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      <GeneralExplanation>
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        <Explanation>A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATIONS BOARD OF DIRECTORS FOR REVIEW PRIOR TO THE RETURN BEING FILED. THE RETURN IS ALSO REVIEWED BY THE CHIEF FINANCIAL OFFICER, CHIEF GENERAL COUNSEL, AND THE CHIEF AUDIT AND COMPLIANCE OFFICER OF THE VIDANT HEALTH SYSTEMS PRIOR TO FILING.</Explanation>
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      <GeneralExplanation>
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      <GeneralExplanation>
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