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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Ellis County Coalition for Health Options, Inc. (Center) is a Texas not-for-profit health organization exempt from federal income tax under Section 501(c)(3) of the U.S. Internal Revenue Code and is exempt from similar state and local taxes. The Center is not considered as a private foundation by the Internal Revenue Service. The preparation of financial statements in accordance with accounting principles generally accepted in the United States of America requires the Center to report information regarding its exposure to various tax positions taken by the Center. Management has determined whether any tax positions have met the recognition threshold and has measured the Corporations exposure to those tax positions. Management believes that the Center has adequately addressed all relevant tax positions and there are no unrecorded tax liabilities. Federal tax authorities generally have the right to examine and audit the previous three years of tax returns filed. Any interest or penalties assessed to the Center are recorded in operating expenses. No interest or penalties from federal or state tax authorities were recorded in the accompanying financial statements</ExplanationTxt>
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        <TitleTxt>Physician</TitleTxt>
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        <FormAndLineReferenceDesc>Schedule L, Part V Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE L,PART II, LOANS TO AND FROM INTERESTED PERSONS:FROM TIME TO TIME, AND WITHOUT BOARD APPROVAL, THE FORMER CHIEF EXECUTIVE OFFICER MADE LOANS TO THE CLINIC IN THE FORM OF SHORT TERM ADVANCES TO FUND OPERATIONAL COSTS OF THE CLINIC. THE OUTSTANDING BALANCE OF THESE SHORT TERM ADVANCES WAS $34,703 AT DECEMBER 31, 2017. THIS LOAN WAS REPAID IN FULL DURING THE YEAR ENDING DECEMBER 31, 2018.</ExplanationTxt>
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        <ExplanationTxt>THE 990 IS REVIEWED BY THE CEO AND CFO PRIOR TO FILING. THE BOARD IS PRESENTED A COPY OF THE FULL 990 AT A MEETING SUBSEQUENT TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD AND STAFF ARE ASKED TO REVIEW AND SIGN A NEW FORM ANNUALLY</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD APPROVES COMPENSATION DURING THE ANNUAL BUDGET PROCESS FOR THE CEO BASED ON RESEARCH AND COMPARABLES AT THE FEDERAL LEVEL USING GUIDELINES PUBLISHED BY HRSA. THE CEO AND CFO APPROVE SALARIES FOR ALL OTHER POSITIONS AFTER GIVING CONSIDERATION TO COMPARABLE SALARIES FOR SIMILAR POSTIONS IN THE CENTER'S SERVICE AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>