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        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>GOVERNING BODY REVIEWED THE TAX RETURN BEFORE IT WAS FILED WITH THE IRS.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE GOVERNING BODY EXAMINES ANY PENDING CONFLICT OF INTEREST AT ANNUAL BOARD MEETINGS.</Explanation>
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      <GeneralExplanation>
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        <Explanation>TOP MANAGEMENT OFFICIALS OF MULTICARE HEALTH SYSTEM AND FRANCISCAN HEALTH SYSTEM AUTHORIZE COMPENSATION FOR OFFICERS, DIRECTORS AND KEY EMPLOYEES.</Explanation>
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      <GeneralExplanation>
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        <Explanation>THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
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      <GeneralExplanation>
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        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
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