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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 C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <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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        <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 the 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, 2016 and 2015. As of April 30, 2016 and 2015, 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>
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        <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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NEW BRITAIN EMS BOARD OF DIRECTORS APPROVES A WAGE AND BENEFITS PLAN FOR THE CORPORATION. THAT PLAN INCLUDES A REVIEW OF COMPARABILITY DATA FROM VAROUS SOURCES TO DETERMINE COMPENSATION AND BENEFITS FOR ALL POSITIONS WITHIN THE ORGANIZATION AND IS ADJUSTED AS NECESSARY TO ATTRACT AND RETAIN COMPETENT EMS PROFESSIONALS. EACH POSITION IN THE CORPORATION HAS AN ESTABLISHED ANNUAL REVIEW PROCESS. EMPLOYEES' ABILITY TO INCREASE THEIR WAGES IS DIRECTLY RELATED TO THE OUTCOME OF THEIR PERFORMANCE REVIEWS. ANNUALLY THE BOARD ADOPTS A MERIT RAISE INCREASE RANGE THAT IS APPLIED TO ALL POSITIONS UNIVERSALLY. EMPLOYEES WHO HAVE REACHED THE TOP STEP OF A SPECIFIC PAY RANGE RECEIVE A MERIT BONUS IN THE DOLLAR VALUE OF THE PERCENTAGE RAISE THEY QUALIFY FOR AS A RESULT OF THE REVIEW PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</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 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMPORARILY RESTRICTED CONTRIBUTION/ CITY OF NB 5 YEAR IN-KIND - 2275768;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>