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      <Desc>EXEMPT PURPOSE ACHIEVEMENTS - 2015 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), MEDICARE ADVANTAGE, AND EXCHANGE (NEW YORK STATE OF HEALTH &amp; VERMONT HEALTH CONNECT) POPULATIONS. DURING THE YEAR 2015, MVP HAD MEDICAID MANAGED CARE/CHP ENROLLMENT OF 195,936 IN NEW YORK STATE. THIS NUMBER INCLUDES BOTH MVP HEALTH PLAN, INC. AND HUDSON HEALTH PLAN, INC. MEMBERSHIP. MVP ALSO HAD MEDICARE ADVANTAGE ENROLLMENT TOTALING 67,184 DURING 2015 THROUGH ITS MEDICARE ADVANTAGE CONTRACT. MVP'S 2015 COMMERCIAL (LARGE AND SMALL GROUP AND INDIVIDUAL) HMO ENROLLMENT TOTALED 111,764. WHILE SERVING THE POPULATIONS WHO RELY ON MEDICAID MANAGED CARE AND CHP 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 2015, MVP CONTINUED TO SUPPORT ITS MEMBERS WITH FEATURES SUCH AS ONLINE WELLNESS TOOLS, INCLUDING A CONFIDENTIAL HEALTH RISK ASSESSMENT TOOL THAT INDIVIDUAL MEMBERS CAN USE TO ASSESS THEIR OVERALL HEALTH AND BETTER COMMUNICATE WITH THEIR DOCTORS. IN ADDITION TO THE ABOVE, MVP PARTICIPATES IN QUALITY AND SATISFACTION-FOCUSED PROGRAMS SPONSORED BY THE CENTER FOR MEDICAID AND 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 SERVICES (DFS), 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 WEST HMO AND PPO MEDICARE PRODUCTS AND A 4.0 STAR RATING FOR ITS EAST HMO PRODUCT. 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 75TH AND 50TH PERCENTILE SCORE. THESE SCORES REPRESENT THE 2ND AND 3RD HIGHEST TIERS OUT OF 5 PERFORMANCE TIERS. ADDITIONALLY, MVPS VT EXCHANGE PRODUCTS AND NY MARKETPLACE PRODUCTS RECEIVED 3 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. IN ORDER 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 2015, MVP PROVIDED MORE THAN $1,000,000 TO LOCAL NOT-FOR-PROFITS IN SUPPORT OF EVENTS AND ACTIVITIES THAT ARE FOCUSED ON CREATING HEALTHY COMMUNITIES. WORKING WITH COMMUNITY BASED NON-FOR-PROFIT ORGANIZATIONS AND HOSPITALS, MVP PROVIDED FINANCIAL SUPPORT FOR SUCH PROGRAMS AS: NEW YORK AND VERMONT: IN 2015 MVP PARTNERED WITH A NUMBER OF AREA AGENCIES AND TV STATIONS TO SUPPORT THE COATS FOR KIDS PROJECT. IN BOTH ROCHESTER AND THE CAPITAL REGION, MVP PARTNERED WITH AREA TV STATIONS TO BROADEN THE EXPOSURE OF THIS PROGRAM RESULTING IN MORE THAN 3000 COATS BEING DONATED. IN ADDITION, MVP DONATED COATS TO MORE THAN 2300 CHILDREN ACROSS NEW YORK AND VERMONT. CAPITAL REGION, NY: 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; UNDERWRITING SEVERAL PROGRAMS FOR CAPITAL ROOTS, A NONPROFIT ORGANIZATION WHOSE MISSION IS TO PROVIDE ACCESS TO FRESH FOOD FOR ALL. PROGRAM SUPPORT INCLUDED: COMMUNITY GARDENS THROUGHOUT ALBANY AND SCHENECTADY; 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; LEADING A COALITION, INCLUDING OTHER FOUNDATIONS AND COMPANIES TO EXPAND A WEEKEND BACKPACK PROGRAM IN THE SCHENECTADY CITY SCHOOLS, PROVIDING NUTRITIOUS FOOD FOR THE WEEKEND FOR MORE THAN 800 STUDENTS, WHICH REPRESENTS ALMOST 15% OF THE ELEMENTARY SCHOOL POPULATION; AND IN PARTNERSHIP WITH THE ALBANY COLLEGE OF PHARMACY AND HEALTH SCIENCES, SUPPORTING THE CREATION OF A NEIGHBORHOOD-BASED STUDENT-RUN PHARMACY, COLLEGE HOME TOWN PHARMACY, WHICH WILL BE HOUSED IN SCHENECTADY COUNTYS ONLY NOT-FOR-PROFIT FEDERALLY QUALIFIED HEALTH CENTER, HOMETOWN HEALTH CENTER, AND 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 PROVIDE ACCESS TO PHARMACY SERVICES WITHIN A FEDERALLY QUALIFIED HEALTH CENTER. ROCHESTER, NY: SUPPORT FOR DRESS FOR SUCCESS HELPED TO UNDERWRITE A PROGRAM THAT PROVIDES MENTORING FOR WOMEN WHO ARE RE-ENTERING THE WORKFORCE AND THEN PROVIDE APPROPRIATE AND PROFESSIONAL CLOTHING FOR INTERVIEWSUNDERWRITING FOODLINKS COOKING MATTERS AT THE STORE TO PROVIDE LOW INCOME ADULTS WITH THE TOOLS TO LEARN HOW TO SHOP WITHIN BUDGET FOR NUTRITIOUS FOODS; AND UNDERWRITING THE WEST SIDE YMCAS LIVING WELL CENTER PARTNERSHIP WITH THE ROCHESTER YMCA AND LIFESPAN PROGRAM TO PROVIDE SERVICES TO THE ELDERLY. HUDSON VALLEY, NY: UNDERWRITING NUMEROUS PROGRAMS THAT ASSIST LOW INCOME INDIVIDUALS ACCESS MEDICAL CARE AND SERVICES. VERMONT: WORKING WITH THE VERMONT CHILDRENS TRUST FOUNDATION, TO UNDERWRITE AN EVIDENCED-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, MORE THAN 500 MVP EMPLOYEES VOLUNTEERED IN THE COMMUNITY EQUATING TO 2200 HOURS (OR 5 WEEKS OF VOLUNTEERISM) AND VALUED AT ALMOST $73,000. 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>
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        <PersonNm>Karen Johnson</PersonNm>
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        <PersonNm>Anne Kauffman Nolon</PersonNm>
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        <PersonNm>Herschel Lessin</PersonNm>
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        <PersonNm>William Reddy</PersonNm>
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        <PersonNm>Arthur Roth</PersonNm>
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        <PersonNm>Michael Schneider</PersonNm>
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        <PersonNm>Debbie Sydow</PersonNm>
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        <PersonNm>DENISE GONICK</PersonNm>
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        <PersonNm>Karla Austen</PersonNm>
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        <PersonNm>Dawn Jablonski</PersonNm>
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        <PersonNm>Dominick Bizzarro</PersonNm>
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        <PersonNm>Catherine Buhler Clancy</PersonNm>
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        <PersonNm>Christopher DelVecchio</PersonNm>
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        <PersonNm>Patrick Glavey</PersonNm>
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        <PersonNm>Allen Hinkle</PersonNm>
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        <PersonNm>laurie metheny</PersonNm>
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      <ContractorCompensationGrp>
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          <PersonNm>Hudson Center for Health</PersonNm>
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      <ProgramServiceRevenueGrp>
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      </ProgramServiceRevenueGrp>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <RoyaltiesGrp>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <OtherExpensesGrp>
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        <EOYAmt>145955230</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>176410179</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>225708581</EOYAmt>
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        <EOYAmt>589859132</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>11107867</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-1997842</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>22198984</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>
      <Expended527ActivitiesAmt>0</Expended527ActivitiesAmt>
      <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 />
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        <DepreciationAmt>9066047</DepreciationAmt>
        <BookValueAmt>2609523</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>75477695</DepreciationAmt>
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        <BookValueAmt>627426</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>8253081</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>MEDICARE PART D RECEIVABLES</Desc>
        <BookValueAmt>23030788</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>17669857</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INVEST IN HUDSON HEALTH PLAN</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>STATUTORY DEPOSITS</Desc>
        <BookValueAmt>73273518</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>REINSURANCE RECOVERIES</Desc>
        <BookValueAmt>16988768</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PHARMACY REBATES</Desc>
        <BookValueAmt>35640448</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BookValueAmt>1356369</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PROVIDER ADVANCES</Desc>
        <BookValueAmt>30110331</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>387440216</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>378110</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICAL EXPENSE PAYABLE</Desc>
        <Amt>144169429</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MISCELLANEOUS</Desc>
        <Amt>1407691</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>145955230</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 OVER THE NEXT TWELVE MONTHS. THE PLANS POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS AS A COMPONENT OF PRETAX INCOME. AS OF DECEMBER 31, 2015 AND 2014, THE COMPANY HAD ACCRUED APPROXIMATELY $0 AND $219, RESPECTIVELY, OF INTEREST AND PENALTIES INCLUDED AS A COMPONENT OF UNRECOGNIZED TAX BENEFIT. INTEREST AND PENALTIES (EXPENSE)/BENEFIT TOTALING $219 IN 2015 AND $11 IN 2014 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>6400832</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>10508741</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>2701874</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
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      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <TypeOfActivitiesConductedTxt>Investments</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>312085</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalSpentAmt>21516063</SubtotalSpentAmt>
      <TotalSpentAmt>21516063</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>
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        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
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        <OtherCompensationRltdOrgsAmt>11796</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>55876</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>36324</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3172</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2062</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>352910</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>229420</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>16807</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>10926</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dominick Bizzarro</PersonNm>
        <TitleTxt>EVP Business Development</TitleTxt>
        <BaseCompensationFilingOrgAmt>65409</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>119947</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6175</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>11325</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>157</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>288</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9552</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>17517</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1503</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2756</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>82796</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>151833</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Catherine Buhler Clancy</PersonNm>
        <TitleTxt>EVP, Medicaid &amp; Operations</TitleTxt>
        <BaseCompensationFilingOrgAmt>154429</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>195247</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16240</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>20533</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>696</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>880</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>39081</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>49411</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2403</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3038</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>212849</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>269109</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Georganne Chapin</PersonNm>
        <TitleTxt>EVP, Corporate Affairs</TitleTxt>
        <BaseCompensationFilingOrgAmt>144585</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>251723</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20348</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>35426</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>17862</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>31098</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>34721</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>60450</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1216</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2118</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>218732</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>380815</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Crosby</PersonNm>
        <TitleTxt>EVP, Commercial Business</TitleTxt>
        <BaseCompensationFilingOrgAmt>75443</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>64187</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>41815</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>35576</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>166507</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>141666</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>29875</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>25417</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14907</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12683</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>328547</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>279529</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>32498</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>27649</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher DelVecchio</PersonNm>
        <TitleTxt>EVP, Strategy and Innovation</TitleTxt>
        <BaseCompensationFilingOrgAmt>223997</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>190578</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7823</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>6656</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>553</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>470</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>37407</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>31826</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2993</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2547</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>272773</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>232077</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patrick Glavey</PersonNm>
        <TitleTxt>EVP, Medicare Programs</TitleTxt>
        <BaseCompensationFilingOrgAmt>314671</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>76058</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>24921</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>74473</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2483</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>492606</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Allen Hinkle</PersonNm>
        <TitleTxt>EVP, Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>241150</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>205172</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>69406</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>59051</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>19715</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>16774</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>34431</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>29294</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1987</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1692</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>366689</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>311983</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carl Cameron</PersonNm>
        <TitleTxt>VP, Medical Affairs</TitleTxt>
        <BaseCompensationFilingOrgAmt>155808</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>132562</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23456</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>19956</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>20656</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>17574</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>46194</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>39302</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3659</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3113</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>249773</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>212507</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>20290</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>17263</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Daniel Drislane</PersonNm>
        <TitleTxt>VP, Finance/Govt Programs</TitleTxt>
        <BaseCompensationFilingOrgAmt>121937</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>79268</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>19633</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>12763</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>69341</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>45077</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>41436</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>26937</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4915</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3195</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>257262</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>167240</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>41162</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>26759</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dawn Jablonski</PersonNm>
        <TitleTxt>VP, General Counsel</TitleTxt>
        <BaseCompensationFilingOrgAmt>124952</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>126751</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>17931</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>18189</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8522</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>8645</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>36522</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>37048</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2057</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2087</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>189984</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>192720</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>8239</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>8358</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LYNN MANNING</PersonNm>
        <TitleTxt>VP, HUMAN RESOURCES</TitleTxt>
        <BaseCompensationFilingOrgAmt>102832</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>119895</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>13572</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>15824</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1583</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1846</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>33550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>39117</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3019</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3521</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>154556</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>180203</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Augusta Martin</PersonNm>
        <TitleTxt>VP, Client Engagement</TitleTxt>
        <BaseCompensationFilingOrgAmt>155270</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>132105</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>22111</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>18812</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15573</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>13250</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>42542</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>36195</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1463</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1245</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>236959</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>201607</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>7847</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>6677</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>laurie metheny</PersonNm>
        <TitleTxt>Chief Risk Ofc&amp; VP of Mbr Svc</TitleTxt>
        <BaseCompensationFilingOrgAmt>114504</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>97421</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15622</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>13291</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6938</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>5903</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>29395</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>25010</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2119</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1803</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>168578</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>143428</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>6690</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>5692</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Poole III</PersonNm>
        <TitleTxt>VP and CIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>145070</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>169142</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20377</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>23758</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15805</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>18428</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>38634</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>45045</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3063</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3571</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>222949</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>259944</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Daniel Sauer</PersonNm>
        <TitleTxt>VP, Sales &amp; Account Management</TitleTxt>
        <BaseCompensationFilingOrgAmt>110228</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>136641</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>81329</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>100817</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9399</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>11652</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>31171</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>38641</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>492</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>610</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>232619</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>288361</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph Wild</PersonNm>
        <TitleTxt>Director, Sales West</TitleTxt>
        <BaseCompensationFilingOrgAmt>47881</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>155528</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>28284</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>91872</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5025</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>16321</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12498</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>40598</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>915</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2971</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>94603</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>307290</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>4583</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>14885</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A</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 2015: DAVID CROSBY - $180,000 JAMES HYNEK JR. - $189,539</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: DENISE GONICK $ 85,126 KARLA AUSTEN $ 43,000 DAWN JABLONSKI $ 28,482 DAVID CROSBY $ 110,462 LAURIE METHENY $ 19,271</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 FIVE 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 RENUMBERATION 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 INCENTIVE FOR EXECUTIVES, MANAGEMENT INCENTIVE FOR MANAGEMENT LEVEL AND ABOVE AND PERFORMANCE INCENTIVE FOR THE BALANCE OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 4B - FOREIGN COUNTRIES</FormAndLineReferenceDesc>
        <ExplanationTxt>Israel Italy Japan Netherlands Norway Singapore South Korea Spain Sweden Switzerland</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 REDUCE THE NUMBER OF REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS FROM FIVE TO FOUR MEETINGS ANNUALLY AND TO RESTATE THE PURPOSE AND SCOPE OF RESPONSIBILITIES OF THE BOARD OF DIRECTOR'S STRATEGIC PLANNING COMMITTEE (INCLUDING RE-NAMING IT THE "STRATEGY 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 LLP. 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 ORGANIZATION'S 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 MANAGMENT 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>TRANSFER TO AFFILIATED ENTITY: (29,404,393) INVESTMENT IN HUDSON HEALTH PLAN: 56,634,906 BAD DEBT EXPENSE: (5,031,529) TOTAL OTHER CHANGES IN NET ASSETS: 22,198,984</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 Co</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>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVPHealth</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <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>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <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>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <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>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <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>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <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>MVP Hlth Pln NH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <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>MVPRT Holding</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <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 Holdings</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Genesee Region Preferred Health Network</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>625 State</AddressLine1Txt>
          <CityNm>Schenectady</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12305</ZIPCd>
        </USAddress>
        <EIN>161507474</EIN>
        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MVPUT Holding</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <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>MVPUT Holding</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <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>MVPRT Holding</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <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>MVPUT Holding</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <ControlledOrganizationInd>false</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 HIC Holding</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</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>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Hudson Health Plan</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>19840060</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Interco agree</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>