﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2012v2.0" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-11-15T09:01:42-08:00</Timestamp>
    <TaxPeriodEndDate>2012-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>Robinson &amp; Gordon CPAS PC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>95 Allens Creek Rd Bldg 1 202</AddressLine1>
        <City>Rochester</City>
        <State>NY</State>
        <ZIPCode>14618</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>160973194</EIN>
      <Name>
        <BusinessNameLine1>MONROE PLAN FOR MEDICAL CARE INC</BusinessNameLine1>
      </Name>
      <NameControl>MONR</NameControl>
      <Phone>5852568462</Phone>
      <USAddress>
        <AddressLine1>1120 PITTSFORD-VICTOR ROAD</AddressLine1>
        <City>PITTSFORD</City>
        <State>NY</State>
        <ZIPCode>14534</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>MICHAEL MESSIER</Name>
      <Title>CFO\EVP</Title>
      <DateSigned>2013-11-15</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Mark J Robinson</Name>
      <PTIN>P00189672</PTIN>
      <Phone>5852449590</Phone>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2016-02-25 16:41:14Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="5">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GrossReceipts>1040478835</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <AllAffiliatesIncluded>false</AllAffiliatesIncluded>
      <Organization501c typeOf501cOrganization="6">X</Organization501c>
      <WebSite>www.monroeplan.com</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1970</YearFormation>
      <StateLegalDomicile>NY</StateLegalDomicile>
      <ActivityOrMissionDescription>PROVIDE HEALTH CARE TO GOVERNMENT PROGRAM ELIGIBLES</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>16</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>16</NbrIndependentVotingMembers>
      <TotalNbrEmployees>233</TotalNbrEmployees>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>14000</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>96000</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>585279915</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>802518941</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>2293468</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>5288173</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>7635504</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>2864684</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>595222887</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>810767798</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>13314607</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>15391856</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>595137366</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>833385675</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>608451973</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>848777531</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-13229086</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-38009733</RevenuesLessExpensesCY>
      <TotalAssetsBOY>153862514</TotalAssetsBOY>
      <TotalAssetsEOY>135396394</TotalAssetsEOY>
      <TotalLiabilitiesBOY>63066020</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>80952451</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>90796494</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>54443943</NetAssetsOrFundBalancesEOY>
      <MissionDescription>PROVIDE HEALTH CARE TO GOVERNMENT PROGRAM ELIGIBLES</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Description>TO PROVIDE MEDICAL AND MENTAL HEALTH MANAGED CARE TO GOVERNMENT PROGRAM ELIGIBLES ADULTS AND CHILDREN</Description>
      <DescribedIn501C3>false</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <InvestTaxExemptBonds>false</InvestTaxExemptBonds>
      <EscrowAccount>false</EscrowAccount>
      <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>true</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="IRS990ScheduleR">true</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>42</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>233</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <Form990-TFiled>false</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <FiledLieu1041>false</FiledLieu1041>
      <LicensedMoreThanOneState>false</LicensedMoreThanOneState>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>16</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>16</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>false</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>MICHAEL MESSIER</NamePerson>
        <TelephoneNumber>5852568462</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1120 PITTSFORD-VICTOR ROAD</AddressLine1>
          <City>PITTSFORD</City>
          <State>NY</State>
          <ZIPCode>14534</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>ALEXANDER STRASSER MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRENDAN BRADY MD</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PETER SZILAGYI MD MPH</NamePerson>
        <Title>Chairman</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELIZABETH NAUMBURG MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LEON N ZOGHLIN MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LARRY DENK MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>AARON SATLOFF MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JUAN VILLANUEVA</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARDY SANDLER LMSW</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES NORMAN</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ARTHUR D PELLITTIERI MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LISA HARRIS MD</NamePerson>
        <Title>Vice CHAIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM A DOLAN MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARILYN R BROWN MD</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DENNIS GRAZIANO</NamePerson>
        <Title>President &amp; CEO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>425348</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>84920</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM H BAYER MD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SUSAN H MCDANIEL PHD</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL MESSIER</NamePerson>
        <Title>CFO/EVP</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>315522</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>108109</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KIM HESS</NamePerson>
        <Title>COO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>266571</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>58547</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOSEPH STANKAITIS</NamePerson>
        <Title>Chief Med Off.</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>397995</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>113858</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA O'DONNELL</NamePerson>
        <Title>DIR. CLINICAL MANAGEMENT</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>121001</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>32424</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DEBORAH PEARTREE</NamePerson>
        <Title>DIRECTOR OF QI</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>152940</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23149</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GEORGE HUGHES</NamePerson>
        <Title>DIRECTOR OF BENEFITS &amp; PR</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>189957</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>42561</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>HOWARD BRILL</NamePerson>
        <Title>DIRECTOR OF INFORMATICS</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>217116</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>42416</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CLINT KOENIG</NamePerson>
        <Title>MEDICAL DIRECTOR</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>163423</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19015</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANA BESAW</NamePerson>
        <Title>PROCESS IMPROV MGR</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>111684</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>33965</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SCOTT FERRIS</NamePerson>
        <Title>MANAGER I.T.</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>100791</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18465</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARIO MACIAS</NamePerson>
        <Title>MGR PROV. RELATION</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>93611</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>11719</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL THORNTON</NamePerson>
        <Title>CONTROLLER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>91742</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>13484</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARY JOAN MUSCOLINO</NamePerson>
        <Title>MANAGER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.00</AverageHoursPerWeekRelated>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>98619</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19525</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2746320</TotalReportableCompFromOrg>
      <TotalOtherCompensation>622157</TotalOtherCompensation>
      <NumberIndividualsGT100K>11</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>THE HARWICH GROUP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>48 HARWICH ROAD</AddressLine1>
            <City>PROVIDENCE</City>
            <State>RI</State>
            <ZIPCode>02906</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSULTING</DescriptionOfServices>
        <Compensation>348107</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>SUNGARD AVAILABILITY SERVICES LP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 91233</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60693</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>COMPUTER CONSULTING</DescriptionOfServices>
        <Compensation>159142</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MANATT PHELPS &amp; PHILLIPS LLP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>7 TIMES SQUARE 23RD FLOOR</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10036</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LEGAL</DescriptionOfServices>
        <Compensation>149198</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>3</NumberOfContractorsGT100K>
      <GovernmentGrants>96000</GovernmentGrants>
      <TotalContributions>96000</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PROGRAM REVENUES</Description>
        <TotalRevenueColumn>802518941</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>802518941</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>802518941</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>3876018</TotalRevenueColumn>
        <ExclusionAmount>3876018</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>230273192</Securities>
        <Other>850000</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>228981719</Securities>
        <Other>729318</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>1291473</Securities>
        <Other>120682</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>1412155</TotalRevenueColumn>
        <ExclusionAmount>1412155</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>EQUITY ERNGS JNT VENTURE</Description>
        <TotalRevenueColumn>2864684</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2864684</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>2864684</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>810767798</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>805383625</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>5288173</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>2774872</Total>
        <ManagementAndGeneral>1445752</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>10943623</Total>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>696435</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>0</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>976926</Total>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>245647</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>49928</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>2779959</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>286344</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>174159</Total>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>109860</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>405067</Total>
      </DepreciationDepletion>
      <Insurance>
        <Total>2257643</Total>
      </Insurance>
      <OtherExpenses>
        <Description>Printing and Publications</Description>
        <Total>419562</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS PRINCIPALLY RENT</Description>
        <Total>570265</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TEMPORARY HELP</Description>
        <Total>1769845</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROGRAM SERVICES</Description>
        <Total>823113240</Total>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>1204156</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>848777531</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1445752</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <EOY>0</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>21347403</BOY>
        <EOY>17948940</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>13313587</BOY>
        <EOY>25707806</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>100000</BOY>
        <EOY>80000</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>293480</BOY>
        <EOY>302672</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>4393290</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1676330</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>3687914</BOY>
        <EOY>2716960</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>62431504</BOY>
        <EOY>45449285</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>52688626</BOY>
        <EOY>43190731</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>153862514</BOY>
        <EOY>135396394</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2295609</BOY>
        <EOY>4227397</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>60770411</BOY>
        <EOY>76725054</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>63066020</BOY>
        <EOY>80952451</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>90796494</BOY>
        <EOY>54443943</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>90796494</BOY>
        <EOY>54443943</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>153862514</BOY>
        <EOY>135396394</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-38009733</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>1657182</ReconciliationUnrealizedInvest>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
      <Buildings>
        <OtherCostOrOtherBasis>1350538</OtherCostOrOtherBasis>
        <Depreciation>388135</Depreciation>
        <BookValue>962403</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>1125220</OtherCostOrOtherBasis>
        <Depreciation>100084</Depreciation>
        <BookValue>1025136</BookValue>
      </LeaseholdImprovements>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1917532</OtherCostOrOtherBasis>
        <Depreciation>1188111</Depreciation>
        <BookValue>729421</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>2716960</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>RECEIVABLE FROM JOINT VENTURE</Description>
        <BookValue>5071117</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEPOSITS</Description>
        <BookValue>250000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEFERRED COMP ASSET</Description>
        <BookValue>116667</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS HELD IN TRUST</Description>
        <BookValue>317500</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ADVANCE PAYMENTS</Description>
        <BookValue>4987666</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>43190731</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>OTHER PAYABLES</Description>
        <Amount>6419466</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LIABILITIES HELD IN TRUST</Description>
        <Amount>317500</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>BENEFIT CLAIMS PAYABLE</Description>
        <Amount>69838088</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED DEFERRED COMPENSATION</Description>
        <Amount>150000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>76725054</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>812424980</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>1657182</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>1657182</RevenueNotRptdF990>
      <RevenueSubtotal>810767798</RevenueSubtotal>
      <TotalRevenuePerForm990>810767798</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>848777531</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>848777531</ExpensesSubtotal>
      <TotalExpensesPerForm990>848777531</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="12000229" softwareVersion="2012v2.0">
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL MESSIER</NamePerson>
        <Title>CFO/EVP</Title>
        <BaseCompensationFilingOrg>275668</BaseCompensationFilingOrg>
        <BonusFilingOrg>8849</BonusFilingOrg>
        <OtherCompensationFilingOrg>31005</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>77850</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>30259</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>423631</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LINDA O'DONNELL</NamePerson>
        <Title>DIR. CLINICAL MANAGEMENT</Title>
        <BaseCompensationFilingOrg>111009</BaseCompensationFilingOrg>
        <BonusFilingOrg>8132</BonusFilingOrg>
        <OtherCompensationFilingOrg>1860</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>9757</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>22667</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>153425</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KIM HESS</NamePerson>
        <Title>COO</Title>
        <BaseCompensationFilingOrg>215020</BaseCompensationFilingOrg>
        <BonusFilingOrg>22151</BonusFilingOrg>
        <OtherCompensationFilingOrg>29400</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>24850</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>33697</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>325118</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOSEPH STANKAITIS</NamePerson>
        <Title>Chief Med Off.</Title>
        <BaseCompensationFilingOrg>348783</BaseCompensationFilingOrg>
        <BonusFilingOrg>14582</BonusFilingOrg>
        <OtherCompensationFilingOrg>34630</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>77850</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>36008</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>511853</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HOWARD BRILL</NamePerson>
        <Title>DIRECTOR OF INFORMATICS</Title>
        <BaseCompensationFilingOrg>199546</BaseCompensationFilingOrg>
        <BonusFilingOrg>14771</BonusFilingOrg>
        <OtherCompensationFilingOrg>2799</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>17101</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>25315</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>259532</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GEORGE HUGHES</NamePerson>
        <Title>DIRECTOR OF BENEFITS &amp; PR</Title>
        <BaseCompensationFilingOrg>174502</BaseCompensationFilingOrg>
        <BonusFilingOrg>13102</BonusFilingOrg>
        <OtherCompensationFilingOrg>2353</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>15374</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>27187</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>232518</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DENNIS GRAZIANO</NamePerson>
        <Title>President &amp; CEO</Title>
        <BaseCompensationFilingOrg>341755</BaseCompensationFilingOrg>
        <BonusFilingOrg>49821</BonusFilingOrg>
        <OtherCompensationFilingOrg>33772</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>61385</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>23535</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>510268</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DEBORAH PEARTREE</NamePerson>
        <Title>DIRECTOR OF QI</Title>
        <BaseCompensationFilingOrg>139669</BaseCompensationFilingOrg>
        <BonusFilingOrg>11159</BonusFilingOrg>
        <OtherCompensationFilingOrg>2112</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>4268</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>18881</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>176089</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CLINT KOENIG</NamePerson>
        <Title>MEDICAL DIRECTOR</Title>
        <BaseCompensationFilingOrg>144933</BaseCompensationFilingOrg>
        <BonusFilingOrg>16285</BonusFilingOrg>
        <OtherCompensationFilingOrg>2205</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>4759</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14256</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>182438</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>FINANCIAL STATEMENTS,TAX RETURNS AND GOVERNING DOCUMENTS are AVAILABLE UPON REQUEST. OTHER policies are available on the organization's website.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Comparability data and other outside sources are used for the officers and Key employees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>THE CEO/CFO/COO &amp; CHIEF COMPLIANCE OFFICER REVIEW THE 990 BEFORE IT IS FILED WITH THE IRS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="12000229" softwareVersion="2012v2.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>UNIVERA COMMUNITY HEALTH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>205 PARK CLUB LANE</AddressLine1>
          <City>BUFFALO</City>
          <State>NY</State>
          <ZIPCode>142215239</ZIPCode>
        </AddressUS>
        <EIN>161500379</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>509(a)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>UNIVERA IPA LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>165 COURT STREET</AddressLine1>
          <City>ROCHESTER</City>
          <State>NY</State>
          <ZIPCode>14647</ZIPCode>
        </AddressUS>
        <EIN>454058523</EIN>
        <PrimaryActivity>IPA</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ShareOfEOYAssets>9798</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>UNIVERA IPA LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>2206434</AmountInvolved>
        <MethodOfAmtDetermination>CONTRACT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>UNIVERA COMMUNITY HEALTH INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>5071117</AmountInvolved>
        <MethodOfAmtDetermination>exp accrual</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>UNIVERA COMMUNITY HEALTH INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>l</TransactionType>
        <AmountInvolved>4560011</AmountInvolved>
        <MethodOfAmtDetermination>CONTRACT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>UNIVERA COMMUNITY HEALTH INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>4000000</AmountInvolved>
        <MethodOfAmtDetermination>contract</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>