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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>51021</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSE VIRELLA</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>222554</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50584</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LESLIE PARGAMENT</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>195405</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32116</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN SWARTZ</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>309147</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38491</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANA TARAS</PersonNm>
        <TitleTxt>CHIEF COMPLIANCE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>202476</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8639</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN FRIED</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
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        <ReportableCompFromOrgAmt>199712</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5928</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA M FELICIANO</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>168779</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26521</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAIMENEE KHEMRAJ</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>167421</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16104</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA HOOD</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>172204</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31366</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FERN FLECKMAN</PersonNm>
        <TitleTxt>CHIEF BEHAVIORAL HEALTH OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>165174</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20119</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT TASCA</PersonNm>
        <TitleTxt>DIRECTOR OF DENTAL &amp; RADIOLOGY</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>163061</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29887</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BERTHA RAMOS-RAMIREZ</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>199108</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44763</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL BAXTER</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>210055</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19900</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GARY EDDEY</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>192286</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1266</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CLAUDINE MATHIEU</PersonNm>
        <TitleTxt>ASSIST. PEDIATRICS DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>183624</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17748</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RASHANNA LYNCH</PersonNm>
        <TitleTxt>ASSIST. MEDICAL DIRECTOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>174157</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42406</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3283972</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>436859</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>55</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY EYECARE ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>229 E 79TH STREET</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10021</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EYE CARE SERVICES</ServicesDesc>
        <CompensationAmt>987553</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ST LUKE'S ROOSEVELT HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>150 E 42ND STREET 5TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>873833</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EMPIRE STATE CONTRACTING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>68 HILLIS STREET</AddressLine1Txt>
            <CityNm>STATEN ISLAND</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10312</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>556154</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECLINICAL WORKS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>110 TURNPIKE ROAD</AddressLine1Txt>
            <CityNm>WESTBORO</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01581</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING SERVICES</ServicesDesc>
        <CompensationAmt>499227</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HENRY SCHEIN COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>846 PELHAM PARKWAY</AddressLine1Txt>
            <CityNm>PELHAM MANOR</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10803</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>455678</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>27</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>351770</FundraisingAmt>
      <RelatedOrganizationsAmt>751926</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>13231330</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2149926</AllOtherContributionsAmt>
      <NoncashContributionsAmt>1157128</NoncashContributionsAmt>
      <TotalContributionsAmt>16484952</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NYS AND CHILD HEALTH PLUS WRAPARO</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>10043650</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10043650</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY (340B)</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>4952876</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4952876</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>4700654</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4700654</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID MANAGED CARE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>4335296</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4335296</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID MANAGED CARE INCENTIVES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>3688868</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3688868</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>9064871</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9064871</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>36786215</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>13995</TotalRevenueColumnAmt>
        <ExclusionAmt>13995</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>96075</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>351770</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>201966</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-105891</TotalRevenueColumnAmt>
        <ExclusionAmt>-105891</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>ADMIN AND SUPPORT SERVICES</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>915000</TotalRevenueColumnAmt>
        <ExclusionAmt>915000</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>133039</TotalRevenueColumnAmt>
        <ExclusionAmt>133039</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>12753</TotalRevenueColumnAmt>
        <ExclusionAmt>12753</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>483</TotalRevenueColumnAmt>
        <ExclusionAmt>483</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>1061275</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>54240546</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36786215</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>969379</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <TotalAmt>2635518</TotalAmt>
        <ProgramServicesAmt>2096490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>539028</ManagementAndGeneralAmt>
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        <TotalAmt>25100618</TotalAmt>
        <ProgramServicesAmt>19845455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5255163</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1122010</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227083</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4632081</ProgramServicesAmt>
        <ManagementAndGeneralAmt>937485</ManagementAndGeneralAmt>
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        <TotalAmt>2275667</TotalAmt>
        <ProgramServicesAmt>1892620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>383047</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>30769</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>77432</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>60691</ProgramServicesAmt>
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        <ProgramServicesAmt>4418960</ProgramServicesAmt>
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        <ProgramServicesAmt>135945</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45525</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>765221</ProgramServicesAmt>
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        <ProgramServicesAmt>627398</ProgramServicesAmt>
        <ManagementAndGeneralAmt>132111</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>120592</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12803</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>141889</TotalAmt>
        <ProgramServicesAmt>63444</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78445</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1118562</ProgramServicesAmt>
        <ManagementAndGeneralAmt>197394</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2448310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>432055</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>86363</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66069</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2911052</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6715</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>2392329</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1530</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>495128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88753</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>49934</TotalAmt>
        <ProgramServicesAmt>1215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48719</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>101624</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15657</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>55862659</TotalAmt>
        <ProgramServicesAmt>45366259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10496400</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>192093</BOYAmt>
        <EOYAmt>344139</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>17911013</BOYAmt>
        <EOYAmt>17320996</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>758925</BOYAmt>
        <EOYAmt>1120833</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>3306405</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>16301</BOYAmt>
        <EOYAmt>37716</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>604550</BOYAmt>
        <EOYAmt>677063</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>39438212</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>44840457</BOYAmt>
        <EOYAmt>43769203</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>2511</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>4079318</BOYAmt>
        <EOYAmt>3164570</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>72562805</BOYAmt>
        <EOYAmt>71246123</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>6557994</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195300</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAIMENEE KHEMRAJ</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>479</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16104</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>183525</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BARBARA HOOD</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
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        <OtherCompensationFilingOrgAmt>5771</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>3565</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>27801</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FERN FLECKMAN</PersonNm>
        <TitleTxt>CHIEF BEHAVIORAL HEALTH OFFICER</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT TASCA</PersonNm>
        <TitleTxt>DIRECTOR OF DENTAL &amp; RADIOLOGY</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BERTHA RAMOS-RAMIREZ</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>195833</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3275</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>4328</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>40435</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>243871</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL BAXTER</PersonNm>
        <TitleTxt>MEDICAL COORDINATOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>203257</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6798</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4133</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>229955</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY EDDEY</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>185967</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLAUDINE MATHIEU</PersonNm>
        <TitleTxt>ASSIST. PEDIATRICS DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>182860</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>764</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3861</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13887</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201372</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RASHANNA LYNCH</PersonNm>
        <TitleTxt>ASSIST. MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>173492</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>665</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3715</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>38691</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>216563</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1157128</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>DONOR VALUE</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS REPORTING THE NUMBER OF DONORS IN COLUMN (B).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT &amp; CEO, CHIEF FINANCIAL OFFICER AND CONTROLLER REVIEW THE FORM 990 BEFORE IT IS PRESENTED AND REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE CHAIR OF FINANCE COMMITTEE THEN PRESENTS THE FORM 990 FOR FULL BOARD REVIEW AT THE BOARD OF DIRECTORS MEETING, BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHAIR OF THE BOARD OF DIRECTORS ENSURES THAT ALL BOARD MEMBERS AND THE PRESIDENT &amp; CEO SUBMIT ATTESTATIONS ON AN ANNUAL BASIS. KEY EMPLOYEES SUBMIT THEIR ATTESTATIONS TO THE PRESIDENT AND CEO. ANY CASES OF POTENTIAL CONFLICTS OF INTEREST ARE DEALT WITH APPROPRIATELY. AS PER POLICY, THE INDIVIDUAL WITH THE CONFLICT OF INTEREST SHALL ABSTAIN FROM ANY DISCUSSION OF, OR VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN DETERMINING COMPENSATION FOR THE ORGANIZATION'S PRESIDENT &amp; CEO AND OTHER TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES, THE HUMAN RESOURCES DEPARTMENT CONTACTS THE HR DEPARTMENT OF OTHER COMMUNITY HEALTH CENTERS AND HEALTH INSTITUTIONS FOR COMPARISON OF SALARY, INCLUDING BENEFITS; AND VISITS RELEVANT INTERNET WEBSITES. THE CENTER USED MARKET RESEARCH AND STUDIES TO DETERMINE COMPENSATION. THE CENTER PARTICIPATES IN THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS' (NACHC) ANNUAL HEALTH CENTER SALARY AND BENEFIT SURVEY. DELIBERATIONS AND DECISIONS ARE APPROVED BY THE BOARD AND DOCUMENTED IN THE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 AND FORM 1023 ARE AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND SIMILAR WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, ARTICLES OF INCORPORATION, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING - ADMINISTRATIVE: PROGRAM SERVICE EXPENSES 465,946. MANAGEMENT AND GENERAL EXPENSES 303,356. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 769,302. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 325,838. MANAGEMENT AND GENERAL EXPENSES 57,501. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 383,339. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 136,740. MANAGEMENT AND GENERAL EXPENSES 55,235. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,975. MEDICAL CONSULTANTS: PROGRAM SERVICE EXPENSES 619,506. MANAGEMENT AND GENERAL EXPENSES 438,980. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,058,486. PERSONNEL FEES: PROGRAM SERVICE EXPENSES 583,769. MANAGEMENT AND GENERAL EXPENSES 163,098. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 746,867. LABORATORY FEES: PROGRAM SERVICE EXPENSES 222,877. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 222,877. DATA PROCESSING: PROGRAM SERVICE EXPENSES 536,326. MANAGEMENT AND GENERAL EXPENSES 168,820. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 705,146. SPECIALTY CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 318,807. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 318,807. OPHTHALMOLOGY CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,030,372. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,030,372. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 245,738. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 245,738. FACILITY SERVICE CONTRACT FEES: PROGRAM SERVICE EXPENSES 178,779. MANAGEMENT AND GENERAL EXPENSES 31,552. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 210,331.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S AUDIT COMMITTEE SHALL BE RESPONSIBLE FOR OVERSEEING THE ACCOUNTING AND FINANCIAL REPORTING PROCESSES OF THE ORGANIZATION AND THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AFIA FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PARKWEST FIN STATION PO BOX 21074</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10025</ZIPCd>
        </USAddress>
        <EIN>203957960</EIN>
        <PrimaryActivitiesTxt>TO SUPPORT INITIATIVES THAT PROVIDE HEALTH CARE TO UNDERSERVED POPULATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>