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        <ExplanationTxt>The accrual method of accounting was used to account for expenditures for activities outside the U.S.</ExplanationTxt>
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        <ExplanationTxt>Organizations receive grants on a cost-reimbursement method only. As a result, the use of all grant funds is monitored by the League prior to any funds being disbursed.</ExplanationTxt>
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        <ExplanationTxt>Payments are made to the employers of two of the officers to compensate for administrative support provided by the institutions. Payment amounts were as follows for 2024: President $25,000 Secretary $25,000</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>All members of the Executive Committee are required to complete a conflict of interest document annually. The completed documents are reviewed to ensure there are no conflicts of interest.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive Director was recruited using an external and independent recruitment agency. Compensation was determined through comparative data and advice of in the external recruitment agency. Compensation is reviewed on an annual basis by the Finance Committee and Executive Committee in light of both performance and inflation. Compensation for other key employees is determined through use of comparative data including salary scales that are made available through membership of medical associations. Compensation is reviewed on an annual basis by the Finance Committee and Executive Committee in light of both performance and inflation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Summarized financial information is included in the Association's annual report. If the governing documents, financial statements, or policies of our organization are subject to the Federal public disclosure rules (or state public disclosure rules), these documents will be made available upon request as applicable law may require. Otherwise, the governing documents, financial statements, and/or policies will be provided to the public at the discretion of management.</ExplanationTxt>
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