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        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT AND CEO IS A PARTICIPANT IN A SPLIT-DOLLAR INSURANCE PLAN. THE PRESIDENT AND CEO IS THE OWNER OF THE POLICY UTILIZED IN THE ARRANGEMENT, AND RYAN HEALTH SHALL RECEIVE REPAYMENT OF ALL PREMIUM LOANS, INCLUDING INTEREST, IN ACCORDANCE WITH THE PLAN DOCUMENTS. FOR TAX PURPOSES, THE PREMIUMS ARE TREATED AS NONRECOURSE SPLIT-DOLLAR LOANS UNDER 26 CFR 1.7872-15. THE OBLIGATION OF THE PRESIDENT &amp; CEO TO REPAY RYAN HEALTH IS A NON-RECOURSE OBLIGATION. RYAN HEALTH MAY ONLY RECOVER AMOUNTS DUE FROM THE POLICIES.</ExplanationTxt>
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        <PersonNm>BRIAN MCINDOE</PersonNm>
        <RelationshipWithOrgTxt>PRESIDENT</RelationshipWithOrgTxt>
        <LoanPurposeTxt>SPLIT-DOLLAR LIFE INSURANCE</LoanPurposeTxt>
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        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
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        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>952185</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>DONOR VALUE</MethodOfDeterminingRevenuesTxt>
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      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
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        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT &amp; CEO, CHIEF FINANCIAL OFFICER AND CONTROLLER REVIEW THE FORM 990 BEFORE IT IS PRESENTED AND REVIEWED BY THE BOARD OF DIRECTORS. ONCE THE FORM 990 HAS BEEN APPROVED BY THE FULL BOARD AT THE BOARD OF DIRECTORS MEETING, IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHAIR OF THE BOARD OF DIRECTORS ENSURES THAT ALL BOARD MEMBERS AND THE PRESIDENT &amp; CEO SUBMIT ATTESTATIONS ON AN ANNUAL BASIS. KEY EMPLOYEES SUBMIT THEIR ATTESTATIONS TO THE PRESIDENT AND CEO. ANY CASES OF POTENTIAL CONFLICTS OF INTEREST ARE DEALT WITH APPROPRIATELY. AS PER POLICY, THE INDIVIDUAL WITH THE CONFLICT OF INTEREST SHALL ABSTAIN FROM ANY DISCUSSION OF, OR VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN DETERMINING COMPENSATION FOR THE ORGANIZATION'S PRESIDENT &amp; CEO, OTHER TOP MANAGEMENT OFFICIALS, AND KEY EMPLOYEES THE HUMAN RESOURCES DEPARTMENT CONTACTS THE HR DEPARTMENT OF OTHER COMMUNITY HEALTH CENTERS AND HEALTH INSTITUTIONS FOR COMPARISON OF SALARY, INCLUDING BENEFITS, AND VISITS RELEVANT WEBSITES. ADDITIONALLY, RYAN HEALTH USED MARKET RESEARCH AND STUDIES TO DETERMINE COMPENSATION. RYAN HEALTH PARTICIPATES IN THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS ANNUAL HEALTH CENTER SALARY AND BENEFIT SURVEY. THE DECISIONS AND DELIBERATIONS OF THE BOARD PERTAINING TO THESE MATTERS ARE DOCUMENTED WITH THE MINUTES OF THE MEETING. THIS PROCESS WAS UNDERTAKEN IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 AND FORM 1023 ARE AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND SIMILAR WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, ARTICLES OF INCORPORATION, AND BY-LAWS ARE ALSO AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS AND CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 5,083,574. MANAGEMENT AND GENERAL EXPENSES 492,585. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,576,159. LABORATORY OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 164,549. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,549. RADIOLOGY: PROGRAM SERVICE EXPENSES 63,007. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,007. ON-CALL SERVICES: PROGRAM SERVICE EXPENSES 141,505. MANAGEMENT AND GENERAL EXPENSES 23,453. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,958. RECRUITMENT: PROGRAM SERVICE EXPENSES 763,531. MANAGEMENT AND GENERAL EXPENSES 79,718. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 843,249. DATA PROCESSING: PROGRAM SERVICE EXPENSES 695,502. MANAGEMENT AND GENERAL EXPENSES 175,772. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 871,274. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 230,032. MANAGEMENT AND GENERAL EXPENSES 68,711. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 298,743.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>TRAINING EXPENSES: PROGRAM SERVICE EXPENSES 38,947. MANAGEMENT AND GENERAL EXPENSES 11,412. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,359. PROVISION FOR DOUBTFUL ACCOUNTS: PROGRAM SERVICE EXPENSES 35,846. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,846.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S AUDIT COMMITTEE SHALL BE RESPONSIBLE FOR OVERSEEING THE ACCOUNTING AND FINANCIAL REPORTING PROCESSES OF THE ORGANIZATION AND THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE SINCE PRIOR YEAR</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>AFIA FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PARKWEST FIN</AddressLine1Txt>
          <CityNm>STATION</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10025</ZIPCd>
        </USAddress>
        <EIN>203957960</EIN>
        <PrimaryActivitiesTxt>TO SUPPORT INITIATIVES THAT PROVIDE HEALTH CARE TO UNDERSERVED POPULATIONS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
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      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
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