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        <RelatedOrExemptFuncIncomeAmt>14296635</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>-9255</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>55279</ExclusionAmt>
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        <BusinessCd>722320</BusinessCd>
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        <ExclusionAmt>91329</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Medical Records</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>5004</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5004</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>358156</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>137353</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>19399</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>179978</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8977</ProgramServicesAmt>
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        <ProgramServicesAmt>181699</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>220063</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>113312</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>10966</ProgramServicesAmt>
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        <ProgramServicesAmt>35177</ProgramServicesAmt>
        <ManagementAndGeneralAmt>186338</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>199011</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>4842917</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
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        <ProgramServicesAmt>702741</ProgramServicesAmt>
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        <ProgramServicesAmt>10959</ProgramServicesAmt>
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        <USAddress>
          <AddressLine1Txt>322 Coleman Street</AddressLine1Txt>
          <CityNm>Marlin</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76661</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.fallshospital.com</WebsiteAddressTxt>
        <StateLicenseNum>00517</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Falls Community Hospital &amp; Clinic Inc</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>www.fallshospital.com</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>21</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>www.fallshospital.com</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.0</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>HTTPS://FALLSHOSPITAL.COM/PATIENT-INFORMATION/</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>HTTPS://FALLSHOSPITAL.COM/PATIENT-INFORMATION/</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>HTTPS://FALLSHOSPITAL.COM/PATIENT-INFORMATION/</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Falls Community Hospital &amp; Clinic, Inc.. IN 2021 THE HOSPITAL CONDUCTED FOCUS GROUP MEETINGS TO DISCUSS THE HEALTH NEEDS OF THE COMMUNITY WITH REPRESENTATIVES FROM THE FOLLOWING CONSTITUENCIES: MARLIN CITY MAYOR, COUNTY PUBLIC SAFETY OFFICERS AND FIRE DEPARTMENT, DISTRICT ATTORNEY, MARLIN HOUSING AUTHORITY, FALLS COUNTY EXTENSION AGENT, GOLDEN YEARS NURSING HOME ADMINISTRATOR AND STAFF, AMD EMERGENCY MEDICAL SERVICES (EMS), HEART OF TEXAS MHMR, MARLIN INDEPENDENT SCHOOL DISTRICT, COMMUNITY NON-PROFIT ORGANIZATION LEADERS, DIVERSE PRIVATE CITIZENS, BUSINESS LEADERS, FCHC ADMINISTRATOR AND DEPARTMENT LEADERS, FCHC BOARD OF DIRECTORS, AND ADVANCED PRACTICE PROFESSIONALS, AND OTHER HEALTHCARE WORKERS. ADDITIONALLY, SOME RESIDENTS WITHIN THE CITY AND SERVICE AREA WERE RANDOMLY ASKED ABOUT THEIR PERCEPTIONS OF THE LOCAL HOSPITAL AND ACCESS TO HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Falls Community Hospital &amp; Clinic Inc. THE CHNA IDENTIFIED THE FOLLOWING NEEDS TO ADDRESS IN THE IMPLEMENTATION STRATEGY: EMERGENCY MEDICAL SERVICES (EMS / AMBULANCE) - TIMELY RESPONSE IS CRITICAL IN EMERGENCY SITUATIONS. THE SINGLE BIGGEST NEED ECHOED THROUGHOUT THE COUNTY IS FASTER EMS RESPONSE TO EMERGENCIES. FCHC IS LOOKING INTO OPTIONS THROUGH COLLABORATION WITH OTHER FALLS COUNTY OFFICES, GRANTS, AND/OR OTHER MEANS TO IMPROVE THE EMS SERVICE IN FALLS COUNTY. COMMUNITY COMMUNICATION, AWARENESS, &amp; COLLABORATION - THE CITY OF MARLIN AND FALLS COUNTY OFFERS DEDICATED PEOPLE, LOCAL BUSINESSES, AND GROUPS WHO ARE ACTIVELY ENGAGED IN PROVIDING GOOD SERVICES. LIKE MOST COMMUNITIES, HOWEVER, THESE GROUPS OFTEN WORK INDEPENDENTLY WITH LITTLE INTERACTION, COLLABORATION, OR JOINT PLANNING AMONG EACH OTHER. ENTHUSIASTIC DISCUSSION BROKE OUT DURING THE COMMUNITY FOCUS GROUP SESSIONS AS PARTICIPANTS BEGAN LEARNING FROM EACH OTHER ABOUT RESOURCES THAT EACH OFFERED. A DESIRE WAS CREATED TO CONTINUE THESE DISCUSSIONS AND COLLABORATE ON WAYS THAT THEY MAY COLLECTIVELY ENGAGE IN EFFORTS TO IMPROVE THE LIFE, HEALTH, AND WELLBEING OF THOSE LIVING IN FALLS COUNTY. INFORMAL NETWORKS FOR COLLABORATION CAN BE VERY EFFECTIVE. COMMUNITY HEALTH EDUCATION, OUTREACH, AND COLLABORATION - COMMUNITY HEALTH EDUCATION AND EXPANDED OUTREACH IS OFFERED AS A PRIMARY RECOMMENDATION. FCHC HAS RECEIVED SEVERAL GRANTS TO PROMOTE HEALTH AND VACCINE AWARENESS AND IS UTILIZING THE FUNDS TO PROVIDE EDUCATION AND BUILD VACCINE CONFIDENCE. IN ADDITION, FCHC IS COLLABORATING WITH FALLS COUNTY AG EXTENSION OFFICE, COMMUNITIES IN SCHOOLS, AND OTHER AGENCIES TO PARTICIPATE IN JOINT EVENTS PROMOTING HEALTH AND WELLNESS. MENTAL HEALTH - BASED UPON COMMUNITY RESPONSE AND PUBLIC DATA, MENTAL HEALTH RANKS AS A PRIORITY HEALTH NEED IN FALLS COUNTY. ISSUES OF MENTAL HEALTH ARE COMPLEX AND TYPICALLY LINKED TO ENVIRONMENTAL FACTORS BEYOND THE SCOPE OF THE HOSPITAL, MEDICAL PROVIDERS, OR ANY SINGLE ORGANIZATION. THE ROOT CAUSES OR RESULTS OF MENTAL HEALTH ISSUES ARE OFTEN LINKED TO SOCIAL ISSUES LIKE UNEMPLOYMENT, POVERTY, NUTRITION, DRUG ABUSE, FAMILY DISFUNCTION, EDUCATION, HOUSING, AND OTHER FACTORS. MENTAL HEALTH, REGARDLESS OF CAUSES, IMPACTS THE PHYSICAL HEALTH AND WELLBEING OF INDIVIDUALS. A NEED EXISTS FOR BOTH IMPROVED AWARENESS OF AND LOCAL ACCESS TO MENTAL HEALTH COUNSELING SERVICES IN MARLIN. FALLS COMMUNITY HOSPITAL HAS PARTNERED WITH TEXAS A&amp;M TO PROVIDE FREE BEHAVIORAL HEALTH SERVICES THROUGH TELEMEDICINE AT OUR CLINIC IN ROSEBUD. TELEHEALTH IS ALSO BEING USED EFFECTIVELY IN COUNTIES ACROSS TEXAS TO EXPAND ACCESS TO PSYCHIATRY AND OTHER MENTAL HEALTH SERVICES. CONSULTATIVE SERVICES CAN BE ACCESSED LOCALLY BY PATIENTS WHILE LINKED TO REMOTE PROVIDERS. EXPANSION OF TELEHEALTH SHOULD BE CONSIDERED AS AN OPTION FOR EXPANDING LOCAL ACCESS TO MENTAL HEALTH. CHRONIC DISEASE SELF-MANAGEMENT - THE PROGRAMS SEEK TO TEACH PATIENTS TO TAKE CHARGE OF THEIR OWN HEALTH THROUGH EDUCATION, ACTIVE MONITORING, AND BEHAVIORAL ADJUSTMENTS. MANY WHO SUFFER FROM CHRONIC DISEASE SUCH AS DIABETES, HYPERTENSION, COPD, CHF, AND OTHER ILLNESSES HAVE LOW INCOME AND LACK INSURANCE TO AFFORD A PERSONAL PRIMARY CARE PRACTITIONER OR PURCHASE MEDICATION. EACH NEW PATIENT RECEIVES A BASELINE EVALUATION WITH AN ADVANCED PRACTICE PROVIDER (NURSE PRACTITIONER OR PHYSICIAN ASSISTANT) AND A "MEDICAL HOME" PLACE TO RETURN FOR MONITORING AND CHECK-UP. THE PROGRAM PROVIDES THE PATIENT WITH NUTRITIONAL CONSULTS AND PERSONALIZED EDUCATION ON HOW TO MANAGE THEIR SPECIFIC DISEASE. THE GOAL IS TO ENGAGE THE PATIENT IN IMPROVING THEIR OVERALL HEALTH AND WELLBEING AND PROVIDE A MEANINGFUL CONTINUUM OF CARE WITH AN ESTABLISHED PROVIDER. AN ADDED BENEFIT IS TO REDUCE UNFUNDED UTILIZATION OF THE ED FOR CHRONIC CARE VISITS THAT CAN BE MORE APPROPRIATELY MANAGED IN A LOWER COST SETTING. MARLIN RHC'S PHYSICIANS ARE IMPLEMENTING NEW PROGRAMS TO EDUCATE PATIENTS DURING THEIR VISIT AND TRAINING PROVIDERS AND STAFF ON THE IMPORTANCE OF PATIENT EDUCATION. DRUG ABUSE - DRUG ABUSE IS WIDELY RECOGNIZED AS A MAJOR PROBLEM IN FALLS COUNTY, AS WELL AS THE STATE OF TEXAS. ILLEGAL DRUG USAGE ADVERSELY IMPACTS THE ENTIRE COUNTY, BOTH THE PUBLIC SECTOR AND PRIVATE SECTOR. THERE IS NO SINGLE SOURCE SOLUTION TO REDUCING ILLEGAL DRUG USAGE. THE PROBLEM MUST BE ADDRESSED AS A COMMUNITY PROBLEM AND RECEIVE INPUT FROM MULTIPLE SECTORS OF THE COUNTY. FALLS COMMUNITY HOSPITAL HAS CREATED NEW POLICIES REGARDING ADMINISTRATION OF NARCOTICS AND PAIN MANAGEMENT. WATER - SUPPLY AND DISTRIBUTION OF SAFE HOUSEHOLD WATER SHOULD BE CONTINUED FOR IMPROVEMENT BY THE CITY OF MARLIN. ACCESS TO SAFE WATER IS A BASIC ESSENTIAL TO COMMUNITY HEALTH. THE CITY OF MARLIN IS CONSTANTLY WORKING TO MAKE UPGRADES TO THE WATER SYSTEM IN MARLIN. FCHC REPRESENTATIVES ARE ATTENDING CITY WATER MEETINGS TO STAY UP TO DATE ON IMPROVEMENTS AND CURRENT CONDITIONS. ECONOMIC DEVELOPMENT AND SOCIAL INFRASTRUCTURE - COMMUNITY HEALTH IS HEAVILY IMPACTED BY SOCIAL AND ECONOMIC FACTORS SUCH AS JOBS, INCOME, HOUSING, EDUCATION. IT IS RECOMMENDED THAT LEADERS FROM THE PUBLIC AND PRIVATE SECTORS ASSESS NEEDS, RESOURCES AVAILABLE, AND OPPORTUNITIES TOGETHER IN AN EFFORT TO EXPAND JOBS, LOCAL EMPLOYMENT, AND TAX BASE. CREATING JOBS AND IMPROVING ECONOMIC DEVELOPMENT WILL HELP TO IMPROVE THE SOCIAL INFRASTRUCTURE, REDUCE GENERATIONAL POVERTY, AND INCREASE LOCAL TAX REVENUE THAT WILL ENABLE THE CITY AND COUNTY TO AFFORD TO PROVIDE MORE SERVICES. DUE TO LIMITED RESOURCES THE HOSPITAL HAS NOT ADDRESSED COMMUNITY COMMUNICATION, AWARENESS, &amp; COLLABORATION AND ECONOMIC DEVELOPMENT AND SOCIAL INFRASTRUCTURE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>3</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FCHC Rural Health Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>307 LIVE OAK STREET</AddressLine1Txt>
            <CityNm>Marlin</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76661</ZIPCd>
          </USAddress>
          <FacilityTxt>Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FCHC Bremond Medical Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 S Main</AddressLine1Txt>
            <CityNm>Bremond</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76629</ZIPCd>
          </USAddress>
          <FacilityTxt>Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FCHC Rosebud Medical Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>312 N Stallworth</AddressLine1Txt>
            <CityNm>Rosebud</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76570</ZIPCd>
          </USAddress>
          <FacilityTxt>Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I Part I, Line 7, Column F</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE IN THE AMOUNT OF $4,842,917 WAS INCLUDED ON FORM 990, PART IX, LINE 25 IN TOTAL EXPENSES. HOWEVER, THIS AMOUNT WAS EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF PATIENT CARE COST TO CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State Filing of Community Benefit Report</FormAndLineReferenceDesc>
        <ExplanationTxt>Not applicable for 2024 fiscal year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B Compliance with 501r</FormAndLineReferenceDesc>
        <ExplanationTxt>FALLS COMMUNITY HOSPITAL &amp; CLINIC, INC. IDENTIFIED A FEW AREAS WHERE THEY WERE NOT YET FULLY COMPLIANT WITH THE FINAL 501R REGULATIONS. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) DOES NOT INCLUDE ALL THE INFORMATION NEEDED TO MEET THE REQUIREMENTS UNDER SECTION 501(R)(4). SOME OF THE LANGUAGE MISSING FROM THE FAP INCLUDES THE FOLLOWING: -DESCRIPTION OF THE METHOD USED TO CALCULATE THE AMOUNTS GENERALLY BILLED TO PATIENTS -A LIST OF PROVIDERS OR DESCRIPTION OF THE DEPARTMENTS, CLINICS, PRACTICES, ETC. DELIVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE COVERED OR NOT COVERED BY THE FAP THE HOSPITAL ALSO IDENTIFIED THAT THE FAP DOES NOT INCLUDE ANY LANGUAGE IDENTIFYING ANY EXTRAORDINARY COLLECTION ACTIONS. THE HOSPITAL'S PERSONNEL AND MANAGEMENT ARE WORKING DILIGENTLY TOWARD CORRECTING THE POLICIES TO MEET THE REGULATIONS. ANY ADDITIONAL FAILURES TO COMPLY WILL BE CORRECTED AS THEY ARE IDENTIFIED. TOP MANAGEMENT WILL MONITOR THE COMPLIANCE ANNUALLY TO CONFIRM THE HOSPITAL CONTINUES TO STAY COMPLIANT WITH THE REQUIREMENTS UNDER 501R.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Financial Assistance and Certain Other Community Benefits at Cost</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. THE COST COMPUTED ON WORKSHEET 6 AND 8 WAS FROM THE HOSPITAL'S INCOME STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>FACTORS OTHER THAN FPG DETERMINING FREE OR DISCOUNTED CARE: THE HOSPITAL USES THE FOLLOWING CRITERIA TO DETERMINE ELIGIBILITY FOR FREE CARE: - MEDICAL INDIGENCY - INSURANCE STATUS - RESIDENCY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>4842917</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE END OF EACH INTERIM PERIOD AND AT YEAR END, WE CALCULATE AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS USING AGGREGATED INFORMATION ABOUT PATIENT ACCOUNTS RECEIVABLE AND RECENT HISTORICAL STATISTICS ABOUT THE AMOUNTS THAT WE HAVE COLLECTED ON SIMILAR ACCOUNTS AS DEFINED BY PAYER CLASSIFICATION AND THE AGE OF THE RECEIVABLE. BAD DEBT EXPENSE/RECOVERY IS THE AMOUNT OF THE ADJUSTMENT NECESSARY AT THE END OF EACH PERIOD BASED ON OUR ANALYSIS PLUS THE SUM OF THE AMOUNTS ACTUALLY WRITTEN OFF TO BAD DEBT DURING THE PERIOD. WRITE OFFS FOR PATIENTS THAT QUALIFY FOR CHARITY AND INDIGENT CARE WILL NOT BE INCLUDED IN BAD DEBT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS UNABLE TO ESTIMATE THE AMOUNT FOR LINE 3 AND HAS LEFT IT BLANK.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT APPLICABLE DUE TO THE ADOPTION OF ASU TOPIC 606 REVENUE FROM CONTRACTS WITH CUSTOMERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICAL CENTER USES COST REPORT METHODOLOGY, WHICH APPORTIONS ANCILLARY COSTS BASED ON MEDICARE OR MEDICAID COSTS BASED ON PROGRAM CHARGES TO TOTAL CHARGES. IN ADDITION, THE STATE OF TEXAS TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT FOR MEETING STATUTORY REQUIREMENTS FOR CHARITY CARE AND COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COLLECTION POLICY STATES THAT AN ITEMIZED STATEMENT IS SENT TO THE COLLECTIONS COUNSELOR FOR VERIFICATION OF CHARITY COVERAGE AND ADJUSTMENT FOR THOSE WHO HAVE QUALIFIED FOR CHARITY ASSISTANCE. ONCE A PATIENT HAS BEEN DETERMINED TO QUALIFY FOR THE HOSPITAL'S CHARITY ASSISTANCE POLICY, NO ADDITIONAL COLLECTION EFFORTS WILL BE MADE ON THAT ACCOUNT IN EXCESS OF THE CO-PAY REQUIRED OF THAT PATIENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Falls Community Hospital &amp; Clinic Inc: Line 16a URL: HTTPS://FALLSHOSPITAL.COM/PATIENT-INFORMATION/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Falls Community Hospital &amp; Clinic Inc: Line 16b URL: HTTPS://FALLSHOSPITAL.COM/PATIENT-INFORMATION/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- Falls Community Hospital &amp; Clinic Inc: Line 16c URL: HTTPS://FALLSHOSPITAL.COM/PATIENT-INFORMATION/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>FALLS COMMUNITY HOSPITAL PERFORMS A REGULAR ASSESSMENT OF THE COMMUNITY POPULATION AND FACILITIES TO DETERMINE NEEDS IN THEIR AREA. FALLS COMMUNITY HOSPITAL THEN IDENTIFIES STRATEGIES TO MEET THOSE NEEDS THROUGH IMPROVED PHYSICIAN RECRUITING, ADDITIONAL SERVICES, OR INCREASING PUBLIC AWARENESS OF SERVICES AND PROGRAMS OFFERED BY THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE FOR PATIENTS UNABLE TO PAY FOR HEALTH CARE IS AVAILABLE AND PUBLICIZED. IT IS POSTED IN THE LOCAL NEWSPAPER AT LEAST ANNUALLY AND IS POSTED NEAR THE ADMISSION DESKS OF THE HOSPITAL AND CLINICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>FALLS COUNTY IS A RURAL COUNTY WITH A POPULATION OF APPROXIMATELY 17,493 PEOPLE. THE ESTIMATED MEDIAN HOUSEHOLD INCOME IS $33,744 AND 21% OF THE POPULATION LIVE IN POVERTY. THE MEDIAN RESIDENT AGE IS 39.9 YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ANNUALLY HOSTS A COUNTY HEALTH FAIR THAT PROVIDES FREE CHOLESTEROL, PSA AND GLUCOSE SCREENINGS AS WELL AS NUTRITION EDUCATION. THESE SCREENINGS HELP IMPROVE THE DIETS OF THE COMMUNITY IN AN EFFORT TO DECREASE OBESITY AND ENCOURAGE PREVENTIVE TESTING. ADDITIONALLY, THE ORGANIZATION OFFERS A PEDIATRIC IMMUNIZATION CLINIC AND PROVIDES TEXAS HEALTH STEP EXAMS TO MEDICAID RECIPIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="23017437" softwareVersionNum="2023v6.0">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Mission of Mercy Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2421 Ayers St</AddressLine1Txt>
          <CityNm>Corpus Christi</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78404</ZIPCd>
        </USAddress>
        <RecipientEIN>860704883</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>Free mobile dental care event in Falls County</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Falls County Youth Fair</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 586</AddressLine1Txt>
          <CityNm>Marlin</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76661</ZIPCd>
        </USAddress>
        <RecipientEIN>237324180</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8100</CashGrantAmt>
        <PurposeOfGrantTxt>Donations to scholarship funds for local youth during the county fair</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Due to the nature and size of the grants given, the hospital does not monitor the use of the funds.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="23017437" softwareVersionNum="2023v6.0">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Danielle Janicek</PersonNm>
        <TitleTxt>Physician's Assistant</TitleTxt>
        <BaseCompensationFilingOrgAmt>193455</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>193455</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Esiquiel Olivarez</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>279584</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17563</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>297147</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PROVIDES NON-FIXED PAYMENTS TO EMPLOYEES AS BONUS PAYMENTS DETERMINED BY THE DISCRETION OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 12a Audited Financial Statements</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ANSWERED "NO" TO THE QUESTIONS REGARDING AN AUDIT IN PART IV, LINE 12 AND PART XII. THE ORGANIZATION IS IN THE PROCESS OF AN AUDIT OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED AUGUST 31, 2024. HOWEVER, AT THE TIME OF FILING THIS RETURN, THE AUDIT IS NOT YET COMPLETE. THE ORGANIZATION HAS ATTACHED A COPY OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED AUGUST 31, 2023 TO THE 990 AND ANSWERED YES TO PART IV, LINE 20B.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY ALL OFFICERS AND ACCOUNTING PERSONNEL OF FALLS COMMUNITY HOSPITAL. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY NEEDED CORRECTIONS OR CLARIFICATIONS ARE MADE. THE 990 IS REVIEWED BY THE BOARD OF TRUSTEES WITH THE ADMINISTRATOR AND FINANCIAL COUNSELOR PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS, OFFICERS, AND EMPLOYEES ARE REQUIRED TO PROMPTLY REPORT IN WRITING ANY POTENTIAL CONFLICTS OF INTEREST TO THE ADMINISTRATOR OR BOARD CHAIRPERSON. THE BOARD IS ALSO REQUIRED TO SIGN AN ANNUAL STATEMENT REGARDING ANY POTENTIAL CONFLICTS. THE BOARD CONSIDERS THE CONFLICT AND DIRECT THE PROPER ACTION TO BE TAKEN DEPENDING UPON WHETHER THE HOSPITAL'S INTERESTS WILL BE AFFECTED ADVERSELY. ANY MEMBER OF THE BOARD OF TRUSTEES SHALL ABSTAIN FROM VOTING ON A MATTER WHEN A CONFLICT OF INTEREST WITH THAT BOARD MEMBER EXISTS. WHEN A MEMBER DETERMINES THAT NO CONFLICT EXISTS, SUCH MEMBER SHALL SO ANNOUNCE IT TO THE BOARD OF TRUSTEES AND SUCH ANNOUNCEMENT SHALL BE PLACED IN THE MINUTES OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS A COMPENSATION COMMITTEE TO MAKE RECOMMENDATIONS REGARDING THE CEO/Administrator's COMPENSATION. THESE RECOMMENDATIONS ARE THEN APPROVED ANNUALLY BY THE BOARD CHAIRMAN AND OTHER BOARD MEMBERS. ALL DOCUMENTATION OF THE REVIEW IS KEPT IN THE HUMAN RESOURCES' EMPLOYEE FILES. THE MOST RECENT REVIEW WAS CONDUCTED IN November of 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS A COMPENSATION COMMITTEE TO MAKE RECOMMENDATIONS REGARDING THE OTHER OFFICERS COMPENSATION. THESE RECOMMENDATIONS ARE THEN APPROVED ANNUALLY BY THE BOARD CHAIRMAN AND OTHER BOARD MEMBERS. ALL DOCUMENTATION OF THE REVIEW IS KEPT IN THE HUMAN RESOURCES' EMPLOYEE FILES. THE MOST RECENT REVIEW WAS CONDUCTED IN November of 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Miscellaneous Revenue - Total Revenue: 358156, Related or Exempt Function Revenue: 358156, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Physician Fees - Total Expense: 844438, Program Service Expense: 844438, Management and General Expenses: , Fundraising Expenses: ; Professional Fees - Total Expense: 26181, Program Service Expense: 26181, Management and General Expenses: , Fundraising Expenses: ; Contract Labor - Total Expense: 630906, Program Service Expense: 588351, Management and General Expenses: 42555, Fundraising Expenses: ; Consulting - Total Expense: 514352, Program Service Expense: 80737, Management and General Expenses: 433615, Fundraising Expenses: ; Administration Consulting - Total Expense: 198029, Program Service Expense: , Management and General Expenses: 198029, Fundraising Expenses: ; Collection Services - Total Expense: 9135, Program Service Expense: , Management and General Expenses: 9135, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>