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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY DENK MD</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEON N ZOGHLIN MD</PersonNm>
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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH NAUMBURG MD</PersonNm>
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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRENDAN BRADY MD</PersonNm>
        <TitleTxt>Chairman</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>
      <TotalReportableCompFromOrgAmt>2276672</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1386089</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>551191</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>SUNGARD AVAILABILITY SERVICES LP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>91233 COLLECTION CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER CONSULTING</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MANATT PHELPS &amp; PHILLIPS LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11355 WEST OLYMPIC BLVD</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>900641614</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNILAND</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 782</AddressLine1Txt>
            <CityNm>AMHERST</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14226</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENTAL</ServicesDesc>
        <CompensationAmt>183092</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM REVENUES</Desc>
        <BusinessCd>524114</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>20640750</RelatedOrExemptFuncIncomeAmt>
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      <RoyaltiesRevenueGrp>
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      <NetRentalIncomeOrLossGrp>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-123726</ExclusionAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <OtherRevenueMiscGrp>
        <Desc>EMPLOYEE LEASING</Desc>
        <TotalRevenueColumnAmt>785844</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>785844</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>INTERCO AGREE REVENUE</Desc>
        <TotalRevenueColumnAmt>1925244</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1925244</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PRIOR PERIOD ADJUSTMENTS</Desc>
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        <RelatedOrExemptFuncIncomeAmt>12310</RelatedOrExemptFuncIncomeAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
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      <ForeignGrantsGrp>
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      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>1885563</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9809146</TotalAmt>
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      <PensionPlanContributionsGrp>
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      <PayrollTaxesGrp>
        <TotalAmt>837145</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>26897</TotalAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>74165</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      <InformationTechnologyGrp>
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      <RoyaltiesGrp>
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      <OccupancyGrp>
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      <TravelGrp>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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      <PaymentsToAffiliatesGrp>
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      <InsuranceGrp>
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      <OtherExpensesGrp>
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        <Desc>PROGRAM SERVICES</Desc>
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      <OtherExpensesGrp>
        <Desc>INVESTMENT MANAGEMENT FEES</Desc>
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      <AllOtherExpensesGrp>
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      <InventoriesForSaleOrUseGrp>
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      <InvestmentsOtherSecuritiesGrp>
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      <InvestmentsProgramRelatedGrp>
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      <AccountsPayableAccrExpnssGrp>
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      <OtherLiabilitiesGrp>
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      <TotalLiabilitiesGrp>
        <BOYAmt>6205906</BOYAmt>
        <EOYAmt>5637651</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>106328639</BOYAmt>
        <EOYAmt>112176613</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>999820</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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    </IRS990>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="19009920" softwareVersionNum="2019v5.0">
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        <BookValueAmt>3197921</BookValueAmt>
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        <DepreciationAmt>214669</DepreciationAmt>
        <BookValueAmt>885990</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <OtherLandBuildingsGrp>
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        <BookValueAmt>259915</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4343826</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LIABILITIES HELD IN TRUST</Desc>
        <Amt>1831000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER PAYABLES</Desc>
        <Amt>354771</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2185771</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Management evaluates any significant tax implications that may effect the financial statements and does not believe that it has taken any positions that would affect the audited statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER LOMBARD</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>27118</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>164515</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENNIS GRAZIANO</PersonNm>
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        <BonusFilingOrganizationAmount>17259</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>37375</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25952</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>684268</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GEORGE HUGHES</PersonNm>
        <TitleTxt>SR VP OF BENEFITS &amp; PR</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>21504</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>29147</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>290442</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOWARD BRILL</PersonNm>
        <TitleTxt>SR VP OF INFORMATICS</TitleTxt>
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        <DeferredCompRltdOrgsAmt>19727</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>28234</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>313452</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANINE BARRY</PersonNm>
        <TitleTxt>SVP HR &amp; MARKETING</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>20618</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>17049</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>27793</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>275909</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JON BIDWELL</PersonNm>
        <TitleTxt>MGR INFO TECH</TitleTxt>
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        <BonusRelatedOrganizationsAmt>1500</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1230</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>9753</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>22264</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>153565</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH STANKAITIS</PersonNm>
        <TitleTxt>Chief Med Off.</TitleTxt>
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        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>36460</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25678</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33276</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>467670</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIM HESS</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>524500</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>14000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>32271</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>22686</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34718</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>628175</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LESLIE TREZISE</PersonNm>
        <TitleTxt>DIR CASE DISEASE</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>129575</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>5000</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1745</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>10650</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>24918</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>171888</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINDA O'DONNELL</PersonNm>
        <TitleTxt>DIR HEALTH PLAN</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>129483</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>1421</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>10495</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>24003</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>165402</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL MESSIER</PersonNm>
        <TitleTxt>CFO/EVP</TitleTxt>
        <BaseCompensationFilingOrgAmt>628242</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>32675</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>23742</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33966</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>733625</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TODD GLANTON</PersonNm>
        <TitleTxt>DIR ARCHITECTURE</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>124925</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>5216</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>10000</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>24900</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>165041</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="19009920" softwareVersionNum="2019v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO/CFO/COO &amp; CHIEF COMPLIANCE OFFICER REVIEW THE 990 BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization requires annual disclosures from Directors, Key Employees and Officers concerning conflicts of interest. The Chief Compliance Officer is responsible for ensuring compliance with this policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPARABILITY DATA AND OTHER OUTSIDE SOURCES ARE USED TO DETERMINE THE CEO SALARY. THE BOARD APPROVES THE SALARY AND MAINTAINS AN EMPLOYMENT AGREEMENT FOR THAT POSITION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Comparability data and other outside sources are used for the officers and Key employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS,TAX RETURNS AND GOVERNING DOCUMENTS are AVAILABLE UPON REQUEST. OTHER policies are available on the organization's website.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="19009920" softwareVersionNum="2019v5.0">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>YOURCARE IPA LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1120 PITTSFORD-VICTOR ROAD</AddressLine1Txt>
          <CityNm>PITTSFORD</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14534</ZIPCd>
        </USAddress>
        <EIN>454058523</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <EndOfYearAssetsAmt>9298</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MONROE PLAN FOR MEDICAL CARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>YOURCARE HEALTH PLAN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1120 PITTSFORD-VICTOR ROAD</AddressLine1Txt>
          <CityNm>PITTSFORD</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14534</ZIPCd>
        </USAddress>
        <EIN>161500379</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MONROE PLAN FOR MEDICAL CARE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MONROE PLAN HOLDINGS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1120 PITTSFORD-VICTOR ROAD</AddressLine1Txt>
          <CityNm>PITTSFORD</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14534</ZIPCd>
        </USAddress>
        <EIN>472080982</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MONROE PLAN FOR MED</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>2789853</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>YOURCARE HEALTH PLAN INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>d</TransactionTypeTxt>
        <InvolvedAmt>40063772</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>YOURCARE HEALTH PLAN INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>j</TransactionTypeTxt>
        <InvolvedAmt>322872</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>YOURCARE HEALTH PLAN INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>l</TransactionTypeTxt>
        <InvolvedAmt>12790555</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>YOURCARE HEALTH PLAN INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>785844</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MONROE PLAN HOLDINGS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>d</TransactionTypeTxt>
        <InvolvedAmt>14480602</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MONROE PLAN HOLDINGS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>j</TransactionTypeTxt>
        <InvolvedAmt>419736</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MONROE PLAN HOLDINGS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>o</TransactionTypeTxt>
        <InvolvedAmt>279637</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MONROE PLAN HOLDINGS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>1442796</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL RELATED ENTITY TRANSACTIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>YOURCARE HEALTH PLAN INC. PAYS MANAGEMENT SERVICE FEES TO MP CARE SOLUTIONS, LLC WHICH IS OWNED BY MP HOLDINGS, INC. THE AMOUNT PAID IN 2019 WAS $11,188,183.YOURCARE HEALTH PLAN INC. ALSO REIMBURSED MP CARE SOLUTIONS LLC FOR EMPLOYEE LEASING IN THE AMOUNT OF $1,602,372 IN 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>