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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>214369</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21227</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHIN SONG CHEN</PersonNm>
        <TitleTxt>FAMILY PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>333828</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29589</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDWIN TAN</PersonNm>
        <TitleTxt>MD UROLOGIST</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>224266</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15699</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULES MAYARD</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>233407</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22559</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FLORENCE GOLAMCO</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>227734</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30813</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDDIE GO</PersonNm>
        <TitleTxt>INFECTIOUS DISEASE</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>214454</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15012</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KALEPU MALLIKHARJANUDO</PersonNm>
        <TitleTxt>FAMILY PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>205257</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20589</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WALLY KOPELOWITZ</PersonNm>
        <TitleTxt>OPTHALMOLOGIST</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>202943</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14206</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2847992</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>297994</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>13</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>340BASICS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>309 FELLOWSHIP RD</AddressLine1Txt>
            <CityNm>MOUNT LAUREL</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08054</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTANT 340B</ServicesDesc>
        <CompensationAmt>1009594</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DENHAM WOLF REAL ESTATE SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>520 EIGHT AVENUE 25TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REAL ESTATE CONSUL</ServicesDesc>
        <CompensationAmt>120149</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>GERTLER WENTE ARCHITECTS LLP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>145 WEST 30TH STREET</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECT</ServicesDesc>
        <CompensationAmt>559871</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>IRJ CONSULTING CORP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6901 JERICHO TURNPIKE SUITE 210</AddressLine1Txt>
            <CityNm>SYOSSET</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11791</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTANT</ServicesDesc>
        <CompensationAmt>348395</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>US SECURITY ASSOCIATES INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>26 COURT STREET</AddressLine1Txt>
            <CityNm>BROOKLYN</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11242</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVICES</ServicesDesc>
        <CompensationAmt>291504</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>8276743</GovernmentGrantsAmt>
      <TotalContributionsAmt>8276743</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>29178397</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29178397</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROVISION FOR BAD DEBTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>-465000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-465000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE NET</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>4439647</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4439647</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>33153044</TotalProgramServiceRevenueAmt>
      <GrossRentsGrp>
        <RealAmt>87363</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>87363</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>87363</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>87363</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>RESIDENCY</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>336180</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>336180</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC REVENUE - SITE 1</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>7017</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7017</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>66696</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>66696</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>409893</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>41927043</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33650300</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3296701</TotalAmt>
        <ProgramServicesAmt>1790355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1506346</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>21504368</TotalAmt>
        <ProgramServicesAmt>19726050</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1778318</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1704736</TotalAmt>
        <ProgramServicesAmt>1628119</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76617</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4136248</TotalAmt>
        <ProgramServicesAmt>3452214</ProgramServicesAmt>
        <ManagementAndGeneralAmt>684034</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1710665</TotalAmt>
        <ProgramServicesAmt>1471172</ProgramServicesAmt>
        <ManagementAndGeneralAmt>239493</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>359101</TotalAmt>
        <ProgramServicesAmt>25370</ProgramServicesAmt>
        <ManagementAndGeneralAmt>333731</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <OccupancyGrp>
        <TotalAmt>588216</TotalAmt>
        <ProgramServicesAmt>510312</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77904</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>118726</TotalAmt>
        <ProgramServicesAmt>21710</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97016</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>314828</TotalAmt>
        <ProgramServicesAmt>253262</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61566</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>942233</TotalAmt>
        <ProgramServicesAmt>817443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124790</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>189994</TotalAmt>
        <ProgramServicesAmt>161495</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28499</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CONSUMABLE SUPPLIES</Desc>
        <TotalAmt>1107452</TotalAmt>
        <ProgramServicesAmt>961709</ProgramServicesAmt>
        <ManagementAndGeneralAmt>145743</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND REPAIRS</Desc>
        <TotalAmt>221078</TotalAmt>
        <ProgramServicesAmt>175344</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45734</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACEUTICALS</Desc>
        <TotalAmt>2045122</TotalAmt>
        <ProgramServicesAmt>2045122</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>162032</TotalAmt>
        <ProgramServicesAmt>13724</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148308</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>3215698</TotalAmt>
        <ProgramServicesAmt>2342059</ProgramServicesAmt>
        <ManagementAndGeneralAmt>873639</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>41617198</TotalAmt>
        <ProgramServicesAmt>35395460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6221738</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>5917513</BOYAmt>
        <EOYAmt>3789245</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>6618430</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>111957</BOYAmt>
        <EOYAmt>185108</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>34662803</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10728846</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>23469115</BOYAmt>
        <EOYAmt>23933957</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>519570</BOYAmt>
        <EOYAmt>519570</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>37120756</BOYAmt>
        <EOYAmt>35046310</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2741297</BOYAmt>
        <EOYAmt>3074482</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>117949</BOYAmt>
        <EOYAmt>115313</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>7205184</BOYAmt>
        <EOYAmt>4490344</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>10064430</BOYAmt>
        <EOYAmt>7680139</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>27056326</BOYAmt>
        <EOYAmt>27366171</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>27056326</BOYAmt>
        <EOYAmt>27366171</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>37120756</BOYAmt>
        <EOYAmt>35046310</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>309845</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
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        <CurrentTaxYearMinus4YearsAmt>6109284</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6063009</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6448638</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7663221</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8276743</CurrentTaxYearAmt>
        <TotalAmt>34560895</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>6109284</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6063009</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6448638</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7663221</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8276743</CurrentTaxYearAmt>
        <TotalAmt>34560895</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>34560895</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>121642</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>97228</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>86747</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>87363</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>87363</CurrentTaxYearAmt>
        <TotalAmt>480343</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>230784</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>379743</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>441855</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>357294</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>409893</CurrentTaxYearAmt>
        <TotalAmt>1819569</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>36860807</TotalSupportAmt>
      <PublicSupportCY170Pct>0.93760</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.94260</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Other income Part II line 10 or Part III line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>01. OTHER INCOME (PART II, LINE 10 OR PART III, LINE 12)OTHER INCOME OF 409,893 WHICH HAS BEEN PREVIOUSLY DISCLOSED ON FORM 990, PART VIII LINES 11A-C CONSIST OF RESIDENCY PROGRAM INCOME OF 336,180 AND MISC REVENUE AT SITE 1 OF 7,017 ANDMEDICAL RECORD FEE OF 66,696.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
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        <BookValueAmt>1605071</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>24928124</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>6500885</DepreciationAmt>
        <BookValueAmt>18427239</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>1083809</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>321267</DepreciationAmt>
        <BookValueAmt>762542</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>4862325</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>3906694</DepreciationAmt>
        <BookValueAmt>955631</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>2183474</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>2183474</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>23933957</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <BookValueAmt>40566</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEBT SERVICE RESERVE FUND</Desc>
        <BookValueAmt>479004</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>519570</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>41927043</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>41927043</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>41927043</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>41617198</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>41617198</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>41617198</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION PRIOR TO 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <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>SUNITHA B JACOB MD</PersonNm>
        <TitleTxt>ASSISTANT MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>235107</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>25590</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>18249</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22003</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>300949</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARJORIE J HILL PHD</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>245940</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17216</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>263156</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALFONSO YU CHAN MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>205568</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14390</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>219958</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SANDRA FOGG</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>146910</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10284</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14872</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>172066</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHIN SONG CHEN</PersonNm>
        <TitleTxt>FAMILY PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>288444</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>45384</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>23368</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6221</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>363417</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWIN TAN</PersonNm>
        <TitleTxt>MD UROLOGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>224266</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15699</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>239965</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AURELIO GOODEN</PersonNm>
        <TitleTxt>HUMAN RESOURCES DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>132619</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9283</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22003</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>163905</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LUIS VELASQUEZ</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>214369</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15006</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6221</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>235596</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULES MAYARD</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>212497</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>20910</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>16338</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6221</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>255966</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FLORENCE GOLAMCO</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>200194</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>27540</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>15941</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14872</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>258547</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDDIE GO</PersonNm>
        <TitleTxt>INFECTIOUS DISEASE</TitleTxt>
        <BaseCompensationFilingOrgAmt>214454</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15012</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>229466</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KALEPU MALLIKHARJANUDO</PersonNm>
        <TitleTxt>FAMILY PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>205257</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14368</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6221</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>225846</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WALLY KOPELOWITZ</PersonNm>
        <TitleTxt>OPTHALMOLOGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>202943</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14206</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>217149</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 AND SUPPORTING SCHEDULES ARE PROVIDED TO EACH MEMBER OF THE GOVERNING BODY FOR THEIR REVIEW AND COMMENTS. THE DOCUMENT IS ALSO PROVIDED TO OUR EXTERNAL AUDITORS FOR THEIR REVIEW. AFTER FILING, COPIES ARE PROVIDED TO OUR FEDERAL AND STATE REGULATORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY THAT IS PERIODICALLY DISTRIBUTED TO THE BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES. SUCH POLICY ASKS THAT THE INDIVIDUAL CERTIFY THAT THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY AND AGREES TO COMPLY. THE POLICY NOT ONLY COVERS THE INDIVIDUAL BUT ALSO ASKS FOR DISCLOSURES AS TO ANY IMMEDIATE FAMILY MEMBERS AND POSSIBLE FINANCIAL RELATIONSHIP OR TRANSACTIONAL CONFLICTS. THESE CERTIFICATIONS ARE KEPT IN THE FILE WITH EITHER HUMAN RESOURCES OR THE EXECUTIVE SECRETARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS DETERMINED BY THE BOARD OF DIRECTORS USING DATA PROVIDED BY INDEPENDENT COMPENSATION CONSULTANTS, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER (NACHC), HEALTH CENTER COMPENSATION AND BENEFITS REPORT AND ALSO COMPARATIVE COMPENSATION DATA OBTAINED FROM NEIGHBORING HEALTH CENTERS NOT FOR PROFIT FORM 990S. COMPENSATION FOR OTHER STAFF MEMBERS IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER USING THE SAME DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS IS THE SAME AS IN ITEM 3 ABOVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INFORMATION IS AVAILABLE TO ANYONE ON REQUEST. ADDITIONALLY, THE FORM 990 IS FILED WITH THE NEW YORK STATE DEPARTMENT OF LAW WHICH POST THE INFORMATION ON THE WEB SITE FOR THE NEW YORK STATE CHARITIES REGISTRATION BUREAU. FURTHERMORE, THE INFORMATION IS PROVIDED TO OUR BOARD OF DIRECTORS. FIFTY ONE PERCENT OF WHICH ARE REQUIRED BY FEDERAL LAW TO BE MEMBERS OF THE COMMUNITY WE SERVE AND USERS OF THE HEALTH CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>