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        <ReturnReference>Part I, Line 5</ReturnReference>
        <Explanation>Additional salary supplements paid through the Corporation may be authorized from time to time from clinical service income subject to the specific written recommendation of the Department Chair and written approval of the Dean. Such supplements are subject to the availability of funds therefore, are discretionary in nature, and are not guaranteed. The payment of such a supplement does not guarantee futher supplements or affect the salary components.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 4</Identifier>
        <Explanation>The organization made changes to its Articles of Incorporation during 2010. Please see attached: Restated Articles of Incorporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The Chief Financial Officer reviews the data compiled by the Director of Corporate Taxes before it is sent to the Tax Accountants for preparation. The Chief Financial Officer reviews the completed draft of Form 990 received from the Tax Accountants. The Executive Director/Treasurer reviews the completed return, signs it, and forwards a copy to the board of directors for review before submitting it to the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>The Executive Director's salary is reviewed and approved by the Dean of Marshall University's School of Medicine in his capacity as both Dean of the parent organization and ex officio chair of the Corporation's Board of Directors. Comparative salary information is received and reviewed by the Dean from the Association of American Medical Colleges' Group on Business Affairs and Group on Faculty Practice as well as the Medical Group Management Association. Salaries of all major clinical department chairs (line officers) are also reviewed and approved utilizing the same process.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 18</Identifier>
        <Explanation>The governing documents are not available for public review, the conflict of interest policy is not available for public review, but is distributed among departments within the Corporation. The financial statements can be accessed by letter, in person or via web search. Form 990 is available for for public review upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The governing documents are not available for public review, the conflict of interest policy is not available for public review, but is distributed among departments within the Corporation. The financial statements can be accessed by letter, in person or via web search.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XI, LINE 2C</Identifier>
        <ReturnReference>CLARIFICATION OF ITEM MARKED YES</ReturnReference>
        <Explanation>The finance committee oversees the audit of the financial statements. The committee has not changed since the prior year. However, due to changes in the board of directors for FYE 2011, there will only be four voting board members. Therefore, a separate finance committee is not considered necessary.</Explanation>
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          <City>Huntington</City>
          <State>WV</State>
          <ZIPCode>25701</ZIPCode>
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        <EIN>556000789</EIN>
        <PrimaryActivities>Higher Education</PrimaryActivities>
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