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      <PrimaryExemptPurposeTxt>MEDAMERICA HEALTH SYSTEMS PROVIDES SUPPORT AND GUIDANCE TO VARIOUS AFFILIATED ORGANIZATIONS. THIS INVOLVES LONG-TERM PLANNING GOALS AND BROAD OPERATING POLICIES.</PrimaryExemptPurposeTxt>
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        <PersonNm>KATHLEEN A CARLSON</PersonNm>
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        <ExplanationTxt>THE RESPONSE TO 45A SHOULD BE YES. DUE TO AN ERROR IN THE IRS COMPUTER SYSTEM, WE HAVE CHANGED THIS RESPONSE TO NO, SO THE 990-EZ CAN BE ELECTRONICALLY ACCEPTED SINCE IT MEETS THE IRS REQUIREMENTS FOR FILING THE 990-EZ.</ExplanationTxt>
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