIAL MEMBERSHIP. DURING 2017, MVP CONTINUED TO SUPPORT ITS MEMBERS WITH FEATURES SUCH AS ONLINE WELLNESS TOOLS, INCLUDING MYVISITNOW -- 24/7 ONLINE DOCTOR VISITS. WITH MYVISITNOW, MVP MEMBERS CAN ACCESS CARE VIA ONLINE VIDEO CHAT. THIS TELEMEDICINE BENEFIT MAKES IT EASIER FOR MEMBERS TO ACCESS CARE BY LETTING THEM CONNECT WITH A DOCTOR OR OTHER HEALTH CARE PROFESSIONAL USING A COMPUTER WITH A WEBCAM, TABLET, OR SMARTPHONE. IN ADDITION TO THE ABOVE, MVP PARTICIPATES IN QUALITY AND SATISFACTION-FOCUSED PROGRAMS SPONSORED BY THE CENTERS FOR MEDICAID &amp; MEDICARE SERVICES (CMS), WHICH ADMINISTERS THE CMS STARS PROGRAM, THE NEW YORK STATE DEPARTMENT OF HEALTH (NYSDOH), WHICH ADMINISTERS THE QUALITY ASSURANCE REPORTING REQUIREMENTS (QARR) PROGRAM AND MARKETPLACE PLAN REPORTING REQUIREMENTS FOR NEW YORK, THE VERMONT DEPARTMENT OF FINANCIAL REGULATION (DFR) WHICH ADMINISTERS THE MARKETPLACE REPORTING REQUIREMENTS FOR VERMONT, AND THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA), WHICH ADMINISTERS THE VOLUNTARY HEALTH PLAN ACCREDITATION PROGRAM. THESE PROGRAMS REQUIRE THAT HEALTH PLANS COLLECT AND MONITOR INFORMATION PERTAINING TO THE QUALITY OF CARE DELIVERED AND MEMBER SATISFACTION EXPERIENCED BY MEMBERS WITH THE OVERALL GOAL OF IMPROVING AND MAINTAINING THE HEALTH AND SATISFACTION OF MEMBERS. QUALITY AND SATISFACTION ARE MEASURED BY INDUSTRY STANDARD TOOLS SUCH AS THE HEALTHCARE EFFECTIVENESS DATA AND INFORMATION SET (HEDIS) AND CONSUMER ASSESSMENT OF HEALTH PLAN SURVEY (CAHPS). THROUGH THE CMS STARS PROGRAM, HEALTH PLANS ARE COMPARED TO STATE AND NATIONAL BENCHMARKS AS WELL AS THE PERFORMANCE OF OTHER HEALTH PLANS TO PROVIDE A NORMATIVE UNDERSTANDING OF PERFORMANCE AND A FRAME OF REFERENCE FOR IMPROVEMENT TARGETS. BASED UPON THE RESULTS OF THESE MEASUREMENTS, MVP ACHIEVED A 4.5 STAR RATING FOR ITS HMO AND PPO MEDICARE PRODUCTS. THESE STAR RATINGS ARE OUT OF A TOTAL POSSIBLE SCORE OF 5.0 STARS AND REPRESENT STRONG PERFORMANCE. THROUGH THE QARR PROGRAM, MVPS MEDICAID MANAGED CARE PRODUCTS RECEIVED A 79.06 PERCENTILE SCORE. THIS SCORE FALLS WITHIN THE 2ND TIER OUT OF 5 PERFORMANCE TIERS. MVP SCORED THE HIGHEST AMONG THE 2ND TIER PLANS IN NYS. ADDITIONALLY, MVPS VT EXCHANGE PRODUCTS AND NY MARKETPLACE PRODUCTS RECEIVED 5 AND 4 OF A POSSIBLE 5 STARS, RESPECTIVELY, THROUGH THE QUALITY RATING SYSTEM. OVERALL MVPS PERFORMANCE REMAINS CREDIBLE AS COMPARED TO THE INDUSTRY, AND MVP REMAINS COMMITTED TO ANALYZING THE QUALITY AND SATISFACTION OF CARE DELIVERED TO ITS MEMBERS FOR ONGOING IMPROVEMENT OPPORTUNITIES. AS A NOT-FOR-PROFIT HEALTH MAINTENANCE ORGANIZATION, MVP HAS A RESPONSIBILITY TO SUPPORT THE COMMUNITIES WITHIN ITS FOOTPRINT. RECOGNIZING THAT COMMUNITY NEEDS ARE MULTIFACETED, MVP HAS DEVELOPED AN OVERARCHING VISION - TO HELP CREATE HEALTHY COMMUNITIES. TO ACTIVATE THIS VISION, MVP IS FOCUSING ON FOUR KEY AREAS: SOCIAL AND ECONOMIC FACTORS; HEALTH BEHAVIORS; CLINICAL CARE; AND THE PHYSICAL ENVIRONMENT. THIS SUPPORT CAN BE EVIDENCED THROUGH BOTH FINANCIAL SUPPORT AND EMPLOYEE ENGAGEMENT. IN 2017, MVP PROVIDED MORE THAN $1,297,000 TO LOCAL NOT-FOR-PROFITS IN SUPPORT OF PROJECTS AND EVENTS THAT ARE FOCUSED ON CREATING HEALTHY COMMUNITIES. WORKING WITH COMMUNITY BASED NOT-FOR-PROFIT ORGANIZATIONS AND HOSPITALS, MVP PROVIDED FINANCIAL SUPPORT FOR SUCH PROGRAMS AS: STATEWIDE: IN 2017, MVP PARTNERED WITH ROCHESTER ORGANIZATIONS FOR THE KICKS FOR KIDS PROGRAM AND WITH ORGANIZATIONS IN THE CAPITAL REGION AND METRO NY FOR THE COATS FOR KIDS PROGRAM TO HELP INCREASE AWARENESS OF THESE PROGRAMS AND INCREASE DONATIONS OF NEW AND USED SHOES AND COATS. THE GREATER AWARENESS RESULTED IN DONATIONS OF 400 NEW AND USED SHOES AND MORE THAN 7,200 NEW AND USED COATS DISTRIBUTED IN THE VARIOUS COMMUNITIES. CAPITAL REGION, NY: SUPPORTED A MULTI-YEAR PARTNERSHIP WITH ALBANY MEDICAL COLLEGE SUPPORTING ITS MEDSCOPE PROGRAM, WHICH CREATES OPPORTUNITIES FOR FIRST-YEAR MEDICAL STUDENTS TO PARTICIPATE IN COMMUNITY HEALTH PROGRAMS IN HIGH NEED NEIGHBORHOODS IN THE ALBANY AREA WITH THE GOAL OF INCREASING THE NUMBER OF NEW DOCTORS WHO CHOOSE TO BE PRIMARY CARE PHYSICIANS; CONVENED EIGHT AREA ORGANIZATIONS TO BRING TWO FREE HEALTH SCREENINGS AND INFORMATION TO RESIDENTS OF THE SOUTH END OF ALBANY; SUPPORTED CAPITAL ROOTS HEALTHY STORES INITIATIVE BRINGING FRESH FRUITS AND VEGETABLES INTO CONVENIENCE STORES IN ECONOMICALLY CHALLENGED COMMUNITIES IN ALBANY, SCHENECTADY AND TROY; AND UNDERWRITING THE PRODUCE CENTER AT THE URBAN GROW CENTER IN TROY; LED A COALITION, INCLUDING OTHER FOUNDATIONS AND COMPANIES, TO SUPPORT A WEEKEND BACKPACK PROGRAM IN THE SCHENECTADY CITY SCHOOLS PROVIDING NUTRITIOUS FOOD FOR THE WEEKEND FOR MORE THAN 1,000 ELEMENTARY STUDENTS, AS WELL AS EXPANDED THIS EFFORT COUNTYWIDE; AND IN PARTNERSHIP WITH THE ALBANY COLLEGE OF PHARMACY AND HEALTH SCIENCES, SUPPORTED TWO NEIGHBORHOOD-BASED STUDENT-OPERATED PHARMACIES, COLLEGE HOME TOWN PHARMACY, HOUSED IN HOMETOWN HEALTH CENTER, SCHENECTADY COUNTYS ONLY NOT-FOR-PROFIT FEDERALLY QUALIFIED HEALTH CENTER, AND COLLEGE PARKSIDE PHARMACY LOCATED IN THE SOUTH END OF ALBANY. THESE PHARMACIES SERVE AS A PRACTICE SETTING FOR STUDENT PHARMACISTS TO ASSESS AND MANAGE PATIENTS WITH CHRONIC DISEASES AND LEARN ASPECTS OF PUBLIC HEALTH, DISEASE PREVENTION, AND PHYSICAL ASSESSMENT, AND AT THE SAME TIME PROVIDING ACCESS TO PHARMACY SERVICES. ROCHESTER, NY &amp; CENTRAL NY REGION: SUPPORTED THE UNITED WAY OF GREATER ROCHESTER TO EXPAND ITS VALUE-BASED PAYMENT INITIATIVE. OVER THE COURSE OF 15 MONTHS, PARTICIPATING AGENCIES ARE WORKING WITH ORGANIZATIONAL DEVELOPMENT CONSULTANTS TO CONDUCT ORGANIZATIONAL ASSESSMENTS AND HELP AGENCIES DEVELOP CAPACITY BUILDING PLANS AND VALUE PROPOSITION INTENDED TO HELP PREPARE FOR A VALUE-BASED PAYMENT FUNDING ENVIRONMENT. FUNDING ENABLED JORDAN HEALTH TO HOLD A SPECIAL LATINA BREAST CANCER AWARENESS DAY. THIS WAS AN EXPANSION OF AN INITIATIVE STARTED IN 2016 THAT TARGETED AFRICAN AMERICAN WOMEN. THE PROGRAM PROVIDED MAMMOGRAMS, A CUSTOM BRA FITTING, AND FREE BRA, AS WELL AS TRANSPORTATION TO AND FROM THE HEALTH CENTER FOR LATINA WOMEN. SUPPORT OF "COOKING MATTERS AT THE STORE", HELD AT VARIOUS GROCERY STORES THROUGHOUT ROCHESTER, ALLOWED FOODLINK TO PROVIDE LOW INCOME ADULTS WITH THE TOOLS TO LEARN HOW TO SHOP WITHIN BUDGET FOR NUTRITIOUS FOODS. HUDSON VALLEY, NY: A GRANT TO THE PRESERVATION COMPANY ALLOWING THE ORGANIZATION TO EXPAND ITS TENANT SERVICES PROGRAM. A NEEDED PROGRAM THAT ENSURES SAFE, QUALITY LIVING STANDARDS FOR LOW-INCOME RESIDENTS OF WESTCHESTER COUNTY. THE SHARING SHELF GRANT ENABLED THE SHARING SHELF TO INCREASE THE NUMBER OF CHILDREN SERVED THROUGH THE BACKPACK TO SCHOOL PROGRAM. FUNDING FOR THE FRIENDS OF PUTNAM, INC., ALLOWED THE PURCHASE OF PACK AND PLAYS AND DISTRIBUTED THEM TO EXPECTANT FAMILIES AS PART OF AN EDUCATIONAL FORUM THAT SUPPORTS SAFE SLEEPING FOR INFANTS. THE FORUM ALSO INCLUDED AN INFORMATIONAL COMPONENT, PROVIDED BY PEDIATRICIANS, ON TOPICS SUCH AS BREAST FEEDING AND POST-PARTUM DEPRESSION VERMONT: WORKING WITH THE VERMONT CHILDRENS TRUST FOUNDATION, SUPPORTED AN EVIDENCE-BASED DRUG PREVENTION PROGRAM. VOLUNTEERISM: MVP SUPPORTED A WIDE RANGE OF ACTIVITIES THROUGH TEAMMVP, A PROGRAM WHICH ENGAGES EMPLOYEES TO VOLUNTEER DURING THE WORK WEEK, AS WELL AS PARTICIPATE IN LOCAL COMMUNITY EVENTS THAT HELP TO RAISE FUNDS FOR NONPROFIT ORGANIZATIONS. THROUGH THE VOLUNTEER TIME-OFF PROGRAM, 728 MVP EMPLOYEES VOLUNTEERED IN THE COMMUNITY EQUATING TO 2,730 HOURS (OR MORE THAN 72 WEEKS OF VOLUNTEERISM) AND VALUED AT MORE THAN $76,000. IN 2017, MVP HEALTH CARE IMPLEMENTED THE COMMUNITY SERVICE INCENTIVE PROGRAM WHICH PROVIDES $250 GRANTS TO NOT-FOR-PROFIT ORGANIZATIONS WITH WHICH OUR EMPLOYEES VOLUNTEER DURING NON-WORK HOURS. THESE VARIED ACTIVITIES REPRESENT MVPS STRONG COMMITMENT TO ITS NOT-FOR-PROFIT PURPOSE, BUT DO NOT REFLECT AN EXHAUSTIVE LIST OF THE CONTRIBUTIONS THAT MVP HAS MADE AND CONTINUES TO MAKE TO THE COMMUNITIES AND MEMBERSHIP POPULATION THAT IT SERVES.</Desc>
      <TotalProgramServiceExpensesAmt>2308210928</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind>false</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="IRS990ScheduleC">true</PoliticalCampaignActyInd>
      <SubjectToProxyTaxInd referenceDocumentId="IRS990ScheduleC">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="IRS990ScheduleD">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="IRS990ScheduleD">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="IRS990ScheduleD">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="IRS990ScheduleD">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="IRS990ScheduleD">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="IRS990ScheduleF">true</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="IRS990ScheduleF">false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="IRS990ScheduleF">false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="IRS990ScheduleR">false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="IRS990ScheduleR">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="IRS990ScheduleR">false</TransactionWithControlEntInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>10892</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>1946</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>true</ForeignFinancialAccountInd>
      <ForeignCountryCd>AS</ForeignCountryCd>
      <ForeignCountryCd>AU</ForeignCountryCd>
      <ForeignCountryCd>BE</ForeignCountryCd>
      <ForeignCountryCd>CA</ForeignCountryCd>
      <ForeignCountryCd>DA</ForeignCountryCd>
      <ForeignCountryCd>FI</ForeignCountryCd>
      <ForeignCountryCd>FR</ForeignCountryCd>
      <ForeignCountryCd>GM</ForeignCountryCd>
      <ForeignCountryCd>HK</ForeignCountryCd>
      <ForeignCountryCd>EI</ForeignCountryCd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>12</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>12</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>true</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>Karla A Austen</PersonNm>
        <PhoneNum>5183882357</PhoneNum>
        <USAddress>
          <AddressLine1Txt>625 State Street</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Karen Johnson</PersonNm>
        <TitleTxt>Chair</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>73500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alan Goldberg</PersonNm>
        <TitleTxt>Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>3.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>63599</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Wallace Altes</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>39500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Burt Danovitz</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>3.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>52331</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard D'Ascoli</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>3.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>48500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lindsay Farrell</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>42500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Meng-Ling Hsiao</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>43500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David Pratt</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>40500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Reddy</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>3.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>56319</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Arthur Roth</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>3.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>40125</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Schneider</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>40150</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Debbie Sydow</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>38971</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Curtis Lloyd</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>39599</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Denise Gonick</PersonNm>
        <TitleTxt>President and CEO</TitleTxt>
        <AverageHoursPerWeekRt>25.94</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>11.56</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1282174</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>571151</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42386</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Karla Austen</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>25.93</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>11.57</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>496334</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>221599</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41554</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Emily Titsworth</PersonNm>
        <TitleTxt>SECRETARY (AS OF 10/8/2017)</TitleTxt>
        <AverageHoursPerWeekRt>26.02</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>11.48</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>187007</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>82484</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40061</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dawn Jablonski</PersonNm>
        <TitleTxt>SECRETARY (THRU 10/7/2017)</TitleTxt>
        <AverageHoursPerWeekRt>26.02</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>11.48</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>278949</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>123038</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46173</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christopher DelVecchio</PersonNm>
        <TitleTxt>COO &amp; Sr Advisor to President</TitleTxt>
        <AverageHoursPerWeekRt>25.94</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>11.56</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>720863</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>321113</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46824</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Catherine Buhler Clancy</PersonNm>
        <TitleTxt>EVP, Medicaid &amp; Operations</TitleTxt>
        <AverageHoursPerWeekRt>22.85</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>14.65</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>377427</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>242054</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43690</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Patrick Glavey</PersonNm>
        <TitleTxt>EVP, Medicare Programs</TitleTxt>
        <AverageHoursPerWeekRt>37.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>562519</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41520</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Elizabeth Malko</PersonNm>
        <TitleTxt>EVP, Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>28.27</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>9.23</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>404844</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>132101</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33791</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dominick Bizzarro</PersonNm>
        <TitleTxt>EVP, Business Development</TitleTxt>
        <AverageHoursPerWeekRt>30.27</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.23</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>341813</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>81694</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45942</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Poole III</PersonNm>
        <TitleTxt>Sr. Leader IT and Transform</TitleTxt>
        <AverageHoursPerWeekRt>23.21</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.75</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>233813</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>143906</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43984</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Della Villa</PersonNm>
        <TitleTxt>Sr. Leader IT and Transform</TitleTxt>
        <AverageHoursPerWeekRt>26.06</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>27.04</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>256274</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>112472</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33254</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Carl Cameron</PersonNm>
        <TitleTxt>VP, Medical Affairs</TitleTxt>
        <AverageHoursPerWeekRt>28.27</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>27.04</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>350842</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>114480</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48334</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Augusta Martin</PersonNm>
        <TitleTxt>VP, Client Engagement</TitleTxt>
        <AverageHoursPerWeekRt>12.29</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>27.89</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>148815</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>305434</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40758</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Carole Montepare</PersonNm>
        <TitleTxt>VP, Sales &amp; Acct Mgmt</TitleTxt>
        <AverageHoursPerWeekRt>12.29</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>27.04</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>143890</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>295324</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41988</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Julie Ann Faulise</PersonNm>
        <TitleTxt>VP, App Dev and Support</TitleTxt>
        <AverageHoursPerWeekRt>26.06</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.02</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>295698</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>129775</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36533</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Denise Stasik</PersonNm>
        <TitleTxt>VP, Quality &amp; Member Advocacy</TitleTxt>
        <AverageHoursPerWeekRt>28.27</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.95</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>314788</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>102715</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41753</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Copeland</PersonNm>
        <TitleTxt>FORMER - DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.5</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>73125</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ernest Levy</PersonNm>
        <TitleTxt>FORMER - DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>42775</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>7131044</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2979340</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>668545</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>248</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Medic Logic USA LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>One Park Place</AddressLine1Txt>
            <CityNm>Albany</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12205</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Media Relations/PR</ServicesDesc>
        <CompensationAmt>4365943</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Tivity Health</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 116718</AddressLine1Txt>
            <CityNm>Atlanta</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30368</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Utilization fees</ServicesDesc>
        <CompensationAmt>2627579</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Optuminsight</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 86</AddressLine1Txt>
            <CityNm>Minneapolis</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55486</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Software Licensing</ServicesDesc>
        <CompensationAmt>2374579</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Hudson Center for Health</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>303 South Broadway Suite 420</AddressLine1Txt>
            <CityNm>Tarrytown</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10591</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Software Licensing</ServicesDesc>
        <CompensationAmt>1807692</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>McKesson Technologies</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 98347</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Software Licensing</ServicesDesc>
        <CompensationAmt>1668905</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>149</CntrctRcvdGreaterThan100KCnt>
      <TotalContributionsAmt>0</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID PREMIUM</Desc>
        <BusinessCd>524114</BusinessCd>
        <TotalRevenueColumnAmt>1086700359</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1086700359</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE PREMIUM</Desc>
        <BusinessCd>524114</BusinessCd>
        <TotalRevenueColumnAmt>721489259</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>721489259</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COMMERCIAL PREMIUM</Desc>
        <BusinessCd>524114</BusinessCd>
        <TotalRevenueColumnAmt>604133077</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>604133077</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ESSENTIAL PLAN PREMIUM</Desc>
        <BusinessCd>524114</BusinessCd>
        <TotalRevenueColumnAmt>122381839</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>122381839</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER GOVERNMENT PROGRAM PREMIUM</Desc>
        <BusinessCd>524114</BusinessCd>
        <TotalRevenueColumnAmt>7242047</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7242047</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2541946581</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>6019160</TotalRevenueColumnAmt>
        <ExclusionAmt>6019160</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>427698518</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>425019990</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>2678528</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2678528</TotalRevenueColumnAmt>
        <ExclusionAmt>2678528</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Miscellanous Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1599909</TotalRevenueColumnAmt>
        <ExclusionAmt>1599909</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1599909</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2552244178</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2541946581</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>10297597</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1014364</TotalAmt>
        <ProgramServicesAmt>1014364</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>677968</TotalAmt>
        <ManagementAndGeneralAmt>677968</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>0</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>181140</TotalAmt>
        <ManagementAndGeneralAmt>181140</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>0</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>2112944</TotalAmt>
        <ManagementAndGeneralAmt>2112944</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>1066460</TotalAmt>
        <ManagementAndGeneralAmt>1066460</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>249975</TotalAmt>
        <ManagementAndGeneralAmt>249975</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>642501</TotalAmt>
        <ManagementAndGeneralAmt>642501</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>37621335</TotalAmt>
        <ProgramServicesAmt>13131784</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24489551</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>9096449</TotalAmt>
        <ManagementAndGeneralAmt>9096449</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>15152101</TotalAmt>
        <ManagementAndGeneralAmt>15152101</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>21488292</TotalAmt>
        <ManagementAndGeneralAmt>21488292</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>9130447</TotalAmt>
        <ManagementAndGeneralAmt>9130447</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>726443</TotalAmt>
        <ManagementAndGeneralAmt>726443</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>257241</TotalAmt>
        <ProgramServicesAmt>734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>256507</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1134</TotalAmt>
        <ManagementAndGeneralAmt>1134</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>96576214</TotalAmt>
        <ManagementAndGeneralAmt>96576214</ManagementAndGeneralAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2764408</TotalAmt>
        <ManagementAndGeneralAmt>2764408</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1428411</TotalAmt>
        <ManagementAndGeneralAmt>1428411</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Hospital, Physician, Other Med</Desc>
        <TotalAmt>1807884073</TotalAmt>
        <ProgramServicesAmt>1807884073</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Pharmacy</Desc>
        <TotalAmt>387809122</TotalAmt>
        <ProgramServicesAmt>387809122</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Capitated Medical Expense</Desc>
        <TotalAmt>94603316</TotalAmt>
        <ProgramServicesAmt>94603316</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Regulatory Expense</Desc>
        <TotalAmt>3767535</TotalAmt>
        <ProgramServicesAmt>3767535</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2948962</TotalAmt>
        <ManagementAndGeneralAmt>2948962</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2497200835</TotalAmt>
        <ProgramServicesAmt>2308210928</ProgramServicesAmt>
        <ManagementAndGeneralAmt>188989907</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>120899974</BOYAmt>
        <EOYAmt>58912705</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>21413955</BOYAmt>
        <EOYAmt>94578853</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>64442787</BOYAmt>
        <EOYAmt>22225180</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>75512057</BOYAmt>
        <EOYAmt>76070847</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>8364719</BOYAmt>
        <EOYAmt>7911088</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>98909703</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>93302293</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5910322</BOYAmt>
        <EOYAmt>5607410</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>114332782</BOYAmt>
        <EOYAmt>141380364</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>311937866</BOYAmt>
        <EOYAmt>287250275</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>722814462</BOYAmt>
        <EOYAmt>693936722</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>32543353</BOYAmt>
        <EOYAmt>61547456</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>9100484</BOYAmt>
        <EOYAmt>15968580</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>256772391</BOYAmt>
        <EOYAmt>209311960</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>298416228</BOYAmt>
        <EOYAmt>286827996</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>164834536</BOYAmt>
        <EOYAmt>154011897</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>259563698</BOYAmt>
        <EOYAmt>253096829</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>424398234</BOYAmt>
        <EOYAmt>407108726</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>722814462</BOYAmt>
        <EOYAmt>693936722</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>55043343</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>5638796</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>-60365953</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-17605694</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <PoliticalExpendituresAmt>5000</PoliticalExpendituresAmt>
      <InternalFundsContributedAmt>5000</InternalFundsContributedAmt>
      <TotalExemptFunctionExpendAmt>5000</TotalExemptFunctionExpendAmt>
      <Form1120POLFiledInd>true</Form1120POLFiledInd>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>MVP Health Care NYS</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>PAC</BusinessNameLine2Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>625 State Street</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>205950562</EIN>
        <PaidInternalFundsAmt>5000</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DETAIL OF LOBBYING- SCHEDULE C, PART I-A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENGAGES SOLELY IN INDIRECT POLITICAL CAMPAIGN ACTIVITY THROUGH CONTRIBUTION TO POLITICAL ACTION COMMITTEES</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>12639143</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10774506</DepreciationAmt>
        <BookValueAmt>1864637</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>80359290</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>79395708</DepreciationAmt>
        <BookValueAmt>963582</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>5911270</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3132079</DepreciationAmt>
        <BookValueAmt>2779191</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>5607410</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>MEDICARE PART D RECEIVABLES</Desc>
        <BookValueAmt>10713199</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>7328442</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INVEST IN HUDSON HEALTH PLAN</Desc>
        <BookValueAmt>49370137</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>STATUTORY DEPOSITS</Desc>
        <BookValueAmt>119365058</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>REINSURANCE RECOVERIES</Desc>
        <BookValueAmt>13003341</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PHARMACY REBATES</Desc>
        <BookValueAmt>46614620</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BookValueAmt>1761309</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PROVIDER ADVANCES</Desc>
        <BookValueAmt>30165903</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PREMIUM RISK ADJUSTMENT</Desc>
        <BookValueAmt>8928266</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>287250275</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>332086</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICAL EXPENSE PAYABLE</Desc>
        <Amt>207983579</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MISCELLANEOUS</Desc>
        <Amt>996295</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>209311960</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 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. THE UNRECOGNIZED TAX BENEFITS OF THE PLAN ARE NOT EXPECTED TO SIGNIFICANTLY CHANGE OF THE NEXT TWELVE MONTHS. THE PLAN'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS AS A COMPONENT OF PRETAX INCOME. AS OF DECEMBER 31, 2017 AND 2016, THE COMPANY HAD ACCRUED APPROXIMATELY $0 AND $0, RESPECTIVELY, OF INTEREST AND PENALTIES AS A COMPONENT OF UNRECOGNIZED TAX BENEFIT. INTEREST AND PENALTIES (EXPENSE)/BENEFIT TOTALING $0 IN 2017 AND $0 IN 2016 PERTAINING TO UNCERTAIN TAX POSITIONS WERE RECOGNIZED IN THE STATEMENT OF OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>2501560</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>4989391</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>1097151</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>675810</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalSpentAmt>9263912</SubtotalSpentAmt>
      <TotalSpentAmt>9263912</TotalSpentAmt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT PROVIDE GRANTS OUTSIDE THE UNITED STATES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Addictions Care Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>90 Mccarty Avenue</AddressLine1Txt>
          <AddressLine2Txt>Suite 200</AddressLine2Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12202</ZIPCd>
        </USAddress>
        <RecipientEIN>043629235</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>An Apple a Day program AMC mobile dental clinic Beyond Practice Ready Campaign Medscope and Patient Pavilion Coaches vs Cancer &amp; Paint Town Purple pledge Disaster relief Urban Grow, healthy stores Healthy Living &amp; garden grant, 15-LOVE Capital 20.20 &amp; Breathing Lights funds Ellis Medicine &amp; Commun. Shuttle camp. Planning &amp; Capacity/CTAAB Analysis Fund drive Cooking Matters at the Store General Nursing program Guideline implementation project STEM P-TECH Health Information Tech Program Collaborative planning Ambassador program Stemi Modem Upgrade donation Champion Academy Scholarships Weekend backpack &amp; Call to Action progs McAuley fund Matching grant &amp; family Resource Center Healthy Living Center Visiting Nurse Meals on Wheels Partner in Prevention Program Prevention education Obstetrical program support Prevention program</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Interfaith Partnership of the Homeless</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>176 Sheridan Ave</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12210</ZIPCd>
        </USAddress>
        <RecipientEIN>141666321</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>63000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Community high blood pressure collaborative Health &amp; Wellness Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Albany College of Pharmacy</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>106 New Scotland Avenue</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12208</ZIPCd>
        </USAddress>
        <RecipientEIN>141423161</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Planning and capacity/CTA AB analysis contribution Beyond Practice Ready Campaign</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Albany Medical Center Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>43 New Scotland Avenue</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12208</ZIPCd>
        </USAddress>
        <RecipientEIN>146023119</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>45000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Quality collaborative contribution Medscope and Patient Pavilion Medscope and Patient Pavilion</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Junior Achievement of the NENY Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8 Stanley Avenue</AddressLine1Txt>
          <CityNm>Latham</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12110</ZIPCd>
        </USAddress>
        <RecipientEIN>141429763</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>General Support Hall of Fame Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>American Heart Association</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 Manchester Rd Suite 105</AddressLine1Txt>
          <CityNm>Poughkeepsie</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12603</ZIPCd>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Primary care outreach program FD HW pledges Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>American Red Cross of Northeastern NY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>33 Everett Road</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12205</ZIPCd>
        </USAddress>
        <RecipientEIN>530196605</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>19030</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Nursing program expansion Ready 365 Ready 365</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Capital Distr Comm Gardens(CAPITAL REGION)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>594 River Street</AddressLine1Txt>
          <CityNm>Troy</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12180</ZIPCd>
        </USAddress>
        <RecipientEIN>141596291</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Building campaign Urban Grow, healthy stores Urban Grow, healthy stores</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>United Way of the capital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 13865</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12205</ZIPCd>
        </USAddress>
        <RecipientEIN>141364505</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>25750</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Pavillion fund Women of Achievement 2-1-1 NE Region Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Community Fdn for Greater Capital Region</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6 Tower Place</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12203</ZIPCd>
        </USAddress>
        <RecipientEIN>141505623</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Capacity build. supp, online grant mod Capacity build. supp, online grant mod</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Ellis Hospital Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1101 Nott Street</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12308</ZIPCd>
        </USAddress>
        <RecipientEIN>141638957</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Community Shuttle support BSN Education Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Finger Lakes Health System</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1150 University Avenue</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14607</ZIPCd>
        </USAddress>
        <RecipientEIN>161061456</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Contrib &amp; Complete Streets Education Contrib &amp; Complete Streets Education</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Food Pantries for the Capital District</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>32 Essex Street</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12206</ZIPCd>
        </USAddress>
        <RecipientEIN>141752164</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>WAMC Match Fund drive Food Pantries Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Foodlink</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1999 Mt Read Blvd</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14615</ZIPCd>
        </USAddress>
        <RecipientEIN>222428304</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>12750</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Cooking Matters program Cooking Matters program</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Onondaga Enterprises</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4585 W Senaca Turnpike</AddressLine1Txt>
          <AddressLine2Txt>184 Washington Avenue Ext</AddressLine2Txt>
          <CityNm>Syracuse</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13215</ZIPCd>
        </USAddress>
        <RecipientEIN>800734784</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Community conversation Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>City Mission of Schenectady</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>425 Hamilton Street</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <RecipientEIN>141403652</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Nursing program ERN Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cornell Cooperative Ext</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>24 Martin Road</AddressLine1Txt>
          <CityNm>Vooheesville</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12186</ZIPCd>
        </USAddress>
        <RecipientEIN>146036881</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Hypertension program GHHI Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Food Bank of Westchester</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 Clearbrook Rd</AddressLine1Txt>
          <CityNm>Elmsford</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10523</ZIPCd>
        </USAddress>
        <RecipientEIN>133507988</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Community outreach Produce Recovery Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>United Way of greater Rochester</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 30029</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14615</ZIPCd>
        </USAddress>
        <RecipientEIN>161015782</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Contribution Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Boys and Girls Club of Schenectady</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 466 Craig St</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12301</ZIPCd>
        </USAddress>
        <RecipientEIN>141364595</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Planning grant Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Proctors Theatre</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>432 State Street</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <RecipientEIN>141602083</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Ambassador program Capitalizing our future support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Capital District YMCA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>465 New Karner Road</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12205</ZIPCd>
        </USAddress>
        <RecipientEIN>141726531</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Leap partnership Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Rochester Area Community Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 East Avenue</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14607</ZIPCd>
        </USAddress>
        <RecipientEIN>237250641</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Champion Academy Scholarships Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Schenectady Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>376 Broadway 2nd Floor</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <RecipientEIN>611600398</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Weekend backpack &amp; Youth Mentoring Init. Weekend backpack &amp; Youth Mentoring Init.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Unity House</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2431 Sixth Avenue</AddressLine1Txt>
          <CityNm>Troy</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12180</ZIPCd>
        </USAddress>
        <RecipientEIN>232378930</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Hunger programs Hunger programs</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Trinity Alliance of the Capital Region</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>105 Trinity Place</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12202</ZIPCd>
        </USAddress>
        <RecipientEIN>141340122</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Matching grant &amp; family Resource Center Matching grant &amp; family Resource Center</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Daystar for Medically</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>700 Lac Deville Blvd</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14618</ZIPCd>
        </USAddress>
        <RecipientEIN>263275794</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>12500</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>pharmacy program support Building Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Homeless and Travelers</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>138 CeNtral Ave</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12203</ZIPCd>
        </USAddress>
        <RecipientEIN>141482188</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>nonprofit impact survey support Delivery Truck Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Vermont Children's Trust Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>95 St Paul Street</AddressLine1Txt>
          <CityNm>Burlington</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05401</ZIPCd>
        </USAddress>
        <RecipientEIN>030328193</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Partner in Prevention Program Partner in Prevention Program</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>George Biddle Kelly</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 14692</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12212</ZIPCd>
        </USAddress>
        <RecipientEIN>161772170</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Crisis nursery support Collegiate Scholar of Tomorrow</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Whitney M Young Jr Health Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>920 Lark Drive</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12207</ZIPCd>
        </USAddress>
        <RecipientEIN>132922147</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Two dental chairs Dental Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Make a Wish Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3 Washington Sq</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12205</ZIPCd>
        </USAddress>
        <RecipientEIN>141703503</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Mobile dental clinic Blue Prints for a Dream</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Thea Bowman House</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>731 Lafayette Street</AddressLine1Txt>
          <CityNm>Utica</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13502</ZIPCd>
        </USAddress>
        <RecipientEIN>161488620</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>8430</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Resident outreach at ezra Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Bivona Child Advocacy Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>One Mount Hope Avenue</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14620</ZIPCd>
        </USAddress>
        <RecipientEIN>030519569</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Child Abuse &amp; Prevention Education Child Abuse &amp; Prevention Education</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Vanderheyden Hall</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 219</AddressLine1Txt>
          <CityNm>Wynantskill</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12198</ZIPCd>
        </USAddress>
        <RecipientEIN>141338575</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>pledge Walking Circles and Ropes Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Saratoga Institute</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>110 Spring Street</AddressLine1Txt>
          <CityNm>Saratoga Springs</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12866</ZIPCd>
        </USAddress>
        <RecipientEIN>141664693</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>12500</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Upstate ACE program support Upstate ACE program support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SEAT Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>131 State Street</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <RecipientEIN>473946521</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Program support Program support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Meals on Wheels</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2180 Empire Blvd</AddressLine1Txt>
          <CityNm>Webster</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14580</ZIPCd>
        </USAddress>
        <RecipientEIN>160743215</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Sponsor CAN program Program Suport</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Capital District Women</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>175 Central Ave 3rd Fl</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12206</ZIPCd>
        </USAddress>
        <RecipientEIN>141818967</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>6606</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Days of Giving, Electrical Upgrade WREC Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Preservation Company</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1037 Main St</AddressLine1Txt>
          <CityNm>Peekskill</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10566</ZIPCd>
        </USAddress>
        <RecipientEIN>133352053</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>6500</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>B Lodge &amp; Co</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>75 N Pearl St</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12207</ZIPCd>
        </USAddress>
        <RecipientEIN>141797476</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5738</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>255 Sneaker Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Dress for Sucess Rochester</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>47 State St</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14614</ZIPCd>
        </USAddress>
        <RecipientEIN>472219785</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Concerned for the Hungry</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 119</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12301</ZIPCd>
        </USAddress>
        <RecipientEIN>141630258</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Thanksgiving Food Drive Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Help from people to people</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>121 W Nyack rd</AddressLine1Txt>
          <CityNm>Nanuet</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10956</ZIPCd>
        </USAddress>
        <RecipientEIN>133567993</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Its in the Bag Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Conkey Cruisers Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1171 N Clinton Ave</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14621</ZIPCd>
        </USAddress>
        <RecipientEIN>812698280</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Bike to better health program suport</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Anthony L Jordan Health</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>82 Hollard St</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14605</ZIPCd>
        </USAddress>
        <RecipientEIN>160977295</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Latina Mammography Program</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>United Way of the Utica Valley</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>201 Lafayette St</AddressLine1Txt>
          <CityNm>Utica</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13502</ZIPCd>
        </USAddress>
        <RecipientEIN>150532074</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Live Well Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Albany Can Code</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>30 3rd St</AddressLine1Txt>
          <CityNm>Troy</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12180</ZIPCd>
        </USAddress>
        <RecipientEIN>812893882</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BOCES Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>El Centro hispano Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>346 S Lexington Ave</AddressLine1Txt>
          <CityNm>White Plains</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10606</ZIPCd>
        </USAddress>
        <RecipientEIN>134149424</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Training and Edication Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Wellspring</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>480 Broadway</AddressLine1Txt>
          <CityNm>Saratoga</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12866</ZIPCd>
        </USAddress>
        <RecipientEIN>141644567</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Coaching Men into Boys Prevention</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Capital District Women</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>24 Aviation Road</AddressLine1Txt>
          <CityNm>Albany</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12205</ZIPCd>
        </USAddress>
        <RecipientEIN>133841519</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>United Way of Dutchess</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>75 Market Street</AddressLine1Txt>
          <CityNm>Poughkeepsie</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12601</ZIPCd>
        </USAddress>
        <RecipientEIN>061045698</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Children Corner Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Family Services of West</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>55 Main St</AddressLine1Txt>
          <CityNm>Port Chester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10573</ZIPCd>
        </USAddress>
        <RecipientEIN>131773419</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Sharing Shelf Support</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>53</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FOCUSES ITS FINANCIAL COMMUNITY SUPPORT ON PROGRAMS AND EVENTS IN ITS SERVICE AREA THAT: 1) PROMOTE WELLNESS, FITNESS, AND HEALTHY LIFESTYLES 2) ENHANCE THE HEALTH OF INDIVIDUALS AND OUR COMMUNITIES 3) IMPROVE THE EFFICIENCY OF HEALTH CARE OR ENHANCE THE VITALITY OF THE CAPITAL REGION, ROCHESTER, OR A COMMUNITY WITHIN MVP'S SERVICE AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <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>
      <CompBsdOnRevRelatedOrgsInd>true</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>true</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Denise Gonick</PersonNm>
        <TitleTxt>President and CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>532262</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>237099</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>549741</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>244885</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>200171</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>89167</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24730</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11016</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4594</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2046</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1311498</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>584213</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>81409</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>36264</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher DelVecchio</PersonNm>
        <TitleTxt>COO &amp; Sr Advisor to President</TitleTxt>
        <BaseCompensationFilingOrgAmt>422107</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>188030</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>258769</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>115270</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>39987</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>17813</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>28492</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>12692</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3902</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1738</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>753257</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>335543</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>14560</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>6486</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karla Austen</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>289211</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>129124</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>147557</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>65880</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>59566</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>26595</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24577</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10973</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4151</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1853</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>525062</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>234425</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>29034</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>12963</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Emily Titsworth</PersonNm>
        <TitleTxt>SECRETARY (AS OF 10/8/2017)</TitleTxt>
        <BaseCompensationFilingOrgAmt>149843</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>66092</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>27496</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>12128</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9668</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4264</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26176</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11545</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1624</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>716</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214807</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>94745</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Catherine Buhler Clancy</PersonNm>
        <TitleTxt>EVP, Medicaid &amp; Operations</TitleTxt>
        <BaseCompensationFilingOrgAmt>228708</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>146676</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>125022</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>80180</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23697</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>15198</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21659</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13891</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4959</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3181</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>404045</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>259126</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>10842</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>6953</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patrick Glavey</PersonNm>
        <TitleTxt>EVP, Medicare Programs</TitleTxt>
        <BaseCompensationFilingOrgAmt>325991</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>174602</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>61926</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>39050</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2470</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>604039</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Elizabeth Malko</PersonNm>
        <TitleTxt>EVP, Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>322482</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>105226</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>47090</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>15366</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>35272</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>11509</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21140</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6898</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4338</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1415</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>430322</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>140414</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dominick Bizzarro</PersonNm>
        <TitleTxt>EVP, Business Development</TitleTxt>
        <BaseCompensationFilingOrgAmt>156027</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>37291</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>158271</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>37827</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>27515</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>6576</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>33535</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8015</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3545</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>847</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>378893</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>90556</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>6852</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>1638</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dawn Jablonski</PersonNm>
        <TitleTxt>SECRETARY (THRU 10/7/2017)</TitleTxt>
        <BaseCompensationFilingOrgAmt>165069</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>72808</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>84871</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>37435</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>29009</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>12795</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>28833</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>12717</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3208</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1415</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>310990</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>137170</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>24195</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>10672</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Poole III</PersonNm>
        <TitleTxt>Sr. Leader IT and Transform</TitleTxt>
        <BaseCompensationFilingOrgAmt>154016</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>94793</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>63508</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>39087</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>16289</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>10026</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23156</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>14252</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4071</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2505</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>261040</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>160663</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Della Villa</PersonNm>
        <TitleTxt>Sr. Leader IT and Transform</TitleTxt>
        <BaseCompensationFilingOrgAmt>186558</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>81876</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>58083</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25491</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>11633</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>5105</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22022</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9665</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1089</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>478</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>279385</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>122615</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carl Cameron</PersonNm>
        <TitleTxt>VP, Medical Affairs</TitleTxt>
        <BaseCompensationFilingOrgAmt>224921</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>73392</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>79112</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25814</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>46809</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>15274</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>31328</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10222</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5115</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1669</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>387285</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>126371</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>44494</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>14518</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Augusta Martin</PersonNm>
        <TitleTxt>VP, Client Engagement</TitleTxt>
        <BaseCompensationFilingOrgAmt>97741</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>200608</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35166</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>72176</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15908</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>32650</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11646</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>23904</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1706</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3502</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>162167</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>332840</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>14368</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>29490</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carole Montepare</PersonNm>
        <TitleTxt>VP, Sales &amp; Acct Mgmt</TitleTxt>
        <BaseCompensationFilingOrgAmt>100693</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>206666</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35373</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>72601</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7824</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>16057</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12288</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>25220</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1468</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3012</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>157646</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>323556</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Julie Ann Faulise</PersonNm>
        <TitleTxt>VP, App Dev and Support</TitleTxt>
        <BaseCompensationFilingOrgAmt>139791</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>61351</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>53140</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>23322</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>102767</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>45102</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23706</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10404</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1684</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>739</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>321088</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>140918</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>72072</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>31631</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Denise Stasik</PersonNm>
        <TitleTxt>VP, Quality &amp; Member Advocacy</TitleTxt>
        <BaseCompensationFilingOrgAmt>179659</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>58622</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>63833</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>20829</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>71296</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>23264</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>27997</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9135</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3484</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1137</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>346269</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>112987</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Copeland</PersonNm>
        <TitleTxt>FORMER - DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>73125</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>73125</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ernest Levy</PersonNm>
        <TitleTxt>FORMER - DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>42775</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>42775</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A &amp; 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PAYMENT OF THESE EXPENSES ARE PAID AS PART OF THE TOTAL REWARDS PACKAGE TO EXECUTIVES AS REVIEWED WITHIN OUR OVERALL COMPENSATION PHILOSOPHY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>The following employees listed on Schedule J received separation payments during 2017: Faulise, Julie Ann $22,857</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE 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 $117,672 Austen, Karla $41,996 Jablonski, Dawn $34,866 Del Vecchio, Christopher $21,046 Buhler Claney, Catherine $17,796 Bizzarro, Dominick $8,490</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 5B &amp; 6B</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, AND PERFORMANCE INCENTIVES FOR THE BALANCE OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, QUESTION 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY (BOARD OF DIRECTORS) APPROVED THE REVISION OF THE BYLAWS TO INCLUDE MODIFICATIONS ALIGNED WITH A QUARTERLY DIRECTOR MEETING SCHEDULE AND REDUCED MINIMUM COMMITTEE SIZES INCLUDING THE AUDIT COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINES 6, 7A &amp; 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) NOT-FOR-PROFIT CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS MVPHP HOLDING COMPANY, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE GOVERNING BODY (BOARD OF DIRECTORS) ELECT THE MEMBERS OF THE GOVERNING BODY ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, QUESTION 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT TEAM (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. 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 THE 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, SECTION B, 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 SO THAT MANAGEMENT CAN: 1) MAKE A DETERMINATION AS TO WHETHER AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND 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. ALSO, THE LEGAL AFFAIRS DEPARTMENT SUBMITS A COPY OF EMPLOYEES' (VP AND HIGHER) COMPLETED DISCLOSURE CONFLICT OF INTEREST FORMS TO THE AUDIT COMMITTEE OF THE BOARD. DIRECTORS OF THE ORGANIZATION ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON APPOINTMENT/ELECTION AND ANNUALLY THEREAFTER. DIRECTOR'S 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 THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS AND 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, SECTION B, QUESTION 15 A AND B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT CONSULTANT IS HIRED ANNUALLY TO EVALUATE THE COMPENSATION ARRANGEMENTS FOR THE CEO AND THE CEO'S DIRECT REPORTS AND COMPARE THEM TO THE INDUSTRY STANDARDS TO DETERMINE/CONFIRM THAT THE COMPENSATION STRUCTURE IS REASONABLE. SUCH COMPENSATION ARRANGEMENTS ARE SUBJECT TO THE FINAL APPROVAL OF THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. THIS PROCESS MEETS THE REQUIREMENTS OF THE REBUTTABLE PRESUMPTION STANDARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, QUESTION 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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF INDIVIDUALS REPORTED ONLY INCLUDES DIRECTORS, OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES THAT RECEIVED GREATER THAN OR EQUAL TO $100,000 IN REPORTABLE COMPENSATION DURING THE YEAR. ALL EMPLOYEE COMPENSATION EXCEPT FOR DIRECTOR COMPENSATION IS RECORDED IN THE MANAGEMENT ALLOCATION AND THIS ALLOCATION DOES NOT INCLUDE DETAIL BY EMPLOYEE. FOR FORM 990 REPORTING PURPOSES, THE ORGANIZATION TRACKS ALLOCATED COMPENSATION FOR SELECT INDIVIDUALS, INCLUDING DIRECTORS, OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9, OTHER CHANGES IN NET ASSETS</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE: (17,605,694) TOTAL OTHER CHANGES IN NET ASSETS: (17,605,694)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONAL FOREIGN COUNTRIES: ISRAEL ITALY JAPAN KOREA, REPUBLIC OF (SOUTH) NETHERLANDS NORWAY PORTUGAL SINGAPORE SPAIN SWEDEN SWITZERLAND UNITED KINGDOM</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MVP Health Care Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>625 State Street</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>161318351</EIN>
        <PrimaryActivitiesTxt>Holding Corp</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(4)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA Parent</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Hudson Health Plan Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>625 State Street</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>133350704</EIN>
        <PrimaryActivitiesTxt>Medicaid, CHP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVP Health</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </RelatedOrganizationName>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MVP Service Corp</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>625 State</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>141730494</EIN>
        <PrimaryActivitiesTxt>Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVPUT HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MVP Health Services Corp</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>625 State</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>223197320</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVPRT HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MVP Health Insurance Company</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>625 State</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>141827918</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVPRT HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MVPHIC Holding Corp</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>625 State</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>141828436</EIN>
        <PrimaryActivitiesTxt>Holding Company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVP HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MVP Health Insurance Company of NH Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>625 State</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>421662459</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVPRT HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MVP Select Care Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>625 State</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>141704347</EIN>
        <PrimaryActivitiesTxt>ASO/TPA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVPUT HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MVP Benefit Group Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>625 State</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>562364047</EIN>
        <PrimaryActivitiesTxt>Agent Broker</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVPUT HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MVPUT Holdings Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>625 State</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>760808234</EIN>
        <PrimaryActivitiesTxt>Holding Company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVP HIC HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MVPRT Holdings Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>625 State</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>760808233</EIN>
        <PrimaryActivitiesTxt>Holding Company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVP HIC HOLDING</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WPHSP Leasing Corp</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>625 State</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>133675430</EIN>
        <PrimaryActivitiesTxt>Leasing</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HUDSON HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-96</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>190506</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MVPHP Holding Company Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>625 State</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>134320971</EIN>
        <PrimaryActivitiesTxt>Holding Company</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVP HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>