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        <CurrentTaxYear>515</CurrentTaxYear>
        <Total>2832</Total>
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      <OtherIncome170>
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      <First5Years170>X</First5Years170>
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        <Description>SOFTWARE LICENSES, NET</Description>
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          <NamePerson>NANCY H SMITH CONSULTING</NamePerson>
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        <Relationship>FORMER EXECUTIVE DIRECTOR</Relationship>
        <AmountOfTransaction>49005</AmountOfTransaction>
        <DescriptionOfTransaction>CONSULTING WORK</DescriptionOfTransaction>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>NEW PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 2</ReturnReference>
        <Explanation>IMPLEMENTED RHIO SUSTAINABILITY PLAN VIA INPATIENT HOSPITAL CLAIM ASSESSMENT.IMPLEMENTED HEATHECONNECTIONS HEALTH INFORMATION EXCHANGE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 4</ReturnReference>
        <Explanation>SECTION 1 - MEMBER AUTHORIZED. CENTRAL NEW YORK HEALTH SYSTEMS AGENCY, INC SHALL BE THE SOLE MEMBER OF THE CORPORATION (HEREINAFTER "CNYHSA" OR THE "MEMBER"). - GENERAL MANAGEMENT. THE GENERAL MANAGEMENT OF THE AFFAIRS OF THIS CORPORATION SHALL BE VESTED IN ITS BOARD OF DIRECTORS, SUBJECT TO THE RIGHTS OF THE MEMBER AS PROVIDED BY LAW. THE BOARD OF DIRECTORS SHALL HAVE CONTROL OF THE PROPERTY OF THE CORPORATION AND SHALL DETERMINE ITS POLICIES WITH THE ADVICE OF ITS VARIOUS COMMITTEES. IT SHALL HAVE POWER TO EMPLOY NECESSARY STAFF AND OTHER HELP, AUTHORIZE EXPENDITURES AND TAKE ALL NECESSARY AND PROPER STEPS TO CARRY OUT THE PURPOSES OF THIS CORPORATION AND TO PROMOTE ITS BEST INTEREST. SECTION 2 - NUMBER. THE BOARD OF DIRECTORS SHALL CONSIST OF NOT LESS THAN 5 NOR MORE THEN 40 DIRECTORS, THE NUMBER OF DIRECTORS TO BE DETERMINED FROM TIME TO TIME BY RESOLUTION OF THE MEMBER. THE CHIEF ADMINISTRATIVE OFFICER OF THE CORPORATION SHALL BE EX-OFFICIO NON-VOTING MEMBER OF THE BOARD OF DIRECTORS. AS USED IN THIS ARTICLE, THE TERM "THE ENTIRE BOARD OF DIRECTORS" SHALL MEAN THE TOTAL NUMBER OF DIRECTORS ENTITLED TO VOTE THAT THE CORPORATION WOULD HAVE IF THERE WERE NO VACANCIES. SECTION 3 - QUALIFICATIONS. EACH MEMBER OF THE BOARD OF DIRECTORS MUST BE AT LEAST EIGHTEEN YEARS OF AGE. SECTION 10 - QUORUM. A QUORUM SHALL BE REQUIRED FOR THE LEGAL AND PROPER CONDUCT OF THE BUSINESS OF THE BOARD OF DIRECTORS. A MAJORITY OF THE TOTAL NUMBER OF MEMBERS OF THE BOARD OF DIRECTORS THEN IN EXISTENCE SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF ANY BUSINESS. WHEN A QUORUM IS ONCE PRESENT TO ORGANIZE A MEETING, IT IS NOT BROKEN BY THE SUBSEQUENT WITHDRAWAL OF ANY DIRECTORS, SO LONG AS AT LEAST ONE-THIRD OF THE TOTAL NUMBER OF MEMBERS OF THE BOARD OF DIRECTORS THEN IN EXISTENCE REMAIN PRESENT. ARTICLE IX SECTION 1 - COMPENSATION. NO ELECTED DIRECTOR, OFFICER OR MEMBER OF A COMMITTEE SHALL RECEIVE COMPENSATION FOR HIS/HER SERVICES IN SUCH CAPACITY. THE BOARD OF DIRECTORS SHALL BE EMPOWERED TO PROVIDE REASONABLE COMPENSATION, TOGETHER WITH REIMBURSEMENT FOR REASONABLY INCURRED EXPENSES, FOR OFFICES OR POSTIONS THAT INVOLVE REGULAR EMPLOYMENT BY THE CORPORATION, INCLUDING BUT NOT LIMITED TO, THE POSITION OF CHIEF ADMINISTRATIVE OFFICER. ARTICLE XII SECTION 1 - BY-LAW AMENDMENT. THESE BY-LAWS, OR ANY OF THEM, MAY BE ALTERED, AMENDED OR REPEALED AND NEW BY-LAWS MAY BE ADOPTED AT ANY ANNUAL MEETING OF THE MEMBER OR AT ANY SPECIAL MEETING CALLED FOR THAT PURPOSE, PROVIDED THAT SUCH ACTION IS APPROVED BY TWO-THIRDS OF THE ENTIRE BOARD OF THE MEMBER. THE BOARD OF DIRECTORS SHALL HAVE THE POWER, BY A TWO-THIRDS VOTE OF THE ENTIRE BOARD, TO ALTER OR AMEND OR REPEAL THESE BY-LAWS OR ANY OF THEM (INCLUDING ANY BY-LAW ADOPTED BY THE MEMBER) OR TO ADOPT NEW BY-LAWS. SECTION 2.1 - AMENDMENT. EXCEPT AS OTHERWISE PROVIDED IN THE AFFILIATION AGREEMENT THE CORPORATION'S CERTIFICATE OF INCORPORATION MAY BE CHANGED OR AMENDED, IN WHOLE OR IN PART, BY A VOTE OF THE MEMBER, PROVIDED ALL STATUTORY APPROVALS ARE SUBSEQUENTLY SECURED AND ANY CERTIFICATE OF AMENDMENT OR RESTATED CERTIFICATE OF INCORPORATION IS ACCEPTED FOR FILING BY THE NEW YORK STATE DEPARTMENT OF STATE; AND PROVIDED FURTHER THAT SUCH AMENDMENT OR CHANGE DOES NOT CONTRAVENE ANY OF THE TERMS OF THE AFFILIATION AGREEMENT. SECTION 2.2 - GOVERNING EFFECT. IF THERE IS ANY CONFLICT BETWEEN THE PROVISIONS OF THE CERTIFICATE OF INCORPORATION AND THE BY-LAWS, THE PROVISIONS OF THE CERTIFICATE OF INCORPORAITON SHALL GOVERN. SECTION 3 DISSOLUTION 3.1 PROCEDURES. THIS CORPORATION MAY BE DISSOLVED BY A VOTE OF THE MEMBER AND A MAJORITY OF THE ENTIRE BOARD, PROVIDED ALL STATUTORY APPROVALS ARE SUBSEQUENTLY SECURED AND A CERTIFICATE OF DISSOLUTION IS ACCEPTED FOR FILING BY THE NEW YORK STATE DEPARTMENT OF STATE. 3.2 RESIDUAL ASSETS. UPON DISSOLUTION OF THIS CORPORATION, ANY RESIDUAL ASSETS AND PROPERTY OF THE CORPORATION SHALL, AFTER NECESSARY EXPENSES THEREOF, BE DISTRIBUTED TO SUCH ORGANIZATION AS SHALL QUALIFY UNDER SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE OR TO ANOTHER ORGANIZATION TO BE USED IN SUCH A MANNER AS IN THE JUDGMENT OF A JUSTICE OF THE SUPREME COURT OF THE STATE OF NEW YORK WILL BEST ACCOMPLISH THE GENERAL PURPOSES FOR WHICH THE CORPORATION WAS FORMED. THE COURT MAY ORDER THE CORPORATION TO DISTRIBUTE ANY RESIDUAL ASSETS AND PROPERTY TO THE MEMBER, BUT ONLY IF SUCH DISTRIBUTION HAS BEEN APPROVED BY TWO-THIRDS OF THE ENTIRE BOARD OF THE COPRORATION AS PART OF ITS PLAN OF DISSOLUTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>CENTRAL NEW YORK HEALTH SYSTEM AGENCY, INC SHALL BE THE SOLE MEMBER OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>LINE 11A EXPLANATION - THE EXECUTIVE COMMITTEE AND FINANCE COMMITTEE REVIEWS THE DRAFT BEFORE ISSUANCE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>SELF ATTESTATION BY BOARD MEMBERSHIP ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>ALL SALARIES OF EMPLOYEES ARE BASED ON EXPERIENCE OF EXECUTIVE DIRECTOR, CURRENT SALARY OF CANDIDATES AND A REVIEW/DISCUSSION WITH STAFF LEASING, OUR HR/PAYROLL PARTNER. EXECUTIVE DIRECTOR COMPENSATION WAS REVIEWED BY THE EXECUTIVE COMMITTEE BASED ON COMPARABLE EXECUTIVE SALARIES OF OTHER NYS RHIO EXECUTIVE DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>UPON REQUEST.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>