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        <ExplanationTxt>ASC GUIDANCE REGARDING ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD AN INCOME TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS AND APPLIES TO ALL INCOME TAX POSITIONS. EACH INCOME TAX POSITION IS ASSESSED USING A TWO STEP PROCESS. A DETERMINATION IS FIRST MADE AS TO WHETHER IT IS MORE LIKELY THAN NOT THAT THE INCOME TAX POSITION WILL BE SUSTAINED, BASED UPON TECHNICAL MERITS, UPON EXAMINATION BY THE TAXING AUTHORITIES. IF THE INCOME TAX POSITION IS EXPECTED TO MEET THE MORE LIKELY THAN NOT CRITERIA, THE BENEFIT RECORDED IN THE FINANCIAL STATEMENTS EQUALS THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON ITS SETTLEMENT. AT DECEMBER 31 2017 AND 2016, THERE WERE NO UNCERTAIN TAX POSITIONS THAT REQUIRE ACCRUAL.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT, THE CHIEF ADMINISTRATIVE OFFICER, AND THE BOARD DESIGNATED FINANCIAL REVIEW DIVISION CHIEF.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE POLICY OF THE CORPORATION THAT ALL OFFICERS, DIRECTORS, COMMITTEE MEMBERS AND EMPLOYEES OF THE CORPORATION SHALL AVOID ANY CONFLICT BETWEEN THEIR OWN RESPECTIVE INDIVIDUAL INTEREST AND THE INTERESTS OF THE CORPORATION. A PERSON WHO HAS AN INTEREST IN A CONTRACT IS REQUIRED TO PRESENT TO THE BOARD OR COMMITTEE PROMPTLY, WITH FULL DISCLOSURE, THEIR INTEREST AND AWAIT THE DETERMINATION OF THE BOARD OR COMMITTEE. THE POLICY IS REVIEWED ANNUALLY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS DETERMINED BY UTILIZING MULTIPLE RESOURSES INCLUDING PUBLISHED SURVEYS, SUCH AS THE ASSOCIATION OF ADMINISTRATORS IN ACADEMIC PEDIATRICS, MEDICAL GROUP MANAGEMENT ASSOCIATION, EXECUTIVE SEARCH FIRMS AND OTHER RESOURCES. IN GENERAL, COMPENSATION IS TARGETED AT THE 50TH PERCENTILE FOR THE MIDWEST REGION IN PUBLISHED SURVEYS. OTHER APPROPRIATE SURVEYS AND BENCHMARK DATA ARE USED FOR OTHER STAFF.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST THE 990 WILL BE MADE AVAILABLE TO INTERESTED PERSONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITOR HAS NOT CHANGED DURING THE YEAR.</ExplanationTxt>
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