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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLINIC ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH INCOME TAX ACCOUNTING GUIDANCE IN ASC TOPIC 740. THE CLINIC FOLLOWS THE STATUTORY REQUIREMENTS FOR ITS INCOME TAX ACCOUNTING AND GENERALLY AVOIDS RISKS ASSOCIATED WITH POTENTIALLY PROBLEMATIC TAX POSITIONS THAT MAY BE CHALLENGED UPON EXAMINATION. WITH FEW EXCEPTIONS, THE CLINIC IS NO LONGER SUBJECT TO TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2021.</ExplanationTxt>
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        <ExplanationTxt>THE BOARD HAS AN INVESTMENT COMMITTEE. THE INVESTMENT COMMITTEE TAKES NO OFFICIAL ACTION OTHER THAN A REVIEW OF THE INVESTMENTS. IF ANY ACTION WERE NEEDED, IT WOULD BE BY RECOMMENDATION TO THE BOARD. ALL ACTIONS OF THE BOARD ARE APPROVED BY THE FULL BOARD AND ASSIGNED TO INDIVIDUAL BOARD MEMBERS TO CARRY OUT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 WAS PROVIDED IN ELECTRONIC FORMAT AS AN EMAIL ATTACHMENT TO EACH VOTING MEMBER OF THE BOARD FOR REVIEW AND APPROVAL PRIOR TO THE FORM BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ONCE A YEAR, AT BOARD MEETINGS, DIRECTORS ARE ASKED TO COMPLETE AND SIGN A FORM DISCLOSING POTENTIAL CONFLICTS OF INTEREST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ANNUALLY DETERMINES THE EXECUTIVE DIRECTOR'S COMPENSATION PACKAGE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ONLY THE FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON GUIDESTAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES A MODIFIED CASH BASIS OF ACCOUNTING FOR PREPARATION OF THE FORM 990. THE METHOD USED REFLECTS PROVISIONS TO CAPITALIZE EQUIPMENT ACQUISITIONS, TO RECOGNIZE DEPRECIATION EXPENSE, AND TO RECOGNIZE REALIZED GAINS AND LOSSES ON INVESTMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE FROM THE PRIOR YEAR. THE FULL BOARD REVIEWS THE AUDITED FINANCIAL STATEMENTS AND AUDIT RESULTS AND IS ALSO RESPONSIBLE FOR SELECTION OF AN INDEPENDENT ACOUNTANT FOR THE ANNUAL AUDIT.</ExplanationTxt>
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</Return>