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      <Form990PartVIISectionAGrp>
        <PersonNm>Karen Hill</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sarah Latourette</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Ballard</PersonNm>
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      <Form990PartVIISectionAGrp>
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          <AddressLine2>RESTRICTED</AddressLine2>
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        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
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        <CurrentYearAmt>250000</CurrentYearAmt>
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      <ExplanationProvidedInd>X</ExplanationProvidedInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Line 2b:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Alliance is the fiscal agent for certain projects that have not yet obtained their tax-exemption under section 501(c)(3) of the code. The Alliance performs various fiscal duties, such as maintaining and distributing funds under the terms of the respective agreements. Fiscal agent funds are presented separately as restricted cash, with a corresponding liability, on the consolidated statements of financial position.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Alliance is exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of Ohio law. However, the Alliance is subject to federal income tax on any unrelated business taxable income. The Alliance's Form 990 is subject to review and examination by Federal and state authorities. The Alliance believes it has appropriate support for any tax positions taken, and therefore, does not have any uncertain income tax positions that are material to the consolidated financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43357</ZIPCd>
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          <AddressLine1Txt>2300 S Edwin C Moses Blvd Suite 140</AddressLine1Txt>
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        </RecipientBusinessName>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44024</ZIPCd>
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      <RecipientTable>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <CashGrantAmt>15575</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Mission Related</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Buckeye Ranch Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4653 East Main Street</AddressLine1Txt>
          <CityNm>Whitehall</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43213</ZIPCd>
        </USAddress>
        <RecipientEIN>310642111</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>110244</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Mission Related</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Children's Home of Cincinnati</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5050 Madison Rd</AddressLine1Txt>
          <CityNm>Cincinnati</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45227</ZIPCd>
        </USAddress>
        <RecipientEIN>310536969</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>37478</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Mission Related</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Research Institute at Nationwide Children's Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>Dept 781653 POBOX 78000</AddressLine1Txt>
          <CityNm>Detroit</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>482781653</ZIPCd>
        </USAddress>
        <RecipientEIN>311036372</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>27921</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Mission Related</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Village Network</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2000 Noble Drive</AddressLine1Txt>
          <CityNm>Wooster</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44691</ZIPCd>
        </USAddress>
        <RecipientEIN>340768857</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>146207</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Mission Related</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UMCH Family Services</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>431 E Broad Street</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
        </USAddress>
        <RecipientEIN>314380047</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>8915</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Mission Related</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Viaquest Behavioral Health of Ohio</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>525 Metro Place North Suite 450</AddressLine1Txt>
          <CityNm>Dublin</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43017</ZIPCd>
        </USAddress>
        <RecipientEIN>200774144</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>47389</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Mission Related</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>39</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>There is a request for proposal or request for application process for subgrantees. Once subgrantees have been approved and have executed a signed contract/agreement, we utilize a reimbursement process for our subgrant awards. Through this process, awardees are required to submit an invoice, supporting documentation, and an activity report on a cadence outlined in the subgrant agreement.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <IndependentConsultantInd>X</IndependentConsultantInd>
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        <PersonNm>Mark Mecum</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karen Hill</PersonNm>
        <TitleTxt>COO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sarah Latourette</PersonNm>
        <TitleTxt>CAO</TitleTxt>
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        <FormAndLineReferenceDesc>Part I, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Bonus payments for all staff are based on the organization's performance from the prior year, individual performance for the prior year, and tenure for the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Add a new Program: Coordination and provide support services to other advocacy and collaborative groups that support services to children.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization stopped administering one of our Early Childhood Programs - the Infant and Early Childhood Mental Health Credentialing program (IECMH)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Members elect the Board of Directors</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>All members must approve any changes to the Organization's Bylaws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>A compensation study was completed for the CEO and approved by the finance committee. For the other officers, in 2024 the organization engaged a firm to complete a compensation study to review officer compensation for future periods.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A paper copy or PDF file is provided to the board for review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All Board Members are required to sign an annual form stating they have read the conflict of interest policy and either have no conflicts or have disclosed all conflicts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A compensation study is completed for the CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The financial statements/Form 990 is available on our website. The governing documents and conflict of interest policy are available upon request. As stated on our website's Governance page.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Process has not changed from the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Child and Family Health Collaborative of Ohio LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2800 Corporate Exchange Drive Suite</AddressLine1Txt>
          <CityNm>Columbus</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43231</ZIPCd>
        </USAddress>
        <EIN>371856360</EIN>
        <PrimaryActivitiesTxt>advance value-based care and social services innovation</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <TotalIncomeAmt>18631639</TotalIncomeAmt>
        <EndOfYearAssetsAmt>598637</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Ohio Children's Alliance</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
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