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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>M BRETT COOPER MD</PersonNm>
        <TitleTxt>YOUNG PHYSICIAN MBR (21-22)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ABDUL ABID MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALIXANDRIA PFEIFFER DO</PersonNm>
        <TitleTxt>RESIDENT/FELLOW MBR (22-23)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SWETHA MADDIPUDI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ABHISHEK DHARAN</PersonNm>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL DARROUZET</PersonNm>
        <TitleTxt>EVP/CEO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN E DORMAN</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <ReportableCompFromOrgAmt>471874</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>110000</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>73068</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY WALLA</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CLAYTON STEWART</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN G BATORY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LENA BANKS</PersonNm>
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        <PersonNm>PAMELA UDALL</PersonNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>SIDLEY AUSTIN LLP</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>ONE SOUTH DEARBORN</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PROFESSIONAL JANITORIAL SERVICE</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <ZIPCd>78704</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUADGRAPHICS PRINTING CORPORATION</BusinessNameLine1Txt>
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          <USAddress>
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            <ZIPCd>53089</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SYNTAX CLOUD SOLUTIONS LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>NC</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SECURITAS SECURITY SERVICES US</BusinessNameLine1Txt>
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          <USAddress>
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            <ZIPCd>60693</ZIPCd>
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        </ContractorAddress>
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      <TotalContributionsAmt>1829980</TotalContributionsAmt>
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        <BusinessCd>900099</BusinessCd>
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        <Desc>SERVICES BILLED</Desc>
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        <ExclusionAmt>551626</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>433182</ExclusionAmt>
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        <Desc>EDUCATIONAL PROGRAMS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>254652</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>55260</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>55260</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>2384776</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <NonDeductibleLbbyngPltclTotAmt>1355511</NonDeductibleLbbyngPltclTotAmt>
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      <TaxableAmt>-290674</TaxableAmt>
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      <TotalBookValueLandBuildingsAmt>8092163</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>INVESTMENTS HELD FOR RELATED ORGS</Desc>
        <Amt>1025829</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUES PAYABLE</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
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        <Desc>OTHER</Desc>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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      <RecipientTable>
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      <RecipientTable>
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      <RecipientTable>
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      <RecipientTable>
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          <AddressLine1Txt>401 WEST 15TH ST</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
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          <ZIPCd>78701</ZIPCd>
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        <CashGrantAmt>58000</CashGrantAmt>
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      <RecipientTable>
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      <RecipientTable>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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      <RecipientTable>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <PurposeOfGrantTxt>PUBLIC HEALTH PROGRAM SUPPORT</PurposeOfGrantTxt>
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        <GrantTypeTxt>SCIENCE TEACHING AWARD</GrantTypeTxt>
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      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HEALTH JOURNALISM AWARD</GrantTypeTxt>
        <RecipientCnt>15</RecipientCnt>
        <CashGrantAmt>4525</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MEDIA AWARD JUDGE STIPEND</GrantTypeTxt>
        <RecipientCnt>4</RecipientCnt>
        <CashGrantAmt>400</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EVENT SPONSORSHIP</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>350</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
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      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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        <PersonNm>MICHAEL DARROUZET</PersonNm>
        <TitleTxt>EVP/CEO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>30500</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN E DORMAN</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <TotalCompensationFilingOrgAmt>371180</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>CLAYTON STEWART</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>27500</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>335827</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN G BATORY</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAMELA UDALL</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>236900</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16895</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>2480</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23690</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11972</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>291937</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 SCHEDULE J LINE LINE (3)(II)</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATION COMPENSATION OF $110,000 PAID TO JOHN E DORMAN BY THE PHYSICIANS FOUNDATION INC. THIS AMOUNT INCLUDED BASE COMPENSATION FOR CONTRACTED PROFESSIONAL SERVICES OF $110,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>TEXAS MEDICAL ASSOCIATION IS A PROFESSIONAL ASSOCIATION REPRESENTING TEXAS PHYSICIANS AND MEDICAL STUDENTS. AT 12/31/22, THE ASSOCIATION HAD 57,083 MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES SHALL BE COMPOSED OF NINE AT-LARGE MEMBERS AND ONE YOUNG PHYSICIAN ELECTED BY THE HOUSE OF DELEGATES, ONE RESIDENT MEMBER, ONE STUDENT MEMBER, AND, AS EX OFFICIO MEMBERS: THE PRESIDENT, PRESIDENT-ELECT, IMMEDIATE PAST PRESIDENT, SECRETARY/TREASURER, SPEAKER OF THE HOUSE OF DELEGATES, AND VICE SPEAKER OF THE HOUSE OF DELEGATES. THE HOUSE OF DELEGATES, THE LEGISLATIVE AND POLICY-MAKING BODY OF THE ASSOCIATION, SHALL ELECT THE OFFICERS EXCEPT AS OTHERWISE PROVIDED IN THE BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PREPARED BY THE VICE PRESIDENT OF FINANCE. PRIOR TO FILING, THE RETURN IS THOROUGHLY REVIEWED BY THE EXECUTIVE VICE PRESIDENT, THE CHIEF OPERATING OFFICER AND THE GENERAL COUNSEL. THE RETURN IS MADE AVAILABLE TO ALL OFFICERS AND TRUSTEES PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCLOSURE OF AFFILIATIONS QUESTIONNAIRE IS SUBMITTED BY ALL OFFICERS AND TRUSTEES ANNUALLY. THE CONFLICT OF INTEREST POLICY IS REVIEWED AT THE BEGINNING OF ALL BOARD MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>INDEPENDENT COMPENSATION CONSULTANT DEVELOPS COMPENSATION STRATEGY BY EVALUATING MARKET TRENDS AND ORGANIZATIONAL GOALS/PHILOSOPHY WHILE ENSURING ONGOING COMPETITIVENESS AND COMPLIANCE. THIS RECOMMENDATION IS PRESENTED TO THE ASSOCIATION'S COMPENSATION COMMITTEE FOR REVIEW. FINAL PLAN IS THEN SUBMITTED TO BOARD OF TRUSTEES FOR APPROVAL.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART XII LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES APPROVES SELECTION OF INDEPENDENT AUDITOR. THE ANNUAL AUDIT REPORT IS FORMALLY PRESENTED TO THE BOARD BY THE AUDIT FIRM PARTNER OR MANAGER RESPONSIBLE FOR THE ENGAGEMENT. THE BOARD MEETS WITH THE AUDITOR IN EXECUTIVE SESSION TO DISCUSS ANY QUESTIONS AND CONCERNS IN ABSENCE OF ASSOCIATION STAFF.</ExplanationTxt>
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</Return>
