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        <Explanation>COMPENSATION IS BEING REPORTED FROM A RELATED ORGANIZATION, MICHIGAN HEALTH &amp; HOSPITAL ASSOCIATION. MICHIGAN HEALTH &amp; HOSPITAL ASSOCATION USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</Explanation>
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        <Explanation>PART I, LINE 4B - THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SPENCER JOHNSON BRIAN PETERS SAM WATSON</Explanation>
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      <GeneralExplanation>
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      <GeneralExplanation>
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      <GeneralExplanation>
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        <Explanation>REQUIRE BOARD MEMBERS TO SIGN CONFLICT OF INTEREST STATEMENTS AND VERBALLY REMIND THEM OF THAT PERIODICALLY DURING THE YEAR. THE INDIVIDUAL BOARD MEMBER IS EXPECTED TO RAISE THE ISSUE THAT HE OR SHE MAY HAVE A CONFLICT OF INTEREST AND DESCRIBE THAT CONFLICT. THE BOARD THEN DETERMINES IN EXECUTIVE SESSION WHETHER THAT PERSON HAS A CONFLICT OF INTEREST THAT WOULD PRECLUDE THAT PERSON FROM PARTICIPATING IN THE DISCUSSION AND VOTING ON THE MATTER.</Explanation>
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      <GeneralExplanation>
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        <Explanation>THE ORGANIZATION IS REPORTING COMPENSATION FROM A RELATED ORGANIZATION, MICHIGAN HEALTH &amp; HOSPITAL ASSOCIATION. MICHIGAN HEALTH &amp; HOSPITAL ASSOCIATION'S INDEPENDENT COMPENSATION COMMITTEE RECEIVES COMPARABILITY DATA ANNUALLY AND DOCUMENTS DECISION IN WRITTEN FORM.</Explanation>
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      <GeneralExplanation>
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        <Explanation>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XI, LINE 2C:</ReturnReference>
        <Explanation>THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</Explanation>
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