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        <ExplanationTxt>The organization contracted with a consultant who performed lobbying activities on its behalf to mitigate the loss of crossover funding and increase the medicaid allowable rate, which is far below the cost of providing service.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Company accounts for uncertain tax positions in accordance with certain provisions of FASB ASC 740, "Income Taxes," which provides a framework for how companies should recognize, measure, present and disclose uncertain tax positions in their financial statements. The Company may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in financial statements from such position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The Company does not have any uncertain tax positions as of April 30, 2018 and 2017. As of April 30, 2018 and 2017, the Company did not record any penalties or interest associated with uncertain tax positions. The Company would recognize interest and/or penalties related to income tax matters in income tax expense. The Company's prior three tax years are open and subject to examination by the Internal Revenue Service.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The corporate governance committee and management review the Form 990 prior to filing. Once the governance committee approves the Form 990, the full 990 is provided to the Board of Directors. The 990 is filed immediately after being approved by the governance committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually, directors must sign an affidavit attesting to uphold and report any perceived or actual conflicts of interest. This is reviewed by the nominating governance and human resources committee for determination and appropriate action.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The New Britain Emergency Medical Services, Inc Board of Directors- Corporate Governance and Audit Sub-Committee is assigned responsibility to develop a comprehensive wage and benefits program for all employees of the corporation. Each position in the corporation has a defined wage band with a well defined starting-mid level and end range. Additionally each category of employee has a defined benefits package. Employees of the corporation advance through their assign wage band through a combination of cost of living adjustments, educational preparation, job performance accomplishments and market adjustments as deemed appropriate by the Corporate Governance Committee and approved by the Board of Directors. Adjustments to the wage and benefits programs are included in the annual budget and approved by the Board during their annual meeting. The Corporate Governance and Audit Subcommittee reviews comparative data on an annual basis to assure the compensation program is adequate to attract and retain the best qualified employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Same as above</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Temporarily restricted in-kind contribution from the city of New Britain $69,333 Net Assets released from restrictions $(602,184)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>