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        <DisqualifiedPrsnOwnrIntInd>0</DisqualifiedPrsnOwnrIntInd>
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        <ContributionControllerInd>0</ContributionControllerInd>
        <ContributionFamilyInd>0</ContributionFamilyInd>
        <Contribution35ControlledInd>0</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType1SuprtOrgGrp>
        <PowerAppointMajorityDirTrstInd>1</PowerAppointMajorityDirTrstInd>
        <OperateBenefitNonSuprtOrgInd>0</OperateBenefitNonSuprtOrgInd>
      </Form990SchAType1SuprtOrgGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 5A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SUPPORTED ORGANIZATIONS ADDED DURING THE YEAR ARE: TRILLIUM HEALTH - EIN 16-1356734 HIS BRANCHES COMMUNITY HEALTH CENTER- EIN 23-7060337</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR THE ORGANIZATION ADDED SUPPORTED ORGANIZATIONS FOR WHICH APPROVAL IS INCLUDED IN THE ORGANIZATION'S BOARD OF DIRECTOR'S MINUTES. AS OF THE END OF THE YEAR, THE ORGANIZATION HAD NOT UPDATED ITS GOVERNING DOCUMENTS FOR INCLUSION OF THE NEW SUPPORTED ORGANIZATIONS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS MORE THAN ONE SUPPORTED ORGANIZATION. A CANDIDATE FOR MEMBERSHIP ON THE BOARD OF DIRECTORS SHALL BE NOMINATED BY THE MEMBER TO BE REPRESENTED BY SUCH DIRECTOR. AT EACH ANNUAL MEETING OF THE MEMBERS, EACH DIRECTOR SO NOMINATED SHALL BE ELECTED BY THE MEMBERS, AND SHALL HOLD OFFICE UNTIL HIS/HER SUCCESSOR IS ELECTED AND QUALIFIED, OR UNTIL THE DIRECTOR'S EARLIER DEATH, RESIGNATION, DISQUALIFICATION OR REMOVAL. A DIRECTOR MAY RESIGN AT ANY TIME BY GIVING WRITTEN NOTICE TO THE BOARD OF DIRECTORS. SUCH RESIGNATION SHALL TAKE EFFECT AT THE TIME SPECIFIED THEREIN OR, IF NO TIME IS SPECIFIED, THEN ON DELIVERY AND, UNLESS OTHERWISE SPECIFIED THEREIN, THE ACCEPTANCE OF SUCH RESIGNATION BY THE BOARD OF DIRECTORS SHALL NOT BE NEEDED TO MAKE IT EFFECTIVE. A DIRECTOR MAY BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE, BY A SUPERMAJORITY VOTE OF THE MEMBERS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>14702175</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>54163</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>54163</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14648012</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>14648012</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4957358</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4957358</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>4957358</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIANNON O'CONNOR</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>182917</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7317</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>3</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>190237</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA MCMAHON MPH</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>173580</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>182000</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TRICIA PETER-CLARK</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD DIRECTOR AND PRESIDENT AND CEO OF CONNEXTCARE</RelationshipDescriptionTxt>
        <TransactionAmt>159230</TransactionAmt>
        <TransactionDesc>VBP REVENUE AND MEMBER DISTRIBUTIONS TO CONNEXTCARE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>APRIL MILES</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD DIRECTOR AND PRESIDENT AND CEO OF EAST HILL MEDICAL CENTER</RelationshipDescriptionTxt>
        <TransactionAmt>103707</TransactionAmt>
        <TransactionDesc>VBP REVENUE AND MEMBER DISTRIBUTIONS TO EAST HILL MEDICAL CENTER</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2024, FLIPA WAS DESIGNATED AS THE SOCIAL CARE NETWORK (SCN) LEAD ENTITY FOR THE FINGER LAKES REGION OF NEW YORK STATE UNDER NEW YORK HEALTH EQUITY REFORM (NYHER) 1115 WAIVER AMENDMENT A STATEWIDE APPROACH TO IMPROVE THE HEALTH OF MEDICAID MEMBERS. IN THIS ROLE, FLIPA IS RESPONSIBLE FOR A REGIONAL NETWORK OF COMMUNITY BASED AND OTHER ORGANIZATIONS TO DELIVER HEALTH-RELATED SOCIAL NEEDS (HRSN) SERVICES AND COORDINATING WITH HEALTH CARE PROVIDERS (INCLUSIVE OF BEHAVIORAL HEALTH AND PRIMARY CARE), MANAGED CARE AND OTHER ORGANIZATION TYPES IN THE COMMUNITY ECOSYSTEM. THE PROGRAM FACILITATES STANDARDIZED PROCESSES FOR SCREENING, NAVIGATION, AND DELIVERY OF HRSN SERVICES, SUPPORTED BY A SHARED PEOPLE, DATA AND TECHNOLOGY INFRASTRUCTURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES AND MONITORS CONFLICTS OF INTEREST BY EACH BOARD MEMBER ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR THROUGH CONSIDERATION OF ROLES AND RESPONSIBLITIES OF THE EXECUTIVE DIRECTOR TO COMPARABLE POSITIONS. COMPENSATION TO ALL CONTRACTORS WAS APPROVED AFTER DISCUSSION BY THE BOARD OF DIRECTORS AND APPROVED THROUGH THE ANNUAL BUDGET PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>VENDOR CONSULTING: PROGRAM SERVICE EXPENSES 274,910. MANAGEMENT AND GENERAL EXPENSES 92,731. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 367,641. DATA SYSTEMS: PROGRAM SERVICE EXPENSES 505,273. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 505,273. STAFF CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 93,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,500. OTHER: PROGRAM SERVICE EXPENSES 1,452. MANAGEMENT AND GENERAL EXPENSES 40,627. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,079.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>