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1166546 3865624 4008022 4985557 5174568 X 713774 1722312 713774 1722312 5699331 6896880 1008538 X false X true X true true true X 5747830 6007468 5141215 7617755 6918432 31432700 5747830 6007468 5141215 7617755 6918432 31432700 31432700 31432700 1.00000 1.00000 X false 3988571 255573 1209221 3034923 1537714 383299 1642008 279005 163658 430398 268104 325952 3639880 Financial derivatives and other financial products Closely-held equity interests RIGHT OF USE ASSET 586251 586251 Federal income taxes LINE OF CREDIT 11669678 11669678 11669678 10661140 10661140 10661140 false false false false false false false false false ERIKA HARRIS PHYSICIAN 169635 169635 169635 THOMAS GREER CEO 215427 11300 16272 226727 16272 215427 Form 990, Part IV, Line 11B REVIEWED THE RETURN WITH THE EXECUTIVE DIRECTOR AND THE FINANCE DIRECTOR Form 990, Part IV, Line 12C EACH YEAR THE BOARD REVIEWS POLICIES AND RATIFIES THOSE THAT PERTAIN TO CONFLICTS OF INTEREST Form 990, Part IV, Line 15A COMPENSATION IS REVIEWED ANNYALLY AND ALL PERSONNEL ARE EVALUATED COMPENSATIONS IS ESTABLISHED BY COMPARABILITY STUDY Form 990, Part IV, Line 15B COMPENSATION IS REVIEWED ANNUALLY AND ALL PERSONNEL ARE EVALUATED. COMPENSATION IS ESTABLISHED BY COMPARABILTY STUDY Form 990, Part VI, Line 19 CONFLICT OF GOVERNING DOCUMENTS, CONFLICK OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST