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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHEFFICIENT IS A HEALTH CENTER CONTROLLED NETWORK MADE UP OF MEMBER ORGANIZATIONS TO WHOM HEALTHEFFICIENT PROVIDES INFORMATION TECHNOLOGY SERVICES. HEALTHEFFICIENT CURRENTLY SERVES 35 HEALTH CENTERS AND PROVIDES TRAINING AND QUALITY IMPROVEMENT SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH FULL MEMBER SHALL BE ENTITLED TO ONE VOTE ON ALL MATTERS IN WHICH A MEMBERSHIP VOTE IS REQUIRED BY THE NOT-FOR PROFIT CORPORATION LAW OF THE STATE OF NEW YORK. THE MEMBERS OF THE CORPORATION SHALL HOLD AN ANNUAL MEETING EACH YEAR FOR THE PURPOSE OF SELECTING DIRECTORS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING ACTIONS SHALL REQUIRE THE AFFIRMATIVE VOTE OF A SUPERMAJORITY OF THE FULL MEMBERS (OR TWO -THIRDS) ENTITLED TO VOTE: A. AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND THE BY-LAWS; B. DISSOLUTION, MERGER, CONSOLIDATION, REORGANIZATION OR OTHER CHANGE IN THE CORPORATE STRUCTURE; C. SALE, LEASE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; D. ACQUISITION OF ANOTHER ENTITY OR ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE; E. ADMISSION OF NEW FULL MEMBERS; F. A MATERIAL CHANGE IN THE PURPOSES FOR WHICH THE CORPORATION WAS FORMED OR A MATERIAL CHANGE IN ITS OPERATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR REVIEWS THE 990 AND FORWARDS TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. THE 990 IS ALSO FORWARD TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHEFFICIENT REQUIRES CONFLICT OF INTEREST DISCLOSURE STATEMENTS TO BE COMPLETED BY ALL BOARD MEMBERS ANNUALLY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD CHAIR AND EXECUTIVE COMMITTEE REVIEW THE EXECUTIVE DIRECTOR'S PERFORMANCE AND THEN COORDINATE A MEETING WITH THE BOARD TO PREPARE THE EVALUATION. THE EXECUTIVE DIRECTOR'S COMPENSATION IS SET AS A RESULT OF THE BOARD'S EVALUATION OF PERFORMANCE, THE FINANCIAL PERFORMANCE OF THE ORGANIZATION AND INFORMAL SALARY SURVEY INFORMATION FOR SIMILAR POSITIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER: PROGRAM SERVICE EXPENSES 1,236,723. MANAGEMENT AND GENERAL EXPENSES 7,643. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,244,366.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WAS NO CHANGE IN THE OVERSIGHT PROCESS.</ExplanationTxt>
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</Return>