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        <CompensationAmt>1834333</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SBC INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>300 CHAMBER PLAZA</AddressLine1Txt>
            <CityNm>CHARLEROI</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICES</ServicesDesc>
        <CompensationAmt>757109</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>URAM ANDREW G FAM PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>75 E MAIDEN STREET SUITE 208</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15301</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT</ServicesDesc>
        <CompensationAmt>305714</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>A&amp;D HOLDING COMPANY LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2661 CLEARWATER ROAD SUITE 5</AddressLine1Txt>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICES</ServicesDesc>
        <CompensationAmt>183232</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUALIFACTS SYSTEM LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 4577</AddressLine1Txt>
            <CityNm>CAROL STREAM</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60197</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EHR BILLING</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
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        <BusinessCd>621400</BusinessCd>
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      <TotalProgramServiceRevenueAmt>10927053</TotalProgramServiceRevenueAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>203179</TotalRevenueColumnAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>2395</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>626742</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5467</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
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        <TotalAmt>47623</TotalAmt>
        <ProgramServicesAmt>44508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3115</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1371619</TotalAmt>
        <ProgramServicesAmt>1359024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12595</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>278360</TotalAmt>
        <ProgramServicesAmt>275677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2683</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>8062</TotalAmt>
        <ProgramServicesAmt>7379</ProgramServicesAmt>
        <ManagementAndGeneralAmt>683</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
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        <ProgramServicesAmt>110846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>76766</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5348</ManagementAndGeneralAmt>
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        <Desc>TELEPHONE</Desc>
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        <ProgramServicesAmt>57044</ProgramServicesAmt>
        <ManagementAndGeneralAmt>764</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>866</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>INDIRECT COSTS</Desc>
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        <ProgramServicesAmt>4464</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>LEASE NET LOSS</Desc>
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        <ManagementAndGeneralAmt>4420</ManagementAndGeneralAmt>
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        <EOYAmt>1825</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>239733</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>63499</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc7">
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      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>4593119</CurrentTaxYearMinus4YearsAmt>
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        <CurrentTaxYearAmt>3587498</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>3620584</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>3587498</CurrentTaxYearAmt>
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      <PublicSupportTotal170Amt>19166204</PublicSupportTotal170Amt>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>44141</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>178315</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>860215</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>355713</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>203179</CurrentTaxYearAmt>
        <TotalAmt>1641563</TotalAmt>
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      <TotalSupportAmt>20807767</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>51767762</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.92110</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.92690</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>1,641,563</ExplanationTxt>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <BookValueAmt>7610</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>872129</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>186270</DepreciationAmt>
        <BookValueAmt>685859</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>235358</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>222337</DepreciationAmt>
        <BookValueAmt>13021</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>142675</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>92390</DepreciationAmt>
        <BookValueAmt>50285</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>756775</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE</Desc>
        <BookValueAmt>1963117</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>46040</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>2009157</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>1967537</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1967537</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>14717730</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>14717730</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>14717730</TotalRevenuePerForm990Amt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>CARE ACCOUNTS FOR UNCERTAINTIES IN INCOME TAXES IN ACCORDANCE WITH AUTHORITATIVE GUIDANCE, WHICH PRESCRIBES A RECOGNITION THRESHOLD OF MORE- LIKLY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD AT JUNE 30, 2023 AND 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>KOLLI RAVINDRANTH</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>200717</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONALD GARBUTT</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE GARBUTT</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>24187</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT COOK</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <TotalCompensationFilingOrgAmt>202309</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>105835</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON LUKASEWICZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>166137</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13527</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>124285</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>166137</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLIE MCKEVITT</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>19899</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23132</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>43031</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>201228</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAUN STANLEY</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>165426</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9316</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>174742</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHERYLD EMALA</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>90862</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12444</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25239</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>67970</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>90862</TotalCompensationRltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 1 BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES (CONTINUED): INTERVENTION, CASE MANAGEMENT,TREATMENT, AFTERCARE, AND REFERRALS TO INDIVIDUALS AND FAMILIES IN WASHINGTON, BUTLER AND GREENE COUNTIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>PART III, LINE 1, BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION (CONTINUED): INTERVENTION, CASE MANAGEMENT,TREATMENT, AFTERCARE, AND REFERRALS TO INDIVIDUALS AND FAMILIES IN WASHINGTON, BUTLER AND GREENE COUNTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ALL CASES, THE SPHS BYLAWS COMMITTEE REVIEWED THE BYLAWS AND UPDATED TO MODERNIZE LANGUAGE AND PRACTICE, IN PARTICULAR USE OF VIRTUAL/HYBRID MEETINGS. IN ADDITION, IF BYLAWS HAD LANGUAGE THAT NEEDED TO BE UPDATED FOR CULTURAL, DIVERSITY AND INCLUSIVE LANGUAGE, THOSE CHANGES WERE MADE AS WELL. THS SPHS BYLAWS COMMITTEE PRESENTED TO THE SPHS BOAIRD FOR FINAL ADOPTION AND THE AFFILIATE BOARDS ALSO REVIEWED AND ACCEPTED THE CHANGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP OF C.A.R.E. CONSISTS OF THE DIRECTORS OF SPHS. THE MEMBERSHIP HAS CERTAIN RESERVED POWERS OVER C.A.R.E. AND THE MEMBERS ELECT THE DIRECTORS OF C.A.R.E.. C.A.R.E.'S BYLAWS LIMIT THE MEMBERS WHO CAN SERVE AS DIRECTORS BY PROVIDING THAT THERE SHALL BE NO MORE THAN TWO DIRECTORS OF SPHS WHO ARE DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP OF C.A.R.E. CONSISTS OF THE DIRECTORS OF SPHS. THE MEMBERSHIP HAS CERTAIN RESERVED POWERS OVER C.A.R.E. AND THE MEMBERS ELECT THE DIRECTORS OF C.A.R.E.. C.A.R.E.'S BYLAWS LIMIT THE MEMBERS WHO CAN SERVE AS DIRECTORS BY PROVIDING THAT THERE SHALL BE NO MORE THAN TWO DIRECTORS OF SPHS WHO ARE DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP OF C.A.R.E. CONSISTS OF THE DIRECTORS OF SPHS. THE MEMBERSHIP HAS CERTAIN RESERVED POWERS OVER C.A.R.E. AND THE MEMBERS ELECT THE DIRECTORS OF C.A.R.E.. C.A.R.E.'S BYLAWS LIMIT THE MEMBERS WHO CAN SERVE AS DIRECTORS BY PROVIDING THAT THERE SHALL BE NO MORE THAN TWO DIRECTORS OF SPHS WHO ARE DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF BUDGET OFFICER WILL REVIEW THE FORM 990 AND WILL ADDRESS ANY QUESTIONS TO THE FORM 990 PREPARER. SHE WILL THEN PROVIDE A COPY OF THE FORM 990 TO ALL BOARD MEMBERS. BOARD MEMBERS ARE REQUIRED TO REVIEW THE FORM 990 AND PROVIDE ANY CHANGES OR QUESTIONS BY A SET DEADLINE. ONCE QUESTIONS AND CHANGES ARE ADDRESSED, THE FORM 990 IS FINALIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY CONFLICTS ARE DISCUSSED BY THE BOARD AND THE EXECUTIVE VP/CEO AND ADDRESSED ACCORDINGLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS SET BY THE BOARD. WAGES ARE BASED ON COMPARABILITY DATA, SUCH AS, COMPENSATION LEVELS PAID BY SIMILAR ORGANIZATIONS AND THE AVAILABILTY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS SET BY THE BOARD. WAGES ARE BASED ON COMPARABILITY DATA, SUCH AS, COMPENSATION LEVELS PAID BY SIMILAR ORGANIZATIONS AND THE AVAILABILTY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>C.A.R.E. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASE OF FIXED ASSETS 103,249 DEPRECIATION ON GRANT FUNDED ASSETS -39,750 TOTAL 63,499</ExplanationTxt>
      </SupplementalInformationDetail>
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        <InvolvedAmt>42156</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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        </OtherOrganizationName>
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        </OtherOrganizationName>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>
