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        <ProgramServicesAmt>5373941</ProgramServicesAmt>
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        <EOYAmt>8222504</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>25464332</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>15470</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" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>32832</BookValueAmt>
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        <DepreciationAmt>11605</DepreciationAmt>
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        <DepreciationAmt>23824</DepreciationAmt>
        <BookValueAmt>65072</BookValueAmt>
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      <NetUnrealizedGainsInvstAmt>15470</NetUnrealizedGainsInvstAmt>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>28685387</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>CARE COMPASS NETWORK (CCN) OPERATES ITS HUMAN RESOURCES FUNCTIONS THROUGH THE HOST ORGANIZATIONS OF ITS LEASED EMPLOYEES, FOR WHICH CCN HAD PUT INTO PLACE EMPLOYEE LEASE AGREEMENTS. DUE TO THE NATURE OF THIS STAFFING ARRANGEMENT, IT IS LOGICAL THAT BY NATURE OF THOSE AGREEMENTS CCN HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES TO DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT OFFICERS, DIRECTORS, OR TRUSTEES, OR KEY EMPLOYEES TO A MANAGEMENT COMPANY OR OTHER PERSONS, THOSE COMPANIES BEING THE HOST ORGANIZATIONS FOR THE LEASED EMLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 ORGANIZATION PROVIDES THE COPY OF FORM 990 TO ALL BOARD MEMBERS BEFORE FILING THE FORM 990.</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 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>