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        <RelatedOrExemptFuncIncomeAmt>1335</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>1335</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>610475</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>861056</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95673</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2920738</ProgramServicesAmt>
        <ManagementAndGeneralAmt>324526</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>74120</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8236</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>79200</TotalAmt>
        <ProgramServicesAmt>71280</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7920</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>229321</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25480</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>181265</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>2727716</ProgramServicesAmt>
        <ManagementAndGeneralAmt>303080</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>272970</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>133172</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14797</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>49337</TotalAmt>
        <ProgramServicesAmt>44403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4934</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>701186</TotalAmt>
        <ProgramServicesAmt>631067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70119</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>77723</TotalAmt>
        <ManagementAndGeneralAmt>77723</ManagementAndGeneralAmt>
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        <TotalAmt>95097</TotalAmt>
        <ManagementAndGeneralAmt>95097</ManagementAndGeneralAmt>
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        <Desc>MEMBERSHIPS &amp; DUES</Desc>
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        <ProgramServicesAmt>192834</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REGISTRATION FEES</Desc>
        <TotalAmt>69347</TotalAmt>
        <ProgramServicesAmt>69347</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ProgramServicesAmt>28124</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15947</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CREDIT LOSS EXPENSE</Desc>
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        <ManagementAndGeneralAmt>32525</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>10227</TotalAmt>
        <ProgramServicesAmt>9259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>968</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>1963853</EOYAmt>
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        <EOYAmt>1403157</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>19395237</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>3030022</ReconcilationRevenueExpnssAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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        <CurrentTaxYearMinus1YearAmt>8323694</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9279865</CurrentTaxYearAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF FASB ASC 740, INCOME TAXES, WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED ON A MORE LIKELY THAN NOT THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THE ORGANIZATION DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE ANY UNCERTAIN TAX POSITIONS.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE BOARD OF DIRECTORS WAS PROVIDED WITH A DRAFT OF THE FORM 990 PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION GIVES A COPY OF THE CONFLICT OF INTEREST POLICY TO ALL DIRECTORS EACH YEAR . THE POLICY INCLUDES THE DEFINITION OF A CONFLICT OF INTEREST AND THE PROCEDURE THAT MUST BE FOLLOWED IN THE EVENT A CONFLICT EXISTS. EACH DIRECTOR IS REQUIRED TO SIGN AND DATE THE POLICY IN ORDER TO CONVEY THEIR UNDERSTANDING AND COMPLIANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINES THE EXECUTIVE DIRECTOR'S SALARY ANNUALLY BY DOING A BENCHMARKING ANALYSIS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBCONTRACTORS/CONSULTING: PROGRAM SERVICE EXPENSES 2,727,716. MANAGEMENT AND GENERAL EXPENSES 303,080. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,030,796.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART X11, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, ITEM B:</FormAndLineReferenceDesc>
        <ExplanationTxt>2023 FORM 990 IS BEING AMENDED DUE TO THE FINANCIAL STATEMENTS NOT COMPLETED AT THE TIME OF THE ORIGINAL FILING. AS A RESULT, THE FOLLOWING CHANGES WERE MADE TO THE ORIGINAL RETURN: PAGE 1, G: INCREASED FROM $12,798,721 TO $32,845,663 PAGE 1, PART I: LINE 4: NUMBER OF INDEPENDENT VOTING MEMBERS INCREASED FROM 5 TO 6 LINE 9: PROGRAM SERVICE REVENUE DECREASED FROM $12,089,637 TO $11,926,137 LINE 11: OTHER REVENUE INCREASED FROM $6,514 TO $6,732 LINE 12: TOTAL REVENUE DECREASED FROM $12,717,001 TO $12,553,719 LINE 15: SALARIES DECREASED FROM $4,613,437 TO $4,618,350 LINE 17: OTHER EXPENSES DECREASED FROM $4,916,917 TO $4,905,347 LINE 18: TOTAL EXPENSES DECREASED FROM $9,530,354 TO $9,523,697 LINE 19: REVENUE LESS EXPENSES DECREASED FROM $3,186,647 TO $3,030,022 LINE 20: TOTAL ASSETS DECREASED FROM $19,667,082 TO $19,395,237 LINE 21: TOTAL LIABILITIES INCREASED FROM $1,199,922 TO $1,403,157 LINE 22: NET ASSETS DECREASED FROM $18,467,160 TO $17,992,080 PAGE 2, PART III, LINE 4E: PROGRAM EXPENSES INCREASED FROM $7,668,087 TO $7,992,437 PAGE 6, PART IV. LINE 1B: NUMBER OF VOTING MEMBERS INCREASED FROM 5 TO 6. PAGE 9, PART VIII: LINE 2A: MEMBERSHIP DUES INCREASED FROM $9,222,990 TO $9,269,490 LINE 2B: REGISTRATIONS &amp; MEETINGS INCREASED FROM $2,579,697 TO $2,656,647 LINE 2C: PROGRAM FEES DECREASED FROM $286,950 TO ZERO LINE 7A: GROSS AMOUNT FROM SALES OF ASSETS INCREASED FROM $1,574 TO $20,212,016 LINE 7B: COST OR OTHER BASIS INCREASED FROM ZERO TO $20,210,442 LINE 10B: COST OF GOODS SOLD DECREASED FROM $81,720 TO $81,502 LINE 10C: NET INCOME FROM SALE OF INVENTORY INCREASED FROM $5,179 TO $5,397 LINE 12: TOTAL REVENUE DECREASED FROM $12,717,001 TO $12,553,719 PAGE 10, PART IX: LINE 5: COMPENSATION OF CURRENT OFFICERS DECREASED FROM $965,279 TO $956,729 LINE 7: OTHER SALARIES AND WAGES INCREASED FROM $3,245,263 TO $3,245,264 LINE 9: OTHER EMPLOYEE BENEFITS INCREASED FROM $62,946 TO $79,200 LINE 10: PAYROLL TAXES DECREASED FROM $256,593 TO $254,801 LINE 11G: OTHER DECREASED FROM $3,039,153 TO $3,030,796 LINE 12: ADVERTISING DECREASED FROM $273,585 TO $272,970 LINE 13: OFFICE EXPENSES INCREASED FROM $143,214 TO $147,969 LINE 17: TRAVEL DECREASED FROM $779,753 TO $701,186 LINE 19: CONFERENCES INCREASED FROM ZERO TO 77,723 LINE 24A: MEMBERSHIPS &amp; DUES DECREASED FROM $194,753 TO $192,834 LINE 24B: REGISTRATION FEES DECREASED FROM $79,033 TO $69,347 LINE 24C: MISCELLANEOUS INCREASED FROM ZERO TO $44,071 LINE 24E: ALL OTHER EXPENSES DECREASED FROM $14,202 TO $10,227 LINE 25: TOTAL EXPENSES DECREASED FROM $9,530,354 TO $9,523,697 PAGE 11, PART X: LINE 4(B): DECREASED FROM $1,907,933 TO $1,592,933 LINE 8(B): INCREASED FROM $97,749 TO $106,851 LINE 9(B): INCREASED FROM $91,416 TO $125,469 LINE 16(B): DECREASED FROM $19,667,082 TO $19,395,237 LINE 17(B): INCREASED FROM $96,089 TO $123,324 LINE 19(B): INCREASED FROM $1,103,833 TO $1,279,833 LINE 26(B): INCREASED FROM $1,199,922 TO $1,403,157 LINE 27 &amp; 32(B): DECREASED FROM $18,467,160 TO $17,992,080 LINE 33(B): DECREASED FROM $19,667,082 TO $19,395,237 PAGE 12, PART XI: LINE 1: DECREASED FROM $12,717,001 TO $12,553,719 LINE 2: DECREASED FROM $9,530,354 TO $9,523,697 LINE 3: DECREASED FROM $3,186,647 TO $3,030,022 LINE 8: INCREASED FROM ($82,229) TO ZERO LINE 10: DECREASED FROM $18,467,160 TO $17,992,080 SCHEDULE A, PART III: SECTION A LINE 1(E): INCREASED FROM $9,222,990 TO $9,279,865 SECTION A LINE 2(E): DECREASED FROM $2,953,546 TO $2,743,546 SECTION B LINE 9(E): DECREASED FROM $12,176,536 TO $12,013,036 SECTION B LINE 13(E): DECREASED FROM $12,786,772 TP $12,623,272 SECTION C LINE 15: DECREASED FROM 98.62% TO 98.61% SCHEDULE D, PART XI: LINE 1: DECREASED FROM $13,012,045 TO $12,767,043 LINE 2D: DECREASED FROM $81,720 TO ZERO LINE 3 &amp; 5: DECREASED FROM $12,717,001 TO $12,553,719 SCHEDULE D, PART XII: LINE 1: DECREASED FROM $9,612,074 TO $9,523,697 LINE 2(D): DECREASED FROM $81,720 TO ZERO SCHEDULE R, PART I: COLUMN (D) TOTAL INCOME DECREASED FROM $360,212 TO $244,344 COLUMN (E) END-OF-YEAR ASSETS INCREASED FROM $475,036 TO $515,667</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>INNOVATIVE PATIENT SUPPORT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>9 ALBANY STREET</AddressLine1Txt>
          <CityNm>CAZENOVIA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13035</ZIPCd>
        </USAddress>
        <EIN>842005579</EIN>
        <PrimaryActivitiesTxt>PATIENT SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <TotalIncomeAmt>244344</TotalIncomeAmt>
        <EndOfYearAssetsAmt>505601</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NATIONAL COMMUNITY ONCOLOGY DISPENSING ASSOC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>