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        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS OF GOSHEN MEDICAL CENTER, INC. SERVE ON A VOLUNTEER BASIS AND ARE NOT PAID FOR THEIR SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ARE PRESENTED A COPY OF THE FORM 990 FOR THEIR REVIEW AT THE MONTHLY BOARD MEETING BEFORE BEING FILED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD MEMBER SHALL ANNOUNCE SUCH POSSIBLE CONFLICT OF INTEREST AS NOTED IN THE ORGANIZATION'S BYLAWS ARTICLE 8. CONFLICT OF INTEREST IS DISCUSSED AT BOARD MEETINGS WHEN ONE EXPRESSES THEIR OPINION OR IF VOTING IS TO OCCUR.</ExplanationTxt>
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        <ExplanationTxt>ANNUALLY THE BOARD OF DIRECTORS APPROVES THE CEO'S PAYRATE AND ANY BONUSES BY ANALYZING THE PERFORMANCE OF THE CENTER AND THE PERFORMANCE OF THE CEO'S DUTIES LISTED IN HIS JOB DESCRIPTION; AS REFLECTED IN SUCH OUTCOMES AND MEASURES AS THE ANNUAL AUDITS, MONTHLY FINANCIAL REPORTS, GROWTH IN ASSETS, GROWTH IN FULFILLMENT OF THE MISSION, EXPANSION OF THE MISSION THROUGH NEW SERVICES AND NEW SITES, GROWTH IN BUDGET AND OPERATIONAL RESPONSIBILITIES, PUBLIC RELATION ACTIVITIES AND COMPLIANCE WITH HRSA PROGRAM REQUIREMENTS. THE BOARD ALSO REVIEWS THE NACHC HEALTH CENTER SALARY AND BENEFITS SURVEY THAT LISTS NATIONAL DATA ON SALARIES STRATIFIED BY THE SIZE OF THE HEALTH CENTER BUDGETS. THE CEO DETERMINES THE PAY RATE FOR TOP MANAGEMENT AND KEY EMPLOYEES OF THE ORGANIZATION THROUGH ANNUAL PERFORMANCE REVIEWS OF PERSONAL DEVELOPMENT PLANS, GOAL ACCOMPLISHMENTS, AND REVIEW OF THE SALARY AND BENEFIT SURVEY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER OFFICERS AND EMPLOYEES PAY RATES ARE SET BY THE CEO AND REVIEWED BY HUMAN RESOURCES AND AN EXECUTIVE. BONUS COMPENSATION IS CALCULATED ON SALARY, TENURE, PRODUCTION, AND INDIVIDUAL RATES FROM AN APPROVED FUNDING BY THE BOARD OF DIRECTORS. THE CHIEF MEDICAL OFFICER RECEIVES AN ANNUAL RAISE AND SEMI-ANNUAL BONUS COMPARABLE TO THE CEO'S PERCENT APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE DOCUMENTS ARE AVAILABLE FOR INSPECTION IN THE CORPORATE OFFICES UPON REQUEST OF THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
