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        <Explanation>A COPY OF THE FINAL FORM 990 WAS PROVIDED TO THE FINANCE/AUDIT COMMITTEE OF THE BOARD FOR REVIEW AND TO MAKE RECOMMENDATIONS TO THE FULL BOARD. ALSO, A COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE BOARD.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ON AN ANNUAL BASIS, BOARD MEMBERS, EXECUTIVES AND OTHER MANAGERS ARE ASKED TO COMPLETE AND SUBMIT A CONFLICT OF INTEREST SURVEY AND ATTESTATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE CEO COMPENSATION IS REVIEWED BY THE PERSONNEL COMMITTEE OF THE BOARD AND ESTABLISHED IN CONJUNCTION WITH THE APPROVAL OF THE EXECUTIVE COMMITTEE OF THE BOARD. SALARIES OF OTHER KEY EMPLOYEES ARE ALSO PERIODICALLY REVIEWED BY THE PERSONNEL COMMITTEE OF THE BOARD AND SET BY THE CEO. THE HUMAN RESOURCES DEPARTMENT PROVIDES SALARY COMPARABILITY DATA WHICH SERVES AS A BASIS FOR COMPENSATION DECISIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>OVERSIGHT, REVIEW AND SELECTION PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</Explanation>
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          <State>NY</State>
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        <PrimaryActivities>TO ASSIST IN COMMUNITY HEALTH PLANNING FOR MEDICALLY UNDERSERVED AREAS OF TH</PrimaryActivities>
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