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        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>205077</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50361</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MOLLY ANNE COLLINS MD</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>172261</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53621</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SEETOE TERRY</PersonNm>
        <TitleTxt>PRIMARY CARE PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>203697</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52604</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VESNA GIZDAVCIC MD</PersonNm>
        <TitleTxt>PRIMARY CARE PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>208576</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56576</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2024996</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>332928</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>523259</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>19</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MOUNT SINAI SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>150 EAST 42ND STREET</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10017</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTANT MEDICINES</ServicesDesc>
        <CompensationAmt>740650</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRINCIPAL BUILDING SERVICES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>630 9TH AVENUE SUITE 1012</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10036</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FACILITY CLEANING</ServicesDesc>
        <CompensationAmt>670004</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BTQ FINANCIAL A DIVISION OF CO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>115 BROADWAY NEW YORK NY 10006</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10006</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MSO/ ACCOUNTING SERVICES</ServicesDesc>
        <CompensationAmt>480000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VVC HOLDING CORP - EFT-ACH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>95 PINE ST STE 110</AddressLine1Txt>
            <CityNm>BURLINGTON</CityNm>
            <StateAbbreviationCd>VT</StateAbbreviationCd>
            <ZIPCd>05401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT RELATED</ServicesDesc>
        <CompensationAmt>187938</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROPES &amp; GRAY LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1211 AVENUE OF THE AMERICAS</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10036</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL CONSULTANCY SERVICES</ServicesDesc>
        <CompensationAmt>154808</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>32BJ</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>16648800</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16648800</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER THIRD-PARTY PAYORS AND SELF</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>837914</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>837914</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AFFILIATED HEALTH AND WELFARE FUN</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>466433</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>466433</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>98300</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>98300</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>37099</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37099</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>18088546</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>168601</TotalRevenueColumnAmt>
        <ExclusionAmt>168601</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3500</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>759</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>2741</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2741</TotalRevenueColumnAmt>
        <ExclusionAmt>2741</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>25743</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25743</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>10720</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10720</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>36463</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18296351</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18125009</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>171342</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>879411</TotalAmt>
        <ProgramServicesAmt>713191</ProgramServicesAmt>
        <ManagementAndGeneralAmt>166220</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>1275997</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>594327</ProgramServicesAmt>
        <ManagementAndGeneralAmt>135840</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1605429</TotalAmt>
        <ProgramServicesAmt>1306755</ProgramServicesAmt>
        <ManagementAndGeneralAmt>298674</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>512380</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117110</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>163859</TotalAmt>
        <ProgramServicesAmt>72759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91100</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>122350</TotalAmt>
        <ProgramServicesAmt>54328</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68022</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>1177519</ProgramServicesAmt>
        <ManagementAndGeneralAmt>600820</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>22698</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45036</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>103249</TotalAmt>
        <ProgramServicesAmt>45846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57403</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>2180535</TotalAmt>
        <ProgramServicesAmt>1768300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>412235</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>1949</TotalAmt>
        <ManagementAndGeneralAmt>1949</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>78239</TotalAmt>
        <ProgramServicesAmt>6903</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71336</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>466</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>618188</TotalAmt>
        <ProgramServicesAmt>574912</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43276</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>196260</ProgramServicesAmt>
        <ManagementAndGeneralAmt>165294</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>898566</TotalAmt>
        <ProgramServicesAmt>644952</ProgramServicesAmt>
        <ManagementAndGeneralAmt>253614</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>387153</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
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        <ProgramServicesAmt>7128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73660</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONSUMABLE SUPPLIES</Desc>
        <TotalAmt>71398</TotalAmt>
        <ProgramServicesAmt>7814</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63584</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>84161</TotalAmt>
        <ProgramServicesAmt>7426</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76735</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>17567218</TotalAmt>
        <ProgramServicesAmt>13548847</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4018371</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>66844</BOYAmt>
        <EOYAmt>56417</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3182528</BOYAmt>
        <EOYAmt>3330073</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>187300</BOYAmt>
        <EOYAmt>380901</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>802264</BOYAmt>
        <EOYAmt>533960</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>19422561</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10404262</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>9365078</BOYAmt>
        <EOYAmt>9018299</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>4246454</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>19374206</BOYAmt>
        <EOYAmt>14679717</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>1271475</BOYAmt>
        <EOYAmt>1309317</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>33555138</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1120689</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>30190254</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>31310943</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>2244195</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1339842</BOYAmt>
        <EOYAmt>2244195</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>38180234</BOYAmt>
        <EOYAmt>33555138</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>729133</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>175220</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus2YearsAmt>2489700</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3562912</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>13356782</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19127442</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18088546</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>15846482</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>22690354</CurrentTaxYearMinus1YearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus1YearAmt>3562912</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportTotal509Amt>84334969</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus2YearsAmt>29738</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>73809</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus2YearsAmt>29738</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>73809</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>168601</CurrentTaxYearAmt>
        <TotalAmt>695197</TotalAmt>
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        <CurrentTaxYearMinus4YearsAmt>39326</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11285</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>44856</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>124023</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>36463</CurrentTaxYearAmt>
        <TotalAmt>255953</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>16499837</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16155844</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15921076</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>22888186</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18293610</CurrentTaxYearAmt>
        <TotalAmt>89758553</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.93960</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.93640</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00770</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00900</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS REVENUE - 2019 AMOUNT: $ 33,912. 2020 AMOUNT: $ 8,270. 2021 AMOUNT: $ 20,307. 2022 AMOUNT: $ 92,579. 2023 AMOUNT: $ 10,720. MEDICAL RECORDS - 2019 AMOUNT: $ 5,414. 2020 AMOUNT: $ 3,015. 2021 AMOUNT: $ 24,549. 2022 AMOUNT: $ 31,444. 2023 AMOUNT: $ 25,743.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>6602928</DepreciationAmt>
        <BookValueAmt>8803745</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1533893</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1494045</DepreciationAmt>
        <BookValueAmt>39848</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2481995</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2307289</DepreciationAmt>
        <BookValueAmt>174706</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9018299</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>WORK LETTER LIABILITY</Desc>
        <Amt>409757</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION LIABILITY</Desc>
        <Amt>1309317</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>28471180</Amt>
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      <TotalLiabilityAmt>30190254</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>18471571</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>175220</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>175220</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>18296351</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>18296351</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>17567218</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>17567218</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>17567218</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CENTER'S FEDERAL, STATE AND CITY INCOME TAX RETURNS PRIOR TO 2020 ARE CLOSED. THE BOARD OF DIRECTORS CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER GOLDBERGER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>312840</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>18187</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13200</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>30201</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>376329</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR NEIL PASCO</PersonNm>
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        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>353884</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>AUDREY LUM</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>37738</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16671</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>305310</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VIPUL PATEL</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6491</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>32355</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29812</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>277400</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROLINE COICOU MD</PersonNm>
        <TitleTxt>PRIMARY CARE PROVIDER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>31895</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>18119</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>268786</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VESNA GIZDAVCIC MD</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>265152</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SEETOE TERRY</PersonNm>
        <TitleTxt>PRIMARY CARE PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>193697</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CRESPO MASSIEL FLEURY</PersonNm>
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        <TotalCompensationFilingOrgAmt>255438</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MOLLY ANNE COLLINS MD</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>206063</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON PART II, COLUMN B(II), REPRESENTS BONUSES THAT WERE APPROVED BY THE BOARD, THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUAL'S W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV, LINE 20A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS LICENSED UNDER ARTICLE 28 OF NEW YORK STATE PUBLIC HEALTH LAW. HOWEVER, SUBSECTION 10 OF ARTICLE 28 EXCLUDES CERTAIN HEALTHCARE FACILITIES FROM THE DEFINITION OF GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990 AS THEY DO NOT MEET THIS DEFINITION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OUTSOURCED THE ROLE OF ITS CFO TO BTQ FINANCIAL (BTQ). BTQ HANDLED ALL DUTIES THAT WOULD HAVE NORMALLY BEEN PERFORMED BY A CFO AND WAS COMPENSATED $480,000. FOR THE SERVICES THEY PERFORMED. BTQ CONTRACTED, SURJEET SEEHRA WHO IS LISTED ON FORM 990, PART VII TO PERFORM THOSE SERVICES. THE ORGANIZATION OUTSOURCES THE CEO ROLE THROUGH AN ADMINISTRATIVE AGREEMENT WITH MOUNT SINAI SOLUTIONS LLC THAT PROVIDES PERSONNEL SERVICES. DR. NEIL PASCO WHO IS CURRENTLY LISTED ON PART VII PERFORMED THE ROLE AS CEO/CMO FOR FY23 FOR THE HEALTH CENTER THROUGH THE AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE SHALL BE FIVE (5) MEMBERS OF THE CORPORATION (THE "MEMBERS"). MEMBERSHIP IN THE CORPORATION SHALL BE RESTRICTED AND LIMITED TO THE MEMBERS APPOINTED BY WORKERS UNITED ("WORKERS UNITED") AND THE BUILDING SERVICE 32BJ HEALTH FUND ("32BJ HEALTH FUND").</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>WORKERS UNITED AND 32BJ HEALTH FUND (EACH, AN "APPOINTING ORGANIZATION") SHALL EACH BE ENTITLED TO APPOINT A CERTAIN NUMBER OF MEMBERS AT ANY GIVEN TIME. SPECIFICALLY, WORKERS UNITED SHALL HAVE THE RIGHT TO APPOINT TWO (2) OF THE FIVE (5) MEMBERS (EACH A "WORKERS UNITED MEMBER AND COLLECTIVELY THE "WORKERS UNITED MEMBERS"), AND 32BJ HEALTH FUND SHALL HAVE THE RIGHT TO APPOINT THREE (3) OF THE FIVE (5) MEMBERS (EACH A "32BJ HEALTH FUND MEMBER AND COLLECTIVELY THE "32BJ HEALTH FUND MEMBERS").</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER AND OUTSIDE FINANCIAL ADVISOR REVIEW THE 990 AND A COMPLETE FINAL COPY OF THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO SUBMISSION WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS AND TRUSTEES ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD EXECUTIVE COMMITTEE WITH RESPECT TO THE CHIEF EXECUTIVE OFFICER, ANNUALLY EVALUATES PERFORMANCE, AND DETERMINES AND APPROVES COMPENSATION LEVELS BASED ON THIS EVALUATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UNION HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL CONSULTANTS: PROGRAM SERVICE EXPENSES 697,660. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 697,660. PAYROLL PROCESSING FEE: PROGRAM SERVICE EXPENSES 17,384. MANAGEMENT AND GENERAL EXPENSES 21,766. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,150. OTHER FEE: PROGRAM SERVICE EXPENSES 462,475. MANAGEMENT AND GENERAL EXPENSES 579,054. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,041,529.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>BUILDING SERVICE 32BJ HEALTH FUND</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>25 WEST 18TH STREET 5TH FLOOR</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10011</ZIPCd>
        </USAddress>
        <EIN>132928869</EIN>
        <PrimaryActivitiesTxt>TO PROVIDE INSURANCE &amp; OTHER BENFITS TO ITS PARTICIPANTS &amp; DEPENDENTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(9)</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>BUILDING SERVICE 32BJ HEALTH FUND</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>500000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>