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        <ExplanationTxt>CARING GENE IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. HOWEVER, CARING GENE IS SUBJECT TO INCOME TAXES ON ANY UNRELATED BUSINESS INCOME. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEAR ENDED DECEMBER 31, 2024. THE TAX RETURN IS PREPARED AND FILED BASED ON INTERPRETATIONS OF TAX LAWS AND REGULATIONS. THE TAX RETURN IS SUBJECT TO EXAMINATION BY VARIOUS TAXING AUTHORITIES IN THE NORMAL COURSE OF BUSINESS. SUCH EXAMINATIONS MAY RESULT IN FUTURE TAX, INTEREST AND PENALTY ASSESSMENTS BY THESE TAXING AUTHORITIES. IN DETERMINING TAX EXPENSE FOR FINANCIAL REPORTING PURPOSES, A RESERVE IS ESTABLISHED FOR UNCERTAIN INCOME TAX POSITIONS UNLESS IT IS DETERMINED TO BE "MORE LIKELY THAN NOT" THAT SUCH TAX POSITIONS WOULD BE SUSTAINED UPON EXAMINATION, BASED ON THEIR TECHNICAL MERITS. THAT IS, FOR FINANCIAL REPORTING PURPOSES, TAX BENEFITS TAKEN ON THE TAX RETURN ARE RECOGNIZED ONLY IF MANAGEMENT BELIEVES IT IS "MORE LIKELY THAN NOT" THAT SUCH TAX POSITIONS WOULD BE SUSTAINED. TAX RESERVE ESTIMATES ARE ADJUSTED PERIODICALLY BECAUSE OF CHANGES IN TAX LAWS, REGULATIONS AND INTERPRETATIONS. THE CONSOLIDATED TAX EXPENSE OF ANY GIVEN YEAR INCLUDES ADJUSTMENTS TO PRIOR YEAR INCOME TAX RESERVE AND RELATED ESTIMATED INTEREST CHARGES THAT ARE CONSIDERED APPROPRIATE. POLICY IS TO RECOGNIZE, WHEN APPLICABLE, INTEREST AND PENALTIES ON UNCERTAIN TAX POSITIONS AS PART OF INCOME TAX EXPENSE. AS OF DECEMBER 31, 2024, THERE WERE NO SIGNIFICANT UNRECOGNIZED TAX BENEFITS NOR ANY RELATED ACCRUED INTEREST OR PENALTIES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CARING GENE HEALTHCARE CAREER PATHWAYS, INC. IS AN AFFILIATE OF IROQUOIS HEALTHCARE ASSOCIATION,INC. (ASSOCIATION). THE ASSOCIATION USED THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY/STUDY 5. APPROVAL BY COMPENSATION COMMITTEE</ExplanationTxt>
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        <ExplanationTxt>ALL EMPLOYEES RECEIVE ANNUAL PERFORMANCE EVALUATIONS BASED ON PRE-DETERMINED CORPORATE AND INDIVIDUAL GOALS AND OBJECTIVES. CORPORATE PERFORMANCE OBJECTIVES THAT REFLECT THE STRATEGIC GOALS OF ALL THE IROQUOIS ENTITIES ARE ESTABLISHED BY THE MANAGEMENT TEAM. THESE ORGANIZATIONAL AND STRATEGIC OBJECTIVES ARE ASSIGNED AS PERFORMANCE OBJECTIVES FOR SPECIFIC IROQUOIS EMPLOYEES BASED ON THEIR AREA OF JOB RESPONSIBILITY. A WEIGHTING SYSTEM IS USED TO REFLECT AREAS OF EMPHASIS FOR EMPLOYEES' COMPENSATION. THIS ALLOWS THE CHIEF EXECUTIVE OFFICER TO ESTABLISH CLEAR CORPORATE RESPONSIBILITIES FOR THE MANAGEMENT TEAM AND IT ALLOWS MANAGERS TO SET CLEAR GOALS AND OBJECTIVES FOR EACH OF THEIR DIRECT REPORTS. VARIABLE PAYMENTS ARE AWARDED BASED ON THE OVERALL RATING OF THE PERFORMANCE EVALUATION AND THE GOALS ACHIEVED. VARIABLE PAYMENTS DO NOT ADJUST EMPLOYEE'S ANNUAL BASE PAY. THE BASE SALARIES FOR EMPLOYEES ARE ONLY ADJUSTED BY MANAGEMENT BASED ON MARKET ANALYSIS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE STATE OF NEW YORK DEPARTMENT OF HEALTH CREATED THE CAREER PATHWAYS TRAINING (CPT) PROGRAM. THE CPT PROGRAM COVERS THE COST OF EDUCATION AND SUPPORT SERVICES FOR STUDENTS ACROSS THIRTEEN HEALTHCARE TITLES. CARING GENE HEALTHCARE CAREER PATHWAYS, INC. IS ONE OF THREE NYS ORGANIZATIONS ADMINISTERING THE PROGRAM. IN RETURN FOR PROVIDING EDUCATION AND SUPPORT, STUDENT PARTICIPANTS IN THE CPT PROGRAM ARE REQUIRED TO GIVE A THREE-YEAR COMMITMENT TO CERTAIN HEALTHCARE PROVIDERS. AS OF DECEMBER 31, 2024, THERE WERE 8 STUDENTS PARTICIPATING IN THE CPT PROGRAM. AS OF JULY 31, 2025, THERE WERE 1,531 STUDENTS PARTICIPATING IN THE CPT PROGRAM.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>IROQUOIS HEALTHCARE ASSOCIATION, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>IROQUOIS HEALTHCARE ASSOCIATION, INC., AS SOLE MEMBER, SHALL ELECT THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF THE ANNUAL AUDIT, OUR INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM PREPARES THE FORM 990 AND RELATED SUPPORTING SCHEDULES FROM OUR INTERNAL RECORDS. WE DESIGNATE AN INDIVIDUAL(S) WITH SUITABLE SKILL, KNOWLEDGE OR EXPERIENCE TO OVERSEE THESE SERVICES (I.E. THE CFO) AND WE MAKE ALL MANAGEMENT DECISIONS AND PERFORM ALL MANAGEMENT FUNCTIONS. WE HAVE REVIEWED, APPROVED, AND ACCEPTED RESPONSIBILITY FOR FORM 990 AND THE RELATED SUPPORTING SCHEDULES AND BELIEVE THEY ARE ADEQUATELY SUPPORTED BY THE BOOKS AND RECORDS OF CARING GENE HEALTHCARE CAREER PATHWAYS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR THE BOARD MEMBERS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST STATEMENT TO DOCUMENT ANY POTENTIAL CONFLICTS OF INTEREST. CARING GENE STAFF MEMBERS REVIEW THE STATEMENTS TO IDENTIFY ANY CONFLICTS OF INTEREST THAT NEED TO BE DISCLOSED BEFORE THE BOARD VOTES ON RELATED ISSUES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPENSATION COMMITTEE OF THE IROQUOIS HEALTHCARE ASSOCIATION, INC. REVIEWS AND APPROVES ALL COMPENSATION ADJUSTMENTS FOR THE CEO. AN INDEPENDENT CONSULTANT EVALUATES AND RECOMMENDS SALARY RANGES. SEE FORM 990, SCHEDULE J, PART III FOR ADDITIONAL DETAILS. THE PRESIDENT/CEO EVALUATES OTHER OFFICER AND KEY EMPLOYEE SALARIES BASED ON COMPARABLE DATA FROM COMPENSATION SURVEYS AND STUDIES OF SIMILAR ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS, UNDER DIRECTION OF THE SOLE MEMBER, IROQUOIS HEALTHCARE ASSOCIATION, INC., ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT.</ExplanationTxt>
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</Return>