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      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>BOND SCHOENECK &amp; KING</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 11607</AddressLine1Txt>
            <CityNm>SYRACUSE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>13218</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>158819</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JMI</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>201 ROBINSON STREET</AddressLine1Txt>
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            <ZIPCd>13904</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT AND REMODELING</ServicesDesc>
        <CompensationAmt>142270</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>112256</GovernmentGrantsAmt>
      <TotalContributionsAmt>112256</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTED SERVICES REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>593290</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>593290</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>593290</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>1976243</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>31064741</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>29971764</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>1092977</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1092977</TotalRevenueColumnAmt>
        <ExclusionAmt>1092977</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3774766</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3069220</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>441357</TotalAmt>
        <ProgramServicesAmt>247160</ProgramServicesAmt>
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      </CompCurrentOfcrDirectorsGrp>
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      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>542814</ProgramServicesAmt>
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      </OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>93354</ProgramServicesAmt>
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      </FeesForServicesLegalGrp>
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        <ProgramServicesAmt>98901</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>77403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58272</ManagementAndGeneralAmt>
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      <TravelGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>3602711</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>148673</ProgramServicesAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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          <PersonNm>LENORE BORIS</PersonNm>
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      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>HUMAN SERVICES COALITION OF TOMPKINS COUNTY INC</BusinessNameLine1Txt>
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        </NameOfInterested>
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        <TransactionDesc>CONSULTING SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>GEROULD'S PROFESSIONAL PHARMACY INC</BusinessNameLine1Txt>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S MEMBERS ARE CAYUGA HEALTH SYSTEM, INC., FAMILY HEALTH NETWORK OF CENTRAL NEW YORK, INC., THE GUTHRIE CLINIC, OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. (THROUGH FEBRUARY 1, 2024), 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 DIRECTORS, CONSISTING OF NOT FEWER THAN 4 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINAL AND COMPLETED FORM 990 WAS REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CARE COMPASS NETWORK COLLECTS CONFLICT OF INTEREST FORMS FOR ALL BOARD MEMBERS, 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, THE PERSONNEL &amp; COMPENSATION COMMITTEE OF THE BOARD, COMPRISED OF THE CHAIR AND OTHER BOARD MEMBERS, DETERMINE COMPENSATION OF THE EXECUTIVE DIRECTOR. EXTERNAL VENDORS PROVIDE GUIDANCE TO THE COMMITTEE ON RANGE AND MARKET CHANGES.</ExplanationTxt>
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      <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>
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      <SupplementalInformationDetail>
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        <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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990. PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SOUTHERN TIER RURAL INTEGRATED PERFORMING PROVIDER SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <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>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CARE COMPASS COLLABORATIVE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>65425</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CARE COMPASS COLLABORATIVE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>438630</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CARE COMPASS COLLABORATIVE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>88986</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>