Improved Clinics flag is ignored

In this group of settings, the Improved Clinic flag is ignored despite being checked. I am not sure if there are any other flags being ignored:

https://4-7-2.finalfantasyrandomizer.com/?s=D9C7D37C&f=mAzi7ihcc1FV3UpJfre5Ek1EvO0PRSNuR9Q0lKm18rc6ZzECttI4acSk9cITc3ja20l9Z-aq7IN-Plisx-h4rFVuH0nR37MoFfay0CsG.evpiS5T.uuiNC9Vq.80YTyQH0vh7v97uU0JfkjiXc4xnVE1ZyW6xnwbbNwehPD