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        <Explanation>NOBLE ARRINGTON, KEVIN COOPER, MICHAEL RILEY, AND PHILLIP DUTCHER HAVE A BUSINESS RELATIONSHIP. SUSANNE BRADACH, KEVIN NEWINGHAM, DAVID CATO, AND DR. AVRA BOWERS HAVE A BUSINESS RELATIONSHIP.</Explanation>
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        <Explanation>THE ORGANIZATION SENDS A PDF COPY OF THE ENTIRE FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW. ANY FEEDBACK IS SENT TO THE CFO FOR DISCUSSION PRIOR TO FILING WITH THE IRS.</Explanation>
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      <GeneralExplanation>
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        <Explanation>THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD EVERY YEAR AND SIGNED BY THE CHAIRPERSON. IT STATES A FULL DISCLOSURE OF ALL FACTS PERTAINING TO ANY TRANSACTION THAT IS SUBJECT TO A CONFLICT OF INTEREST SHALL BE MADE.</Explanation>
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      <GeneralExplanation>
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        <Explanation>THE CEO IS A LOANED EXECUTIVE FROM THE LEE MEMORIAL HEALTH SYSTEM. THE CEO PAY IS DETERMINED BASED ON MARKET SURVEYS AND IS APPROVED BY THE LMHS BOARD OF DIRECTORS. COMPENSATION PROCESS FOR OFFICERS PAY IS DETERMINED BASED ON MARKET SURVEYS AND APPROVAL BY THE CEO.</Explanation>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEE MEMORIAL HEALTH SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>237966</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NCH HEALTHCARE SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>203984</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEE MEMORIAL HEALTH SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>368421</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NCH HEALTHCARE SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>77367</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEE MEMORIAL HEALTH SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>630314</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NCH HEALTHCARE SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>630314</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LEE MEMORIAL HEALTH SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>46304</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>