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        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>UNION GENERAL AMBULANCE SERVICE, INC. PROVIDES VITAL EMERGENCY MEDICAL TRANSPORTATION SERVICES TO THE UNION GENERAL HOSPITAL AUTHORITY (DBA UNION GENERAL HOSPITAL) AND CHATUGE REGIONAL HOSPITAL COMMUNITIES. THE ORGANIZATION SERVES THE SAME CHARITABLE CLASS OF BENEFICIARIES AS UNION GENERAL HOSPITAL, WHICH IS THE SOLE MEMBER OF THE ORGANIZATION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>UNION, CHATUGE, THE AMBULANCE SERVICE, THE DIALYSIS CLINIC, THE UNION GENERAL AFFILIATED SERVICES, AND THE NORTH CAROLINA AFFILIATED SERVICES ARE TAX EXEMPT UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. UNION GENERAL HEALTH SYSTEM SEGREGATED PORTFOLIO IS EXEMPTED FROM ALL LOCAL INCOME, PROFIT, OR CAPITAL GAINS TAXES UNTIL MAY 1, 2040 UNDER THE CAYMAN ISLANDS TAX CONCESSIONS LAW. THE CORPORATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE CORPORATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF APRIL 30, 2024 AND 2023 OR FOR THE YEARS THEN ENDED. THE CORPORATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.</ExplanationTxt>
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        <PersonNm>KEVIN L BIERSCHENK</PersonNm>
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        <PersonNm>MICHAEL GAY</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <ExplanationTxt>THE OFFICERS OF THE ORGANIZATION ARE EMPLOYED BY UNION COUNTY HOSPITAL AUTHORITY (DBA UNION GENERAL HOSPITAL), A RELATED TAX-EXEMPT ORGANIZATION. THE BOARD OF DIRECTORS OF THE AUTHORITY REVIEW THE FORM 990 OF SIMILAR ORGANIZATIONS AND REVIEW INDEPENDENT COMPENSATION SURVEY DATA WHEN APPROVING THE COMPENSATION OF THE CEO. THE CEO IS RESPONSIBLE FOR SETTING THE COMPENSATION OF OTHER OFFICERS OF THE AUTHORITY. CURRENTLY, THE BOARD OF DIRECTORS OF THE AUTHORITY AND OF UNION GENERAL AMBULANCE SERVICE, INC. ARE IDENTICAL.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS FOR UNION GENERAL HOSPITAL, CHATUGE REGIONAL HOSPITAL AND UNION GENERAL AMBULANCE SERVICE ARE IDENTICAL.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>UNION GENERAL HOSPITAL, INC., A SECTION 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF UNION GENERAL AMBULANCE SERVICE, INC. THE BOARD OF DIRECTORS OF UNION GENERAL HOSPITAL AND OF UNION GENERAL AMBULANCE SERVICE ARE IDENTICAL.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE CFO REVIEWED THE RETURN IN DETAIL AND PROVIDED A COMPLETED FORM 990 TO EACH BOARD MEMBER PRIOR TO FILING.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS AND KEY EMPLOYEES OF UNION GENERAL HOSPITAL ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY THAT REQUIRES DISCLOSURE OF ANY POTENTIAL CONFLICTS. ANY CONFLICTS ARE REPORTED TO THE CHAIRMAN OF THE BOARD AND/OR DISINTERESTED PERSON OR COMMITTEE. THE INDIVIDUAL MEMBER WITH THE CONFLICT RECUSES HIMSELF FROM THE DISCUSSIONS AND VOTES ON THE ISSUE. THE DIRECTORS OF UNION GENERAL AMBULANCE SERVICE AND UNION GENERAL HOSPITAL ARE IDENTICAL. THE OFFICERS OF UNION GENERAL AMBULANCE SERVICE ARE THE OFFICERS OF UNION GENERAL HOSPITAL, AND UNION GENERAL HOSPITAL IS THE SOLE MEMBER OF UNION GENERAL AMBULANCE SERVICE.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
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