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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS THE ORGANIZATION USES TO REVIEW THE FORM 990 IS THE BUSINESS MANAGER, BILLER/CODER AND CEO ALL REVIEW THE FORM 990 PRIOR TO FILING. THE BOARD FINANCE COMMITTEE RECOMMENDS TO THE BOARD FOR APPROVAL. THE BOARD APPROVES THE FILED FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS ARE REQUIRED ONCE A YEAR TO SIGN AND DISCLOSE ANY OR ALL CONFLICTS OF INTEREST BEFORE BEING ADMITTED FOR ANOTHER YEAR AS A MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD USED AN OUTSIDE CONSULTANT WHO UTILIZED COMPARABLE DATA (I.E. FEDERAL REGULATIONS, PRIMARY CARE REGULATIONS, CLINICS) TO DETERMINE THE SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS INFORMATION IS KEPT ON FILE AT THE CLINIC IN THE CEO'S OFFICE AND IS AVAILABLE BY REQUEST THROUGH THE FREEDOM OF INFORMATION ACT.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -1,163,409. ROUNDING</ExplanationTxt>
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  </ReturnData>
</Return>