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        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES, A PLAN MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE PLAN AND TRUST HAVE FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE JURISDICTIONS WHERE IT IS REQUIRED TO DO SO. FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDE REIMBURSEMENT FOR QUALIFYING MEDICAL EXPENSES AS DEDUCTIBLE UNDER INTERNAL REVENUE CODE SECTION 213 FOR ELIGIBLE FORMER EMPLOYEES OF NEW YORK PRESBYTERIAN HOSPITAL COLUMBIA UNIVERSITY MEDICAL CENTER, REPRESENTED BY THE NEW YORK STATE NURSES ASSOCIATION IN COLLECTIVE BARGAINING.</ExplanationTxt>
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        <ExplanationTxt>PROVIDE REIMBURSEMENT FOR QUALIFYING MEDICAL EXPENSES AS DEDUCTIBLE UNDER INTERNAL REVENUE CODE SECTION 213 FOR ELIGIBLE FORMER EMPLOYEES OF NEW YORK PRESBYTERIAN HOSPITAL COLUMBIA UNIVERSITY MEDICAL CENTER, REPRESENTED BY THE NEW YORK STATE NURSES ASSOCIATION IN COLLECTIVE BARGAINING.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>IF NEW YORK STATE NURSES ASSOCIATION "NYSNA" TRUSTEE VACANCY ARISES, THE PLAN'S TRUST AGREEMENT PROVIDES THAT NYSNA HAS THE POWER TO APPOINT A SUCCESSOR NYSNA TRUSTEE FOR THE PLAN. IF AN EMPLOYER TRUSTEE VACANCY ARISES, THE PLAN'S TRUST AGREEMENT PROVIDES THAT THE NEW YORK PRESBYTERIAN HOSPITAL COLUMBIA UNIVERSITY MEDICAL CENTER HAS THE POWER TO APPOINT A SUCCESSOR EMPLOYER TRUSTEE FOR THE PLAN.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>NANCY KALEDA CAN BE REACHED AT NEW YORK STATE NURSES ASSOCIATION, 120 WALL STREET, 23RD FL, NEW YORK, NY 10005.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE 990 IS REVIEWED AND APPROVED BY THE APPROPRIATE BOARD OF TRUSTEE MEMBERS PRIOR TO FILING THE RETURN IN CONJUNCTION WITH BDO USA, P.A. PRIOR TO SUBMISSION.</ExplanationTxt>
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        <ExplanationTxt>THE PLAN'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE PLAN'S BOARD OF TRUSTEES IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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</Return>
