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        <ServicesDesc>LEGAL SEVICES</ServicesDesc>
        <CompensationAmt>858582</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOMECARE HOMEBASE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 678637</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75267</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER SOFTWARE CONSULTING</ServicesDesc>
        <CompensationAmt>150634</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OPTUMINSIGHT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 84019</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60689</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACTUARIAL SERVICES</ServicesDesc>
        <CompensationAmt>150259</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EISNERAMPER MANAGED TECHNOLOGY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>111 WOOD AVE S 6TH FL</AddressLine1Txt>
            <CityNm>ISELIN</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>088302700</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>126608</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MORITT HOCK &amp; HAMROFF LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>400 GARDEN CITY PLAZA</AddressLine1Txt>
            <CityNm>GARDEN CITY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11530</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SEVICES</ServicesDesc>
        <CompensationAmt>125000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>HOME HEALTHCARE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1896954</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1896954</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SOCIAL DAYCARE REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>490212</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>490212</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>59244</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>59244</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>2446410</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>361009</TotalRevenueColumnAmt>
        <ExclusionAmt>361009</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3405890</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3387874</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>18016</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>18016</TotalRevenueColumnAmt>
        <ExclusionAmt>18016</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MLTC DISC. OPS. REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>112640</TotalRevenueColumnAmt>
        <ExclusionAmt>112640</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>112640</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2938075</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2446410</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>491665</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>646660</TotalAmt>
        <ProgramServicesAmt>436122</ProgramServicesAmt>
        <ManagementAndGeneralAmt>210538</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2320014</TotalAmt>
        <ProgramServicesAmt>1548047</ProgramServicesAmt>
        <ManagementAndGeneralAmt>771967</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>340359</TotalAmt>
        <ProgramServicesAmt>256392</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83967</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>203359</TotalAmt>
        <ProgramServicesAmt>153190</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50169</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>705995</TotalAmt>
        <ManagementAndGeneralAmt>705995</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>45724</TotalAmt>
        <ManagementAndGeneralAmt>45724</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>12523</TotalAmt>
        <ManagementAndGeneralAmt>12523</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>404972</TotalAmt>
        <ProgramServicesAmt>152040</ProgramServicesAmt>
        <ManagementAndGeneralAmt>252932</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>110982</TotalAmt>
        <ProgramServicesAmt>9174</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101808</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>246793</TotalAmt>
        <ProgramServicesAmt>177029</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69764</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>151355</TotalAmt>
        <ProgramServicesAmt>55765</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95590</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>235637</TotalAmt>
        <ProgramServicesAmt>235637</ProgramServicesAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>16663</TotalAmt>
        <ManagementAndGeneralAmt>16663</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>95014</TotalAmt>
        <ProgramServicesAmt>1458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93556</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>89733</TotalAmt>
        <ProgramServicesAmt>32136</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57597</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>137800</TotalAmt>
        <ProgramServicesAmt>137800</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>5763583</TotalAmt>
        <ProgramServicesAmt>3194790</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2568793</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3534047</BOYAmt>
        <EOYAmt>261499</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>29558</BOYAmt>
        <EOYAmt>116813</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>683130</BOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>228683</BOYAmt>
        <EOYAmt>304042</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>148822</BOYAmt>
        <EOYAmt>134984</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3976915</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3078888</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>968410</BOYAmt>
        <EOYAmt>898027</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2640092</BOYAmt>
        <EOYAmt>4093507</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>961891</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>9194633</BOYAmt>
        <EOYAmt>5808872</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1336249</BOYAmt>
        <EOYAmt>868736</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>527370</BOYAmt>
        <EOYAmt>447165</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>5851018</BOYAmt>
        <EOYAmt>5738076</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>7714637</BOYAmt>
        <EOYAmt>7053977</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1479996</BOYAmt>
        <EOYAmt>-1245105</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1479996</BOYAmt>
        <EOYAmt>-1245105</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9194633</BOYAmt>
        <EOYAmt>5808872</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-2825508</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>100407</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus1YearAmt>683130</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>683131</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>56322706</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>52890253</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>48843897</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17231796</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2446410</CurrentTaxYearAmt>
        <TotalAmt>177735062</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>56322707</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>52890253</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>48843897</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17914926</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2446410</CurrentTaxYearAmt>
        <TotalAmt>178418193</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>178418193</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>40924</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>46081</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>78722</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>101089</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>361008</CurrentTaxYearAmt>
        <TotalAmt>627824</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>40924</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>46081</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>78722</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>101089</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>361008</CurrentTaxYearAmt>
        <TotalAmt>627824</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus3YearsAmt>32009</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25846</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>112640</CurrentTaxYearAmt>
        <TotalAmt>170495</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>56363631</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>52968343</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>48948465</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>18016015</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2920058</CurrentTaxYearAmt>
        <TotalAmt>179216512</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99550</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99840</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00350</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00130</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MLTC DISC OPS REVENUE - 2025 AMOUNT: $ 112,640. MISCELLANEOUS INCOME - 2022 AMOUNT: $ 32,009. 2023 AMOUNT: $ 25,846.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>250157</OtherCostOrOtherBasisAmt>
        <BookValueAmt>250157</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2037444</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1407339</DepreciationAmt>
        <BookValueAmt>630105</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1674764</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1656999</DepreciationAmt>
        <BookValueAmt>17765</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>14550</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>14550</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>898027</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO MEDICAID</Desc>
        <Amt>5738076</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5738076</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3025959</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>100407</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>100407</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2925552</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>12523</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>12523</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2938075</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5751060</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5751060</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>12523</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>12523</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5763583</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION QUALIFIES AS NONPROFIT-ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A NOT-FOR-PROFIT ENTITY, THE ORGANIZATION IS SUBJECT TO UNRELATED BUSINESS INCOME TAX (UBIT), IF APPLICABLE. IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES, THE ORGANIZATION APPLIES THE "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION AND DERECOGNITION OF TAX POSITIONS FOR ITS FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND HAS CONCLUDED THAT THERE WERE NO UNCERTAIN TAX POSITIONS THAT QUALIFIED FOR EITHER RECOGNITION OR DISCLOSURE IN THESE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>AS OF DECEMBER 31, 2025, A MAJORITY OF THE AMOUNTS DUE TO MEDICAID RELATE TO PRIOR YEARS' ADJUSTMENTS THAT THE ORGANIZATION WAS NOTIFIED OF DURING 2024 AND IS DISPUTING RELATING TO ENCOUNTER WITHHOLDS, ENROLLMENT WITHHOLDS, QUALITY POOL AWARDS AND RETROACTIVE CAPITATION ADJUSTMENTS. THE STATE OF NEW YORK OFFSET THE RECEIVABLE RECORDED AS OF DECEMBER 31, 2023 AGAINST THESE LIABILITIES IN 2024 AS A PARTIAL PAYMENT. THE ORGANIZATION BELIEVES IT IS OWED APPROXIMATELY $2,400,000 FROM MEDICAID FOR THE ITEMS NOTED. THESE AMOUNTS WERE WITHHELD AND SUBSEQUENTLY OFFSET BY NYSDOH AGAINST AN ALLEGED MLR LIABILITY. THE ORGANIZATION IS CONTESTING THE OFFSET AS THESE FUNDS WERE RIGHTFULLY DUE TO THE ORGANIZATION AND SHOULD NOT HAVE BEEN APPLIED TO REDUCE ANY PURPORTED LIABILITY. THE ORGANIZATION IS PURSUING ANY AND ALL AVAILABLE OPTIONS. THE ORGANIZATION IS CONTESTING BOTH (A) THE ASSERTED MLR LIABILITY OF APPROXIMATELY $6,700,000 AND (B) THE NYSDOH'S CLAWBACK OF MEDICAID RECEIVABLES USED TO OFFSET THAT LIABILITY. THESE MATTERS ARE UNDER FURTHER INTERNAL REVIEW BY THE ORGANIZATION AND IT HAS NOT YET INITIATED SEPARATE LITIGATION AT THIS TIME; HOWEVER, HAS MADE NOTICE TO THE APPROPRIATE GOVERNMENT OFFICIALS AND REGULATORY BODIES OF THE ORGANIZATION'S POSITION AND INTENT. THE ORGANIZATION BELIEVES, BASED ON MEETINGS WITH NYSDOH, THAT THE MATTERS NOTED WERE TO BE WAIVED AS PART OF THE SALE OF THE MLTC PLAN. THE NYSDOH HAS PARTIALLY FULFILLED $16,000,000 (PROVIDER SETTLEMENTS) FROM THE BROADER $25,000,000 COMMITMENT MADE TO THE ORGANIZATION. THE ORGANIZATION CONTINUES TO SEEK FULL RECOGNITION OF THE WAIVER AND A RELEASE OF THE OFFSETS APPLIED AGAINST ITS RECEIVABLES. NYSDOH REVIEWED AND APPROVED THE ORGANIZATION'S THREEYEAR FINANCIAL FORECASTS DURING THE ASSET PURCHASE AGREEMENT REVIEW PROCESS. THE THREE-YEAR FINANCIAL FORECASTS, WHICH EXCLUDED ANY FUTURE OR CONTINGENT LIABILITIES, INCLUDING MLR, WERE ACCEPTED AND APPROVED BY THE NYSDOH, WHICH WERE UTILIZED AND ACCEPTED BY THE OFFICE OF THE ATTORNEY GENERAL. NO ADDITIONAL LIABILITIES HAVE BEEN RECOGNIZED BEYOND THOSE ALREADY DISCLOSED, PENDING FINAL RESOLUTION OF THE MATTER. DURING 2025, THE ORGANIZATION RECORDED NET SETTLEMENTS PERTAINING TO PRIOR YEARS TOTALING $112,640 INCLUDED IN "OTHER INCOME" IN THE ACCOMPANYING STATEMENT OF OPERATIONS AND CHANGES IN NET ASSET DEFICIENCY THAT REDUCED THE LIABILITY TO THE STATE OF NEW YORK.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SYLVIA MCTIGUE</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>325000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27570</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>352570</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MERRY M BRUN</PersonNm>
        <TitleTxt>DIRECTOR, PATIENT SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>173655</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26285</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>199940</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 WILL BE PRESENT IN THE BOARD'S PACKET. THE FORM 990 WILL BE REVIEWED, DISCUSSED AND APPROVED DURING A MEETING OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A CORPORATE COMPLIANCE COMMITTEE THAT REGULARLY MEETS AND MONITORS MATTERS OF COMPLIANCE AND AREAS OF RISK. THE ORGANIZATION TRAINS, REVIEWS AND AUDITS ON AN ONGOING BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS INCLUDED A CONSULTANT, 3RD PARTY COMPENSATION DATA, BOARD DISCUSSION VIA EXECUTIVE SESSION, COMPENSATION PHILOSOPHY POLICY AND BOARD APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCLOSURE IS COVERED BY THE ORGANIZATION'S ANNUAL PUBLIC DISCLOSURE POLICY WHICH LISTS GOVERNMENT DOCUMENTS, CONFLICTS OF INTEREST, AND FINANCIAL STATEMENTS. OTHER RELEVANT DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>