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        <FormAndLineReferenceDesc>Pt VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BY DEFINITION, THE MEMBERS OF THE MEDICAL STAFF ARE CONSIDERED MEMBERSAND GO THROUGH A RIGOROUS CREDENTIALING, APPLICATION AND REAPPLICATION PROCESS TO MAINTAIN AND OR ATTAIN THEIR ABILITY TO ADMIT AND OTHERWISE TREAT PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>THREE OF THE GOVERNING BOARD ARE ELECTED BY THE ACTIVE MEMBERS OF THE MEDICAL STAFF.ONLY THE IMMEDIATE PAST PRESIDENT SERVES ON THE GOVERNING BOARD WITHOUT CURRENT ELECTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGES TO THE BYLAWS REQUIRE APPROVAL OF THE MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>ONCE THE 990 IS PREPARED IT IS SENT IN DRAFT FORM TO THE GOVERNING BOARD. ALL MEMBERS OF THE BOARD ARE ASKED TO REVIEW THE FORM FOR COMPLETENESS AND OR QUESTIONS. THEY ARE ASKED TO PROVIDE THESE WITHIN TWO WEEK OF RECEIPT. ONCE ALL QUESTIONS ARE CLEARED A FINAL DRAFT IS SENT AND HELD FOR TWO WEEKS PENDING APPROVAL BY THE BOARD. ONCE APPROVED FILING OCCURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY PERSON DESIRING INFORMATION NEEDS TO CALL AND SCHEDULE AN APPOINTMENT THROUGH THE MEDICAL STAFF SERVICES OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Dues &amp; Subscriptions 10860. 10860.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Bank Service Charges 36. 36.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Credentialing 4516. 4516.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Continuing Medical Education 11000. 11000.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Office Expense 119. 119.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Funeral Expenses</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Meals &amp; entertainment 2195. 2195.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>State Tax</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Donation 10000. 10000.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Consulting Services</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Proctoring 9435. 9435.</ExplanationTxt>
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