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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PHP ENDOWMENT - FOR THE BENEFIT OF THE PHYSICIANS HEALTH PROGRAM WHICH ASSISTS PHYSICIANS AND OTHER ELIGIBLE LICENSED PROFESSIONALS AND TRAINEES WITH CONFIDENTIAL, RELIABLE PEER ASSISTANCE MONITORING SERVICES FOR INDIVIDUALS WHO MAY BE EXPERIENCING IMPAIRMENT RELATED TO ADDICTION, PHYSICAL OR MENTAL CHALLENGES, OR WORK-RELATED STRESS.</ExplanationTxt>
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        <ExplanationTxt>THE FOUNDATION, THE FUND, AND THE TRUST HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(C)(1) OF THE IRC. NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. FOR THE YEAR ENDED DECEMBER 31, 2024, THE PAMED FOUNDATION DID NOT IDENTIFY ANY UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN, WHICH WOULD REQUIRE ADJUSTMENT TO OR DISCLOSURE IN THE COMBINED FINANCIAL STATEMENTS. THE FOUNDATION, THE FUND, AND THE TRUST ARE POTENTIALLY SUBJECT TO FEDERAL, STATE, AND LOCAL EXAMINATIONS FOR YEARS SUBSEQUENT TO DECEMBER 31, 2020.</ExplanationTxt>
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          <AddressLine1Txt>400 WINDING CREEK BLVD</AddressLine1Txt>
          <CityNm>MECHANICSBURG</CityNm>
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        <ExplanationTxt>THE TRUST'S BOARD APPROVES ALL GRANTS FOR APPROPRIATE CHARITABLE PURPOSES. GRANTS ARE MADE TO THE TRUST'S SISTER ORGANIZATION, THE FOUNDATION OF THE PENNSYLVANIA MEDICAL SOCIETY, WHOSE BOARD ALSO REVIEWS THAT THESE GRANTED FUNDS ARE USED TO PROMOTE THE FOUNDATION'S CHARITABLE PROGRAMS AND MISSION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION OF THE PENNSYLVANIA MEDICAL SOCIETY CHARITABLE TRUST IS DEDICATED TO ADVANCING THE CULTURE OF PHILANTHROPY AND SUPPORTING EXCELLENCE ACROSS PROGRAMS AND SERVICES PROVIDED BY THE FOUNDATION OF THE PENNSYLVANIA MEDICAL SOCIETY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLETED 990 IS SUBMITTED TO THE ENTIRE BOARD FOR REVIEW PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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        <ExplanationTxt>STAFF AND TRUSTEES ARE REQUIRED TO REVIEW AND APPROVE THE CONFLICT OF INTEREST POLICY ANNUALLY WHILE UPDATING IT FOR ANY KNOWN CHANGES AND ADDITIONAL POTENTIAL CONFLICTS OF INTEREST AS NECESSARY. ADDITIONALLY, IF ANY POTENTIAL CONFLICTS OF INTEREST ARISE DURING THE YEAR, STAFF AND TRUSTEES ARE REQUIRED TO NOTIFY THE BOARD OF TRUSTEES AND LEGAL COUNSEL.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>PERIODIC RESEARCH AND COMPARISON OF COMPENSATION FOR THE EXECUTIVE DIRECTOR AND OTHER STAFF POSITIONS IS CONDUCTED OF SIMILAR NOT-FOR-PROFIT ORGANIZATIONS. THE BOARD OF TRUSTEES APPROVES THE LEVEL OF COMPENSATION FOR THE EXECUTIVE DIRECTOR AND REVIEWS OTHER STAFFING COMPENSATION ANNUALLY. SUCH RESEARCH, REVIEW AND APPROVAL IS DOCUMENTED AND RETAINED.</ExplanationTxt>
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        <ExplanationTxt>THE TRUSTS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</ExplanationTxt>
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        <PrimaryActivitiesTxt>SERVES AS A VEHICLE FOR ACCEPTING DEFERRED DONATIONS.</PrimaryActivitiesTxt>
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</Return>