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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5362</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY O'BEAR</PersonNm>
        <TitleTxt>DRIECTOR OF FAMILY MEDICAL</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>213524</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6607</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL NOZZI</PersonNm>
        <TitleTxt>CHIEF DENTAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>194282</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14152</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW FERNAAYS</PersonNm>
        <TitleTxt>MEDICAL DOCTOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>184594</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24904</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE BERKOWTIZ</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>168797</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19047</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELSEY IZZO</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23211</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARINA SKROMBOLAS</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <ReportableCompFromOrgAmt>135707</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23865</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YURIY ISRENKO</PersonNm>
        <TitleTxt>FAMILY MEDICINE DOCTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12113</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1812215</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>165128</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>23</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDCOR GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>ORANGE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92868</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING</ServicesDesc>
        <CompensationAmt>732560</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MILESTONE CONSTRUCTION PARTNERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 TECH PARK DRIVE</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14623</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>653506</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECLINICAL WORKS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 TECHNOLOGY DRIVE</AddressLine1Txt>
            <CityNm>WESTBOROUGH</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01581</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE</ServicesDesc>
        <CompensationAmt>474814</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE NICHOLS TEAM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>75 HIGHPOWER ROAD</AddressLine1Txt>
            <CityNm>ROCHESTER</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14623</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>334609</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PROSQUARED FACILITY SOLUTIONS</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1243 MILITARY ROAD 2</AddressLine1Txt>
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            <ZIPCd>14217</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING</ServicesDesc>
        <CompensationAmt>223176</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>9170510</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>372650</NoncashContributionsAmt>
      <TotalContributionsAmt>10774541</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID PMTS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>8481556</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8481556</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>5854215</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER THIRD PARTY PAYORS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>4253634</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4253634</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SELF-PAY</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>287120</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>18876525</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>8867</TotalRevenueColumnAmt>
        <ExclusionAmt>8867</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-56506</TotalRevenueColumnAmt>
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        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueTotalAmt>165733</OtherRevenueTotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
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      <PayrollTaxesGrp>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>2146596</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>855339</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <PledgesAndGrantsReceivableGrp>
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          <State>RESTRICTED</State>
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      <TotalBookValueLandBuildingsAmt>10335439</TotalBookValueLandBuildingsAmt>
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        <Desc>OPERATING LEASE ROU ASSETS</Desc>
        <BookValueAmt>1626235</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>FINANCING LEASE ROU ASSETS</Desc>
        <BookValueAmt>36271</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>PREPAID AND OTHER</Desc>
        <BookValueAmt>196173</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>LIMITED USE ASSETS</Desc>
        <BookValueAmt>73821</BookValueAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW FERNAAYS</PersonNm>
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        <PersonNm>RACHEL NOZZI</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELSEY IZZO</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>177942</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARINA SKROMBOLAS</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2022, MARY ANN PETTIBON RECEIVED SEVERANCE OF ONE MONTH'S SALARY IN THE AMOUNT OF $21,448.</ExplanationTxt>
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        <MethodOfDeterminingRevenuesTxt>ESTIMATED FMV</MethodOfDeterminingRevenuesTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>REPORTING BASED ON NUMBER OF CONTRIBUTORS.</ExplanationTxt>
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        <ExplanationTxt>THE FORM 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS FOR THEIR REVIEW AT A BOARD MEETING, PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY THE ORGANIZATION REQUIRES OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO COMPLETE IN WRITING A CONFLICT OF INTEREST STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S SALARY IS REVIEWED BY BOARD MEMBERS BASED ON MARKET TRENDS, REVIEW OF FORM 990 OF OTHER ORGANIZATIONS, AND COMPENSATION SURVEYS. ALL OTHER OFFICERS AND KEY EMPLOYEES ARE PROVIDED ANNUAL EVALUATIONS AND SALARIES ARE REVIEWED AND APPROVED BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION COMPLIES WITH ALL APPLICABLE FEDERAL AND STATE REGULATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS NOT CHANGED ITS PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
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</Return>
