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        <Identifier>FORM 990, PART VI, SECTION A, LINE 2</Identifier>
        <Explanation>A. JASON GEISINGER AND NANCY GEISINGER HAVE A FAMILY RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 3</Identifier>
        <Explanation>MANAGEMENT OF THE OPERATIONS IS PERFORMED BY GORDON HEALTHCARE MANAGEMENT,INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>PRIOR TO FILING WITH THE IRS, THE CFO AND BOARD CHAIR REVIEWS THE 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>ROUNDING 1. TOTAL TO FORM 990, PART XI, LINE 5: 1.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS ASSUMES OVERSIGHT AND RESPONSIBILITY OF THE FINANCIAL STATEMENTS AND SELECTION OF THE AUDITOR.</Explanation>
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          <State>MA</State>
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        <AmountInvolved>929156</AmountInvolved>
        <MethodOfAmtDetermination>LEASE AGREEMENT</MethodOfAmtDetermination>
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