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        <ExplanationTxt>CNYCC IS A TYPE B NOT-FOR-PROFIT CORPORATION AS DEFINED BY SECTION 201 OF THE NEW YORK STATE NOT-FOR-PROFIT CORPORATION LAW AND IS AN EXEMPT ORGANIZATION UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE CNYCC FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2020 AND 2019, CNYCC DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2017 THROUGH 2020.</ExplanationTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ARISE CHILD AND FAMILY SERVICES</BusinessNameLine1Txt>
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        <CashGrantAmt>450000</CashGrantAmt>
        <PurposeOfGrantTxt>DEVELOP AND ENHANCE BEHAVIORAL HEALTH INFRASTRUCTURE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CROUSE HEALTH HOSPITAL INC</BusinessNameLine1Txt>
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      <RecipientTable>
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      <RecipientTable>
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          <BusinessNameLine1Txt>ST JOSEPH'S HOSPITAL HEALTH CENTER</BusinessNameLine1Txt>
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      <RecipientTable>
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        <CashGrantAmt>225000</CashGrantAmt>
        <PurposeOfGrantTxt>INTEGRATED VISION/HEARING &amp; HEALTHCARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CATHOLIC CHARITIES OF ONONDAGA COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>150532085</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>228626</CashGrantAmt>
        <PurposeOfGrantTxt>INNOVATIVE INTEGRATED FOOD PROJECT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CAYUGA COUNTY COMMUNITY MENTAL HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>156000450</RecipientEIN>
        <CashGrantAmt>69830</CashGrantAmt>
        <PurposeOfGrantTxt>2020 INNOVATIVE INTEGRATED PROJECT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CNY HOME HEALTH NETWORK INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>465343296</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>347789</CashGrantAmt>
        <PurposeOfGrantTxt>INNOVATIVE INTEGRATED CARE MGMT PROJECT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHERN OSWEGO COUNTY HEALTH SERICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>237036393</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>449442</CashGrantAmt>
        <PurposeOfGrantTxt>SVC INTEGRATION &amp; SYSTEMATIC CARE MGMT &amp; IMPROVING CARDIOVASCULAR CARE (OSWEGO COUNTY)</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHERN REGIONAL CENTER FOR INDEPENDENT LIVING</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>161329748</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <PurposeOfGrantTxt>BRIDGES PROGRAMS (SOCIAL DETERMINANTS OF HEALTH)</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UPSTATE UNIVERSITY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>161469571</RecipientEIN>
        <CashGrantAmt>720225</CashGrantAmt>
        <PurposeOfGrantTxt>IOP GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UPSTATE UNIVERSITY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>161469571</RecipientEIN>
        <CashGrantAmt>232638</CashGrantAmt>
        <PurposeOfGrantTxt>INTEGRATED CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UPSTATE UNIVERSITY MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <RecipientEIN>161469571</RecipientEIN>
        <CashGrantAmt>224431</CashGrantAmt>
        <PurposeOfGrantTxt>SMART CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL NEW YORK CARE COLLABORATIVE REQUIRES WRITTEN QUARTERLY REPORTS INCLUDING BACK UP DOCUMENTS RELATING TO WORK PERFORMED, TRAININGS HELD, PATIENTS COUNSELED, ETC. THAT SUBSTANTIATES WORK PERFORMED AND OTHER REQUIREMENTS OF THE GRANT. ONCE THE REPORTS AND ATTACHMENTS HAVE BEEN RECEIVED AND REVIEWED AND APPROVED BY PROJECT MANAGERS, QUARTERLY PAYMENTS ARE PROCESSED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CATHY HOMKEY, IN THE POSITION OF INTERIM EXECUTIVE DIRECTOR, IS A PRINCIPAL WITH HEALTH MANAGEMENT ASSOCIATES (HMA).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THROUGH DECEMBER 31, 2020, CNYCC WAS GOVERNED BY ITS BOARD OF DIRECTORS WHICH INCLUDED REPRESENTATION FROM ITS FOUR CORPORATE MEMBERS AND CERTAIN OTHER PARTNERS. EFFECTIVE JANUARY 1, 2021, THE BOARD OF DIRECTORS WAS REDUCED TO INCLUDE FOUR DIRECTORS WITH ONE APPOINTED BY EACH OF THE CORPORATE MEMBERS. THE BYLAWS WERE AMENDED SUCH THAT CNYCC HAS A SINGLE CLASS OF MEMBERSHIP WITH EQUAL GOVERNANCE RIGHTS AND OBLIGATIONS THROUGH DISSOLUTION OF THE ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION HAS 2 CLASSES OF MEMBERS, CLASS A MEMBERS AND CLASS B MEMBERS. THE CLASS A MEMBERS ARE FAXTON ST. LUKE'S HEALTHCARE, ST. JOSEPH'S HOSPITAL HEALTH CENTER AND THE STATE UNIVERSITY OF NEW YORK UPSTATE MEDICAL UNIVERSITY. THE CLASS B MEMBER IS AUBURN COMMUNITY HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH CLASS A MEMBER AND CLASS B MEMBER OF THE CORPORATION HAS AN EQUAL VOTE WITH RESPECT TO ANY ACTION REQUIRED OR PERMITTED TO BE TAKEN BY THE MEMBERS, OTHER THAN WITH RESPECT TO POWERS RESERVED SOLELY TO THE CLASS A MEMBERS. THE ACT OF THE CHIEF EXECUTIVE OFFICER OF A MEMBER ON BEHALF OF THE MEMBER SHALL BE DEEMED THE ACT OF THE MEMBER WITH RESPECT TO THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS SHALL RETAIN THE POWER AND AUTHORITY TO: A. ADOPT AND/OR AMEND THE CERTIFICATE OF INCORPORATION; B. ADOPT AND/OR AMEND THE BY-LAWS; C. EACH MEMBER SHALL DESIGNATE AN INDIVIDUAL REPRESENTATIVE TO SERVE ON THE BOARD OF DIRECTORS, WHO SHALL BE A VOTING MEMBER OF THE BOARD (EACH A "MEMBER DESIGNATED DIRECTOR"); D. ELECT THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS FROM THE SLATE PROPOSED BY THE NOMINATING COMMITTEE (EACH AN "ELECTED BOARD MEMBER"), AND, IN THE EVENT THAT THE MEMBERS' DO NOT APPROVE ANY SUCH SLATE, TO APPOINT A NEW NOMINATING COMMITTEE; E. APPOINT THE CHAIRPERSON AND THE EXECUTIVE DIRECTOR; F. ELECT THE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FROM THE SLATE PROPOSED BY THE NOMINATING COMMITTEE; G. APPROVE THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; H. APPROVE THE MERGER, CONSOLIDATION OR AFFILIATION OF THE CORPORATION WITH ANOTHER CORPORATION, ORGANIZATION OR PROGRAM; I. DISSOLVE THE CORPORATION AND APPROVE THE DISPOSITION OF ITS ASSETS; J. APPROVE THE DSRIP PROJECT PLAN APPLICATION TO BE SUBMITTED TO THE DEPARTMENT OF HEALTH, INCLUDING BUT NOT LIMITED TO THE METHODOLOGY AND DISTRIBUTION PLAN FOR ALLOCATING ANY DSRIP PAYMENTS HELD BY THE CORPORATION AND ANY MODIFICATIONS TO THE APPROVED DSRIP PROJECT PLAN; K. APPROVE SERVICE AGREEMENTS BETWEEN A MEMBER AND THE CORPORATION, OR ANY AMENDMENT THERETO, WHEREBY THE MEMBER WILL PROVIDE SERVICES TO THE CORPORATION AT FAIR MARKET RATES; L. APPROVE AN AGREEMENT BETWEEN UPSTATE AND THE CORPORATION, OR ANY AMENDMENT THERETO, WHEREBY UPSTATE WILL PROVIDE TO THE CORPORATION DSRIP PAYMENTS PAID TO UPSTATE AS THE FINANCIAL LEAD FOR PPS; M. APPROVE AND ENFORCE THE CORPORATION'S WRITTEN POLICY FOR ADDRESSING THE MANAGEMENT AND, IF NECESSARY, SANCTION OF POOR PERFORMING PARTNER ORGANIZATIONS; AND N. APPROVE SETTLEMENT OF LITIGATION INVOLVING THE CORPORATION WHEN ANY SUCH SETTLEMENT AMOUNT EXCEEDS APPLICABLE INSURANCE COVERAGE. CLASS A MEMBERS, VOTING AS A SEPARATE CLASS, RETAIN THE SOLE POWER AND AUTHORITY TO APPROVE THE CORPORATION'S: (I) ANNUAL CAPITAL AND OPERATING CASH BUDGETS; (II)SUBVENTIONS, (III) INDEBTEDNESS, (IV) CAPITAL CALLS AND/OR FUNDING REQUESTS TO THE CLASS A MEMBERS; AND (V) DUES ASSESSMENTS TO ALL OF THE MEMBERS AND PARTNER ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS DISTRIBUTED TO THE FINANCE COMMITTEE, BOARD OF DIRECTORS AND MEMBERS OF THE ORGANIZATION FOR REVIEW BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE STATEMENTS ARE REVIEWED BY THE ORGANIZATION AND ADDRESSED IN THE APPROPRIATE COMMITTEE AND BOARD MEETING AS NEEDED. SUCH INDIVIDUALS ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST AND RECUSE THEMSELVES FROM VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR COMMITTEE. IN ADDITION, EVERY BOARD AND COMMITTEE AGENDA CONTAINS A WRITTEN REMINDER THAT EACH BOARD OR COMMITTEE MEMBER MUST EXECUTE HIS OR HER POWERS IN GOOD FAITH AND IN THE BEST INTEREST OF THE ORGANIZATION, RATHER THAN IN HIS OR HER OWN INTERESTS OR IN THE INTERESTS OF ANOTHER PERSON OR ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS STATE THE MEMBERS APPOINT THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE FOUR CORPORATE MEMBERS WITH REVIEW BY THE BOARD CHAIR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE FINANCIAL STATEMENT PROCESS AND HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
