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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER CATALANO</PersonNm>
        <TitleTxt>DIRECTOR - TREASURER</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDAL WHITE</PersonNm>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>409834</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RITA JEW</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINA MICHALEK</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW GRISSINGER</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL GAUNT</PersonNm>
        <TitleTxt>SR MGR, ERROR REPORTING</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES WHO PARTICIPATED IN A 457(F) PLAN DURING THE CALENDAR YEAR 2024 ARE PETER CATALANO, DHEERENDRA KOMMALA, MARCUS SCHABACKER, AND RANDAL WHITE. CONTRIBUTIONS TO THE 457(F) PLANS DURING 2024: - PETER CATALANO - $65,356 - DHEERENDRA KOMMALA - $71,361 - MARCUS SCHABACKER - $183,548 - RANDAL WHITE - $39,794 THERE WERE NO DISTRIBUTIONS FROM THE PLAN DURING THE CALENDAR YEAR 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ECRI, EMERGENCY CARE RESEARCH INSTITUTE, IS THE SOLE MEMBER OF ISMP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S MEMBER IS RESPONSIBLE FOR APPOINTING THE DIRECTORS TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED WITH INPUT FROM OTHERS AS NEEDED, INCLUDING AN INDEPENDENT ACCOUNTING FIRMS REVIEW. A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY CHIEF FINANCIAL OFFICER AND CHIEF LEGAL OFFICER. THEREAFTER, THE PRELIMINARY FORM 990 IS SENT TO EACH OFFICER AND DIRECTOR FOR THEIR REVIEW AND COMMENTS, AND ALL QUESTIONS AND COMMENTS ARE RESPONDED TO. IN ADDITION, THE FORM 990 IS REVIEWED AND DISCUSSED WITH THE GOVERNING BOARD'S AUDIT AND COMPLIANCE COMMITTEE AND THEREAFTER WITH THE DIRECTORS. AFTER THE ABOVE-DESCRIBED REVIEWS AND DISCUSSIONS, THE FINAL FORM 990 IS SIGNED AND FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS ESTABLISHED THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. IN THE EVENT OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE BOARD OF DIRECTORS SHALL DETERMINE THE APPROPRIATE RESPONSE. THE ORGANIZATION ALSO MAINTAINS A HOTLINE NUMBER FOR STAFF TO REPORT POSSIBLE VIOLATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD IS RESPONSIBLE FOR REVIEWING THE PERFORMANCE OF THE PRESIDENT AND CONSIDERING ADJUSTMENTS IN COMPENSATION ON AN ANNUAL BASIS. THE BOARD'S DECISIONS WILL BE BASED ON ANNUAL PERFORMANCE AND REVIEW OF COMPARABLE SALARIES OF SIMILAR ORGANIZATIONS. THE PRESIDENT, IN CONJUNCTION WITH THE BOARD, IS RESPONSIBLE FOR REVIEWING THE PERFORMANCE AND DETERMINING COMPENSATION OF OTHER KEY EMPLOYEES IN THE ORGANIZATION ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).</ExplanationTxt>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MED SAFETY BOARD INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>252869</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MED SAFETY BOARD INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>772090</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART V, LINE 1L:</FormAndLineReferenceDesc>
        <ExplanationTxt>ISMP ASSISTS MSB WITH PROJECTS AND THESE SERVICES ARE CHARGED TO MSB IN ACCORDANCE WITH THE LEVEL OF EFFORT PROVIDED AT COST. IN 2024, THESE SERVICES FROM ISMP TO MSB AMOUNTED TO $252,869.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>