Form 1

Means To Demonstrate U.S. Ownership and Control of a Qualified Health Information Network (QHIN) Standard Operating Procedure (SOP) Questionnaire

Question 9.

Does the Applicant, whether as borrower, surety, guarantor or otherwise have any indebtedness, liabilities, or obligations to a Non-U.S. Person or Non-U.S. Entity that exceed 5% of the Applicant’s total assets? If yes, please explain.

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