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        <ExplanationTxt>JOHN NEMUNAITIS MERRICK REESE MEDICAL DIRECTOR DIRECTOR SHAREHOLDERS OF GRADALIS FAMILY RELATIONSHIP NADINE NEMUNAITIS VICE PRESIDENT FAMILY RELATIONSHIP</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH THE ORGANIZATION'S WEBSITE AND UPON REQUEST AT ANY OF ITS FACILITIES.</ExplanationTxt>
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        <ExplanationTxt>COMMITTEE IS RESPONSIBLE FOR REVIEWING AND DISTRIBUTING AUDIT ON AN ANNUAL BASIS. NO CHANGE IN POLICY FROM PREVIOUS YEAR.</ExplanationTxt>
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