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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE RETURN IS REVIEWED BY THE CEO AND THEN PRESENTED TO THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS BEFORE IT IS SUBMITTED TO THE INTERNAL REVENUE SERVICE.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS TAKES THE FOLLOWING NECESSARY STEPS TO REVIEW AND ENSURE THAT THE EXECUTIVE COMPENSATION IS REASONABLE FOR THE DUTIES AND RESPONSIBILITIES OF THE POSITION: 1. THE COMPENSATION IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE. 2. THE ORGANIZATION RELIED ON EXTERNAL CONSULTANTS, MARKET STUDIES AND PEER DATA TO ESTABLISH REASONABLE COMPENSATION LEVELS. 3. THERE IS A WRITTEN COMPENSATION AGREEMENT AND DOCUMENTATION OF THE PROCESS TO DETERMINE COMPENSATION LEVELS OF EXECUTIVES ON FILE WITHIN THE ORGANIZATION. COPIES OF SUCH DOCUMENTS ARE ON FILE WITH THE HUMAN RESOURCES DEPARTMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>SCHC COMPANIES, INC. MAKES THEIR FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC UPON REQUESTS. SCHC COMPANIES, INC. ABIDES BY THE FREEDOM OF INFORMATION ACT, ALSO KNOWN AS FOIA. ADDITIONALLY OUR IRS FORM 990 IS MADE AVAILABLE TO THE PUBLIC THROUGH PUBLIC DOMAIN WEBSITES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A, LINE 1B:</ReturnReference>
        <Explanation>SCHC COMPANIES AND AFFILIATES IS AN ATYPICAL CORPORATION AS COMPARED TO MOST VOLUNTARY NON-PROFIT CORPORATIONS FOR THE FOLLOWING REASONS: 1) THE CORPORATION IS COMPRISED OF 4 COMPANIES WITH A COMPOSITE OPERATING BUDGET IN EXCESS OF $110 M ANNUALLY. 2) THE COMPOSITION OF THE 4 COMPANIES WITHIN THE CORPORATE STRUCTURE INCLUDES A FEDERALLY QUALIFIED HEALTH CENTER, MEDICAID MANAGED CARE INSURANCE PLAN, FOUNDATION (FUND RAISING ENTITY) AND A PARENT COMPANY. THE CHIEF EXECUTIVE OFFICER SERVES AS PRESIDENT AND CEO OF ALL 4 ENTITIES OF SCHC COMPANIES AND AFFILIATES AND SERVES ON MANY EXTERNAL BOARDS TO PROMOTE THE MISSION OF THE CORPORATE ENTITIES. THE TIME COMMITMENT RELATED TO THE AFOREMENTIONED DUTIES AND RESPONSIBILITIES GREATLY EXCEEDS THE NORMAL 40 HOUR WORK WEEK. AN ESTIMATE OF AN AVERAGE WORK WEEK IS 72 HOURS. FOR THE IRS FORM 990 REPORTING PURPOSES, THE 72 HOURS IS ALLOCATED TO EACH CORPORATE ENTITY BASED UPON AN ESTIMATION OF TIME DEVOTED TO EACH ENTITY. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATION: DR. RUBEN P. COWART, PRESIDENT/CEO APPROXIMATELY 18.3 HOURS FOR SCHC TOTAL CARE, INC. APPROXIMATELY 52.4 HOURS FOR SYRACUSE COMMUNITY HEALTH CENTER, INC. APPROXIMATELY 0.4 HOURS FOR SCHC FOUNDATION, INC. APPROXIMATELY 0.9 HOURS FOR SCHC COMPANIES, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE OVERSIGHT AND SELECTION PROCESS DID NOT CHANGE FROM PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SYRACUSE COMMUNITY HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>819 SOUTH SALINA ST</AddressLine1>
          <City>SYRACUSE</City>
          <State>NY</State>
          <ZIPCode>13202</ZIPCode>
        </AddressUS>
        <EIN>161080039</EIN>
        <PrimaryActivities>COMMUNITY HEALTH CENTER</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
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          <BusinessNameLine1>SCHC COMPANIES</BusinessNameLine1>
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        <ControlledOrg>1</ControlledOrg>
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        <AddressUS>
          <AddressLine1>819 SOUTH SALINA ST</AddressLine1>
          <City>SYRACUSE</City>
          <State>NY</State>
          <ZIPCode>13202</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>RECEIVE &amp; ADMINSTER GIFTS</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>11 (A)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCHC COMPANIES</BusinessNameLine1>
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        <ControlledOrg>1</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>SCHC TOTAL CARE INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>819 SOUTH SALINA ST</AddressLine1>
          <City>SYRACUSE</City>
          <State>NY</State>
          <ZIPCode>13202</ZIPCode>
        </AddressUS>
        <EIN>161460777</EIN>
        <PrimaryActivities>PREPAID HEALTH SERVICES PLAN</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCHC COMPANIES</BusinessNameLine1>
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        <ControlledOrg>1</ControlledOrg>
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      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>