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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621498</BusinessCd>
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        <USAddress>
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          <CityNm>Edgartown</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Island Health Care was approximately 75% complete with construction of a new 4 chair dental facility</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All officers, directors, and key employees are required to complete an annual conflict of interest disclosure form. Disclosures are reviewed by the Board, and any potential conflicts identified during the year are reported to and reviewed by the full Board. Affected individuals recuse themselves from related discussions and votes, and the organization documents its review and any actions taken in the Board meeting minutes.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The Board chair evaluates the CEO and makes a recommendation to the Board using the Mass League Compensation Study as a general guide.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents and financial statements are available at the organization's offices upon request. The financial statements are also available through the Massachusetts Attorney General's Division of Public Charities' offices.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>This includes Answering Services, Enabling Services, Behavioral Health Services, Consulting Services, Contract Services and Public Health Nurse Services.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Island Health obtained a Line of Credit with MV Bank for $250,000 beginning on May 22, 2024. The interest rate is 7.25%.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 9 reflects an adjustment of ($2,429,151) representing the difference between the beginning net asset balance reported on the prior year Form 990 and the net asset balance reflected in the organization's current accounting records. This difference is under review in connection with the ongoing audit of prior year financial statements and will be corrected upon amendment of the applicable prior year returns.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2a</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's financial statements for the fiscal year ended June 30, 2024 had not been compiled, reviewed, or audited by an independent accountant as of the filing date of this return. An independent audit of the fiscal year 2023 financial statements is currently in progress, and an audit of the fiscal year 2024 financial statements is anticipated to follow.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's financial statements for the fiscal year ended June 30, 2024 had not been compiled, reviewed, or audited by an independent accountant as of the filing date of this return. An independent audit of the fiscal year 2023 financial statements is currently in progress, and an audit of the fiscal year 2024 financial statements is anticipated to follow.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <ReasonableCauseExplanation documentId="R000008" softwareId="23018249" softwareVersionNum="v1.00">
      <ExplanationTxt>Additional time was needed to file a complete and accurate return</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>