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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>AUTOMOBILE EXPENSE 3,471 0 0 BILLING AND CODING 8,105 0 0 BMO CC-MEDICAL AND DENTAL SUP 101,494 0 0 BUSINESS LICENSES 0 175 0 CC DISCOUNT FEES 1,987 0 0 CLINIC EXPENSES 7,679 0 0 CLINIC SUPPLIES 20,590 0 0 COMPUTER AND INTERNET 0 288 0 CONSULTING 13,948 0 0 CONTINUING EDUCATION 0 3,053 0 CONTRACT LABOR 364,358 74,627 0 COPY MACHINE EXPENSE 0 869 0 DENTAL CHARGES 11,534 0 0 DENTAL INSPECTION 382 0 0 DUES AND SUBSCRIPTIONS 0 15,284 0 EMR SUBSCRIPTION 43,433 0 0 GO CHECK KIDS EXPENSE 2,856 0 0 GRANT EXPENSES 28,539 0 0 HOUSEKEEPING 0 7,749 0 MEDICAL WASTE DISPOSAL 671 0 0 MELIO SERVICE FEES 0 46 0 OFFICE FUNCTIONS 0 6,952 0 OVERHEAD 0 25,687 0 OVERSIGHT 1,568 0 0 OXYGEN RENTAL 351 0 0 POSTAGE AND FREIGHT 0 676 0 PROFESSIONAL FEES 125 0 0 PURCHASES 50,914 0 0 REFUND 519 0 0 REPAIRS AND MAINTENANCE 0 10,307 0 SPECIALTY SUPPLIES 27 0 0 STAFF APPRECIATION 0 1,944 0 TECHNOLOGY EXPENSE 1,588 0 0 TELEPHONE 0 1,175 0 VACCINES AND MEDICINE 2,751 0 0 TOTAL 666,890 148,832 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>