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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS SHALL BE REQUIRED TO APPROVE THE FOLLOWING MATTERS: (A) UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $100,000; (B) THE ANNUAL CAPITAL BUDGET OF THE CORPORATION; AND (C) THE ANNUAL OPERATING BUDGET OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>the board of directors are provided a copy of the form 990 to review prior to when the form 990 is filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR SHALL DISCLOSE TO THE BOARD OF DIRECTORS ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST WHENEVER THE DUALITY OR CONFLICT PERTAINS TO A MATTER BEING CONSIDERED BY THE BOARD. ANY DIRECTOR HAVING DUALITY OF INTEREST OR CONFLICT OF INTEREST ON ANY MATTER SHALL ABSTAIN FROM VOTING ON THE MATTER AND SHALL NOT BE COUNTED IN DETERMINING WHETHER THE MATTER HAS RECEIVED THE REQUIRED AFFIRMATIVE VOTE. THE MINUTES OF THE MEETING INVOLVING ANY SUCH SITUATION SHALL REFLECT THAT A DISCLOSURE WAS MADE AND THE ABSTENTION FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOOKS ARE KEPT IN THE ACCOUNTING OFFICE AND ANYONE CAN ASK TO VIEW THEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchased Maintenance Contracts: Program service expenses 279,558. Management and general expenses 0. Fundraising expenses 0. Total expenses 279,558. Purchased Physician Services: Program service expenses 923,116. Management and general expenses 63,213. Fundraising expenses 0. Total expenses 986,329.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <USAddress>
          <AddressLine1Txt>3100 Shore Drive</AddressLine1Txt>
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</Return>