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        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT BELIEVES THAT THE ASSOCIATION HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ASSOCIATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc4">
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        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROMOTE THE COMMON INTERESTS OF ORGANIZATIONS WHICH HAVE THE AUTHORITY TO PROVIDE CAPITAL FINANCING FOR THE DEVELOPMENT OF HOSPITALS AND OTHER HEALTH CARE FACILITIES AND TO ENHANCE THE EFFECTIVENESS OF SUCH ORGANIZATIONS AND THEIR PROGRAMS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS MEMBERS. ALL MEMBERS HAVE ALL THE BENEFITS OF PARTICIPATING IN THE COUNCIL ACTIVITIES, PLANNING INFORMATIONAL EXCHANGES, LITERATURE, ADVOCACY EFFORTS, AND ACCESS TO THE OTHER MEMBERS OF THE COUNCIL, BUT WILL NOT BE ELIGIBLE TO CAST A VOTE ON THE FORMAL ACTIONS OF THE COUNCIL.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS SHALL BE ELECTED BY THE MEMBERS AS PROVIDED IN THE BYLAWS EXCEPT THAT THE IMMEDIATE PAST PRESIDENT SHALL AUTOMATICALLY BECOME A DIRECTOR FOR A TWO YEAR TERM. ANY OR ALL DIRECTORS MAY BE REMOVED EITHER WITH OR WITHOUT CAUSE BY A VOTE OF A MAJORITY OF THE MEMBERS AT ANY TIME. ANY VACANCY OCCURRING FOR ANY REASON IN THE MEMBERSHIP OF THE BOARD OF DIRECTORS MAY BE FILLED BY THE MAJORITY VOTE OF THE REMAINING MEMBERS OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PRESENTED AT THE BOARD MEETING. THE BOARD REVIEWS AND APPROVES THE FORM 990 BEFORE FILING THE RETURN WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES 163,800 11,289 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
