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      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA WAITE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HORACE GIOIA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PARETTE WALKER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT BAXTER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN CONNOLLY</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA CATANESE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SISTER MARY MCCARRICK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT M WEBER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA CEGLIA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIN DIGIROLAMO</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>346130</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32847</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN RUFFOLO</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>182445</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSHUA MORRA</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36329</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRANDY VANDERMARK-MURRAY</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>241642</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA ROCHE</PersonNm>
        <TitleTxt>NURSE PRACTITIONER-PSYCH</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JACOB HAACKER</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>188468</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE CURTO</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>171932</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>1130617</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>DELL MARKETING LP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 643561</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
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          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>6050028</GovernmentGrantsAmt>
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      <TotalContributionsAmt>8000849</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>OUTPATIENT BEHAVIORAL</Desc>
        <BusinessCd>621990</BusinessCd>
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      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE PRACTICE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>1318279</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CARE COORDINATION</Desc>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>916905</RelatedOrExemptFuncIncomeAmt>
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      <GrossAmountSalesAssetsGrp>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>218157</TotalRevenueColumnAmt>
        <ExclusionAmt>218157</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>1825725</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>541818</ExclusionAmt>
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      <TotalRevenueGrp>
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        <ExclusionAmt>2623582</ExclusionAmt>
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        <ProgramServicesAmt>27195653</ProgramServicesAmt>
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        <ProgramServicesAmt>1289426</ProgramServicesAmt>
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        <ProgramServicesAmt>1829736</ProgramServicesAmt>
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        <ProgramServicesAmt>2012037</ProgramServicesAmt>
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        <ProgramServicesAmt>519471</ProgramServicesAmt>
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        <ProgramServicesAmt>153737</ProgramServicesAmt>
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        <ProgramServicesAmt>261866</ProgramServicesAmt>
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        <ProgramServicesAmt>686089</ProgramServicesAmt>
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        <ProgramServicesAmt>1820123</ProgramServicesAmt>
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        <ProgramServicesAmt>161952</ProgramServicesAmt>
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        <ProgramServicesAmt>38712</ProgramServicesAmt>
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        <ProgramServicesAmt>685228</ProgramServicesAmt>
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        <ProgramServicesAmt>224036</ProgramServicesAmt>
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        <ProgramServicesAmt>701874</ProgramServicesAmt>
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        <ProgramServicesAmt>486614</ProgramServicesAmt>
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        <ProgramServicesAmt>368522</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>522128</ProgramServicesAmt>
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        <ProgramServicesAmt>41328151</ProgramServicesAmt>
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        <EOYAmt>2804409</EOYAmt>
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        <EOYAmt>2160563</EOYAmt>
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        <EOYAmt>2454507</EOYAmt>
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        <EOYAmt>6926708</EOYAmt>
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        <EOYAmt>250059</EOYAmt>
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        <EOYAmt>9286067</EOYAmt>
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        <EOYAmt>8181300</EOYAmt>
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        <EOYAmt>25917255</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>26069302</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>34250602</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>391115</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>-34073</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>12909684</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9082683</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9691870</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8000849</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>40725630</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>43139303</CurrentTaxYearAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <InvestmentIncomePYPct>0.00110</InvestmentIncomePYPct>
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        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED PARTY SERVICE - 2019 AMOUNT: $ 1,573,896. 2020 AMOUNT: $ 1,325,498. 2021 AMOUNT: $ 1,352,824. 2022 AMOUNT: $ 1,467,063. OTHER REVENUE - 2019 AMOUNT: $ 170,851. 2020 AMOUNT: $ 702,210. 2021 AMOUNT: $ 822,375. 2022 AMOUNT: $ 278,421. 2023 AMOUNT: $ 541,818. PROVIDER RELIEF FUND - 2020 AMOUNT: $ 535,537. 2021 AMOUNT: $ 334,991.</ExplanationTxt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANIES ARE EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN FOR INCOME TAX PURPOSES WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE COMPANIES ARE NOT AWARE OF ANY UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023 OR 2022. THE TAX RETURNS FOR THE TAX YEARS 2020 THROUGH 2023 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR U.S. FEDERAL TAX PURPOSES AND ALSO BY NEW YORK STATE FOR STATE TAX PURPOSES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PRESENTED IN DRAFT FORM TO THE MEMBERS OF THE GOVERNING BODY OF HORIZON HEALTH SERVICES, INC. AFTER IT HAS BEEN REVIEWED BY AGENCY FISCAL PERSONNEL. EACH MEMBER OF THE BOARD HAS THE OPPORTUNITY TO REVIEW THE RETURN AND SUGGEST ANY CHANGES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ACCORDANCE WITH HORIZON HEALTH SERVICES, INC.'S CONFLICT OF INTEREST POLICY, EACH "OFFICER" INCLUDES ANY NON-DIRECTOR SERVING ON ANY COMMITTEE OF THE BOARD OF DIRECTORS AND DIRECTORS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES, E. IS NOT AWARE THAT HE OR SHE HAS ANY FINANCIAL INTEREST OR, IF HE OR SHE IS AWARE OF ANY FINANCIAL INTEREST, A DESCRIPTION OF ALL MATERIAL FACT CONCERNING IT. THE ORGANIZATION UPDATED ITS CONFLICT OF INTEREST POLICY (COI) IN 2014 TO CONFORM WITH THE REQUIREMENTS OF THE NYS NON-PROFIT REVITALIZATION ACT OF 2013. IN ACCORDANCE WITH THE PROCEDURES STATED IN THE COI POLICY, BOARD MEMBERS AND OFFICERS: 1. OBTAINED A COPY OF THE POLICY; 2. REVIEWED POTENTIAL CONFLICTS (AS DEFINED) 3. DISCLOSED POTENTIAL CONFLICTS OR CONFIRMED NO CONFLICT EXISTS 4. RECUSED THEMSELVES FROM DISCUSSION AND VOTING (IF CONFLICT EXISTS) THE BOARD OF DIRECTORS MONITORED AND ENFORCED COMPLIANCE WITH THE COI POLICY AND DOCUMENTED THIS IN MINUTES TO MEETINGS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE IS CHARGED BY THE BOARD OF DIRECTORS WITH THE RESPONSIBILITY TO DETERMINE THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, AND APPROVAL OF THE AMOUNTS AND TYPES OF COMPENSATION OF THE SENIOR LEADERSHIP TEAM. THE PURPOSE OF THIS COMMITTEE IS TO: APPROVE THE ANNUAL PERFORMANCE STANDARDS OF THE CHIEF EXECUTIVE OFFICER. DETERMINE APPROPRIATE PERFORMANCE MEASURES AND ESTABLISH CRITERIA FOR ANY INCENTIVE BASED COMPENSATION. CONDUCT THE ANNUAL PERFORMANCE APPRAISAL FOR THE CHIEF EXECUTIVE OFFICER. DETERMINE THE TOTAL COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER. ANNUALLY REVIEW, AND APPROVE ANY CHANGE TO THE TOTAL COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND SENIOR LEADERSHIP TEAM.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, PAGE 7, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>HMG BY-LAWS STATE ONE OR MORE INDIVIDUALS REQUIRED TO SERVE ON HHS AND HV BOARDS. THE FOLLOWING IS A LIST OF HHS BOD MEMBERS ON HHA BOARD: KEVIN D. ROBINSON, ESQ. SCOTT WEBER MICHAEL MAXWELL, ESQ. PATRICK C. KEATING THE FOLLOWING IS A LIST OF HHS BOD MEMBERS ON HV BOARD: BOB MADDEN KATHLEEN CONNOLLY JENNIFER JOHENGEN-VOGEL AMY CONMY RANDYLL P. BOWEN KEVIN D. ROBINSON, ESQ. SCOTT M. WEBER MICHAEL MAXWELL, ESQ. REBECCA WAITE PARETTE WALKER SISTER MARY MCCARRICK ROBERT BAXTER MUNNI VISCO MELINDA DUBOIS PATRICK C. KEATING LAUREN BAYNES RYAN LUCINSKI BHAKTI SHARMA HORACE GIOIA LISA CATANESE LISA CEGLIA</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -34,073.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
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</Return>