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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10520</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
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            <BusinessNameLine1Txt>OPTUMINSIGHT</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
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            <AddressLine1Txt>160 WEST SANTA CLARA ST STE 1000</AddressLine1Txt>
            <CityNm>SAN JOSE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95113</ZIPCd>
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        <CompensationAmt>632944</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RSM US LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5155 PAYSPHERE CIRCLE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60674</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>ACCOUNTING AND CONSULTING SERVICES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8469913</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8469913</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PARTICIPANT FEES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1174240</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>9644153</TotalProgramServiceRevenueAmt>
      <OtherRevenueMiscGrp>
        <Desc>WRITE-OFF OF PY PAYABLES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>2490323</ExclusionAmt>
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      <OtherRevenueTotalAmt>2490323</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <ManagementAndGeneralAmt>204160</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>65638</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>65000</TotalAmt>
        <ProgramServicesAmt>65000</ProgramServicesAmt>
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        <ProgramServicesAmt>1863703</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>50953</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>125</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>66566</ManagementAndGeneralAmt>
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        <Desc>BAD DEBT EXPENSE</Desc>
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        <EOYAmt>1611326</EOYAmt>
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        <EOYAmt>399394</EOYAmt>
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        <EOYAmt>11041422</EOYAmt>
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        <EOYAmt>1871177</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1871177</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>4603550</BOYAmt>
        <EOYAmt>9170245</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>9170245</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9034176</BOYAmt>
        <EOYAmt>11041422</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>4566695</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>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>3807684</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4171643</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>849959</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>8829286</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus2YearsAmt>5815871</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9597297</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9644153</CurrentTaxYearAmt>
        <TotalAmt>32218906</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>6667050</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8473862</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6665830</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9597297</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9644153</CurrentTaxYearAmt>
        <TotalAmt>41048192</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>41048192</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>327</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>310</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>292</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>929</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>327</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>310</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>292</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>929</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus1YearAmt>680000</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>3170323</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus2YearsAmt>6666122</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10277297</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECOVERY OF BAD DEBT - 2017 AMOUNT: $ 680,000. WRITE-OFF OF PRIOR YEAR PAYABLES - 2018 AMOUNT: $ 2,490,323.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>230636</DepreciationAmt>
        <BookValueAmt>399394</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>399394</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>12134476</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>12134476</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>12134476</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7567781</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7567781</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7567781</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>RHIO RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT RHIO HAS NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. RHIO IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BRONX RHIO CONTRACTED WITH MONTEFIORE MEDICAL CENTER TO FULFILL THE OBLIGATION OF THE BRONX RHIO'S EXECUTIVE DIRECTOR'S ROLE AND STAFFING, AND MONTEFIORE WAS COMPENSATED $1,754,576 FOR SERVICES PROVIDED. MONTEFIORE MEDICAL CENTER COMPENSATED CHARLES A. SCAGLIONE, EXECUTIVE DIRECTOR $342,695, WHICH INCLUDES DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS FOR SERVICES PROVIDED TO BRONX RHIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BY LAWS OF THE BRONX RHIO, INC. PROVIDE FOR CORPORATE MEMBERS. THERE ARE NO STOCKHOLDERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BRONX RHIO BOARD OF DIRECTORS IS COMPRISED OF DIRECTORS WHO ARE ELECTED BY CORPORATE MEMBERS, AND AT LARGE DIRECTORS WHO ARE ELECTED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BY-LAWS MAY BE AMENDED OR REPEALED SOLELY BY THE MEMBERS. THE AFFIRMATIVE VOTE OF THREE-FOURTHS (3/4) OF THE MEMBERS PRESENT IN PERSON OR BY PROXY AT ANY MEETING OF THE MEMBERS SHALL BE REQUIRED TO APPROVE AMENDMENTS TO, OR REPEAL OF, THE BY-LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BRONX RHIO HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM, AND THEN SENT TO OUTSIDE COUNSEL FOR REVIEW AND APPROVAL. ONCE IT'S APPROVED BY OUTSIDE COUNSEL, IT'S SENT TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. ONCE APPROVED BY THE FINANCE COMMITTEE, IT'S SENT TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BRONX RHIO CONFLICT OF INTEREST POLICY IS APPLICABLE TO THE CORPORATION'S DIRECTORS, OFFICERS OR COMMITTEE MEMBERS. THE POLICY IS MONITORED REGULARLY AND CONSISTENTLY BY THE CORPORATION'S MANAGEMENT, DIRECTORS, OFFICERS AND COMMITTEE MEMBERS IN CONJUNCTION WITH ANY CONTRACT, TRANSACTION, OR ARRANGEMENT BETWEEN THE CORPORATION AND A THIRD PARTY. IF A CONFLICT WERE TO ARISE, THE BOARD OR COMMITTEE FOLLOWS A SPECIFIC REVIEW PROCEDURE THAT INCLUDES DISCIPLINARY AND CORRECTIVE ACTION STEPS, AND DOCUMENTATION OF ALL DELIBERATIONS. THE BRONX RHIO BOARD OF DIRECTORS REVIEWS THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS FOR MODIFICATIONS. ON AN ANNUAL BASIS CORPORATION'S DIRECTORS, OFFICERS OR COMMITTEE MEMBERS ARE REQUIRED TO COMPLETE A DISCLOSURE STATEMENT IN CONJUNCTION WITH THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>MONTEFIORE MEDICAL CENTER COMPENSATES THE EXECUTIVE DIRECTOR AND CHIEF OPERATING OFFICER. GOVERNANCE FOLLOWS A PROCESS FOR DETERMINING KEY EMPLOYEE COMPENSATION, WHICH INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST AT 1776 EASTCHESTER RD., BRONX NY 10461...OR BY CALLING THE ORGANIZATION DIRECTLY AT (718)-708-6630.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DATA CONSULTANTS: PROGRAM SERVICE EXPENSES 1,863,703. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,863,703. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 28,398. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,398.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BRONX RHIO, INC. HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THE POLICY FOR SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITORS HAS NOT CHANGED IN THE PREVIOUS YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>