Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Section B, Line 11b | A DRAFT 990 is provided TO THE BOARD for REVIEW and APPROVAL BEFORE FILING. |
| Form 990, Part VI, Section B, Line 15a | designated billing specialist and billing administration use programmatic report and fee for service report along with review in state database to determine claims eligible for billing/compensation. |
| Form 990, Part VI, Section B, Line 15b | designated billing specialist and billing administration use programmatic report and fee for service report along with review in state database to determine claims eligible for billing/compensation. |
| Form 990, Part VI, Section C, Line 19 | THE ORGANIZATION'S ACCOUNTANT PROVIDES A COPY OF FORM 990 SPECIFICALLY FOR PUBLIC INSPECTION. THIS COPY IS AVAILABLE UPON REQUEST. |
| Software ID: | 22015553 |
| Software Version: | 2022v5.0 |