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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION RECOGNIZES THE TAX BENEFITS OF UNCERTAIN TAX POSITIONS ONLY WHERE THE POSITION IS "MORE LIKELY THAN NOT" TO BE SUSTAINED ASSUMING EXAMINATION BY TAX AUTHORITIES. MANAGEMENT HAS ANALYZED THE FOUNDATION'S TAX POSITIONS AND HAS CONCLUDED THAT NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS SHOULD BE RECORDED RELATED TO UNCERTAIN TAX POSITIONS TAKEN ON RETURNS FILED FOR THE OPEN TAX YEARS (2019-2021), OR EXPECTED TO BE TAKEN IN THE FOUNDATION'S 2022 TAX RETURNS. THE FOUNDATION IDENTIFIES ITS MAJOR TAX JURISDICTIONS AD THE U.S. FEDERAL AND THE STATE OF TENNESSEE. HOWEVER, THE FOUNDATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE FOUNDATION BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. THE FOUNDATION IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.</ExplanationTxt>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT GRANT</PurposeOfGrantTxt>
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        <PersonNm>WENDY LONG MD MPH</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA WRIGHT</PersonNm>
        <TitleTxt>VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
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        <BonusRelatedOrganizationsAmt>24533</BonusRelatedOrganizationsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PARTICIPANT - EMPLOYEE TERMS &amp; CONDITIONS - ON THE LAST DAY OF EACH PLAN YEAR, IF THE EMPLOYEE IS AN EMPLOYEE OF THE COMPANY ON SUCH DAY, THE EMPLOYEE SHALL ACCRUE A BENEFIT IN THIS PLAN EQUAL TO A SET AMOUNT. THE COMPANY, IN ITS SOLE DISCRETION, MAY CREDIT ADDITIONAL CONTRIBUTIONS TO THE EMPLOYEE FROM TIME TO TIME. PRIOR TO THE BEGINNING OF ANY PLAN YEAR, THE EMPLOYEE MAY ELECT IN WRITING TO DEFER ANY PORTION OF HIS/HER CASH COMPENSATION TO THE PLAN FOR THE FOLLOWING PLAN YEAR. THE EMPLOYEE MAY ELECT TO DISCONTINUE PARTICIPATION FOR ANY PLAN YEAR AFTER THE FIRST PLAN YEAR FOR THE LAST SIX MONTHS OF SUCH PLAN YEAR BY GIVING THE COMMITTEE WRITTEN NOTICE NO LATER THAN THE LAST BUSINESS DAY OF COINCIDENT WITH OR IMMEDIATELY PRECEDING JUNE 10. UNTIL AND EXCEPT TO THE EXTENT THAT DEFERRED BENEFITS UNDER THE PLAN ARE DISTRIBUTED TO THE EMPLOYEE, TITLE AND OWNERSHIP OF ANY ASSETS WHICH THE COMPANY SETS ASIDE TO MEET ITS OBLIGATIONS OF THE PLAN, SHALL REMAIN IN THE COMPANY. THIS PLAN CONSTITUTES A MERE PROMISE BY THE COMPANY TO MAKE BENEFIT PAYMENTS IN THE FUTURE. THE EMPLOYEE MAY DIRECT THE DEEMED INVESTMENT OF HIS/HER ACCOUNT INTO ONE OR MORE OF THE INVESTMENT FUNDS SELECTED BY THE COMMITTEE. PAYMENT OF BENEFITS ACCRUED HEREUNDER IN THE EMPLOYEE'S ACCOUNT SHALL COMMENCE UPON THE FIRST DAY OF THE MONTH FOLLOWING THE DATE THE EMPLOYEE ATTAINS AN AGREED UPON AGE. IF THE EMPLOYEE DIES BEFORE ALL INSTALLMENTS HAVE BEEN PAID, THE SUM OF ALL REMAINING PAYMENTS SHALL BE PAID TO THE EMPLOYEE'S BENEFICIARY IN A SINGLE LUMP SUM. UPON THE DEATH OF THE EMPLOYEE DURING THE TERM OF HIS/HER EMPLOYMENT, THE EMPLOYEE'S BENEFICIARY SHALL RECIEVE A DEATH BENEFIT EQUAL TO THE ACCOUNT BALANCE ON THE DATE OF DEATH. UPON THE OCCURRENCE OF AN "UNFORESEEABLE EMERGENCY", THE EMPLOYEE MAY REQUEST FROM THE COMMITTEE A HARDSHIP DISTRIBUTION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THERF IS A SOLELY OWNED SUBSIDIARY OF THE TENNESSEE HOSPITAL ASSOCIATION(THA) AND IS GOVERNED BY THA'S BOARD. WHILE THERF MAY NOT HAVE A MEMBERSHIP BASE, THA DOES. THA HAS A HOSPITAL MEMBERSHIP BASE OF APPROXIMATELY 152 MEMBER HOSPITALS AND HUNDREDS OF CORPORATE AND PERSONAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AS CONTAINED WITHIN THA BYLAWS, THE HOUSE OF DELEGATES MEETS ANNUALLY TO ELECT THA DIRECTORS AND OFFICERS. THE HOUSE OF DELEGATES IS COMPOSED OF ONE VOTING REPRESENTATIVE FROM EACH INSTITUTIONAL MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION'S PROCESS TO REVIEW FORM 990 PRIOR TO SUBMITTING THERF'S IRS FORM 990, THE CEO FORWARDED A COPY OF THE FORM TO EACH BOARD MEMBER FOR THEIR REVIEW. BOARD MEMBERS ARE ENCOURAGED TO CONTACT THE CEO WITH ANY QUESTIONS THEY MAY HAVE CONCERNING INFORMATION PRESENTED WITHIN THE FORM AND ATTACHED SCHEDULES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A SUBSIDIARY OF THA, THERF IS GOVERNED BY THA POLICIES AND PROCEDURES. WITHIN THA POLICIES, THERE IS A VERY COMPREHENSIVE CODE OF BUSINESS CONDUCT THAT ADDRESSES CONFLICT OF INTEREST AND OTHER STANDARDS OF CONDUCT. IT IS THA'S POLICY THAT CONFLICTS OF INTEREST BE REPORTED AT ANY TIME A CONFLICT PRESENTS ITSELF, NOT JUST ANNUALLY. "IT IS THE POLICY OF THA TO AVOID CONFLICTS OF INTEREST IN APPEARANCE AND IN FACT. IF AN INDIVIDUAL BELIEVES A CONFLICT OF INTEREST EXISTS, IT MUST BE DISCLOSED TO THA. IF AN EMPLOYEE, DISCLOSURE SHALL BE MADE TO HIS/HER SUPERVISOR. IF A DIRECTOR, DISCLOSURE SHALL BE MADE TO THE THA BOARD OF DIRECTORS. ALL OTHER POTENTIAL CONFLICTS OF INTEREST SHALL BE DISCLOSED TO THA'S COO. "ENFORCEMENT OF THE POLICY IS BEST STATED BY THE POLICY ITSELF WHICH READS: "IN THE EVENT A LEGAL OR ETHICAL VIOLATION DOES OCCUR, VIOLATORS SHOULD EXPECT DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION, IF AN EMPLOYEE; REMOVAL, SUSPENSION OR RESCISSION, IF A DIRECTOR OR MEMBER; FINES, CIVIL AND CRIMINAL PROSECUTION, AND/OR IMPRISONMENT."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO POSITION - THA'S CEO SERVES AS THE CEO TO THERF AS WELL, BUT ON A VOLUNTEER BASIS. ALTHOUGH NONE OF THE CEO'S COMPENSATION IS CHARGED TO THERF, BELOW IS AN OUTLINE OF THE PROCESS BY WHICH THE CEO'S COMPENSATION PACKAGE IS DEVELOPED: THA BYLAWS ESTABLISH A COMPENSATION COMMITTEE WHICH DETERMINES CEO COMPENSATION. THE COMMITTEE HAS ADOPTED A FORMAL COMPENSATION PHILOSOPHY AND RELIES ON THE RESULTS OF AN ANNUAL CEO PERFORMANCE EVALUATION AS WELL AS AN ANNUAL COMPENSATION ANALYSIS CONDUCTED BY AN OUTSIDE CONSULTANT. THE PRIMARY DATA SET UTILIZED FOR COMPENSATION COMPARISON IS DERIVED FROM OTHER STATE HOSPITAL ASSOCIATIONS THAT ARE SIMILAR IN SIZE AND SCOPE OF OPERATIONS. NO COMMITTEE MEMBERS HAVE CONFLICTS OF INTEREST AS DEFINED IN THIS SECTION. MINUTES ARE MAINTAINED OF ALL COMMITTEE MEETINGS AND THE COMMITTEE REPORTS THE OUTCOME OF THE ANNUAL CEO COMPENSATION REVIEW TO THE FULL BOARD IN EXECUTIVE SESSION. THA CONTRACTS WITH AN INDEPENDENT CONSULTANT TO PROVIDE COMPARATIVE COMPENSATION DATA FOR ALL OTHER POSITIONS WITH THE ASSOCIATION INCLUDING OFFICERS AND KEY EMPLOYEES. THE PRIMARY DATA SET UTILIZED FOR COMPENSATION COMPARISON IS DATA DERIVED FROM OTHER STATE HOSPITAL ASSOCIATIONS. THE ANALYSIS INCLUDES AN ATTEMPT TO MATCH EACH POSITION TO COMPARABLE POSITIONS IN OTHER ASSOCIATIONS AND TO ESTABLISH SALARY GRADES AND MARKET MEDIANS. THIS ANALYSIS ALONG WITH OTHER PERTINENT INFORMATION SUCH AS EVALUATION OF INDIVIDUAL PERFORMANCE, RECOGNITION OF ANY UNIQUE ASPECTS OF A POSITION AND/OR SIGNIFICANT CHANGES IN JOB RESPONSIBILITIES IS USED BY THE CEO AND/OR COO TO GUIDE COMPENSATION DECISIONS WHICH ARE DOCUMENTED AND TRACKED THROUGH THA'S HR AND PAYROLL SYSTEMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE THERF BYLAWS, CODE OF BUSINESS CONDUCT, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING: PROGRAM SERVICE EXPENSES 397,181. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 397,181.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS ROUNDING -2.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>TENNESSEE HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>5201 VIRGINIA WAY</AddressLine1Txt>
          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>TENNESSEE RURAL HEALTH RECRUITMENT &amp; RETENTION CENTER INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>5201 VIRGINIA WAY</AddressLine1Txt>
          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
        </USAddress>
        <EIN>203037016</EIN>
        <PrimaryActivitiesTxt>RECRUITMEN</PrimaryActivitiesTxt>
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          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
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      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
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        <InvolvedAmt>532937</InvolvedAmt>
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</Return>
