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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>1. MS. CHRISTOFFERSEN AND MS. NIERMANN HAVE A BUSINESS RELATIONSHIP. 2. DR. K. NOWELL AND DR. BUNTINAS HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS PROVIDE THAT A SPECIFIED NUMBER OF DIRECTORS SHALL BE DESIGNATED BY ST. LUKE'S METHODIST HOSPITAL AND BY PHYSICIANS' CLINIC OF IOWA, P.C. ADDITIONAL DIRECTORS ARE ELECTED BY THE BOARD OF DIRECTORS. NEITHER ST. LUKE'S METHODIST HOSPITAL OR PHYSICIANS' CLINIC OF IOWA, P.C. HAVE THE AUTHORITY TO APPOINT OR REMOVE A MAJORITY OF THE DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS PROVIDE THAT CERTAIN ACTIONS ARE SUBJECT TO REVIEW AND/OR APPROVAL BY ST. LUKE'S METHODIST HOSPITAL LOCATED IN CEDAR RAPIDS, IOWA.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE ADMINISTRATIVE DIRECTOR OF THE FILING ORGANIZATION AND BY THE VICE PRESIDENT OF OPERATIONS OF ST. LUKE'S METHODIST HOSPITAL. THE FORM 990 IS PROVIDED TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ANY AND ALL BUSINESS RELATIONSHIPS WITH THE FILING ORGANIZATION AND/OR WITH EACH OTHER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
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</Return>
