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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is submitted to the executive committee for review. This committee consists of the president, vice president, secretary, treasurer, and executive director.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest within the scope of the role of the organization would relate to equipment design, grant funding, or enforcement of license fee payments. Consequently, the potential for conflict is quite narrow, and easily monitored when those issues come up for discussion. Additionally, the organization requires that all grant applicants disclose any potential conflicts of interest in the grant approval process. This is the area which presents the greatest chance of signficant conflict of interest. This is also the area which is most easily monitored, since the company can solicit conflict input from both the applicant and from the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>They are provided when requested. They are not posted as a matter of course on the website, although the minutes are available through a protected portal on the website, accessible by board members only. The minutes and financial statements and budgets are discussed during the public portions of the board meetings, which are open to the public. The meeting dates and locations are posted on the website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII Contact Addresses for Officers, Directors, Etc</FormAndLineReferenceDesc>
        <ExplanationTxt>Michael Oliver - 11020 King Street, Suite 215, Overland Park, KS 66210. Kenneth Stephens, M.D. - 5059 Lookout Dr., West Harrison, IN 47060. Gregg Hartley - 13170 SE Flamingo Dr., Hobe Sound, FL 33455. Dr. Robert Cantu, M.D. - 11 Black Birch Lane, Concord, MA 01742. Warren B. Howe, M.D. - 4222 Northridge Way, Bellingham, WA 98226. Jack Ryan, M.D. - 11012 E. 13 Mile Rd., Suite 201, Warren, MI 48093-2572. Grant Teaff - 8265 Forest Ridge, Waco, TX 76712. Ed Fisher - 14096 N. Bright Angel Trail, Marana, AZ 85658. Michael Sims - 1500 South University Parks Dr, Waco, TX 76706. Lars Fuchs - 1 SW Bowerman Dr PS-2, Beaverton, OR 97005. Jeff Mjaanes, M.D. - 321 Lambert Tree Ave, Highland Park, IL 60035. Kris Young - 2805 Leisure Drive, Unit D, Fort Collins, CO 80525. Tony Beam - 323 Chesterfield Drive, Palmyra, PA 17078. Kim Barber Foss - 3970 Lovell Avenue, Cincinnati, OH 45211. Bob Fawley - 6696 Contreras Rd,, Oxford, OH 45056. Jessica D. Higgs, M.D. - 13706 W Brimfield-Jubilee Rd,, Princeville, IL 61559. Shaun Gilday - 4039 N Albany Ave,, Chicago, IL 60618. Will Rodecap - 902 Dixon Ave, Green, KS 67447.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>