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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION 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 ASSOCIATION'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 ASSOCIATION'S 2022 TAX RETURNS. THE ASSOCIATION IDENTIFIES ITS MAJOR TAX JURISDICTIONS AS THE U.S. FEDERAL AND THE STATE OF TENNESSEE. HOWEVER, THE ASSOCIATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ASSOCIATION BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. THE ASSOCIATION 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. DURING THE YEARS ENDED DECEMBER 31, 2022 AND 2021, THE ASSOCIATION DID NOT RECOGNIZE ANY INTEREST AND PENALTIES RELATING TO A TAX POSITION, NOR WERE ANY ACCRUED AT DECEMBER 31, 2022 AND 2021.</ExplanationTxt>
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        <CashGrantAmt>3177500</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 AND LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 2 - PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THERE IS A STIPEND REVIEW COMMITTEE THAT APPROVES ALL STIPENDS PAID OUT TO THE RECIPIENTS, AND THE APPROVED LIST IS REPORTED TO THE BOARD OF DIRECTORS.</ExplanationTxt>
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        <TitleTxt>TREASURER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>156801</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>34963</BonusRelatedOrganizationsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS FOR TCWD ARE ELECTED BY THE BOARD OF THA, THEIR CONTROLLING ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S PROCESS TO REVIEW FORM 990 PRIOR TO SUBMITTING TCWD'S IRS FORM 990, A COPY OF THE FORM WAS SENT TO EACH BOARD MEMBER. BOARD MEMBERS ARE ENCOURAGED TO CONTACT THE TREASURER 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>TENNESSEE RURAL HEALTH RECRUITMENT HAS A VERY COMPREHENSIVE CODE OF BUSINESS CONDUCT THAT ADDRESSES CONFLICT OF INTEREST AND OTHER STANDARDS OF CONDUCT. IT IS TCWD'S POLICY THAT CONFLICTS OF INTEREST BE REPORTED AT ANYTIME A CONFLICT PRESENTS ITSELF, NOT JUST ANNUALLY. "IT IS THE POLICY OF TCWD TO AVOID CONFLICTS OF INTEREST IN APPEARANCE AND IN FACT. IF AN INDIVIDUAL BELIEVES A CONFLICT OF INTEREST EXISTS, IT MUST BE DISCLOSED TO TCWD. IF AN EMPLOYEE, DISCLOSURE SHALL BE MADE TO HIS/HER SUPERVISOR. IF A DIRECTOR, DISCLOSURE SHALL BE MADE TO THE TCWD BOARD OF DIRECTORS. ALL OTHER POTENTIAL CONFLICTS OF INTEREST SHALL BE DISCLOSED TO THE CHIEF OPERATING OFFICER. "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; AND FINES, CIVIL AND CRIMINAL PROSECUTION, AND/OR IMPRISONMENT."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>TCWD 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 THE EXECUTIVE SESSION. TCWD CONTRACTS WITH AN INDEPENDENT CONSULTANT TO PROVIDE COMPARATIVE COMPENSATION DATA FOR ALL OTHER POSITIONS WITHIN 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 TCWD'S HR AND PAYROLL SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TCWD BYLAWS, CODE OF BUSINESS CONDUCT, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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          <AddressLine1Txt>5201 VIRGINIA WAY</AddressLine1Txt>
          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
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        <EIN>620534232</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
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          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
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        <InvolvedAmt>37384</InvolvedAmt>
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