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        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1B WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT FOLLOW A WRITTEN POLICY REGARDING THE GROSS-UP PAYMENTS PROVIDED TO OFFICERS AND HIGHEST COMPENSATED EMPLOYEES, HOWEVER THESE PAYMENTS ARE APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>ESLEEN FULTZ - CEO $11,257.75 SEVERANCE FOR EMPLOYMENT ENDED 3/1/2025</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>NEW HIRE KEY POSITIONS ARE ROUTINELY OFFERED A ONE-TIME SIGN ON BONUS. ADDITIONALLY, SPECIFIC KEY EMPLOYEES ARE GIVEN SEVERANCE AT SEPARATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="24020961" softwareVersionNum="2024v5.1">
      <DrugsAndMedicalSuppliesGrp>
        <ContributionCnt>21</ContributionCnt>
        <NoncashContributionsRptF990Amt>350640</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>DRUGS AND MEDICAL SUPPLIES - HEART CITY HEALTH CENTER REPORTED THE NUMBER OF CONTRIBUTIONS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE ORGANIZATION'S CEO IS DETERMINED BY THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE BASED ON A PERFORMANCE EVALUATION AND INTERVIEW WITH THE CEO. EACH EXECUTIVE BOARD MEMBER COMPLETES AN EVALUATION, AND THEN THE EXECUTIVE COMMITTEE REPORTS THE FINDINGS AND ANY CHANGES IN COMPENSATION TO THE CEO AND IT IS SENT TO THE HEART CITY HEALTH'S ATTORNEY. ANY CHANGES IN COMPENSATION ARE BASED ON COMPILED NATIONAL BENCHMARKING SALARY REPORTS. THIS PROCESS HAS BEEN PERFORMED ANNUALLY IN THE PAST. HOWEVER, A REVIEW AND COMPENSATION CHANGE HAS NOT OCCURRED SINCE THE LAST ONE ON SEPTEMBER OF 2024. THE EVALUATION AND REVIEW PROCESS IS SIGNED BY THE EXECUTIVE BOARD COMMITTEE AND IS DOCUMENTED AND ON FILE WITH HEART CITY HEALTH'S ATTORNEY, BARNES AND THORNBURG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CEO COMPLETES AN ANNUAL PERFORMANCE EVALUATION FOR THE CFO AND COO; BASED ON THE OUTCOME OF THE PERFORMANCE EVALUATION AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) SALARY SURVEYS, THE CFO AND COO'S COMPENSATION IS REVIEWED AND ADJUSTED AS NECESSARY. THE ORGANIZATION'S CEO ALSO COMPLETES AN ANNUAL PERFORMANCE EVALUATION FOR THE CMO; BASED ON THE OUTCOME OF THE PERFORMANCE EVALUATION AND GENERAL COMPENSATION GUIDELINES SET BY THE BOARD, THE CMO'S EMPLOYMENT CONTRACT IS UPDATED AS NECESSARY. COMPENSATION WAS LAST REVIEWED IN FISCAL YEAR 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS REVIEWED IN DETAIL BY THE EXECUTIVE MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ANNUAL CONFLICT OF INTEREST FORM IS FILLED OUT BY EACH BOARD MEMBER. ALL OTHER EMPLOYEES SIGN THE CODE OF CONDUCT POLICY AT THE TIME OF HIRE WHICH COVERS CONFLICTS OF INTEREST. THE CEO AND THE BOARD LIAISON REVIEW THE CONFLICT OF INTEREST FORMS TO DETERMINE IF ANY POTENTIAL CONFLICT OF INTEREST EXISTS. IF A POTENTIAL CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE CEO AND EXECUTIVE COMMITTEE OF THE BOARD, CONSISTING OF THE CHAIR, VICE CHAIR, SECRETARY AND TREASURER, MEET TO DISCUSS WHETHER ANY ACTUAL CONFLICTS OF INTEREST EXIST. ALTHOUGH NO CONFLICTS HAVE BEEN NOTED IN THE PAST, IF A CONFLICT OF INTEREST WAS TO ARISE, RESTRICTIONS WOULD BE IMPOSED AND THE BOARD MEMBER WOULD BE REQUIRED TO EXCUSE THEMSELVES FROM ANY DISCUSSIONS AND/OR VOTES RELATED TO THE CONFLICTING ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G OTHER FEES</FormAndLineReferenceDesc>
        <ExplanationTxt>LAB SERVICES - TOTAL EXPENSE: 12748, PROGRAM SERVICE EXPENSE: 12748, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; DENTAL LABS - TOTAL EXPENSE: 36688, PROGRAM SERVICE EXPENSE: 36688, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACTED SERVICES- NON CLINICAL - TOTAL EXPENSE: 174531, PROGRAM SERVICE EXPENSE: 174531, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; EHR/PM FEES - TOTAL EXPENSE: 519789, PROGRAM SERVICE EXPENSE: 519789, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACTED SERVICES - TOTAL EXPENSE: 1467119, PROGRAM SERVICE EXPENSE: 1467119, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; INTERPRETING SERVICES - TOTAL EXPENSE: 146950, PROGRAM SERVICE EXPENSE: 146950, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACTED SERVICE- CHARTSPAN - TOTAL EXPENSE: 42281, PROGRAM SERVICE EXPENSE: 42281, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CLAIMS PROCESSING - TOTAL EXPENSE: 11327, PROGRAM SERVICE EXPENSE: 11327, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PROFESSIONAL FEES- CONSULTING SERVICES - TOTAL EXPENSE: 80220, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 80220, FUNDRAISING EXPENSES: ; PROFESSIONAL FEES- PAYROLL SERVICES - TOTAL EXPENSE: 31323, PROGRAM SERVICE EXPENSE: 31323, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; IN-HOUSE RX FEES - TOTAL EXPENSE: 26472, PROGRAM SERVICE EXPENSE: 26472, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; SECURITY SERVICES - TOTAL EXPENSE: 89498, PROGRAM SERVICE EXPENSE: 89498, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; TELEPHONE SERVICE - TOTAL EXPENSE: 113914, PROGRAM SERVICE EXPENSE: 113914, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; HAZARDOUS WASTE - TOTAL EXPENSE: 962, PROGRAM SERVICE EXPENSE: 962, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; EMPLOYEE UNIFORMS - TOTAL EXPENSE: 8297, PROGRAM SERVICE EXPENSE: 8297, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; FUNDRAISING EXPENSE - TOTAL EXPENSE: 3459, PROGRAM SERVICE EXPENSE: 3459, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPAIRMENT OF CAPITAL PROJECTS - -1372897; CHANGE IN INVESTMENT IN HANDS AND HEALTH, LLC - -13075; TOTAL - -1385972;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DELEGATE BROAD AUTHORITY TO A COMMITTEE: THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE FOLLOWING OFFICERS OF THE CORPORATION, ALL OF WHOM SHALL HAVE THE RIGHT TO VOTE: CHAIRPERSON, VICE CHAIR, SECRETARY AND TREASURER. THE CHIEF EXECUTIVE OFFICER SHALL BE A NON-VOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE THE FOLLOWING GENERAL AUTHORITY; THE EXECUTIVE COMMITTEE SHALL BE COMPROMISED EXCLUSIVELY OF BOARD MEMBERS AND SHALL ACT FOR THE CORPORATION IN THE INTERIM PERIODS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS ONLY WITH RESPECT TO MATTERS OF AN URGENT NATURE AND THEN TO THE MAXIMUM EXTENT FEASIBLE, IN COMPLIANCE WITH THE ESTABLISHED POLICIES AND EXPRESSED POSITIONS OF THE BOARD. ANY SUCH ACTIONS BY THE EXECUTIVE COMMITTEE ON BEHALF OF THE CORPORATION SHALL REQUIRE RATIFICATION AT THE FOLLOWING REGULAR OR SPECIAL MEETING WHERE A QUORUM IS PRESENT. THE CHAIRPERSON OF THE BOARD OF DIRECTORS OR ANY THREE (3) EXECUTIVE COMMITTEE MEMBERS CONVENES. SAID WRITTEN NOTICE SHALL BE DELIVERED TO THE REMAINING MEMBERS OF THE EXECUTIVE COMMITTEE. A MAJORITY OF THE OFFICERS PRESENT AND IN PERSON, SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF EXECUTIVE COMMITTEE BUSINESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>