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      <Form990PartVIISectionAGrp>
        <PersonNm>AARON KRAMER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL SCIMECA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT ORTMYER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>JEFF COAKLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>ANNEMARIE WALKER-CZYZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>JENNIFER YARTYM</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>DONNA MCGREGOR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>JILL VANKUREN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>SUSAN OAKES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>DOROTHY URSCHEL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>SETH KRONENBERG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>MICHAEL BACKUS</PersonNm>
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        <PersonNm>JEFFREY METHVEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>ROLLAND BOJO</PersonNm>
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        <PersonNm>SCOTT BERLUCCHI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>JASON MOUZAKAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>STACI THOMPSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>HENRY WELL</PersonNm>
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        <PersonNm>MICHAEL HOCHMAN</PersonNm>
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        <PersonNm>FELISSA KOERNIG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>KELLEY TIERNAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>GARY FITZGERALD</PersonNm>
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        <PersonNm>KEVIN KERWIN</PersonNm>
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        <PersonNm>THOMAS HOSEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EILEEN MURPHY</PersonNm>
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        <PersonNm>DONNA GAMMARATO</PersonNm>
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        <PersonNm>KATHLEEN KIRVIN</PersonNm>
        <TitleTxt>VP MARKETING &amp; COMMUNICATIONS</TitleTxt>
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        <PersonNm>FRANCINE FREISE</PersonNm>
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        <PersonNm>ANDREW NAULT</PersonNm>
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        <PersonNm>LAUREN FORD</PersonNm>
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        <PersonNm>TOSHA GRIMMER</PersonNm>
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      <GrantsToDomesticOrgsGrp>
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        <ExplanationTxt>IROQUOIS HEALTHCARE ASSOCIATION, INC. IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. HOWEVER, THE ASSOCIATION IS SUBJECT TO INCOME TAXES ON ANY UNRELATED BUSINESS INCOME. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023. THE TAX RETURN IS PREPARED AND FILED BASED ON INTERPRETATIONS OF TAX LAWS AND REGULATIONS. THE TAX RETURN IS SUBJECT TO EXAMINATION BY VARIOUS TAXING AUTHORITIES IN THE NORMAL COURSE OF BUSINESS. SUCH EXAMINATIONS MAY RESULT IN FUTURE TAX, INTEREST AND PENALTY ASSESSMENTS BY THESE TAXING AUTHORITIES. IN DETERMINING TAX EXPENSE FOR FINANCIAL REPORTING PURPOSES, A RESERVE IS ESTABLISHED FOR UNCERTAIN INCOME TAX POSITIONS UNLESS IT IS DETERMINED TO BE "MORE LIKELY THAN NOT" THAT SUCH TAX POSITIONS WOULD BE SUSTAINED UPON EXAMINATION, BASED ON THEIR TECHNICAL MERITS. THAT IS, FOR FINANCIAL REPORTING PURPOSES, TAX BENEFITS TAKEN ON THE TAX RETURN ARE RECOGNIZED ONLY IF MANAGEMENT BELIEVES IT IS "MORE LIKELY THAN NOT" THAT SUCH TAX POSITIONS WOULD BE SUSTAINED. TAX RESERVE ESTIMATES ARE ADJUSTED PERIODICALLY BECAUSE OF CHANGES IN TAX LAWS, REGULATIONS AND INTERPRETATIONS. THE CONSOLIDATED TAX EXPENSE OF ANY GIVEN YEAR INCLUDES ADJUSTMENTS TO PRIOR YEAR INCOME TAX RESERVE AND RELATED ESTIMATED INTEREST CHARGES THAT ARE CONSIDERED APPROPRIATE. POLICY IS TO RECOGNIZE, WHEN APPLICABLE, INTEREST AND PENALTIES ON UNCERTAIN TAX POSITIONS AS PART OF INCOME TAX EXPENSE. AS OF DECEMBER 31, 2024 AND 2023, THERE WERE NO SIGNIFICANT UNRECOGNIZED TAX BENEFITS NOR ANY RELATED ACCRUED INTEREST OR PENALTIES.</ExplanationTxt>
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        <RecipientEIN>150532180</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19230</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLIFTON-FINE HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1014 OSWEGATCHIE TRAIL</AddressLine1Txt>
          <CityNm>STAR LAKE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13690</ZIPCd>
        </USAddress>
        <RecipientEIN>900909506</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLUMBIA MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>71 PROSPECT AVENUE</AddressLine1Txt>
          <CityNm>HUDSON</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12534</ZIPCd>
        </USAddress>
        <RecipientEIN>141338373</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>150 BROAD STREET</AddressLine1Txt>
          <CityNm>HAMILTON</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13346</ZIPCd>
        </USAddress>
        <RecipientEIN>150548010</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CROUSE HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>736 IRVING AVENUE</AddressLine1Txt>
          <CityNm>SYRACUSE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13210</ZIPCd>
        </USAddress>
        <RecipientEIN>160960470</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CVPH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>75 BEEKMAN STREET</AddressLine1Txt>
          <CityNm>PLATTSBURGH</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12901</ZIPCd>
        </USAddress>
        <RecipientEIN>141338471</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ELLIS MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1101 NOTT STREET</AddressLine1Txt>
          <CityNm>SCHENECTADY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12308</ZIPCd>
        </USAddress>
        <RecipientEIN>141338428</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GLENS FALLS HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 PARK STREET</AddressLine1Txt>
          <CityNm>GLENS FALLS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12801</ZIPCd>
        </USAddress>
        <RecipientEIN>141338413</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GOUVERNEUR HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>77 WEST BARNEY STREET</AddressLine1Txt>
          <CityNm>GOUVERNEUR</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13642</ZIPCd>
        </USAddress>
        <RecipientEIN>464249555</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GUTHRIE CORTLAND MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>134 HOMER AVENUE</AddressLine1Txt>
          <CityNm>CORTLAND</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13045</ZIPCd>
        </USAddress>
        <RecipientEIN>150532079</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MASSENA HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>MASSENA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13662</ZIPCd>
        </USAddress>
        <RecipientEIN>843134268</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MVHS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1676 SUNSET AVENUE</AddressLine1Txt>
          <CityNm>UTICA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13502</ZIPCd>
        </USAddress>
        <RecipientEIN>161576637</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>NATHAN LITTAUER HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>99 EAST STATE STREET</AddressLine1Txt>
          <CityNm>GLOVERSVILLE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12078</ZIPCd>
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        <RecipientEIN>141338465</RecipientEIN>
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        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ONEIDA HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>321 GENESEE STREET</AddressLine1Txt>
          <CityNm>ONEIDA</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13421</ZIPCd>
        </USAddress>
        <RecipientEIN>161492011</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OSWEGO HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>110 W 6TH STREET</AddressLine1Txt>
          <CityNm>OSWEGO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13126</ZIPCd>
        </USAddress>
        <RecipientEIN>150532220</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIVER HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4 FULLER STREET</AddressLine1Txt>
          <CityNm>ALEXANDRIA BAY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13607</ZIPCd>
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        <RecipientEIN>810600548</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19231</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROME HEALTH</BusinessNameLine1Txt>
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          <AddressLine1Txt>1500 NORTH JAMES STREET</AddressLine1Txt>
          <CityNm>ROME</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
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      <RecipientTable>
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          <CityNm>WATERTOWN</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13601</ZIPCd>
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        <RecipientEIN>150533577</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>SCHUYLER HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>220 STEUBAN STREET</AddressLine1Txt>
          <CityNm>MONTOUR FALLS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14865</ZIPCd>
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      <RecipientTable>
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          <CityNm>AMSTERDAM</CityNm>
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        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UHS</BusinessNameLine1Txt>
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          <CityNm>JOHNSON CITY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>13790</ZIPCd>
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        <RecipientEIN>161165049</RecipientEIN>
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        <PurposeOfGrantTxt>SCHOLARSHIP PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTEE SHALL SUBMIT A FINAL REPORT CONCERNING THE GRANTEES USE OF THE GRANT, ALONG WITH A FINAL EXPENDITURE REPORT FOR THE GRANT PERIOD. THE FINAL REPORT, INCLUDING THE EXPENDITURE REPORT, WILL DETAIL THE ACCOMPLISHEMENTS ACHIEVED DURING THE GRANT PERIOD, ANY SIGNIFICANT CIRCUMSTANCES OR PROBLEMS ENCOUNTERED IN ADMINISTERING THE GRANT AND EFFORTS MADE TO RESOLVE THEM. ADDITIONAL INFORMATION CONCERNING THE GRANT MUST BE PROVIDED UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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        <BonusFilingOrganizationAmount>16925</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>2987</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7448</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1329</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18008</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3212</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>144309</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>25741</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EILEEN MURPHY</PersonNm>
        <TitleTxt>SR. DIRECTOR OF SPECIAL PR</TitleTxt>
        <BaseCompensationFilingOrgAmt>72786</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>62330</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12160</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>10359</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5097</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4361</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>90043</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>77050</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAUREN FORD</PersonNm>
        <TitleTxt>VP STRATEGY AND ANALYTICS</TitleTxt>
        <BaseCompensationFilingOrgAmt>68092</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>53179</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12328</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>9687</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4856</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3796</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6249</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4885</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>91525</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>71547</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHLEEN KIRVIN</PersonNm>
        <TitleTxt>VP MARKETING &amp; COMMUNICATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>19677</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>107495</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3466</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>19641</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1371</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>7531</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>24514</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>134667</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES RECEIVE ANNUAL PERFORMANCE EVALUATIONS BASED ON PRE-DETERMINED CORPORATE AND INDIVIDUAL GOALS AND OBJECTIVES. CORPORATE PERFORMANCE OBJECTIVES THAT REFLECT THE STRATEGIC GOALS OF ALL THE IROQUOIS ENTITIES ARE ESTABLISHED BY THE MANAGEMENT TEAM. THESE ORGANIZATIONAL AND STRATEGIC OBJECTIVES ARE ASSIGNED AS PERFORMANCE OBJECTIVES FOR SPECIFIC IROQUOIS EMPLOYEES BASED ON THEIR AREA OF JOB RESPONSIBILITY. A WEIGHTING SYSTEM IS USED TO REFLECT AREAS OF EMPHASIS FOR EMPLOYEES' COMPENSATION. THIS ALLOWS THE CHIEF EXECUTIVE OFFICER TO ESTABLISH CLEAR CORPORATE RESPONSIBILITIES FOR THE MANAGEMENT TEAM AND IT ALLOWS MANAGERS TO SET CLEAR GOALS AND OBJECTIVES FOR EACH OF THEIR DIRECT REPORTS. VARIABLE PAYMENTS ARE AWARDED BASED ON THE OVERALL RATING OF THE PERFORMANCE EVALUATION AND THE GOALS ACHIEVED. VARIABLE PAYMENTS DO NOT ADJUST EMPLOYEE'S ANNUAL BASE PAY. THE BASE SALARIES FOR EMPLOYEES ARE ONLY ADJUSTED BY MANAGEMENT BASED ON MARKET ANALYSIS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <TaxImposedAmt>0</TaxImposedAmt>
      <TaxReimbursedAmt>0</TaxReimbursedAmt>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>GARY FITZGERALD</PersonNm>
        <RelationshipWithOrgTxt>PRESIDENT &amp; CEO</RelationshipWithOrgTxt>
        <LoanPurposeTxt>PERSONAL EXPENSES</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>1385</OriginalPrincipalAmt>
        <BalanceDueAmt>0</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>0</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>DONNA GAMMARATO</PersonNm>
        <RelationshipWithOrgTxt>EXECUTIVE DIRECTOR - UISS</RelationshipWithOrgTxt>
        <LoanPurposeTxt>PERSONAL EXPENSES</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>88</OriginalPrincipalAmt>
        <BalanceDueAmt>88</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>0</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>88</TotalBalanceDueAmt>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITATE THE STATE OF NEW YORK DEPARTMENT OF HEALTH'S CAREER PATHWAYS TRAINING PROGRAM GRANT TO PROVIDE COMPREHENSIVE SUPPORT, INCLUDING CAREER EXPLORATION, COMPLETE COVERAGE OF TUITION, AND JOB PREPARATION FOR INDIVIDUALS WITH INTERESTS IN BEHAVIORAL HEALTH AND SOCIAL CARE AS WELL AS HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS VOTING MEMBERS AND ASSOCIATE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO OF EACH MEMBER ORGANIZATION IS AUTOMATICALLY A BOARD MEMBER. THE BOARD MEMBERS ELECT THE EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF THE ANNUAL AUDIT, OUR INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM PREPARES FORM 990 AND RELATED SUPPORTING SCHEDULES FROM OUR INTERNAL RECORDS. WE DESIGNATE AN INDIVIDUAL(S) WITH SUITABLE SKILL, KNOWLEDGE OR EXPERIENCE TO OVERSEE THESE SERVICES (I.E. THE CFO) AND WE MAKE ALL MANAGEMENT DECISIONS AND PERFORM ALL MANAGEMENT FUNCTIONS. WE HAVE REVIEWED, APPROVED, AND ACCEPTED RESPONSIBILITY FOR FORM 990 AND THE RELATED SUPPORTING SCHEDULES AND BELIEVE THEY ARE ADEQUATELY SUPPORTED BY THE BOOKS AND RECORDS OF IROQUOIS HEALTHCARE ASSOCIATION, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR THE BOARD MEMBERS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST STATEMENT TO DOCUMENT ANY POTENTIAL CONFLICTS OF INTEREST. ASSOCIATION STAFF MEMBERS REVIEW THE STATEMENTS TO IDENTIFY ANY CONFLICTS OF INTEREST THAT NEED TO BE DISCLOSED BEFORE THE BOARD VOTES ON RELATED ISSUES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND APPROVES ALL COMPENSATION ADJUSTMENTS FOR THE CEO. AN INDEPENDENT CONSULTANT EVALUATES AND RECOMMENDS SALARY RANGES. SEE FORM 900 SCHEDULE J PART I FOR ADDITIONAL DETAILS. THE PRESIDENT/CEO EVALUATES OTHER OFFICER SALARIES BASED ON COMPARABILITY DATA FROM COMPENSATION SURVEYS AND STUDIES OF SIMILAR ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY IN NET EARNINGS FROM SUBSIDIARIES 602,820.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <AddressLine1Txt>15 EXECUTIVE PARK DRIVE</AddressLine1Txt>
          <CityNm>CLIFTON PARK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12065</ZIPCd>
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        <PrimaryActivitiesTxt>PROVIDE SUPPORT TO INDIVIDUALS WITH INTERESTS IN HEALTHCARE</PrimaryActivitiesTxt>
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        <EIN>161204933</EIN>
        <PrimaryActivitiesTxt>CENTRALIZED PURCHASING SERVICES TO MEMBERS</PrimaryActivitiesTxt>
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        <ShareOfTotalIncomeAmt>5720303</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>8675464</ShareOfEOYAssetsAmt>
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        <TransactionTypeTxt>A</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>COST - SALARIES &amp; BENEFITS</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>COST - SALARIES &amp; BENEFITS</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>200000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>REVENUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>11400</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>COST - SALARIES &amp; BENEFITS</MethodOfAmountDeterminationTxt>
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</Return>