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        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>510000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BONADIO &amp; CO LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>171 SULLYS TRAIL</AddressLine1Txt>
            <CityNm>PITTSFORD</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14534</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATION TECHNOLOGY CONSULTATION</ServicesDesc>
        <CompensationAmt>184041</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JMI</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>201 ROBINSON STREET</AddressLine1Txt>
            <CityNm>BINGHAMTON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13904</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT</ServicesDesc>
        <CompensationAmt>176107</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BOND SCHOENECK &amp; KING PLLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 11607</AddressLine1Txt>
            <CityNm>SYRACUSE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13218</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>160728</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMPLETE COMPLIANCE SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1330 HIGHLAND AVE</AddressLine1Txt>
            <CityNm>PLAINFIELD</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07060</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>130000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>53702495</GovernmentGrantsAmt>
      <TotalContributionsAmt>53702495</TotalContributionsAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>994746</TotalRevenueColumnAmt>
        <ExclusionAmt>994746</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>54697241</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>994746</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1336170</TotalAmt>
        <ProgramServicesAmt>748255</ProgramServicesAmt>
        <ManagementAndGeneralAmt>587915</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
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        <TotalAmt>1950675</TotalAmt>
        <ProgramServicesAmt>1095336</ProgramServicesAmt>
        <ManagementAndGeneralAmt>855339</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PayrollTaxesGrp>
        <TotalAmt>927301</TotalAmt>
        <ProgramServicesAmt>520123</ProgramServicesAmt>
        <ManagementAndGeneralAmt>407178</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>105386</TotalAmt>
        <ProgramServicesAmt>59111</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46275</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>806046</TotalAmt>
        <ProgramServicesAmt>280254</ProgramServicesAmt>
        <ManagementAndGeneralAmt>525792</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>38532</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30164</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>6255275</TotalAmt>
        <ProgramServicesAmt>6255275</ProgramServicesAmt>
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      <OccupancyGrp>
        <TotalAmt>185171</TotalAmt>
        <ProgramServicesAmt>103862</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81309</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>61471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48122</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>28507</TotalAmt>
        <ProgramServicesAmt>15990</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12517</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>144359</TotalAmt>
        <ProgramServicesAmt>80971</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63388</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DSRIP PROJECT</Desc>
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        <ProgramServicesAmt>19421874</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>INNOVATION FUND</Desc>
        <TotalAmt>2791888</TotalAmt>
        <ProgramServicesAmt>2791888</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>INFRASTRUCTURE PURCHASE</Desc>
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        <ProgramServicesAmt>149257</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>306018</TotalAmt>
        <ProgramServicesAmt>171027</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134991</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>31793226</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2792990</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>42090694</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>15951657</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>29384</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>13302519</BOYAmt>
        <EOYAmt>6501263</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>286569</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>104666</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>128160</BOYAmt>
        <EOYAmt>181903</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>7201011</BOYAmt>
        <EOYAmt>34791330</EOYAmt>
      </InvestmentsPubTradedSecGrp>
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        <BOYAmt>3672158</BOYAmt>
        <EOYAmt>11636740</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>85721171</BOYAmt>
        <EOYAmt>111201961</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>6519462</BOYAmt>
        <EOYAmt>11887204</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>6519462</BOYAmt>
        <EOYAmt>11887204</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>79201709</BOYAmt>
        <EOYAmt>99314757</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>79201709</BOYAmt>
        <EOYAmt>99314757</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>85721171</BOYAmt>
        <EOYAmt>111201961</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>20111025</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>2023</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>55728</BookValueAmt>
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        <BookValueAmt>40846</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>85329</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>181903</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>ASSET LIMITED AS TO USE</Desc>
        <BookValueAmt>1584660</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM MEMBERS</Desc>
        <BookValueAmt>10052080</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>11636740</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>54699264</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2023</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>2023</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>54697241</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>54697241</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>34586216</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>34586216</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK ROPIECKI</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>44126</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33602</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>258540</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WAYNE TERIS MD</PersonNm>
        <TitleTxt>CHEIF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>245612</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>33022</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29283</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAWN SCULLEY</PersonNm>
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        <BonusFilingOrganizationAmount>18387</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>29707</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>157899</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S MEMBERS ARE CAYUGA HEALTH SYSTEMS, INC., CORTLAND REGIONAL MEDICAL CENTER, INC., FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC., GUTHRIE HEALTHCARE SYSTEM, INC., OUR LADY OF LOURDES MEMORIAL HOSPTIAL, INC., AND UNITED HEALTH SERVICES, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY OF THE CORPORATION SHALL BE THE BOARD OF DIRECTOR'S CONSISTING OF NOT FEWER THAN 6 MEMBER DESIGNATED DIRECTORS PLUS ANY ELECTED BOARD MEMBERS. EACH MEMBER SHALL HAVE AN EQUAL VOTE WITH RESPECT TO ANY ACTION REQUIRED OR PERMITTED TO BE TAKEN BY THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINAL AND COMPLETED FORM 990 WAS MADE AVAILABLE TO THE BOARD PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CARE COMPASS NETWORK COLLECTS CONFLICT OF INTEREST FORMS ALL BOARD MEMBERS, KEY EMPLOYEES, AND GOVERNANCE COMMITTEE MEMBERS ANNUALLY. THESE RESPONSES ARE ALL REVIEWED BY THE COMPLIANCE AND AUDIT COMMITTEE FOR ANY POTENTIAL CONFLICTS WITH CARE COMPASS NETWORK ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, THE EXECUTIVE COMMITTEE OF THE BOARD MADE UP OF THE CHAIR, VICE CHAIR, TREASURER, AND SECRETARY DETERMINE COMPENSATION OF THE EXECUTIVE DIRECTOR. EXTERNAL VENDORS PROVIDE GUIDANCE TO THE COMMITTEE ON RANGE AND MARKET CHANGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>CARE COMPASS NETWORK PROVIDES FORM 1024, FORM 990 AND OTHER INFORMATION REQUIRED UNDER IRS REGULATIONS TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>CARE COMPASS NETWORK PROVIDES FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO ALL NETWORK PARTNERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS NOT CHANGED THEIR PROCESS FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>