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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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        <PersonNm>DR JAMES CANEDY</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <TotalCompensationFilingOrgAmt>576804</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TORRI CRIGER</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>304231</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MORGAN POWER</PersonNm>
        <TitleTxt>EMPLOYEE - BUSINESS INTELLIGENCE</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DR. JAMES CANEDY HAS A BUSINESS RELATIONSHIP (THROUGH A BOARD OF DIRECTORS RELATIONSHIP, NEBRASKA HEALTH NETWORK, NEBRASKA HEALTH PARTNERS &amp; NEBRASKA ORTHOPAEDIC HOSPITAL, LLC).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 WILL BE REVIEWED BY THE CRHS AUDIT COMMITTEE AND THEN DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING AND ENFORCEMENT OF BOARD INDEPENDENCE: EACH MEMBER OF THE BOARD OF DIRECTORS, OFFICER AND KEY EMPLOYEES DISCLOSES ANNUALLY THAT HE/SHE IS EITHER AN OFFICER, DIRECTOR, MEMBER, OWNER, AGENT OR ASSOCIATED IN SOME MANNER WITH DELINEATED BUSINESS ENTITIES THAT EITHER HAVE OR MIGHT REASONABLY BE EXPECTED TO HAVE A BUSINESS RELATIONSHIP WITH CLARKSON REGIONAL HEALTH SERVICES, INC. EACH BOARD MEMBER AGREES TO MAKE CONFLICTS KNOWN AND WITHDRAW FROM PARTICIPATION IN DELIBERATIONS IF A SUBSEQUENT CONFLICT ARISES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO AND OTHER KEY EXECUTIVE COMPENSATION WILL BE REVIEWED AND COMPARED TO OUTSIDE DATA EACH YEAR BY THE COMPENSATION COMMITTEE. AN OUTSIDE FIRM IS UTILIZED EVERY THREE YEARS OR AS NECESSARY TO REVIEW COMPENSATION IN LINE WITH OTHER COMPARABLE NON-PROFITS. IN FY 2022, AN AUDIT AND COMPLIANCE COMMITTEE WAS ESTABLISHED TO REVIEW THE COMPENSATION WITH THE CHAIRMAN OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE TYPICALLY NOT MADE AVAILABLE TO THE PUBLIC. IF SOMEONE COMES INTO CRHS AND MAKES A REASONABLE REQUEST TO VIEW THE DOCUMENTS, THEY WOULD BE MADE AVAILABLE TO VIEW IN THE OFFICE IF THE REQUEST IS DEEMED APPROPRIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY IN EARNINGS OF NEBRASKA MEDICINE 23,618,192. CHANGE IN NET ASSETS RELATED TO NMC INVESTMENT (UNRESTRICTED) -738,688. EQUITY IN LOSS OF AFFILIATE -3,359,001. OTHER CHANGES IN NET ASSETS 720. CHANGE IN NET ASSETS RELATED TO NMC INVESTMENT (RESTRICTED) 312,038.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>PARAMOUNT GROUP LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>450 REGENCY PARKWAY SUITE 310</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68114</ZIPCd>
        </USAddress>
        <EIN>470824355</EIN>
        <PrimaryActivitiesTxt>INDEPENDENT PROVIDER ASSN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>721183</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1439947</EndOfYearAssetsAmt>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
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          <AddressLine1Txt>450 REGENCY PARKWAY SUITE 310</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68114</ZIPCd>
        </USAddress>
        <EIN>881068429</EIN>
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        <LegalDomicileStateCd>NE</LegalDomicileStateCd>
        <TotalIncomeAmt>1251000</TotalIncomeAmt>
        <EndOfYearAssetsAmt>-4513808</EndOfYearAssetsAmt>
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          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>681988145</ZIPCd>
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        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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</Return>
