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        <CompensationAmt>228208</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Canton &amp; Company LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <ZIPCd>21224</ZIPCd>
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        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5469827</GovernmentGrantsAmt>
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        <RelatedOrExemptFuncIncomeAmt>11975899</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>2051001</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>889083</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>623000</BusinessCd>
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      <ProgramServiceRevenueGrp>
        <Desc>Other program services</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>171838</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>6846</ExclusionAmt>
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        <TotalRevenueColumnAmt>21171770</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>60516</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>6846</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ProgramServicesAmt>4870</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>766277</TotalAmt>
        <ProgramServicesAmt>293291</ProgramServicesAmt>
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        <ProgramServicesAmt>8189450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3693433</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>234617</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119515</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1061321</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>40117</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>50900</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1453751</TotalAmt>
        <ProgramServicesAmt>759414</ProgramServicesAmt>
        <ManagementAndGeneralAmt>694337</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>265152</TotalAmt>
        <ProgramServicesAmt>2274</ProgramServicesAmt>
        <ManagementAndGeneralAmt>262878</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>160294</ProgramServicesAmt>
        <ManagementAndGeneralAmt>594320</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>174318</TotalAmt>
        <ProgramServicesAmt>103</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174215</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>539840</ProgramServicesAmt>
        <ManagementAndGeneralAmt>328618</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>38033</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21953</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>74243</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58596</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>278239</ProgramServicesAmt>
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        <ProgramServicesAmt>193778</ProgramServicesAmt>
        <ManagementAndGeneralAmt>226894</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>20025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>159810</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>340B drugs/med supplies</Desc>
        <TotalAmt>1792762</TotalAmt>
        <ProgramServicesAmt>1792762</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Recruitment</Desc>
        <TotalAmt>244057</TotalAmt>
        <ProgramServicesAmt>3476</ProgramServicesAmt>
        <ManagementAndGeneralAmt>240581</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Provision for bad debts</Desc>
        <TotalAmt>205871</TotalAmt>
        <ProgramServicesAmt>205871</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Lab supplies</Desc>
        <TotalAmt>105538</TotalAmt>
        <ProgramServicesAmt>105538</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>11896</TotalAmt>
        <ManagementAndGeneralAmt>11896</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>22547051</TotalAmt>
        <ProgramServicesAmt>14544331</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8002720</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>684667</BOYAmt>
        <EOYAmt>242878</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>537655</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>101787</EOYAmt>
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        <EOYAmt>1090165</EOYAmt>
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        <EOYAmt>219239</EOYAmt>
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        <EOYAmt>225919</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>23598</EOYAmt>
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        <EOYAmt>11294591</EOYAmt>
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        <EOYAmt>2232257</EOYAmt>
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        <EOYAmt>5209372</EOYAmt>
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        <EOYAmt>944635</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>8391447</EOYAmt>
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        <EOYAmt>2595464</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>307680</EOYAmt>
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        <EOYAmt>2903144</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>11294591</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-1375281</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>1</GrantsOtherOrganizationsInd>
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        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>Lamoille Health Partners is a member of the Bi-State Primary Care Association. A portion of the dues paid to this organization was available for lobbying expenditures on behalf of Lamoille Health Partners and the other Association members in furtherance of their exempt purposes. At the time of filing this Form 990, the Association was unable to provide Lamoille Health Partners an estimate or amount for the portion of dues paid during this tax year that was available for lobbying. However, in past years, of the total dues paid, approximately 1.5% was determined to be used on lobbying expenditures. Accordingly, Lamoille Health Partners estimates that of the $23,367 in total dues paid during this year, approximately $351 may have been available for use by the Association on lobbying purposes. For transparency purposes, such has been reported on this Form 990, Schedule C, Part II-B, Line 1f.</ExplanationTxt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>205871</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>205871</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>22547051</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has been organized without capital stock and operates exclusively for charitable and/or educational purposes. The Organization complies with the provisions of Section 501(c)(3) of the Internal Revenue Code to operate as a not-for-profit organization and is exempt from income taxes. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. The Organization has evaluated the position taken on its filed tax returns. The Organization has concluded no uncertain income tax positions exist at September 30, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <CompensationSurveyInd>X</CompensationSurveyInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>Linda Zamvil MD</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>Stuart G May</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>11001</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>21664</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>Katherine Marvin MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>257209</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>Robert Quinn MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <PersonNm>Sara Davis DDS</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Simmons</PersonNm>
        <TitleTxt>CFO (end 2/2023)</TitleTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's Form 990 is prepared with the assistance of an independent public accounting firm. The draft is then thoroughly reviewed by the Finance Committee and other key financial staff. Once any changes are made, the Organization makes the Form 990 available for all Board Members to review via secure web portal, email, or in hard copy prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors fills out a conflict of interest questionnaire/disclosure form annually in April.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO compensation is determined and executed by the Board of Directors taking into consideration individual and organizational performance, experience, and comparable market rates for the position. All other officer and key employee compensation is determined by the CEO focusing on individual performance, experience, and utilizing outside compensation data.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy, audited financial statements, and Forms 1023 and 990 available to the public upon request at its central offices.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Column D:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization did not incur any fundraising expenses during the current fiscal year. All grants are received primarily from state and federal sources on an on-going basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The audit process has not changed from the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 16b:</FormAndLineReferenceDesc>
        <ExplanationTxt>While no policy or procedure that is written exists, in every instance where Lamoille Health Partners (LHP) has entered into a joint venture, LHP has secured legal advice to understand the implications of entering into an LLC agreement and its impact on the Organization's tax exempt status. This is the normal procedure followed to safeguard the Organization's tax exempt status for all LLC agreements. Previously, LHP's Schedule R listed several LLC entities as related organizations which constituted the Organization's joint ventures. The Organization has disposed of its interest in all joint ventures it previously participated in with taxable entities in previous tax years.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>