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      <Form990PartVIISectionAGrp>
        <PersonNm>JACQUELINE ALEMAN</PersonNm>
        <TitleTxt>CHAIRPERSON</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE ADLER</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSA MEDINA</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1855784</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>35185</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>27</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>INVENTA GROUP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15 EAST 40TH STREET</AddressLine1Txt>
            <CityNm>New York</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10016</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>199522</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ROBERT HALF</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 743295</AddressLine1Txt>
            <CityNm>Los Angeles</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90074</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTANT SERVICE</ServicesDesc>
        <CompensationAmt>490835</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TANDYM EXECU SEARCH</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 844276</AddressLine1Txt>
            <CityNm>Boston</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTANT SERVICE</ServicesDesc>
        <CompensationAmt>279500</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>11805633</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>799642</AllOtherContributionsAmt>
      <NoncashContributionsAmt>308907</NoncashContributionsAmt>
      <TotalContributionsAmt>12605275</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Medicaid</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>4294194</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4294194</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medicaid Managed Care</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>2778598</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2778598</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NYS Indigent Care</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1103318</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1103318</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Commercial Insurance</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>149292</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>149292</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medicare</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>103483</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>103483</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>128347</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>128347</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>8557232</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1821</TotalRevenueColumnAmt>
        <ExclusionAmt>1821</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossSalesOfInventoryAmt>3563873</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>1855308</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1708565</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1708565</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other Revenues</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>167218</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>167218</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>167218</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>23040111</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10433015</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1821</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1890969</TotalAmt>
        <ProgramServicesAmt>1855784</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35185</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9895886</TotalAmt>
        <ProgramServicesAmt>9158183</ProgramServicesAmt>
        <ManagementAndGeneralAmt>737703</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2057801</TotalAmt>
        <ProgramServicesAmt>1893021</ProgramServicesAmt>
        <ManagementAndGeneralAmt>164780</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>977627</TotalAmt>
        <ProgramServicesAmt>899343</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78284</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2146373</TotalAmt>
        <ProgramServicesAmt>1909762</ProgramServicesAmt>
        <ManagementAndGeneralAmt>236611</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>615500</TotalAmt>
        <ProgramServicesAmt>580810</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34690</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>713165</TotalAmt>
        <ProgramServicesAmt>679902</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33263</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>46998</TotalAmt>
        <ProgramServicesAmt>41456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5542</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>269608</TotalAmt>
        <ProgramServicesAmt>207598</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62010</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>492334</TotalAmt>
        <ProgramServicesAmt>402845</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89489</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>154768</TotalAmt>
        <ProgramServicesAmt>130035</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24733</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Equipment Rental R &amp; M</Desc>
        <TotalAmt>648401</TotalAmt>
        <ProgramServicesAmt>600215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48186</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>852770</TotalAmt>
        <ProgramServicesAmt>852770</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Food</Desc>
        <TotalAmt>240025</TotalAmt>
        <ProgramServicesAmt>240025</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Laboratory Fees and Diagnost</Desc>
        <TotalAmt>240908</TotalAmt>
        <ProgramServicesAmt>240908</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>420649</TotalAmt>
        <ProgramServicesAmt>417222</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3427</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>21663782</TotalAmt>
        <ProgramServicesAmt>20109879</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1553903</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2800</BOYAmt>
        <EOYAmt>2880</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4553776</BOYAmt>
        <EOYAmt>6275255</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>300219</BOYAmt>
        <EOYAmt>158322</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2512982</BOYAmt>
        <EOYAmt>2798426</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>14385980</BOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>77668</BOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>59736</BOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>26545157</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7940515</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>850158</BOYAmt>
        <EOYAmt>18604642</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>92416</BOYAmt>
        <EOYAmt>289301</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>22835735</BOYAmt>
        <EOYAmt>28128826</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1954679</BOYAmt>
        <EOYAmt>2077386</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>3813441</BOYAmt>
        <EOYAmt>3773994</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>3972060</BOYAmt>
        <EOYAmt>291137</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>9740180</BOYAmt>
        <EOYAmt>6142517</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>13095555</BOYAmt>
        <EOYAmt>21986309</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13095555</BOYAmt>
        <EOYAmt>21986309</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>22835735</BOYAmt>
        <EOYAmt>28128826</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1376329</ReconcilationRevenueExpnssAmt>
      <DonatedServicesAndUseFcltsAmt>1698036</DonatedServicesAndUseFcltsAmt>
      <OtherChangesInNetAssetsAmt>5816389</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>8379125</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8996704</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11656347</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7573623</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8557232</CurrentTaxYearAmt>
        <TotalAmt>45163031</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>8379125</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8996704</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11656347</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7573623</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8557232</CurrentTaxYearAmt>
        <TotalAmt>45163031</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>16367776</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>28795255</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>147569</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>149767</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>149590</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>45366</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1821</CurrentTaxYearAmt>
        <TotalAmt>494113</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>779479</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>38173</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>196556</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>97272</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>167218</CurrentTaxYearAmt>
        <TotalAmt>1278698</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>46935842</TotalSupportAmt>
      <PublicSupportCY170Pct>0.61350</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.83910</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Other income Part II line 10 or Part III line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>MISC2017 AMOUNT: $ 279,4792018 AMOUNT: $ 38,1732019 AMOUNT: $ 76,0982020 AMOUNT: $ 97,2722021 AMOUNT: $ 167,218TERMINATION OF LONG-TERM OBLIGATION2017 AMOUNT: $ 500,000HHS STIMULUS2019 AMOUNT: $ 120,458</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
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        <OtherCostOrOtherBasisAmt>169200</OtherCostOrOtherBasisAmt>
        <BookValueAmt>169200</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>22104872</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4417019</DepreciationAmt>
        <BookValueAmt>17687853</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>134755</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>37808</DepreciationAmt>
        <BookValueAmt>96947</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4136330</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3485688</DepreciationAmt>
        <BookValueAmt>650642</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>18604642</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Restricted cash</Desc>
        <BookValueAmt>72709</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other current assets</Desc>
        <BookValueAmt>195491</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other non current asset</Desc>
        <BookValueAmt>21101</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>289301</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to funding agencies</Desc>
        <Amt>238582</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Rent</Desc>
        <Amt>52555</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>291137</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>31002928</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>1698036</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>4409473</OtherRevenueAmt>
      <RevenueNotReportedAmt>6107509</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24895419</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-1855308</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-1855308</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>23040111</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>25217126</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>1698036</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>1855308</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>3553344</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>21663782</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>21663782</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other revenues not included on Form 990 (Part XI, line 2d)</FormAndLineReferenceDesc>
        <ExplanationTxt>Gain on Asset Transfer - $4,409,473</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other revenues included on Form 990 (Part XI, line 4b)</FormAndLineReferenceDesc>
        <ExplanationTxt>Cost of Goods Sold (Pharmaceutical Supplies)- $1,855,308</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other expenses not included on Form 990 (Part XII, line 2d)</FormAndLineReferenceDesc>
        <ExplanationTxt>Cost of Goods Sold (Pharmaceutical Supplies)- $1,855,308</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COUNCIL BELIEVES IT HAD NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2022 AND 2021, IN ACCORDANCE WITH ACCOUNTING STANDARDS CONDIFICATION {ASC) TOPIC 740, INCOME TAXES, WHICH PROVIDES STANDARDS FOR ESTABLISHING AND CLASSIFYING ANY TAX PROVISIONS FOR UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ARTURO PEREZ</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>306423</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3716</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>310139</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIKA DONOVAN-ESTADES</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>125262</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3454</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>128716</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AHMED ABEDO</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>193979</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6943</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>200922</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH PEREZ</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>165821</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>165821</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM APONTE</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>278585</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10635</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>289220</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PRITI BORKER</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>222949</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>222949</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT JONES</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>158541</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>158541</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANA ROJAS</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>193607</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3881</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>197488</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANICE SCOBIE</PersonNm>
        <TitleTxt>CARDIOLOGISTINTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>210617</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6556</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>217173</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>305907</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>DONOR VALUATION</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Other</Desc>
        <NoncashContributionsRptF990Amt>3000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Amended return information</FormAndLineReferenceDesc>
        <ExplanationTxt>Reclass of items to Part VIII Line 1e Government Grants</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by an independent accounatant and the draft Form 990 Tax Form is distributed to the Board for review and approval before final Form 990 is filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest disclosure statement is distributed and completed by the board members and senior management staff annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors reviews compensation for CEO on an anual basis in a closed board meeting without staff or CEO. Compensation for key employees reviewed by CEO and CFO and/or COO on an annually basis or as required.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for other officers or key employees reviewed by CEO and CFO and/or COO on an annually basis or as required</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest policy and financial statements are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>In-Kind Occupancy - $ 1,698,036.00Gain on Asset Transfer - $ 4,409,473.00Tranfer of BLDC Beginning Net Asset Balance - $3,104,952</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III response or note to any other line in Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES, FORM 990, PART III, LINE 4DThe Women, Infants and Children (WIC) program provides supplemental food program and provides services to 1,300 enrolees each year.EXPENSES: $ 415,921.00 GRANTS: $ 0.00 REVENUES: $ 0.00</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BORIKEN LOCAL DEVELOPMENT CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2265 THIRD AVENUE</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10035</ZIPCd>
        </USAddress>
        <EIN>463167787</EIN>
        <PrimaryActivitiesTxt>DEVELOP AND OWN FACILITY FOR HEALTHCARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501c3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EAST HARLEM COUNCIL FOR HUMAN SERVICES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BORIKEN LOCAL DEVELOPMENT CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>s</TransactionTypeTxt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>