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        <TitleTxt>DENTIST</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM DUCKETT</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>420405</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUNCZERAE KUSHKITUAH</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>156588</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4738</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL GABRIEL</PersonNm>
        <TitleTxt>MD</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>121649</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4892</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>UTE GALLERT</PersonNm>
        <TitleTxt>NP</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>105022</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3151</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE LANE</PersonNm>
        <TitleTxt>NP</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANGEL STANLEY</PersonNm>
        <TitleTxt>NP</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4475</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1692795</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
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      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VIP STRUCTURES</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 WEBSTERS LANDING</AddressLine1Txt>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13202</ZIPCd>
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        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>283321</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRONEXUS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>PITTSFORD</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14534</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL FEES/CONSULTING</ServicesDesc>
        <CompensationAmt>225939</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCKESSON MEDICAL SURGICAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9954 MAYLAND DRIVE SUITE 4000</AddressLine1Txt>
            <CityNm>RICHMOND</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23233</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICALS/MEDICAL SUPPLIES</ServicesDesc>
        <CompensationAmt>151245</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UPSTATE PAVING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>162 YORK STREET</AddressLine1Txt>
            <CityNm>AUBURN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13021</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>149707</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACC TECHNICAL SERVIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6400 FLY ROAD</AddressLine1Txt>
            <CityNm>EAST SYRACUSE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13057</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>121341</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3887674</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>233605</AllOtherContributionsAmt>
      <TotalContributionsAmt>4121279</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REV</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>3585648</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3585648</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT SERVICE REV</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>43850</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>43850</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>3629498</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2153</TotalRevenueColumnAmt>
        <ExclusionAmt>2153</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>91746</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>49655</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>42091</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>42091</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>42091</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>INCENTIVE INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>386633</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>386633</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>340B PROGRAM INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>156715</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>156715</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISC. INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>24039</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24039</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>567387</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8362408</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4238976</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2153</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>732423</TotalAmt>
        <ProgramServicesAmt>420405</ProgramServicesAmt>
        <ManagementAndGeneralAmt>312018</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>3561048</TotalAmt>
        <ProgramServicesAmt>2912527</ProgramServicesAmt>
        <ManagementAndGeneralAmt>648521</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>169026</TotalAmt>
        <ProgramServicesAmt>117172</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51854</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>246864</TotalAmt>
        <ProgramServicesAmt>199879</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46985</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>250928</TotalAmt>
        <ProgramServicesAmt>190505</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60423</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>32180</TotalAmt>
        <ManagementAndGeneralAmt>32180</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>82906</TotalAmt>
        <ProgramServicesAmt>65031</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17875</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>598322</TotalAmt>
        <ProgramServicesAmt>319612</ProgramServicesAmt>
        <ManagementAndGeneralAmt>278710</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>37375</TotalAmt>
        <ProgramServicesAmt>27914</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9461</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>199336</TotalAmt>
        <ProgramServicesAmt>150239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49097</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>365221</TotalAmt>
        <ProgramServicesAmt>193321</ProgramServicesAmt>
        <ManagementAndGeneralAmt>171900</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>10705</TotalAmt>
        <ProgramServicesAmt>10533</ProgramServicesAmt>
        <ManagementAndGeneralAmt>172</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>41180</TotalAmt>
        <ProgramServicesAmt>18098</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23082</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>207</TotalAmt>
        <ManagementAndGeneralAmt>207</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>212975</TotalAmt>
        <ProgramServicesAmt>173659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39316</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>50410</TotalAmt>
        <ProgramServicesAmt>25077</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25333</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>569391</TotalAmt>
        <ProgramServicesAmt>552900</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16491</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>33314</TotalAmt>
        <ProgramServicesAmt>26580</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6734</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>7193811</TotalAmt>
        <ProgramServicesAmt>5403452</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1790359</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>7041923</BOYAmt>
        <EOYAmt>5811328</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1104796</BOYAmt>
        <EOYAmt>1654250</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>199736</BOYAmt>
        <EOYAmt>212585</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>0</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>153576</BOYAmt>
        <EOYAmt>232236</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>4190161</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2104377</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1346847</BOYAmt>
        <EOYAmt>2085784</EOYAmt>
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        <BOYAmt>9846878</BOYAmt>
        <EOYAmt>9996183</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>500081</BOYAmt>
        <EOYAmt>720274</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>1824890</BOYAmt>
        <EOYAmt>663290</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>9608</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>68277</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2402856</BOYAmt>
        <EOYAmt>1383564</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>7444022</BOYAmt>
        <EOYAmt>8612619</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7444022</BOYAmt>
        <EOYAmt>8612619</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9846878</BOYAmt>
        <EOYAmt>9996183</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1168597</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus4YearsAmt>2159742</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3086574</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2969553</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6148701</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4121279</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>3086574</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2969553</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6148701</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4121279</CurrentTaxYearAmt>
        <TotalAmt>18485849</TotalAmt>
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      <PublicSupportTotal170Amt>18485849</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>198</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>688</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2153</CurrentTaxYearAmt>
        <TotalAmt>3056</TotalAmt>
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      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>133672</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>436234</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>380086</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>659819</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>567387</CurrentTaxYearAmt>
        <TotalAmt>2177198</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>15701121</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.89450</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.90340</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <BookValueAmt>478638</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2092580</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1528220</DepreciationAmt>
        <BookValueAmt>564360</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <BookValueAmt>506754</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>11386</DepreciationAmt>
        <BookValueAmt>536032</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2085784</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>8412063</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>49655</OtherRevenueAmt>
      <RevenueNotReportedAmt>49655</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>8362408</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>8362408</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7243466</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>49655</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>49655</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7193811</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7193811</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENT EXPENSES 49,655.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENT EXPENSES 49,655.</ExplanationTxt>
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    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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        <PersonNm>ADAM DUCKETT</PersonNm>
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        <PersonNm>ADWOA MANU-BOATENG</PersonNm>
        <TitleTxt>MD</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEITH CUTTLER</PersonNm>
        <TitleTxt>PRESIDENT/CEO THROUGH 7/21</TitleTxt>
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        <PersonNm>SUNCZERAE KUSHKITUAH</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGEL STANLEY</PersonNm>
        <TitleTxt>NP</TitleTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL MEMBERS ARE PROVIDED WITH A COPY OF THE 990 BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS SIGN A NEW CONFLICT OF INTEREST STATEMENT ANNUALLY. THE BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE CONFLICT OF INTEREST STATEMENTS THROUGHOUT THE YEAR, AS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARIES FOR THE CEO, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WERE DETERMINED BY A PROCESS INVOLVING SENIOR MANAGEMENT AND APROVAL BY THE BOARD OF DIRECTORS FOR ALL POSITIONS EXCEPT THE CEO. FOR THE CEO, THE BOARD PRESIDENT COLLECTS THE RELATIVE INFORMATION AND PRESENTS TO THE REMAINING MEMBERS OF THE BOARD FOR APPROVAL. IN BOTH PROCESSES, MARKET INFORMATION, INTERNAL STRUCTURE, AND CANDIDATE QUALIFICATIONS ARE CONSIDERED IN DETERMINING THE APPROPRIATE SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE DOCUMENTS ARE AVAILABLE UPON REQUEST AT EAST HILL'S ADMINISTRATIVE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XXI, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>EAST HILL FAMILY MEDICAL, INC. HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS FOR THE AUDIT DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
