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        <ProgramServicesAmt>32926</ProgramServicesAmt>
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        <ProgramServicesAmt>817744</ProgramServicesAmt>
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        <ProgramServicesAmt>2373495</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
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        <ProgramServicesAmt>874376</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>866389</ProgramServicesAmt>
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        <Desc>DIETARY EXPENSES</Desc>
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        <ProgramServicesAmt>791652</ProgramServicesAmt>
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        <BaseCompensationFilingOrgAmt>160824</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>160824</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BENJAMIN SOLHEIM</PersonNm>
        <TitleTxt>CLINICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>157046</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>157046</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE COMPLETED FORM 990 IS EMAILED IN PDF FORM TO THE BOARD PRESIDENT FOR DISSEMINATION TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO RELEASE. AFTER REVIEW AND COMMENT, ANY CHANGES OR CORRECTIONS ARE RELAYED TO THE ACCOUNTING FIRM AND THE FORM IS ASSEMBLED FOR TRANSMISSION TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS PART OF THE ENTITY'S BOARD OF DIRECTORS ETHICS STATEMENT, AND THE ENTITY MAINTAINS A BOARD CONFLICT OF INTEREST DISCLOSURE FORM. THIS POLICY AND FORM ARE ADMINISTERED BY THE BOARD SECRETARY AND COMMUNICATIONS DIRECTOR FOR COLUMBIACARE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWED AND COMPARED THE COMPENSATION OF SIMILAR ORGANIZATIONS EXECUTIVE COMPENSATION TO DETERMINE THE LEVEL OF COMPENSATION FOR THIS ORGANIZATIONS EXECUTIVE DIRECTOR. THE PROCESS INCLUDED REVIEW OF RESULTS AND GOALS, WHICH WERE DISCUSSED AND DOCUMENTED IN EXECUTIVE SESSION OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONTACT INFORMATION IS AVAILABLE FOR THE PUBLIC TO REQUEST INFORMATION VIA EMAIL, TELEPHONE CALL OR US POSTAL SERVICE FROM THE MAIN OFFICE. THE REQUESTED INFORMATION CAN BE DISSEMINATED VIA EMAIL OR A HARD COPY MAILED THROUGH THE US POSTAL SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FROM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMITTEE FOR SELECTING INDEPENDENT ACCOUNTANT: THE BOARD OF DIRECTORS ACTS AS THE SELECTION COMMITTEE TO INTERVIEW AND SELECT THE INDEPENDANT ACCOUNTING FIRM THAT IS HIRED TO PREPARE THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>