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        <FilingOrganizationsTotals>138982</FilingOrganizationsTotals>
      </GrassrootsNontaxableAmount>
      <TotLobbyingGrassrootMinusNonTx>
        <FilingOrganizationsTotals>0</FilingOrganizationsTotals>
      </TotLobbyingGrassrootMinusNonTx>
      <TotLobbyExpendMnsLobbyingNontx>
        <FilingOrganizationsTotals>0</FilingOrganizationsTotals>
      </TotLobbyExpendMnsLobbyingNontx>
      <LobbyingNontaxableAmount2>
        <CurrentYearMinus3>449759</CurrentYearMinus3>
        <CurrentYearMinus2>494137</CurrentYearMinus2>
        <CurrentYearMinus1>525564</CurrentYearMinus1>
        <CurrentYear>555926</CurrentYear>
        <Total>2025386</Total>
      </LobbyingNontaxableAmount2>
      <LobbyingCeilingAmount>3038079</LobbyingCeilingAmount>
      <TotalLobbyingExpenditures2>
        <CurrentYearMinus3>296301</CurrentYearMinus3>
        <CurrentYearMinus2>287255</CurrentYearMinus2>
        <CurrentYearMinus1>285032</CurrentYearMinus1>
        <CurrentYear>282210</CurrentYear>
        <Total>1150798</Total>
      </TotalLobbyingExpenditures2>
      <GrassrootsNontaxableAmount2>
        <CurrentYearMinus3>112440</CurrentYearMinus3>
        <CurrentYearMinus2>123534</CurrentYearMinus2>
        <CurrentYearMinus1>131391</CurrentYearMinus1>
        <CurrentYear>138982</CurrentYear>
        <Total>506347</Total>
      </GrassrootsNontaxableAmount2>
      <GrassrootsCeilingAmount>759521</GrassrootsCeilingAmount>
      <Form990ScheduleCPartIV>
        <Identifier>PART IV, SUPPLEMENTAL INFORMATION:</Identifier>
        <Explanation>PART II-A LINE 1B: EDUCATES LEGISLATORS AND GOVERNMENT ENTITIES ABOUT ISSUES OF IMPORTANCE TO FEDERALLY QUALIFIED HEALTH CENTERS.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>397287</BeginningOfYearBalance>
        <Contributions>300000</Contributions>
        <OtherExpenditures>399105</OtherExpenditures>
        <EndOfYearBalance>298182</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>429907</BeginningOfYearBalance>
        <Contributions>366928</Contributions>
        <OtherExpenditures>399548</OtherExpenditures>
        <EndOfYearBalance>397287</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>603012</BeginningOfYearBalance>
        <Contributions>705467</Contributions>
        <OtherExpenditures>878572</OtherExpenditures>
        <EndOfYearBalance>429907</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>67742</BeginningOfYearBalance>
        <Contributions>920820</Contributions>
        <OtherExpenditures>385550</OtherExpenditures>
        <EndOfYearBalance>603012</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>56279</BeginningOfYearBalance>
        <Contributions>67742</Contributions>
        <OtherExpenditures>56279</OtherExpenditures>
        <EndOfYearBalance>67742</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <TermEndowmentEOYBalance>1.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>219154</OtherCostOrOtherBasis>
        <Depreciation>151328</Depreciation>
        <BookValue>67826</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>247585</OtherCostOrOtherBasis>
        <Depreciation>271700</Depreciation>
        <BookValue>-24115</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>225347</OtherCostOrOtherBasis>
        <Depreciation>177193</Depreciation>
        <BookValue>48154</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>91865</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>DUE TO HCNNY</Description>
        <Amount>386744</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED RENT</Description>
        <Amount>48329</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>435073</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>7170252</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>7170252</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-21234</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-21234</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>7149018</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>8139759</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>21234</OtherExpensesIncluded>
      <ExpensesNotRptdF990>21234</ExpensesNotRptdF990>
      <ExpensesSubtotal>8118525</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>8118525</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>THE ENDOWMENT FUNDS ARE INTENDED FOR CERTAIN EMPLOYEE'S SALARIES AND SPECIFIC PROGRAMS.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>THE ASSOCIATION WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. THE ASSOCIATION HAS NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2013 AND 2012. THE ASSOCIATION'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2010 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING EXPENSES -21,234.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>FUNDRAISING EXPENSES 21,234.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitations>X</MailSolicitations>
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>1</AgreementRefFundraising>
      <FundraiserActivityInformation>
        <NameOfOrganization>
          <BusinessNameLine1>SPECIAL EVENTS UNLIMITED INC</BusinessNameLine1>
        </NameOfOrganization>
        <AddressUS>
          <AddressLine1>440 KENT AVENUE SUITE 6E</AddressLine1>
          <City>BROOKLYN</City>
          <State>NY</State>
          <ZIPCode>11249</ZIPCode>
        </AddressUS>
        <Activity>EVENT PLANNING</Activity>
        <FundraiserControlOfFunds>0</FundraiserControlOfFunds>
        <GrossReceipts>357000</GrossReceipts>
        <AmountRetainedByContractor>40000</AmountRetainedByContractor>
        <NetToOrganization>317000</NetToOrganization>
      </FundraiserActivityInformation>
      <TotalGrossReceipts>357000</TotalGrossReceipts>
      <TotalRetainedByContractors>40000</TotalRetainedByContractors>
      <TotalNetToOrganization>317000</TotalNetToOrganization>
      <LicensedStates>NY</LicensedStates>
      <EventsInformation>
        <NameOfEvent1>NIGHT OF STARS GALA</NameOfEvent1>
        <GrossReceiptsEvent1>357000</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>342304</CharitableContributionsEvent1>
        <GrossRevenueEvent1>14696</GrossRevenueEvent1>
        <NonCashPrizesEvent1>171</NonCashPrizesEvent1>
        <FoodAndBeverageEvent1>20063</FoodAndBeverageEvent1>
        <EntertainmentEvent1>1000</EntertainmentEvent1>
        <GrossReceiptsTotal>357000</GrossReceiptsTotal>
        <CharitableContributionsTotal>342304</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>14696</GrossRevenueTotalEvents>
        <NonCashPrizesTotalEvents>171</NonCashPrizesTotalEvents>
        <FoodAndBeverageTotalEvents>20063</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>1000</EntertainmentTotalEvents>
        <DirectExpenseSummaryEvents>21234</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-6538</NetIncomeSummary>
      </EventsInformation>
      <Form990ScheduleGPartIV>
        <Identifier>EXPLANATION OF FUNDRAISING PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE G, PART I, LINE 2B, COLUMN (V)</ReturnReference>
        <Explanation>THE FUNDRAISER WAS PAID ACCORDING TO A WRITTEN CONTRACT.</Explanation>
      </Form990ScheduleGPartIV>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>0</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>PRIMARY CARE DEVELOPMENT CORPORATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>22 CORTLANDT STREET</AddressLine1>
          <City>NEW YORK</City>
          <State>NY</State>
          <ZIPCode>10007</ZIPCode>
        </AddressUS>
        <EINOfRecipient>133711803</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>12500</AmountOfCashGrant>
        <PurposeOfGrant>AN UNRESTRICTED GRANT TO FURTHER THE DONEE'S EXEMPT PURPOSE.</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: THE ORGANIZATION DOES NOT MONITOR GRANTS AFTER THEY ARE GIVEN.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>ELIZABETH SWAIN</NamePerson>
        <Title>PRESIDENT AND CEO</Title>
        <BaseCompensationFilingOrg>249563</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7350</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10408</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>267321</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KAMERON WELLS</NamePerson>
        <Title>VP CLINICAL QUALITY IMPROVEMENT</Title>
        <BaseCompensationFilingOrg>158858</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4734</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>6798</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>170390</TotalCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>LISA PERRY HELLERSTEIN</NamePerson>
        <Title>SENIOR VP HEALTH IT</Title>
        <BaseCompensationFilingOrg>173186</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5192</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>2072</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>180450</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SANDY CAFARCHIO</NamePerson>
        <Title>EXEC. DIRECTOR, HEALTH CENTER NETWOR</Title>
        <BaseCompensationFilingOrg>147841</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4620</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12630</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>165091</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleN documentId="RetDoc1043200001">
      <DispositionTable>
        <DescriptionOfAsset>CASH, RECEIVABLES, PAYABLES</DescriptionOfAsset>
        <DateOfDistribution>2013-07-01</DateOfDistribution>
        <FMVOfAsset>530880</FMVOfAsset>
        <MethodOfFMVDetermination>FMV</MethodOfFMVDetermination>
        <EIN>141980688</EIN>
        <NameBusiness>
          <BusinessNameLine1>HEALTH CENTER NETWORK OF NY</BusinessNameLine1>
        </NameBusiness>
        <AddressUS>
          <AddressLine1>103 WOERNER AVE</AddressLine1>
          <City>LIVERPOOL</City>
          <State>NY</State>
          <ZIPCode>13088</ZIPCode>
        </AddressUS>
        <IRCSection>501(C)(3)</IRCSection>
      </DispositionTable>
      <DispositionTable>
        <DescriptionOfAsset>PROPERTY AND EQUIPMENT</DescriptionOfAsset>
        <DateOfDistribution>2013-09-01</DateOfDistribution>
        <FMVOfAsset>335550</FMVOfAsset>
        <MethodOfFMVDetermination>COST LESS DEPRECIATION</MethodOfFMVDetermination>
        <EIN>141980688</EIN>
        <NameBusiness>
          <BusinessNameLine1>HEALTH CENTER NETWORK OF NY</BusinessNameLine1>
        </NameBusiness>
        <AddressUS>
          <AddressLine1>103 WOERNER AVE</AddressLine1>
          <City>LIVERPOOL</City>
          <State>NY</State>
          <ZIPCode>13088</ZIPCode>
        </AddressUS>
        <IRCSection>501(C)(3)</IRCSection>
      </DispositionTable>
      <DirectorOfSuccessor2>1</DirectorOfSuccessor2>
      <EmployeeOfSuccessor2>1</EmployeeOfSuccessor2>
      <OwnerOfSuccessor2>0</OwnerOfSuccessor2>
      <ReceiveCompensation2>0</ReceiveCompensation2>
      <Form990ScheduleNPartIII>
        <Explanation>PART II, LINE 2E: SANDY CARFACHIO, DAVID SHIPPEE, MICHAEL LEARY, LINDSAY FARRELL, ANNE NOLON, ELIZABETH SWAIN</Explanation>
      </Form990ScheduleNPartIII>
      <Form990ScheduleNPartIII>
        <Explanation>PART II, LINE 2E: SANDY CARFACHIO, A KEY EMPLOYEE OF CHCANYS, WAS TERMINATED AS AN EMPLOYEE AND IS THE CEO OF TRANSFEREE ORGANIZATION. IN ADDITION, THE FOLLOWING TRUSTEES OF THE ORGANIZATION ARE TRUSTEES OF THE TRANSFEREE ORGANIZATION: DAVID SHIPPEE, MICHAEL LEARY, LINDSAY FARRELL, ANNE NOLON. THE CEO OF CHCANYS, ELIZABETH SWAIN, IS A TRUSTEE OF THE TRANSFEREE ORGANIZATION.</Explanation>
      </Form990ScheduleNPartIII>
    </IRS990ScheduleN>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THERE ARE TWO CLASSES OF MEMBERSHIP IN THE COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE (CHCANYS). ORGANIZATIONAL MEMBERSHIP IN THE ASSOCIATION SHALL BE AVAILABLE TO : (1) ANY NOT FOR PROFIT COMMUNITY/MIGRANT HEALTH CENTER (C/MHC) THAT RECEIVES GRANT FUNDS UNDER SECTION 330(E) AND/OR 330(G) OF THE PUBLIC HEALTH SERVICE ACT TO PROVIDE COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTH CARE AND RELATED SERVICES TO A MEDICALLY UNDERSERVED AREA (MUA) OR MEDICALLY UNDERSERVED POPULATION (MUP), AS WELL AS ANY C/MHC DETERMINED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS) TO MEET THE REQUIREMENTS TO RECEIVE A GRANT UNDER SECTION 330(E) AND/OR 330(G), BUT DOES NOT ACTUALLY RECEIVE SUCH GRANT (C/MHC LOOK-ALIKE ENTITIES), AND IS LICENSED AS AN ARTICLE 28 DIAGNOSTIC AND TREATMENT CENTER BY THE NEW YORK STATE DEPARTMENT OF HEALTH (HEREINAFTER, COLLECTIVELY REFERRED TO AS A(1) ORGANIZATIONAL MEMBERS); AND (2) ANY HOMELESS, PUBLIC HOUSING OR SCHOOL-BASED AGENCY THAT RECEIVES GRANT FUNDS UNDER SECTION 330(H), 330(I) OR THE HEALTHY SCHOOLS/HEALTH COMMUNITIES (HSHC) PROGRAM TO PROVIDE HEALTH CARE AND RELATED SERVICES TO MEDICALLY UNDERSERVED HOMELESS, PUBLIC HOUSING AND SCHOOL-BASED POPULATIONS, AS WELL AS ANY ENTITY DETERMINED BY DHHS TO MEET THE REQUIREMENTS TO RECEIVE A GRANT UNDER SECTION 330(H), 330(I) OR THE HSHC PROGRAM BUT DOES NOT ACTUALLY RECEIVE FUNDING (HEREINAFTER, COLLECTIVELY REFERRED TO AS A(2) ORGANIZATIONAL MEMBERS). PROVIDED THAT, AT ALL TIMES, ENTITIES THAT QUALIFY AS A(1) ORGANIZATIONAL MEMBERS SHALL COMPRISE NO LESS THAN 88% OF THE TOTAL NUMBER OF ORGANIZATIONAL MEMBERS AND ENTITIES THAT QUALIFY AS A(2) ORGANIZATIONAL MEMBERS SHALL COMPRISE NO MORE THAN 12% OF THE TOTAL NUMBER OF ORGANIZATIONAL MEMBERS. ALL SUCH ORGANIZATIONAL MEMBERS SHALL BE COMMITTED TO THE PURPOSES OF THE ASSOCIATION AND ACTIVELY ENGAGED IN COMPREHENSIVE HEALTH CARE SERVICES. ASSOCIATE MEMBERSHIP IN THE ASSOCIATION IS AVAILABLE TO AGENCIES, ORGANIZATIONS, CONSULTANTS AND INDIVIDUALS THAT ARE INTERESTED IN, OR HAVE GOALS RELATED TO THE ASSOCIATION BUT DO NOT QUALIFY AS ORGANIZATIONAL MEMBERS, E.G. CLINICAL ASSOCIATIONS, AGENCIES, SUPPLIERS AND OTHER FOR PROFIT OR NOT FOR PROFIT ORGANIZATIONS. ASSOCIATE MEMBERSHIP INCLUDES ALL PRIVILEGES OF ORGANIZATIONAL MEMBERSHIP EXCEPT FULL VOTING. ASSOCIATE MEMBERSHIP IS DESIGNATED ASSOCIATED INDIVIDUAL, ASSOCIATE ORGANIZATIONAL, AND ASSOCIATE GOVERNMENTAL. ASSOCIATE MEMBERS SHALL HAVE VOTING PRIVILEGES ONLY ON COMMITTEES ON WHICH THEY SERVE. ASSOCIATE MEMBERSHIP IS NOT AVAILABLE TO INDIVIDUALS ASSOCIATED WITH ORGANIZATIONAL MEMBERS INCLUDING, BUT NOT LIMITED TO THEIR EMPLOYERS, THAT PROVIDE PRIMARY CARE. MEMBERSHIP IN THE ASSOCIATE MEMBERSHIP CATEGORY WILL NOT BE AVAILABLE TO THOSE WHO QUALIFY FOR THE ORGANIZATIONAL MEMBERSHIP CATEGORY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>EACH YEAR AT THE ANNUAL MEETING, THE ORGANIZATIONAL MEMBERSHIP SHALL FIRST ELECT MEMBERS TO ITS BOARD OF DIRECTORS. ELECTION IS BY BALLOT AND A MAJORITY OF THE VOTES CAST SHALL ELECT. ON ANY MATTERS REQUIRING A MEMBERSHIP VOTE OF THE ORGANIZATIONAL MEMBERSHIP, EACH ORGANIZATIONAL MEMBER SHALL BE ENTITLED TO ONE VOTE. EACH ORGANIZATIONAL MEMBER SHALL APPOINT AND CERTIFY TO THE CHIEF EXECUTIVE OFFICER OF THE ASSOCIATION A PERSON TO BE ITS REPRESENTATIVE WHO SHALL REPRESENT, VOTE AND ACT FOR SUCH ORGANIZATIONAL MEMBER WHENEVER MEMBERSHIP ACTION IS REQUIRED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>THE NOMINATING COMMITTEE SHALL BE ELECTED AT THE ANNUAL MEETING, BY THE ORGANIZATIONAL MEMBERS. THE BYLAWS COMMITTEE SHALL REVIEW AND ANALYZE THE BYLAWS AND, WHEN APPROPRIATE, RECOMMEND CHANGES AND ADDITIONS TO THE GENERAL MEMBERSHIP AT THE ANNUAL MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>AN INDEPENDENT ACCOUNTING FIRM PREPARES THE 990 BASED ON AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY MANAGEMENT. THE RETURN IS THEN REVIEWED BY THE SENIOR DIRECTOR OF FINANCE AND THE PRESIDENT AND CEO AND PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO ITS SUBMISSION TO THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>MEMBERS OF THE BOARD, AS WELL AS ALL OFFICERS AND KEY EMPLOYEES, ARE REQUIRED TO SIGN WRITTEN CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS. COPIES OF THE SIGNED FORMS ARE MAINTAINED. ANY CONFLICTS ARE RESOLVED BY THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>PRESIDENT/CEO'S COMPENSATION IS DETERMINED VIA A MARKET ANALYSIS AND COMPARISON. EXECUTIVE COMMITTEE LOOKS AT DATA FROM NATIONAL SALARY SURVEYS FOR CEOS OF ASSOCIATIONS OF COMPARABLE SIZED ORGANIZATIONS/ASSOCIATIONS. IN ADDITION, THEY LOOK AT COMPENSATION PACKAGES FOR SIMILARLY-SIZED PRIMARY CARE ASSOCIATIONS (PCAS).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>CHCANYS PROVIDES ITS FINANCIAL STATEMENTS TO ALL OF ITS FUNDERS, ITS BOARD OF DIRECTORS AND ANYONE WHO REQUESTS IT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>GRANT CONSULTANTS: PROGRAM SERVICE EXPENSES 92,016. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,016. HUMAN RESOURCES CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,849. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,849. PROGRAM CONSULTANTS AND SUB-CONTRACTORS: PROGRAM SERVICE EXPENSES 2,091,076. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,091,076. TRAINING CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,654.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>