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        <ExplanationTxt>LOBBYING ACTIVITIES: A PORTION OF THE AMERICAN HEALTH QUALITY ASSOCIATION (AHQA) DUES PAID ARE CONSIDERED ATTRIBUTABLE TO LOBBYING. FOR 2024, SUPERIOR HEALTH PAID $30,000 TO AHQA FOR DUES, OF WHICH 7.2% IS DESIGNATED AS LOBBYING.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION IS A TAX-EXEMPT, NON-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CORRESPONDING PROVISIONS OF STATE LAW AND ACCORDINGLY IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, ANY UNRELATED BUSINESS INCOME MAY BE SUBJECT TO TAXATION. THE ORGANIZATION FILES INFORMATION RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF WISCONSIN.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ARE REPRESENTATIVES ELECTED BY JOINT VENTURE MEMBER ORGANIZATIONS. THE MEMBER ORGANIZATIONS PROVIDE SERVICES FOR SUPERIOR HEALTH QUALITY ALLIANCE. IN ADDITION, SOME OF THE DIRECTORS ALSO WORK AS OFFICERS WITHIN THE MEMBER ORGANIZATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPERIOR HEALTH QUALITY ALLIANCE WAS FORMED AS A JOINT VENTURE WITH ONE CLASS OF MEMBERS CONSISTING OF THE FOLLOWING EIGHT ORGANIZATIONS: -ILLINOIS HEALTH AND HOSPITAL ASSOCIATION -METASTAR, INC. -MICHIGAN HEALTH &amp; HOSPITAL ASSOCIATION (MHA) HEALTH FOUNDATION -MIDWEST KIDNEY NETWORK -MINNESOTA HOSPITAL ASSOCIATION -MPRO, INC. DBA IMPROVE HEALTH -STRATIS HEALTH -WISCONSIN HOSPITAL ASSOCIATION, INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>EXCEPT AS SPECIFICALLY SET FORTH IN THE CORPORATION'S BYLAWS OR ARTICLES OF INCORPORATION, THE BOARD OF DIRECTORS EXERCISES GOVERNANCE AUTHORITY WITH RESPECT TO THE CORPORATION. MEMBERS SHALL EXERCISE THEIR RIGHT TO VOTE THROUGH A DESIGNATED REPRESENTATIVE. EACH MEMBER SHALL DESIGNATE ITS REPRESENTATIVE IN WRITING EXECUTED BY THE MEMBER'S CHIEF EXECUTIVE OFFICER AND DELIVERED TO THE CHIEF EXECUTIVE OFFICER OR CHAIR OF THE BOARD OF DIRECTORS, WHICH SHALL BE RETAINED BY THE CORPORATION. A MEMBER MAY CHANGE ITS DESIGNATED REPRESENTATIVE AT ANY TIME AND FROM TIME TO TIME IN THE SAME MANNER. A MEMBER MAY NAME A PROXY TO ACT IN PLACE OF ITS DESIGNATED REPRESENTATIVE AT ANY TIME BY SUBMITTING IN WRITING TO THE CHIEF EXECUTIVE OFFICER OR CHAIR OF THE BOARD OF DIRECTORS AN APPOINTMENT OF PROXY FOR THE MEMBER'S DESIGNATED REPRESENTATIVE DIRECTOR THAT SPECIFIES THE NAME OF THE PROXY, HOW LONG THE PROXY WILL LAST, AND ANY LIMITATIONS THAT THE MEMBER IS PLACING ON THE PROXY'S AUTHORITY TO ACT ON BEHALF OF THE MEMBER'S DESIGNATED REPRESENTATIVE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN IS REVIEWED INTERNALLY BY MANAGEMENT AND THE BOARD OF DIRECTORS INCLUDING ITS TREASURER PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY DIRECTOR WHOSE POSITION INVOLVES HIM/HER IN CONFLICT OF INTEREST ON ANY ISSUE BROUGHT BEFORE THE BOARD SHALL ANNOUNCE THE FACT OF THIS CONFLICT, REFRAIN FROM VOTING ON THE ISSUE, AND MAY DISCUSS MATTERS BEFORE THE BOARD WHICH MAY AFFECT SUCH INTEREST ONLY TO THE EXTENT PERMITTED BY THE BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS REVIEWED BY THE MEMBERS AND APPROVED IN AN AGREEMENT BETWEEN SUPERIOR HEALTH AND THE MEMBER ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>1. SAM WATSON: 2112 UNIVERSITY PARK DR., OKEMOS, MI 48864 2. NADINE ALLEN: 5510 RESEARCH PARK DR., FITCHBURG, WI 5711 3. MAY LEONARD: 625 KENMOOR AVE SE, SUITE 350 PMB 47995, GRAND RAPIDS, MI 49546-2395 4. HELGA BRAKE: 1151 EAST WARRENVILLE ROAD, NAPERVILLE, IL 60563 5. DEE LEDUC: 2901 METRO DRIVE, SUITE 400, BLOOMINGTON, MN 55425 6. JENNIFER LUNDBLAD: 2901 METRO DRIVE, NO. 400, BLOOMINGTON, MN 55425 7. RAHUL KORANNE: 2550 UNIVERSITY AVE. W NO. 250-S, ST. PAUL, MN 55114 8. SUSAN ZIEL (ZIEL WORKS, LLC): 1835 PERIMETER PARK ROAD WEST, FERNANDINA BEACH, FL 32034</ExplanationTxt>
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        <ExplanationTxt>OTHER SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 3,291,023. MANAGEMENT AND GENERAL EXPENSES 252,412. TOTAL EXPENSES 3,543,435.</ExplanationTxt>
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        <ExplanationTxt>TRANSFERS TO MEMBERS -852,395.</ExplanationTxt>
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