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      <ProgramServiceRevenueGrp>
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      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
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        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>LOBBYING ACTIVITIES INCLUDE 19% OF THE DUES PAID TO THE ARKANSAS HOSPITAL ASSOCIATION AND 39% OF THE DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION.</ExplanationTxt>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <HowDataObtainedInd>X</HowDataObtainedInd>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - DEWITT HOSPITAL &amp; NURSING HOME INC. Public participation was intentionally positioned as a cornerstone of the process. The DeWitt Hospital and Nursing Home steering committee collaborated with the Arkansas Rural Health Partnership (ARHP) to design a robust model for community engagement. To gather a wide range of perspectives, the steering committee created a Community Advisory Committee with local leaders and health professionals. This committee was key to the success of the Community Health Needs Assessment (CHNA), using their local connections and knowledge of the community to ensure a broad representation of the population. This approach made the process more efficient and ensured the CHNA was deeply rooted in the community, leading to a more accurate and comprehensive understanding of local health needs. During CHNA meetings, staff from the Arkansas Rural Health Partnership (ARHP) presented an overview of the CHNA framework, shared local health statistics, and guided participants through the 2025 CHNA survey. Committee members then helped distribute the survey by engaging neighbors, colleagues, and local organizations. To make sure the survey was accessible to everyone, it was also made available online on the DeWitt Hospital and Nursing Home and ARHP websites, along with other community platforms. Following the collection of survey responses, ARHP staff conducted a detailed data analysis and presented the findings during an advisory committee meeting. During this session, participants reviewed survey results, engaged in structured discussion regarding the most pressing health issues, and collaboratively identified key community priorities. These priorities became the foundation for a comprehensive implementation plan developed by the steering committee, with the goal of generating measurable and sustainable improvements in community health. Implementation of these strategic action plans will occur over a three-year period, with the hospital steering committee convening annually with the advisory committee to monitor progress and make necessary adjustments.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - DEWITT HOSPITAL &amp; NURSING HOME INC. THE TOP TWO ISSUES IDENTIFIED BY THE 2025 CHNA PROCESS WERE: 1. Expand Availability of Specialty Services OBJECTIVE 1: To increase the accessibility and range of specialty medical services available to patients at DHNH by: - Explore Increasing the Frequency of Visiting Specialists by strengthening partnerships with regional specialty providers to bring ENT, cardiology, and OB/GYN specialists to DHNH on a regular basis. - Enhance Tele-Specialty Care: Expand telehealth consultations for ENT, cardiology, endocrinology, prenatal care, and behavioral therapy, reducing the need for patients to travel out of the county. - Establish Specialty Care Coordination Services: Develop a patient referral network in collaboration with ARHP and partners, ensuring efficient referrals to out-of-county specialists when necessary. 2. Enhancing Awareness of Available Healthcare Services OBJECTIVE 1: To significantly improve the community's knowledge and understanding of the healthcare services available by: - Develop a Community Outreach &amp; Education Initiative: Launch a targeted outreach campaign using social media, local newspapers, and community events to increase awareness of healthcare services at DHNH. - Revisit Partnerships with Local Organizations to Strengthen Partnerships: Work with churches, schools, businesses, and civic groups to distribute healthcare information and host educational events. - Enhance Direct Patient Communication: Explore Community Health Worker opportunities and ways to grow these services to ensure residents receive personalized guidance on available healthcare options.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - DEWITT HOSPITAL &amp; NURSING HOME INC. PATIENTS ARE INFORMED OF THE CHARITY POLICY WHEN THEY CALL TO MAKE PAYMENT ARRANGEMENTS AND THE APPLICATION IS MAILED TO THE PATIENT.</ExplanationTxt>
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      <FacilityNum>2</FacilityNum>
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          <BusinessName>
            <BusinessNameLine1Txt>DEWITT NURSING HOME</BusinessNameLine1Txt>
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            <AddressLine1Txt>1605 SOUTH MADISON STREET</AddressLine1Txt>
            <CityNm>DEWITT</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72042</ZIPCd>
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          <FacilityTxt>NURSING HOME</FacilityTxt>
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            <AddressLine1Txt>1641 SOUTH WHITEHEAD DRIVE</AddressLine1Txt>
            <CityNm>DEWITT</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72042</ZIPCd>
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          <FacilityTxt>CLINIC</FacilityTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO (CALCULATED USING WORKSHEET 2) WAS USED FOR LINE 7 AMOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO COLLECT ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND AS SUCH ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACTS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNTS WERE PULLED FROM THE MOST RECENT "AS FILED" MEDICARE COST REPORT. THE HOSPITAL FOLLOWS CHA COMMUNITY BENEFIT GUIDELINES AND DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL WILL NOT INITIATE ANY EXTRAORDINARY COLLECTION ACTIONS FOR AT LEAST ONE HUNDRED TWENTY (120) DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT FOR THE CARE AT ISSUE. THE HOSPITAL WILL ACCEPT FAP APPLICATION AT LEAST SIXTY (60) DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. THE HOSPITAL WILL SUSPEND ANY EXTRAORDINARY COLLECTION ACTIVITIES IF AN FAP APPLICATION IS ANYTIME DURING THE SIXTY (60) DAY APPLICATION PERIOD. FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, DEWITT HOSPITAL &amp; NURSING HOME MAY OFFER EXTENDED PAYMENT PLANS. IN THESE CASES, THE HOSPITAL WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES AND WILL CEASE ALL COLLECTION EFFORTS</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- DEWITT HOPSITAL &amp; NURSING HOME, INC: Line 16a URL: https://dewitthealth.org/financial-assistance;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- DEWITT HOPSITAL &amp; NURSING HOME, INC: Line 16b URL: https://dewitthealth.org/financial-assistance;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- DEWITT HOPSITAL &amp; NURSING HOME, INC: Line 16c URL: https://dewitthealth.org/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>UTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS WELL AS REPORTS SHOWING PERCENT OF ACTIVITY OF COMMUNITY BY PAYOR SOURCE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL INFORMS PATIENTS UPON ADMISSION, DISCHARGE, AND POSTS NOTICES OF FINANCIAL ASSISTANCE IN CONSPICUOUS AREAS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>The DeWitt Hospital &amp; Nursing Home (DHNH) was established in 1963 as an integrated hospital and nursing home and has operated as a foundation healthcare pillar in Arkansas County since. For most of its history DHNH functioned as federal Critical Access Hospital (CAH) limited to 25 acute care beds. Facing mounting financial pressures common among rural hospitals, DHNH undertook a significant structural change in January 2010, converting its legal status from a public organization to a private, 501(c)3 not-for-profit organization. This conversion was not merely administrative; it was an essential, proactive financial intervention aimed at institutional solvency. In May 2024, DHNH converted to a Rural Emergency Hospital (REH) demonstrating a profound institutional resilience and an adaptable operational strategy. DHNH has successfully navigated severe systemic headwinds to ensure continuous healthcare access for the population of Arkansas County. DHNH PRIMARILY SERVES ARKANSAS COUNTY, WITH A POPULATION OF 15,612 PER 2024 COUNTY HEALTH RANKINGS. MEDIAN HOUSEHOLD INCOME IS $52,100 WITH 14.7% OF RESIDENTS LIVING IN POVERTY. 23% OF RESIDENTS ARE UNDER THE AGE OF 18 WHILE 21% ARE OVER THE AGE OF 65. ARKANSAS COUNTY IS A COUNTY LOCATED IN THE ARKANSAS DELTA, AND HAS TWO COUNTY SEATS, ONE IN DEWITT AND ONE IN STUTTGART. THE HEALTH AND WELLNESS OF THE RESIDENTS OF THE REGION BEAR WITNESS TO THE DEFICIT OF HEALTHCARE PROVIDERS. CHRONIC DISEASE RATES IN THE REGION ARE SOME OF THE HIGHEST IN THE COUNTRY. TO MAKE DEFINITIVE IMPROVEMENTS IN THE HEALTH STATUS OF SOUTH ARKANSAS DELTA RESIDENTS, A TWO-HANDED APPROACH IS REQUIRED. IT IS NOT ENOUGH TO PROVIDE PROGRAMS AND SERVICES TO PATIENTS WHEN THE HEALTHCARE SYSTEM DOES NOT HAVE THE INFRASTRUCTURE OR CAPACITY TO PROVIDE THE KIND OF CARE REQUIRED TO MEET THE NEED. UNFORTUNATELY, RESIDENTS OF THE DELTA FACE STAGGERING CHALLENGES THAT PEOPLE IN OTHER PARTS OF THE COUNTRY SIMPLY DO NOT ENCOUNTER. THE DELTA IS HOME TO ABJECT POVERTY, HIGH RATES OF UNEMPLOYMENT, AND EVER CLIMBING RATES OF PEOPLE LEAVING THE REGION FOR A BETTER LIFE. OUTWARD MIGRATION IS SO SEVERE IN THE REGION THAT SEVEN SCHOOLS HAVE CLOSED, AND TWO SCHOOLS CONSOLIDATED SINCE THE 2017-2018 SCHOOL YEAR. RURAL HEALTH SYSTEMS ARE FORCED TO COMPETE FOR A HANDFUL OF QUALIFIED HEALTHCARE PROFESSIONALS TO FILL THESE GAPS WITHOUT THE DRAW OF FLASHY PREP SCHOOLS, GROCERY STORES, AND PARKS THAT OFTEN ENTICE YOUNG PROFESSIONALS WITH FAMILIES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>OPEN MEDICAL STAFF AND COMMUNITY BOARD APPOINTED BY THE MAYOR. AMBULANCE SERVICES ARE PROVIDED AT COMMUNITY EVENTS AT NO CHARGE. THE HOSPITAL ALSO ADMINISTERS FREE BLOOD PRESSURE CHECKS. THE HOSPITAL IS INVOLVED IN CLEAN UP ARKANSAS ACTIVITIES, BLOOD DRIVES, AND HOLDS AN EDUCATIONAL INFORMATION BOOTH AT THE COUNTY FAIR TO BRING HEALTH AWARENESS TO THE GENERAL PUBLIC. DEWITT HOSPITAL AND NURSING HOME IS ACTIVE THROUGHOUT ARKANSAS COUNTY IN SPONSORING HEALTH FAIRS, EDUCATIONAL PROGRAMS, FREE HEALTH SCREENINGS AND OTHER ACTIVITIES TO PROMOTE THE HEALTH OF THE CITIZENS OF ARKANSAS COUNTY. DHNH IS AN ACTIVE MEMBER OF THE ARKANSAS COUNTY HOMETOWN HEALTH INITIATIVE PROJECT, WHICH IS A PROGRAM OF THE ARKANSAS DEPARTMENT OF HEALTH. THE HOMETOWN HEALTH INITIATIVE (HHI) BRINGS TOGETHER A WIDE RANGE OF PEOPLE AND ORGANIZATIONS INCLUDING CONSUMERS, BUSINESS LEADERS, AND HEALTH CARE PROVIDERS OF ALL TYPES, TO DEVELOP AND IMPLEMENT WAYS TO SOLVE HEALTH ISSUES IN EACH COUNTY. THE D-HHIP STRESSES: - COLLABORATION, - COALITION BUILDING, - COMMUNITY HEALTH ASSESSMENTS, - PRIORITIZATION OF HEALTH ISSUES, AND - THE DEVELOPMENT AND IMPLEMENTATION OF COMMUNITY HEALTH STRATEGIES THAT ARE LOCALLY DESIGNED AND SUSTAINED. DEWITT HOSPITAL &amp; NURSING HOME CURRENTLY PARTICIPATES IN SEVERAL HEALTH OUTREACH EFFORTS THROUGH ITS AFFILIATION WITH THE ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP). ARKANSAS RURAL HEALTH PARTNERSHIP IS A 501(C)(3) NON-PROFIT, HORIZONTAL HOSPITAL ORGANIZATION COMPRISED OF TWELVE, INDEPENDENTLY OWNED, SOUTH ARKANSAS RURAL HOSPITALS COMMITTED TO WORKING TOGETHER THROUGHOUT THE SOUTH ARKANSAS DELTA REGION TO: IMPROVE THE DELIVERY OF HEALTHCARE SERVICES, INCREASE ACCESS TO HEALTH CARE SERVICES &amp; PROGRAMS, PROVIDE HEALTHCARE PROVIDER EDUCATION OPPORTUNITIES, INCREASE THE UTILIZATION OF TELE HEALTH &amp; TELE MEDICINE TECHNOLOGY, PROMOTE HEALTHY LIFESTYLES, ASSIST COMMUNITY MEMBERS WITH PATIENT ASSISTANCE PROGRAMS, AND REDUCE SERVICE &amp; OPERATIONAL COSTS FOR HOSPITAL MEMBERS THROUGH COLLABORATIVE NEGOTIATION AND PURCHASING.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule L, Part IV, Column (b) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION</FormAndLineReferenceDesc>
        <ExplanationTxt>BRIAN MILLER (OFFICER) OWNS &gt;35%</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 3 Significant changes in program services</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE MAY 27, 2024 THE ORGANIZATION CONVERTED TO A RURAL EMERGENCY HOSPITAL. IN ORDER TO BE COMPLIANT WITH REH RULES, THE ORGANIZATION NO LONGER OPERATES ANY INPATIENT BEDS OTHER THAN SKILLED NURSING, AND THE ORGANIZATION NO LONGER PARTICIPATES IN THE 340B PROGRAM.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 A&amp;B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR TOP MANAGEMENT OFFICIALS, OFFICERS, AND HIGHEST COMPENSATED EMPLOYEES ARE REVIEWED AND APPROVED BY THE BOARD.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE BOARD CHAIR, CHIEF FIANANCIAL OFFICER, AND CHIEF EXECUTIVE OFFICER BEFORE FILING.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
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        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FROM ADMINISTRATION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSIDE SERVICE FEES - Total Expense: 3047960, Program Service Expense: 2316602, Management and General Expenses: 731358, Fundraising Expenses: 0; CONSULTANT FEES - Total Expense: 225499, Program Service Expense: 171391, Management and General Expenses: 54108, Fundraising Expenses: 0; REPAIR FEES - Total Expense: 109437, Program Service Expense: 83178, Management and General Expenses: 26259, Fundraising Expenses: 0; COLLECTION FEES - Total Expense: 48034, Program Service Expense: 36508, Management and General Expenses: 11526, Fundraising Expenses: 0;</ExplanationTxt>
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