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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>1</GrantsOtherOrganizationsInd>
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        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>TRILLIUM HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE OPERATING WITHIN A NINE COUNTY SERVICE AREA IN ROCHESTER, NEW YORK AND THE FINGER LAKES. OUR MISSION IS TO PROMOTE HEALTH EQUITY BY PROVIDING PRIMARY AND SPECIALTY HEALTH CARE AND SUPPORTIVE SERVICES TO UNDERSERVED COMMUNITIES AND VULNERABLE POPULATIONS, INCLUDING LGBTQ+ COMMUNITIES, REGARDLESS OF THEIR ABILITY TO PAY. IN 2023, 39% OF TRILLIUM HEALTH'S PATIENTS WERE ON MEDICAID, 10% WERE ON MEDICARE, AND 4% HAD OTHER PUBLIC HEALTH INSURANCE OR WERE SELF-PAID. AS A COMMUNITY HEALTH CENTER, TRILLIUM HEALTH OFFERS PRIMARY AND SPECIALTY CARE; PEDIATRICS; GYNECOLOGY; PHARMACY SERVICES; BEHAVIORAL HEALTH, PROGRAMS THAT ADDRESS FOOD AND HOUSING INSECURITY; ASSISTANCE WITH INSURANCE ENROLLMENT; A FOOD PANTRY; AND A MOBILE ACCESS CLINIC EQUIPPED WITH TWO EXAM ROOMS. TRILLIUM HEALTH IS A LEADER IN HIV PREVENTION AND TREATMENT AND HAS CONTINUED ITS DESIGNATION AS A RYAN WHITE CLINIC. TRILLIUM HEALTH OPERATES TWO PROGRAMS THAT SERVE UNDERSERVED COMMUNITIES AND VULNERABLE POPULATIONS. HARM REDUCTION SERVICES, WHICH BEGAN IN 1993, OFFERS STIGMA-FREE SUPPORT TO INDIVIDUALS WHO USE DRUGS AND SERVES AS A POINT OF ENTRY INTO HEALTHCARE AND OTHER SOCIAL SERVICES. THE MOCHA CENTER, WHICH WAS FOUNDED IN 1996, IS A SAFE PLACE FOR LGBTQ+ PEOPLE OF COLOR TO SOCIALIZE AND ADDRESS HEALTH-RELATED ISSUES WITHOUT JUDGEMENT. IN 2023, TRILLIUM HEALTH SERVED A TOTAL OF 16,080 PATIENTS AND CLIENTS (INCLUDING 12,458 PATIENTS AT 39,924 CLINICAL VISITS). THIS REPRESENTS A 71% INCREASE IN THE PATIENT CENSUS OVER THE PAST FIVE YEARS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN OUTSIDE, INDEPENDENT ACCOUNTING FIRM. TRILLIUM HEALTH'S FINANCE COMMITTEE, AND THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR REVIEWING AND APPROVING THE 990 IN DETAIL. COPIES OF THE 990 ARE MADE AVAILABLE TO ALL BOARD MEMBERS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH A WRITTEN CONFLICT OF INTEREST POLICY. REGULAR TRAININGS REINFORCE THE COMPLIANCE POLICY AT ALL LEVELS OF THE ORGANIZATION AND WHEN ONBOARDING NEW EMPLOYEES. THE ORGANIZATION'S COMPLIANCE PROGRAM IS BASED ON THE FEDERAL AND STATE COMPLIANCE ELEMENTS AND IS ENFORCED BY THE CHIEF COMPLIANCE OFFICER WHO OVERSEES AND MONITORS ALL COMPLIANCE ACTIVITIES AND WHO REPORTS TO THE CEO. THE CHIEF COMPLIANCE OFFICER REVIEWS AND UPDATES THE ORGANIZATION'S COMPLIANCE PROGRAM AND POLICIES ON AN ANNUAL BASIS OR AS NEEDED TO REFLECT CHANGING RISKS AND EMERGING THREATS. THE CHIEF COMPLIANCE OFFICER ALSO PROVIDES PERIODIC UPDATES TO THE ORGANIZATION'S BOARD OF DIRECTORS AND STAFF ON THE ORGANIZATION'S COMPLIANCE ACTIVITIES AND OVERSEES INTERNAL AUDIT ACTIVITIES. THE COMPLIANCE PROGRAM PROMOTES OPEN LINES OF COMMUNICATION FOR SUSPECTED COMPLIANCE VIOLATIONS AND ALLOWS ANONYMOUS REPORTING THROUGH ITS COMPLIANCE HOTLINE. ALL OFFICERS, DIRECTORS, AND EMPLOYEES COMPLETE A CONFLICT OF INTEREST FORM WHEN THEY BEGIN A RELATIONSHIP WITH THE ORGANIZATION AND THEN AGAIN ON AN ANNUAL BASIS. THE CHIEF COMPLIANCE OFFICER REVIEWS THESE FORMS TO IDENTIFY ACTUAL CONFLICTS AND TAKES THE APPROPRIATE STEPS, COORDINATING WITH THE APPROPRIATE RESOURCES TO RESOLVE THE MATTER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>TRILLIUM HEALTH'S BOARD OF DIRECTORS IS RESPONSIBLE FOR DETERMINING THE COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO). TO ENSURE THAT THE BOARD HAS THE INFORMATION IT NEEDS TO CARRY OUT THIS RESPONSIBILITY, THE ORGANIZATION ENGAGES AN INDEPENDENT OUTSIDE COMPENSATION AND BENEFITS CONSULTING FIRM TO CONDUCT AN APPROPRIATE, PERIODIC MARKET ANALYSIS OF CEO COMPENSATION AND BENEFITS. THE BOARD UTILIZES THE INFORMATION TO MAKE DECISIONS ABOUT CEO COMPENSATION AND BENEFITS. THE CEO ALSO ENGAGES AN INDEPENDENT OUTSIDE COMPENSATION AND BENEFITS CONSULTING FIRM TO CONDUCT AN APPROPRIATE, PERIODIC MARKET ANALYSIS OF OTHER EXECUTIVE COMPENSATION AND BENEFITS TO ESTABLISH AND MAKE DECISIONS ABOUT COMPENSATION AND BENEFITS FOR EXECUTIVE/KEY MANAGEMENT POSITIONS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S IRS FORM 990 IS AVAILABLE UPON REQUEST AND ON THE WEBSITE GUIDESTAR.ORG.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>VALUATION ALLOWANCE -68,541.</ExplanationTxt>
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        <FormAndLineReferenceDesc>REASON FOR NOT E-FILING THIS FORM 990:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TREAS. REG. 1.7872-15(D)(2) WRITTEN REPRESENTATION FOR THE SPLIT-DOLLAR LOAN AGREEMENT IS ATTACHED TO SCHEDULE L. THIS ATTACHMENT IS REQUIRED AS A RESULT OF THE SPLIT-DOLLAR LIFE INSURANCE AGREEMENTS SHOWN ON SCHEDULE L, PART II FOR ANDREA DEMEO, FORMER PRESIDENT/CEO. THE TREAS. REG. 1.7872-15(D)(2) ATTACHMENT IS NOT AN IRS APPROVED ATTACHMENT FOR E-FILING. THEREFORE, THIS RETURN IS BEING MAILED TO THE IRS VIA CERTIFIED U.S. MAIL.</ExplanationTxt>
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