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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING IS AN EXCERPT FROM NOTE 2 OF THE AUDITED FINANCIAL STATEMENTS: THE COMPANY HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT ENTITY AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES EXCEPT FOR UNRELATED BUSINESS INCOME. THE COMPANY DID NOT RECEIVE ANY UNRELATED BUSINESS INCOME FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023. THE COMPANY ACCOUNTS FOR UNCERTAIN TAX POSITIONS UNDER FASB ASC 740, INCOME TAXES, WHICH PROVIDES A FRAMEWORK FOR HOW ENTITIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. THE COMPANY MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE COMPANY DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2024 AND 2023. AS OF SEPTEMBER 30, 2024 AND 2023, THE COMPANY DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THERE ARE NO TAX EXAMINATIONS PENDING OR IN PROGRESS.</ExplanationTxt>
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        <PersonNm>MICHELLE PUHLICK</PersonNm>
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        <TotalCompensationFilingOrgAmt>339291</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENN SEARLS</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH INDIVIDUAL IS REVIEWED ANNUALLY FOR PERFORMANCE AND ACHIEVEMENT TOWARDS GOALS SET AND APPROVED BY THE BOARD. THE EXECUTIVE DIRECTOR'S PERFORMANCE IS REVIEWED BY THE BOARD OF DIRECTORS AND THE COO'S PERFORMANCE IS REVIEWED BY THE EXECUTIVE DIRECTOR. BASED ON THE OVERALL REVIEW OF THEIR PERFORMANCE AND BOARD GOALS MET, A BONUS AMOUNT IS DETERMINED AND DISTRIBUTED AFTER THE CLOSE OF THE FISCAL YEAR. DURING THE 2023 CALENDAR YEAR, BONUS DISTRIBUTIONS FOR BOTH FY22 AND FY23 FOR THE FOLLOWING INDIVIDUAL WERE DETERMINED IN ACCORDANCE WITH THE CRITERIA AND DISTRIBUTED: MICHELLE PUHLICK DURING THE 2023 CALENDAR YEAR, THE BONUS DISTRIBUTIONS FOR FY22 AND FY23 FOR THE FOLLOWING INDIVIDUAL WERE NOT YET DETERMINED. THE BONUS DISTRIBUTIONS FOR THESE TWO FISCAL YEARS WERE DETERMINED IN ACCORDANCE WITH THE CRITERIA AND DISTRIBUTED DURING THE 2024 CALENDAR YEAR. AS A RESULT, NO BONUS AMOUNT IS REPORTED ON SCHEDULE J, PART II, COLUMN B(II), COLUMN C, NOR ON FORM 990 PART VII COLUMN D FOR: JENN SEARLS</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>SECTION 3.3 OF THE BYLAWS DEFINES THE COMPOSITION OF THE BOARD OF DIRECTORS AS FOLLOWS: THE BOARD SHALL BE COMPRISED OF THE FOLLOWING NINE MEMBERS: (I) ONE MEMBER WHO SHALL HAVE EXPERTISE AS AN ADVOCATE FOR CONSUMERS OF HEALTH CARE, APPOINTED BY THE GOVERNOR; (II) ONE MEMBER WHO SHALL HAVE EXPERTISE AS A CLINICAL MEDICAL DOCTOR, APPOINTED BY THE PRESIDENT PRO TEMPORE OF THE SENATE; (III) ONE MEMBER WHO SHALL HAVE EXPERTISE IN THE AREA OF HOSPITAL ADMINISTRATION, APPOINTED BY THE SPEAKER OF THE HOUSE OF REPRESENTATIVES; (IV) ONE MEMBER WHO SHALL HAVE EXPERTISE IN THE AREA OF CORPORATE LAW OR FINANCE, APPOINTED BY THE MINORITY LEADER OF THE SENATE; (V) ONE MEMBER WHO SHALL HAVE EXPERTISE IN GROUP HEALTH INSURANCE COVERAGE, APPOINTED BY THE MINORITY LEADER OF THE HOUSE OF REPRESENTATIVES; (VI) THE CHIEF INFORMATION OFFICER AND THE SECRETARY OF THE OFFICE OF POLICY AND MANAGEMENT, OR THEIR DESIGNEES, WHO SHALL SERVE AS EX OFFICIO, VOTING MEMBERS OF THE BOARD; (VII) THE HEALTH INFORMATION TECHNOLOGY OFFICER, DESIGNATED IN ACCORDANCE WITH SECTION 19A-754A OF THE CONNECTICUT GENERAL STATUTES, WHO SHALL SERVE AS CHAIRPERSON OF THE BOARD; AND (VIII) THE COMMISSIONER OF THE DEPARTMENT OF SOCIAL SERVICES, OR THE COMMISSIONER'S DESIGNEE, WHO SHALL SERVE AS EX-OFFICIO, VOTING MEMBER OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>HIA'S FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY MANAGEMENT PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>HIA HAS A CONFLICT OF INTEREST POLICY DESIGNED TO SUPPLEMENT, BUT NOT REPLACE, THE CODE OF ETHICS FOR PUBLIC OFFICIALS OF THE STATE OF CONNECTICUT SET FORTH IN CHAPTER 10, SECTIONS 1-79 ET, SEQ. OF THE CONNECTICUT GENERAL STATUES, INCLUDING BUT NOT LIMITED TO SECTIONS 1-84 &amp; 1-85 REGARDING INTERESTS IN CONFLICT WITH DISCHARGE OF A PUBLIC OFFICIAL'S DUTIES, AS WELL AS ANY OTHER APPLICABLE FEDERAL OR STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLCIABLE TO NON PROFIT OR ALL TYPES OF CORPORATIONS. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE CORPORATION'S DIRECTORS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. IF AN INTERESTED PERSON BELIEVE THAT HE OR SHE HAS A CONFLICT OF INTEREST, SUCH PERSON SHALL RECUSE HIMSELF OR HERSELF FROM ALL FURTHER DISCUSSIONS WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT OF INTEREST AND SHALL NOT VOTE ON ANY MATTERS WITH RESPECT THERETO. AN INTERESTED PERSON IS UNCERTAIN AS TO WHETHER HE OR SHE HAS A CONFLICT OF INTEREST, HE OR SHE SHALL SEEK A DETERMINATION BY THE BOARD OF DIRECTORS AS TO WHETHER A CONFLICT OF INTEREST EXISTS. SUCH INTERESTED PERSON SHALL BE BOUND BY A DECISION OF THE BOARD OF DIRECTORS WITH RESPECT TO THE EXISTENCE OF A CONFLICT OF INTEREST. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE BOARD MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD MEMBERS SHALL DECIDE A CONFLICT OF INTEREST EXISTS. THE FOLLOWING PROCEDURES EXIST REGARDING POSSIBLE CONFLICTS OF INTEREST: A. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT GIVES RISE TO THE CONFLICT OF INTEREST. B. THE REMAINING DIRECTORS SHALL, THEY, IN THEIR SOLE DISCRETION DETERMINE APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. THE MINUTES OF THE MEETING OF THE BOARD OF DIRECTORS SHALL DOCUMENT THE MEETING REGARDING A POTENTIAL CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEE COMPENSATION IS GOVERNED BY BOARD POLICY. EMPLOYEES COMPENSATED BY THE ORGANIZATION ARE EVALUATED ANNUALLY FOR THEIR PERFORMANCE, SEEK INPUT ON MATTERS OF PERFORMANCE AND COMPENSATION, AND HAVE A REASONABLENESS DETERMINATION CONDUCTED WITH RESPECT TO PROPOSED COMPENSATION. RESEARCH AND INFORMATION TO MAKE RECOMMENDATIONS FOR COMPENSATION BASED ON A REVIEW OF COMPARABILITY DATA ARE OBTAINED DURING THIS PROCESS AND HOW CONCLUSIONS ARE REACHED, INCLUDING THE DATA RELIED UPON, ARE DOCUMENTED. DECISIONS REGARDING REASONABLENESS OF THE COMPENSATION ARRANGEMENTS ARE ARRIVED AT INDEPENDENTLY WITHOUT UNDUE INFLUENCE FROM ANY OF THE INDIVIDUALS WHOSE COMPENSATION IS BEING DETERMINED. THE ORGANIZATION ALSO CONDUCTED A COMPENSATION STUDY IN JUNE 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>HIA WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990 PART VII, SECTION B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>PAYMENTS TO CRISP SHARED SERVICES (CSS), LISTED AS AN INDEPENDENT CONTRACTOR, INCLUDE AMOUNTS PAID FOR THE STAFF OF HEALTH INFORMATION ALLIANCE. THESE INDIVIDUALS RECEIVE THEIR W-2S FROM CSS, PAID BY HEALTH INFORMATION ALLIANCE AS A PASS-THROUGH AMOUNT. HEALTH INFORMATION ALLIANCE TREATS THE STAFF FROM CSS AS ITS OWN EMPLOYEES IN EVERY OTHER WAY, AND SO THESE COMPENSATION AMOUNTS ARE INCLUDED AS SALARY EXPENSE ON THE STATEMENT OF FUNCTIONAL EXPENSES AND ALSO INCLUDED ON PART VII, SECTION B FOR THE CALENDAR YEAR ENDING WITHIN THE FISCAL YEAR OF HEALTH INFORMATION ALLIANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>BUCKNER CONSULTING GROUP: PROGRAM SERVICE EXPENSES 45,188. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,188. CSS: PROGRAM SERVICE EXPENSES 4,159,013. MANAGEMENT AND GENERAL EXPENSES 35,700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,194,713. HES ADVISORS, LLC: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 803. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 803. HITRUST: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 58,475. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,475. INTERN STIPEND: PROGRAM SERVICE EXPENSES 1,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,200. MEDICASOFT: PROGRAM SERVICE EXPENSES 263,125. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 263,125. NOVUS INSIGHT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,430. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,430. SAM JENNIGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 600. SECURE EXCHANGE SOLUTIONS: PROGRAM SERVICE EXPENSES 54,375. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,375. UCONN HEALTH: PROGRAM SERVICE EXPENSES 215,868. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 215,868.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE AND AUDIT COMMITTEE ARE RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDIT FIRM AND OVERSEEING THE FINANCIAL STATEMENT PREPARATION PROCESS. THE FINANCE AND AUDIT COMMITTEE PROVIDES THE STATUS OF FINANCIAL REPORTING AND OBTAINS BOARD APPROVAL FOR DESIGNATION OF AN AUDIT FIRM DURING THE BOARD MEETINGS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>