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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LaVonne Ansari</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lazetta Duncan Moore</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Linda Muller</PersonNm>
        <TitleTxt>BOARD MEMBER &amp; 2nd Vice President</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lindsay Farrell</PersonNm>
        <TitleTxt>BOARD MEMBER &amp; Secretary</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mali Trilla</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Ann Zelazny</PersonNm>
        <TitleTxt>BOARD MEMBER &amp; Board Chair</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Matt Weissman</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael L Leary</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Neil Calman MD</PersonNm>
        <TitleTxt>BOARD MEMBER &amp; 1st Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Paloma Hernanadez</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA MATTEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Patricia Fernandez</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Paul Kaye MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Paul Vitale</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>randall coppin</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Walter Priest</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Warria Esmond MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Wendy Stark</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lisa Hellerstein</PersonNm>
        <TitleTxt>SVP/ Interim CEO &amp; President</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>11963</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rose duhan</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Steven Solinsky</PersonNm>
        <TitleTxt>Outgoing VP of Finance &amp; Operations</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>170223</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16832</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Amy Grandov</PersonNm>
        <TitleTxt>DIR OF HEALTH INFO TECH</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>128064</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6869</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Beverly Grossman</PersonNm>
        <TitleTxt>POLICY DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>153420</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1438</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Diane Ferran</PersonNm>
        <TitleTxt>DIR CLINICAL QUALITY IMPROvement</TitleTxt>
        <AverageHoursPerWeekRt>28.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>175973</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15938</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sonia Panigrahy</PersonNm>
        <TitleTxt>Quality and technology initiatives</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>113159</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13532</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Suzanne Rossel</PersonNm>
        <TitleTxt>DIr OF HEALTH CENTER SUPPORT</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>191126</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31804</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Elizabeth Swain</PersonNm>
        <TitleTxt>former President and CEO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>131082</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6554</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1315352</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>104930</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Azara healthcarellc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>70 blanchard rd suite 401</AddressLine1Txt>
            <CityNm>burlington</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01803</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Electronic Health Record Contractor</ServicesDesc>
        <CompensationAmt>1160846</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Brown &amp; weinraubpllc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>50 State Street 4th floor</AddressLine1Txt>
            <CityNm>Albany</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12207</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Lobbyist</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Cohnreznick</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1301 avenue of the americas</AddressLine1Txt>
            <CityNm>new york</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>100196032</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Financial services &amp; audit</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>1482139</MembershipDuesAmt>
      <FundraisingAmt>58307</FundraisingAmt>
      <GovernmentGrantsAmt>3370934</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3402540</AllOtherContributionsAmt>
      <TotalContributionsAmt>8313920</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCES &amp; MEETINGS</Desc>
        <BusinessCd>541700</BusinessCd>
        <TotalRevenueColumnAmt>749402</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>749402</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FEE REVENUE</Desc>
        <BusinessCd>541700</BusinessCd>
        <TotalRevenueColumnAmt>104317</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>68912</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>35405</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>853719</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>92</TotalRevenueColumnAmt>
        <ExclusionAmt>92</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>22020</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>58307</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>28386</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-6366</TotalRevenueColumnAmt>
        <ExclusionAmt>-6366</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>9161365</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>818314</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>35405</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-6274</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>13670</TotalAmt>
        <ProgramServicesAmt>13670</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>414971</TotalAmt>
        <ProgramServicesAmt>347579</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57557</ManagementAndGeneralAmt>
        <FundraisingAmt>9835</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3656394</TotalAmt>
        <ProgramServicesAmt>3062596</ProgramServicesAmt>
        <ManagementAndGeneralAmt>507142</ManagementAndGeneralAmt>
        <FundraisingAmt>86656</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>100032</TotalAmt>
        <ProgramServicesAmt>83787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13874</ManagementAndGeneralAmt>
        <FundraisingAmt>2371</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>382233</TotalAmt>
        <ProgramServicesAmt>320158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53016</ManagementAndGeneralAmt>
        <FundraisingAmt>9059</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>310599</TotalAmt>
        <ProgramServicesAmt>260158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43080</ManagementAndGeneralAmt>
        <FundraisingAmt>7361</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>13786</TotalAmt>
        <ManagementAndGeneralAmt>13786</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>34768</TotalAmt>
        <ManagementAndGeneralAmt>34768</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>182862</TotalAmt>
        <ProgramServicesAmt>182862</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2187541</TotalAmt>
        <ProgramServicesAmt>1986387</ProgramServicesAmt>
        <ManagementAndGeneralAmt>181670</ManagementAndGeneralAmt>
        <FundraisingAmt>19484</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>192509</TotalAmt>
        <ProgramServicesAmt>136131</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48400</ManagementAndGeneralAmt>
        <FundraisingAmt>7978</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>137341</TotalAmt>
        <ProgramServicesAmt>128838</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7262</ManagementAndGeneralAmt>
        <FundraisingAmt>1241</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>390821</TotalAmt>
        <ProgramServicesAmt>327352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54207</ManagementAndGeneralAmt>
        <FundraisingAmt>9262</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>155068</TotalAmt>
        <ProgramServicesAmt>133038</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22030</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>516599</TotalAmt>
        <ProgramServicesAmt>427628</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88971</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>13</TotalAmt>
        <ManagementAndGeneralAmt>13</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>16849</TotalAmt>
        <ProgramServicesAmt>14112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2335</ManagementAndGeneralAmt>
        <FundraisingAmt>402</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>33590</TotalAmt>
        <ProgramServicesAmt>28135</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5455</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Honorarium Stipends</Desc>
        <TotalAmt>109659</TotalAmt>
        <ProgramServicesAmt>109659</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT &amp; RETENTION</Desc>
        <TotalAmt>91417</TotalAmt>
        <ProgramServicesAmt>29775</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61642</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIP RENTAL &amp; MAINTENA</Desc>
        <TotalAmt>46415</TotalAmt>
        <ProgramServicesAmt>38877</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6438</ManagementAndGeneralAmt>
        <FundraisingAmt>1100</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Subscriptions</Desc>
        <TotalAmt>15418</TotalAmt>
        <ManagementAndGeneralAmt>15418</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>18811</TotalAmt>
        <ManagementAndGeneralAmt>18811</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>7630742</ProgramServicesAmt>
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        <EOYAmt>118480</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>556867</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>1281</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>-28642</EOYAmt>
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        <EOYAmt>490973</EOYAmt>
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        <EOYAmt>462331</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>139999</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>6982590</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7056130</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7959727</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8313920</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>6982590</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7056130</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7959727</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8313920</CurrentTaxYearAmt>
        <TotalAmt>37806882</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>42279</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>37764603</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1510</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>519</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>257</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>97</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>92</CurrentTaxYearAmt>
        <TotalAmt>2475</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>14696</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>19560</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20400</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>22020</CurrentTaxYearAmt>
        <TotalAmt>76676</TotalAmt>
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      <PublicSupportPY170Pct>0.99760</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10, Explanation of Other Income:</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising Revenue - 2012 Amount: $ 14,696. 2014 Amount: $ 19,560. 2015 Amount: $ 20,400. 2016 Amount: $ 22,020.</ExplanationTxt>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <OtherExemptPurposeExpendGrp>
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      <TotalExemptPurposeExpendGrp>
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      <TotLbbyngGrassrootMnsNonTxGrp>
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      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
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        <CurrentYearMinus2Amt>543033</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>510950</CurrentYearMinus1Amt>
        <CurrentYearAmt>531537</CurrentYearAmt>
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        <CurrentYearMinus2Amt>336087</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>306528</CurrentYearMinus1Amt>
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        <CurrentYearMinus2Amt>135758</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>127738</CurrentYearMinus1Amt>
        <CurrentYearAmt>132884</CurrentYearAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-A LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>Educates legislators and government entities about issues of importance to Federally Qualified Health Centers. Such issues include: - Indigent Care Reimbursement - Medicaid Reimbursement - Health Care Workforce - Migrant Worker Health - Capital Development for Increased Access to Primary Care</ExplanationTxt>
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        <BookValueAmt>0</BookValueAmt>
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      <RevenueNotReportedFinclStmtAmt>-28386</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <TotalCompensationFilingOrgAmt>154858</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Diane Ferran</PersonNm>
        <TitleTxt>DIR CLINICAL QUALITY IMPROvement</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>5529</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191911</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>Suzanne Rossel</PersonNm>
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        <TotalCompensationFilingOrgAmt>222930</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Elizabeth Swain</PersonNm>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>6554</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>137636</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>There are two (2) classes of membership in the Community Health Care Association of New York State. Organizational Membership in the Association shall be available to any FQHC or FQHC Look-Alike based in New York State. Associate Membership in the Association is available to agencies, organizations, consultants and individuals that are interested in, or have goals related to the Association but do not qualify as Organizational Members, e.g., clinical associations, agencies, suppliers and other for-profit or non-profit organizations. Associate Membership includes all privileges of Organizational Membership except full voting. Associate Membership is designated Associate Individual, Associate Organizational, and Associate Governmental. Associate Members shall have voting privileges only on committees on which they serve. Associate Membership is not available to individuals associated with Organizational Members, including, but not limited to their employees, that provide primary care. Membership in the Associate Membership category will not be available to those who qualify for the Organizational Membership category.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Each year at the annual meeting, the organizational membership shall first elect members to its Board of Directors. Election is by ballot and a majority of the votes cast shall elect.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>An independent accounting firm prepares the 990 based on audited financial statements and information provided by management. The return is then reviewed by the Senior Director of Finance and the President and CEO and provided to the Board of Directors prior to its submission to the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of the Board, as well as all Officers and key employees, are required to sign written conflict of interest statements on an annual basis. Copies of the signed forms are maintained. Any conflicts are resolved by the Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>President/Ceo's compensation is determined via a market analysis and comparison. The Executive committee looks at data from national salary surveys for CEOs of associations of comparable sized organizations/associations. In addition, they look at compensation packages for similarly-sized Primary Care Associations (PCAs). After the compensation is recommended the board will then vote to approve the compensation for the president/CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The documents are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>grant consultants: Program service expenses 89,802. Management and general expenses 0. Fundraising expenses 19,484. Total expenses 109,286. human resources consultants: Program service expenses 0. Management and general expenses 43,195. Fundraising expenses 0. Total expenses 43,195. program consultants and sub-contractors: Program service expenses 1,553,731. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,553,731. Data Processing: Program service expenses 342,854. Management and general expenses 135,287. Fundraising expenses 0. Total expenses 478,141. Financial Consultant: Program service expenses 0. Management and general expenses 3,188. Fundraising expenses 0. Total expenses 3,188.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>form 990, part XII, line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>