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        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>In addition to responding to requests it receives, the organization relys on the websites of multiple organizations both private and governmental to make available 990s and governing documents.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Organization relys on data retrieved from similar orgainzations gathered by the American Assoc of Medical Colleges to set compensation levels.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Organization's general legal counsel requests annual conflict of interest statements from all director level and higher staff. These statements are assessed and appropriate action taken if necessary.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>It is the intention that the 990 be reviewed by the governing body before filing; including an initial review by the Exec Dir of Finance, a secondary review by the Finance Committee, and the final review and approval by the board of directors.</Explanation>
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          <City>Loma Linda</City>
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