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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearAmt>230495</CurrentTaxYearAmt>
        <TotalAmt>230495</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearAmt>230495</CurrentTaxYearAmt>
        <TotalAmt>230495</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>230495</PublicSupportTotal509Amt>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearAmt>230495</CurrentTaxYearAmt>
        <TotalAmt>230495</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <First5Years509Ind>X</First5Years509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, SHORT YEAR EXPLANATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>SMALL HANDS BIG HEARTS PEDIATRIC THERAPY MANAGEMENT INC. (SHBH) CONVERTED TO A NONPROFIT CORPORATION ON 5/13/22 WITH A FISCAL YEAR ENDING 6/30/22. FOR THAT REASON, THERE IS ONLY ONE YEAR OF PUBLIC SUPPORT INFORMATION THAT IS AVAILABLE AND PRESENTED IN THIS INITIAL SHORT YEAR FILING.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED PAYROLL</Desc>
        <Amt>66826</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>700650</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED VACATION</Desc>
        <Amt>13154</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>780630</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MERAKEY FOLLOWS GUIDANCE THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING ISSUES RELATING TO FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT. THIS GUIDANCE PROVIDES THAT THE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION CAN ONLY BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THE POSITION IS "MORE-LIKELY-THAN-NOT" TO BE SUSTAINED IF THE POSITION WERE TO BE CHALLENGED BY A TAXING AUTHORITY. THE ASSESSMENT OF THE TAX POSITION IS BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT THE TAX POSITION MAY BE CHALLENGED. MERAKEY HAS PROCESSES PRESENTLY IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME; TO DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT HAS NEXUS; AND TO IDENTIFY AND EVALUATE OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. MERAKEY HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>MERAKEY USA USES A CASH MANAGEMENT SYSTEM THAT ISSUES ALL FORMS 1099 THROUGH THE PARENT ORGANIZATION FOR ALL SUBSIDIARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 WAS PREPARED BY THE ORGANIZATION'S TAX MANAGER AND REVIEWED BY AN EXTERNAL TAX ADVISOR. COMMENTS AND THE 990 WERE REVIEWED BY SENIOR MANAGEMENT. THE FORM 990 WAS THEN SENT TO EACH BOARD MEMBER FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ANNUAL QUESTIONNAIRE IS SENT TO AND COMPLETED BY EACH DIRECTOR. ANY BOARD MEMBER WITH A CONFLICT OF INTEREST IS REQUIRED TO RECUSE HIMSELF/HERSELF FROM ANY DISCUSSIONS, NEGOTIATIONS, DELIBERATIONS OR DECISION MAKING INVOLVING THE TRANSACTION CAUSING THE CONFLICT. ALL CONFLICTS OF INTEREST INVOLVING DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REVIEWED BY GENERAL COUNSEL. THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE ORGANIZATION'S OFFICE OF QUALITY AND COMPLIANCE AND ANY POTENTIAL CONFLICTS ARE INVESTIGATED IMMEDIATELY. ANY DISCLOSED RELATIONSHIPS ARE COMMUNICATED TO THE CORPORATE CONTROLLER FOR PURPOSE OF THE AUDIT, COMPLETING FORM 990 AND FOR ANY POSSIBLE INTERNAL CONTROL ISSUES THAT MAY TAKE PLACE DUE TO THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VII, SECTION A IS NOT REQUIRED TO DISCLOSE ANY COMPENSATION WITH THE SHORT YEAR 2022 FORM 990 AS THERE IS NO CALENDAR YEAR ENDING DURING THE SHORT FILING PERIOD (5/13/2022-6/30/2022). BECAUSE OF THE SHORT PERIOD SMALL HANDS BIG HEARTS PEDIATRIC THERAPY MANAGEMENT INC. IS NOT REQUIRED TO DISCLOSE ANY KEY EMPLOYEES NOR HIGHEST COMPENSATED EMPLOYEES; THE 2022 FORM 990 CORRECTLY DISCLOSES ONLY THE DIRECTORS AND OFFICERS MAINTAINING POSITIONS DURING THE SHORT PERIOD AND PROPERLY OMITS ANY COMPENSATION DETAIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, HEADER, BOX L</FormAndLineReferenceDesc>
        <ExplanationTxt>SMALL HANDS BIG HEARTS PEDIATRIC THERAPY MANAGEMENT INC. (SHBH) WAS FORMED IN 2009 AS A LIMITED LIABILITY COMPANY. ON 05/13/2022 SHBH CONVERTED TO A NONPROFIT CORPORATION AND RECEIVED CONFIRMATION OF TAX EXEMPT STATUS UNDER IRC SECTION 501(C)(3) EFFECTIVE 5/13/2022.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <CityNm>LAFAYETTE HILL</CityNm>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
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          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
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        </USAddress>
        <EIN>232175924</EIN>
        <PrimaryActivitiesTxt>SUPPORT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY NEW JERSEY</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
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        </USAddress>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY CHESTER COUNTY</BusinessNameLine1Txt>
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          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
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          <ZIPCd>19444</ZIPCd>
        </USAddress>
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          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY BUCKS COUNTY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>231876000</EIN>
        <PrimaryActivitiesTxt>BH &amp; IDD SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY PENNSYLVANIA</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
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        </USAddress>
        <EIN>232799679</EIN>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY PHILADELPHIA</BusinessNameLine1Txt>
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          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
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          <ZIPCd>19444</ZIPCd>
        </USAddress>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY YOUTH SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232728553</EIN>
        <PrimaryActivitiesTxt>JUVENILE JUSTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY DELAWARE COUNTY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>231887233</EIN>
        <PrimaryActivitiesTxt>BH &amp; IDD SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY WOODHAVEN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232784811</EIN>
        <PrimaryActivitiesTxt>IDD SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY TOTAL HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232362011</EIN>
        <PrimaryActivitiesTxt>FEDERALLY QUALIFIED HEALTH CENTER</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LILLIAN HOLLIDAY RESIDENCE CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
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          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232715238</EIN>
        <PrimaryActivitiesTxt>LOW INCOME HOUSING</PrimaryActivitiesTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY PHILADELPHIA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY CHILDRENS SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
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          <ZIPCd>19444</ZIPCd>
        </USAddress>
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        </DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>MERAKEY PARKSIDE RECOVERY</BusinessNameLine1Txt>
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          <ZIPCd>19444</ZIPCd>
        </USAddress>
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          <BusinessNameLine1Txt>MERAKEY PHILADELPHIA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NHS STEVENS CENTER</BusinessNameLine1Txt>
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          <ZIPCd>19444</ZIPCd>
        </USAddress>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY PENNSYLVANIA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NHS STEVENS HOUSING CORP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
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          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>251740509</EIN>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>NHS STEVENS CENTER</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY MONTGOMERY COUNTY</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
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          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232304620</EIN>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY ALLOS</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>760701257</EIN>
        <PrimaryActivitiesTxt>BH &amp; IDD SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TRI VALLEY CARE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>262061732</EIN>
        <PrimaryActivitiesTxt>BH &amp; IDD SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY IDD PHILADELPHIA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>222454140</EIN>
        <PrimaryActivitiesTxt>IDD SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY PHILADELPHIA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY MARYLAND</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>264213384</EIN>
        <PrimaryActivitiesTxt>FOSTER CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY PENNSYLVANIA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NHS II PROPERTIES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>300204506</EIN>
        <PrimaryActivitiesTxt>HOLDS TITLE TO PROPERTIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTHWESTERN PROPERTIES CORP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>220018629</EIN>
        <PrimaryActivitiesTxt>HOLDS TITLE TO PROPERTIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FRESH START FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232805137</EIN>
        <PrimaryActivitiesTxt>VETERANS RESIDENTIAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY MIDWEST</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>471282192</EIN>
        <PrimaryActivitiesTxt>BH &amp; IDD SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MERAKEY ALLEGHENY VALLEY SCHOOL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>251094911</EIN>
        <PrimaryActivitiesTxt>IDD SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MERAKEY USA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SENTRY MANAGEMENT SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>753242490</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTHWESTERN ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232443521</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE AMICA COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232461337</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTHWESTERN MANAGEMENT SERVICES COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232144909</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LIFE TREE PHARMACY SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>202433174</EIN>
        <PrimaryActivitiesTxt>PHARMACY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HOUSE NEXT DOOR INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232093671</EIN>
        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTHWESTERN INTRASYSTEMS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232461336</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LUMICARE INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>233084216</EIN>
        <PrimaryActivitiesTxt>HEALTH CONSULTING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FRESH START NOW INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>620 E GERMANTOWN PIKE</AddressLine1Txt>
          <CityNm>LAFAYETTE HILL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19444</ZIPCd>
        </USAddress>
        <EIN>232589841</EIN>
        <PrimaryActivitiesTxt>RECOVERY HOUSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="RetDoc2125800001">
      <ExplanationTxt>RE: LATE FILING OF 2022 FORM 990 FOR SMALL HANDS BIG HEARTS PEDIATRIC THERAPY MANAGEMENT INC (EIN: 27-0267711, TAX YEAR: 5/13/2022 6/30/2022)SMALL HANDS BIG HEARTS PEDIATRIC THERAPY MANAGEMENT INC. ("SHBH") WAS ORIGINALLY FORMED IN 2009 AS A LIMITED LIABILITY COMPANY. ON 05/13/2022, SHBH CONVERTED TO A NONPROFIT CORPORATION AND RECEIVED CONFIRMATION OF TAX EXEMPT STATUS UNDER IRC SECTION 501(C)(3) EFFECTIVE 5/13/2022. THE CONVERSION OF SHBH ALSO RESULTED IN A CHANGE IN ACCOUNTING YEAR FROM A 12/31 YEAR END TO A 6/30 YEAR END. THIS REQUIRED A FINAL YEAR FILING FOR THE PREVIOUS ENTITY TYPE (FORM 1120-S), AS WELL AS AN INITIAL, SHORT YEAR FORM 990 FILING.ADDITIONALLY, IT WAS DISCOVERED THERE WAS A DISCONNECT BETWEEN IRS INTERNAL SYSTEMS. THE E-FILE OF SHBH'S 2022 FORM 990 WAS REJECTED ON 7/31/2024 BECAUSE THE EIN WAS NOT FOUND IN THE IRS SYSTEM. UPON SPEAKING WITH IRS CUSTOMER SERVICE AGENTS ON 8/2/2024, THEY EXPLAINED THAT THE CAUSE WAS A DISCONNECT BETWEEN THE BUSINESS MASTER FILE AND THE EXEMPT ORGANIZATION FILE. THIS SUBMISSION HAS BEEN MADE SHORTLY AFTER RECEIVING WORD THAT SHBH'S EIN IS IN THE EXEMPT ORGANIZATION FILE AND WOULD NOT BE REJECTED FOR THAT REASON AS IT WAS PREVIOUSLY.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>