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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3 Delegation of management duties</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHLAND HEALTH PROVIDERS HAS AN AGREEMENT WITH HIGHLAND DISTRICT HOSPITAL SUCH THAT A VP FINANCE AT HIGHLAND DISTRICT HOSPITAL WILL SERVE AS THE CFO OF HIGHLAND HEALTH PROVIDERS. HIGHLAND HEALTH PROVIDERS COMPENSATES HIGHLAND DISTRICT HOSPITAL FOR THESE SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INITIAL DRAFT OF THE RETURN IS PREPARED BY THE ACCOUNTING DEPARTMENT AND THEN FORWARDED TO THE VP FINANCE FOR REVIEW AND COMMENT. ONCE A FINAL DRAFT IS COMPLETED, THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FINAL VERSION. THE BOARD APPROVED FORM 990 IS THEN FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST STATEMENT COVERS ALL INTERESTED PERSONS OF THE ORGANIZATION. THIS INCLUDES ANY DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS. THESE INDIVIDUALS MUST AFFIRM THAT THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST STATEMENT, HAVE READ AND UNDERSTAND THE POLICY AND AGREE TO COMPLY WITH THE POLICY. IN THE EVENT OF AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE INTERESTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AS SOON AS IT IS KNOWN. UPON DISCLOSURE, THE REMAINING BOARD MEMBERS DISCUSS AND VOTE TO DETERMINE IF A CONFLICT EXISTS. IN THE EVENT OF A CONFLICT, THE INTERESTED PERSON WILL ABSTAIN FROM ANY PART OF ANY BUSINESS DECISION RELATED TO THE CONFLICT. IF IT IS DETERMINED THAT AN INDIVIDUAL HAS VIOLATED THE CONFLICT OF INTEREST POLICY, APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION WILL BE TAKEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS BASED UPON INFORMATION OBTAINED REGARDING COMPENSATION LEVELS OF INDIVIDUALS IN SIMILAR POSITIONS AT SIMILARLY SIZED HEALTH CARE FACILITIES COMPARED TO THE NATIONAL AVERAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF KEY EMPLOYEES IS BASED UPON INFORMATION OBTAINED REGARDING COMPENSATION LEVELS OF INDIVIDUALS IN SIMILAR POSITIONS AT SIMILARLY SIZED HEALTH CARE FACILITIES COMPARED TO THE NATIONAL AVERAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES FOR SERVICES - Total Expense: 1227889, Program Service Expense: 1205173, Management and General Expenses: 22716, Fundraising Expenses: 0;</ExplanationTxt>
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</Return>