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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>GHA is exempt from federal income tax under Section 501(c)(6) of the Internal Revenue Code (the "Code"), except for unrelated business income. GHAREF is exempt from federal income tax under Section 501(c)(3) of the Code. GHCIC has received exemptions from the Cayman Island government exempting these entities from all local income, profits, and capital gains taxes until December 9, 2034. No such taxes are levied in the Cayman Islands at the present time. HCIR and GHHS are for-profit entities and subject to income tax. With respect to its for-profit subsidiaries, the Association records income taxes using the asset and liability method under which deferred income taxes are determined based on the differences between the financial accounting and tax bases of assets and liabilities. Deferred income taxes at the end of each period are determined using the currently enacted tax rate expected to apply to taxable income in the periods that the deferred income taxes are expected to be realized or settled. The Association recognizes tax benefits from uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. The Association has evaluated its tax positions and has determined that they do not have any material unrecognized tax benefits or obligations as of December 31, 2024.</ExplanationTxt>
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        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN-Accrual</ExplanationTxt>
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        <PersonNm>Earl Rogers</PersonNm>
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        <PersonNm>Anna Adams</PersonNm>
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        <PersonNm>Keri Conley</PersonNm>
        <TitleTxt>Chief Health Policy Officer</TitleTxt>
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        <PersonNm>Steven McWilliams</PersonNm>
        <TitleTxt>VP, CIO</TitleTxt>
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        <PersonNm>Leigh Beakley</PersonNm>
        <TitleTxt>VP, Events</TitleTxt>
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        <PersonNm>John Roberts</PersonNm>
        <TitleTxt>Director, IT</TitleTxt>
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        <PersonNm>Leslie Sainovich</PersonNm>
        <TitleTxt>VP, Data Services</TitleTxt>
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        <PersonNm>Carolyn Gurney</PersonNm>
        <TitleTxt>Director, HR</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>86405</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Travel for companions</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A POLICY THAT STATES: Generally, expenses incurred by a spouse or companion of a GHA employee are not reimbursable unless there is a business purpose for the expenses and the GHA employee has obtained prior written approval from the employee's supervisor. For the President, the terms of travel expense reimbursement are dictated by their employment contract: GHA shall reimburse the President for travel, board, meals and other reasonably necessary business costs incurred in connection with, and necessary for the performance of, their duties and responsibilities under this agreement. Such reimbursement shall extend to reasonable travel expenses incurred by the Presidents spouse where their attendance is expected at certain business-related functions.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Club dues and initiation fees were only paid for the president/CEO and were included as a term of their employment contract.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO and other leadership team members have a 457(f) deferred compensation plan. Plan vested in December 2023 for the following with payout in 2024: Adams, Charles T $81,397.78 Plans vested in January 2024 for the following with payouts in 2024: Adams, Anna $137,098.93; Conley, Keri $191,636.16; Rogers, Earl $1,909,732.11; Summers, Carie $289,191.56</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGIA HOSPITAL ASSOCIATION ISSUES W-2'S FOR ITS OFFICERS, HOWEVER PORTIONS OF THEIR SALARIES AND BENEFITS ARE ALLOCATED TO OTHER RELATED ENTITIES. THE ALLOCATIONS ARE AS FOLLOWS: EARL ROGERS - 100% TO GEORGIA HOSPITAL ASSOCIATION (GHA). CARIE SUMMERS - 70% TO GHA, 15% TO GHAREF, 10% TO HCIR, AND 5% TO GHHS. KERI CONLEY - 65% TO GHA, 25% TO GHREF, 5% TO HCIR AND 5% TO GHHS ANNA ADAMS - 90% TO GHA and 10% to GHREF Caylee Noggle - 80% to GHA, 5% to GHAREF, 10% to HCIR and 5% to GHHS Bill Wylie - 50% to GHA, 5% to GHREF, 25% to HCIR and 20% to GHHS Steven McWilliams - 50% to GHA, 40% to GHREF and 10% to GHHS Leigh Beakley - 55% to GHA, 40% to GHREF, 4% to HCIR and 1% to GHHS Carolyn Gurney - 50% to GHA and 50% to GHREF John Roberts - 100% to GHA Leslie Sainovich - 65% to GHA and 35% to GHREF</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM CAN BE FOUND ON GUIDESTAR.ORG.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization amended it's by-laws in July 2024.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The members of the corporation shall consist of those persons, including individuals and organizations, who may from time to time be appointed to membership in such manner and under such requirements as may be prescribed in these bylaws. (3.1)</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Assembly shall consist of the Voting Representatives of the Members which are in good standing and not in default in the payment of dues. Members of the Board of Trustees shall be elected by the Assembly annually at any meeting or by written ballot.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The government and management of affairs of the corporation shall be vested inthe Board of Trustees. The Board of Trustees shall have supervision, control anddirection of the management, affairs, and property of the corporation; shalldetermine its policies or changes therein; and shall actively prosecute its purposesand objectives and supervise the disbursement of its funds. The Board of Trusteesmay adopt, by majority vote, such rules and regulations for the conduct of itsbusiness and the business of the corporation as shall be deemed advisable, andmay, in the execution of the powers granted, delegate certain of its authority andresponsibility to an executive committee. Under no circumstances, however, shallany actions be taken which are inconsistent with any action of the Assembly orwith the articles of incorporation or these bylaws; and the fundamental and basicpurposes of the corporation, as expressed in the articles of incorporation and thesebylaws, shall not be amended or changed. (7.1)</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>First reviewed by the GHA Audit Finance Committee for approval. Upon approval, copies of 990 made available to GHA Board along with Audit Finance Committee's report and recommendation for approval. GHA Board votes to approve.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Key employees are required to complete an Annual Conflict of Interest Disclosure Statement. The Disclosure Statement for GHA officers and managers is in the GHA Employee Handbook. Trustees complete a similar Disclosure Statement that is specific to GHA trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members are not compensated. Employee compensation based on market-based salary study for comparable positions conducted every three years. Salaries set within the range identified in the study. Salaries approved by manager, HR Director and CEO.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members are not compensated. Employee compensation based on market-based salary study for comparable positions conducted every three years. Salaries set within the range identified in the study. Salaries approved by manager, HR Director and CEO.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO PUBLIC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
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