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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SIGNIFICANT CHANGES TO THE BYLAWS: - LANGUAGE WAS ADDED TO ESTABLISH THAT HOPE CLINIC IS A 501(C)(3) CHARITABLE AND EDUCATIONAL ORGANIZATION WHICH IS A FEDERALLY QUALIFIED HEALTH CLINIC THAT RECEIVES FEDERAL GRANT FUNDING PURSUANT TO SECTION 330 OF THE PUBLIC HEALTH SERVICES ACT. - BOARD MEMBER DUTIES AND RESPONSIBILITIES ADDED WERE: 1. APPROVE CERTAIN HOPE CLINIC CONTRACTS IN ACCORDANCE WITH HOPE CLINICS PROCUREMENT POLICIES 2. APPROVE THE SELECTION OF AN INDEPENDENT AUDITOR AND REVIEW AND OFFICIALLY ACCEPT THE ANNUAL AUDIT REPORT 3. ENGAGE IN LONG-TERM STRATEGIC PLANNING AND ONGOING REVIEW AND REVISION OF HOPE CLINICS MISSION AND BYLAWS, AS APPROPRIATE - BOARD MEMBER DUTIES AND RESPONSIBILITIES REMOVED WERE: 1. CONSENT TO SELECTION OF A MEDICAL DIRECTOR - REQUIREMENTS FOR THE COMPOSITION OF THE BOARD WERE UPDATED AS FOLLOWS: 1. QUALIFYING CONSUMER BOARD MEMBERS MUST HAVE RECEIVED SERVICE WITHIN THE LAST 24 MONTHS (INCREASED FROM 12) BUT CAN NO LONGER SIGN A DECLARATION OF PRIMARY HEALTH HOME IN PLACE OF THIS REQUIREMENT. 2. BOARD MEMBERS ARE NO LONGER RESTRICTED FROM BEING RELATED TO OTHER BOARD MEMBERS. 3. POTENTIAL BOARD MEMBERS MUST SATISFY THE REQUIREMENTS OF A BACKGROUND CHECK PRIOR TO THEIR RECOMMENDATION TO THE BOARD - REQUIREMENTS FOR THE SELECTION OF OFFICERS WERE UPDATED AS FOLLOWS: 1. OFFICERS MUST BE CHOSEN FROM AMONG THE VOTING MEMBERS OF THE BOARD 2. OFFICERS MAY SERVE MORE THAN THREE TERMS AT THE DISCRETION OF THE BOARD - DUTIES AND RESPONSIBILITIES OF THE PRESIDENT WERE UPDATED AS FOLLOWS: 1. THE PRESIDENT IS NO LONGER A NON VOTING MEMBER</ExplanationTxt>
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        <ExplanationTxt>990 REVIEW PROCESS: THIS FORM IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS FIRST REVIEWED BY THE CFO AND THE CEO OF THE ORGANIZATION. IT IS THEN PRESENTED TO THE FINANCE COMMITTEE MEETING FOR REVIEW. FINALLY, IT IS PRESENTED DURING A BOARD MEETING FOR FURTHER REVIEW BY THE BOARD MEMBERS BEFORE FILING WITH THE IRS.</ExplanationTxt>
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        <ExplanationTxt>CONFLICT OF INTEREST POLICY: THE GOVERNING BOARD, BY RESOLUTION, SHALL ESTABLISH, ADOPT, AND PERIODICALLY UPDATE A WRITTEN STANDARDS OF CONDUCT APPLICABLE TO MEMBERS OF THE BOARD THAT ESTABLISHES PROCEDURES FOR, AMONG OTHER THINGS: (I) DISCLOSING AND ADDRESSING CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS OF INTEREST, (II) MAINTAINING THE CONFIDENTIALITY OF INFORMATION (WHETHER WRITTEN, ORAL, OR CONTAINED IN VIDEO TAPES, AUDIO TAPES OR COMPUTER DISKETTES) OBTAINED BY A BOARD MEMBER BY VIRTUE OF HIS OR HER POSITION, DIRECTLY OR INDIRECTLY RELATED TO THE CORPORATIONS ADMINISTRATIVE, MANAGERIAL AND CLINICAL OPERATIONS, (III) PROHIBITING THE ACCEPTANCE OR SOLICITATION OF GIFTS, GRATUITIES OR FAVORS OF SUBSTANTIAL MONETARY VALUE, AND (IV) DISCIPLINARY ACTIONS FOR VIOLATIONS OF THE STANDARDS OF CONDUCT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW: THE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL REVIEW OF THE ORGANIZATION'S CEO AND THE BOARD OF DIRECTORS APPROVE THE FINAL COMPENSATION THAT THE COMMITTEE PROPOSES. THE PROCESS TO DETERMINE CEO COMPENSATION IS RECORDED IN THE BOARD MINUTES. THE COMPENSATION REVIEW PROCESS FOR THE CEO OCCURRED IN DECEMBER 2018 (FOR 2019 COMPENSATION). THE COMPENSATIONS FOR OTHER MANAGEMENT POSITIONS, INCLUDING CFO, COO, MEDICAL DIRECTOR, IT DIRECTOR, AND DIRECTOR OF CLINICAL SERVICES AND QUALITY IMPROVEMENT ARE DETERMINED BY THE CEO. THAT PROCESS LAST OCCURRED IN DECEMBER 2018.</ExplanationTxt>
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        <ExplanationTxt>COMPENSATION REVIEW: THE COMPENSATION FOR OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION IS REVIEWED AND DETERMINED BY THE CEO. THAT PROCESS LAST OCCURED IN DECEMBER 2018.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ALL BOARD MEETINGS ARE OPEN TO THE PUBLIC, UNLESS EXECUTIVE MEETING IS CALLED. MINUTES ARE PUBLISHED MONTHLY AND DISTRIBUTED TO BOARD MEMBERS AND OPEN TO PUBLIC FOR APPROPRIATE REASON, UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:LAB FEES TOTAL FEES:1280998</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER CONTRACT SERVICES TOTAL FEES:515745</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:EHR TOTAL FEES:279825</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:BILLING SERVICES TOTAL FEES:77645</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>