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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT MANAGEMENT FEES - -28950</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>RESTRICTED CONTRIBUTIONS - 99000 LOSS ON DISPOSAL - -319126 RENT EXPENSES - -1463578</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>RENT EXPENSES - 1463578</ExplanationTxt>
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        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. The 990 is reviewed by the Board of Directors at its regular meeting prior to filing. The committee meets the fourth Thursday of each month. The CFO reviews the 990 before it is filed.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST FORMS ARE DISTRIBUTED ANNUALLY BY THE DIRECTOR OF HUMAN RESOURCES. THESE ARE REVIEWED BY THE CEO TO ENSURE COMPLIANCE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL EVALUATION OF THE CEO. QUESTIONNAIRES RELATED TO THE CEO'S PERFORMANCE ARE COMPLETED BY A RANDOM SAMPLE OF DEPARTMENT HEADS AND MEMBERS OF THE SENIOR LEADERSHIP TEAM. THESE ARE RETURNED TO THE CHAIR OF THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE INTERVIEWS THE CEO, EVALUATES THE RESPONSES FROM THE STAFF AND CONSIDERS THE PERFORMANCE OF THE ORGANIZATION DURING THE YEAR. RECOMMENDATION IS THEN MADE ON WHETHER TO ADJUST THE CEO'S SALARY. NEW RIVER HEALTH ASSOCIATION USED ELEMENTONE CONSULTING TO CONDUCT THE MOST RECENT COMPENSATION SURVEY.</ExplanationTxt>
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        <ExplanationTxt>GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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