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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>PERMENANT ENDOWMENT PROVIDES INCOME TO SUPPORT AUXILIARY PROJECTS, INCLUDING BAILEY HOUSE AND ANNUAL SCHOLARSHIPS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FOLLOWS THE PROVISIONS OF THE ASC'S RISKS AND UNCERTAINTIES TOPIC WHICH REQUIRES AN ASSESSMENT OF THE ORGANIZATION'S EXPOSURE TO INCOME TAXES AT THE ENTITY LEVEL AS A RESULT OF UNCERTAIN TAX POSITIONS TAKEN IN CURRENT AND PREVIOUSLY-FILED TAX RETURNS. EXAMPLES OF TAX POSITIONS TAKEN AT THE ENTITY LEVEL INCLUDE CONTINUING QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE IS ANY TAXABLE UNRELATED BUSINESS INCOME ACTIVITIES CONDUCTED. ANY TAX BENEFITS ASSOCIATED WITH UNCERTAIN TAX POSITIONS THAT ARE IN EXCESS OF A REALIZATION THRESHOLD MUST BE RECORDED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE FINANCIAL STATEMENTS, ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES. PRESENTLY, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT ITS TAX POSITIONS WILL BE SUSTAINED UPON EXAMINATION, INCLUDING ANY APPEALS AND LITIGATION, AND THEREFORE BELIEVES THAT THE ORGANIZATION HAS NO EXPOSURE TO INCOME TAXES FROM UNCERTAIN TAX POSITIONS.</ExplanationTxt>
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        <USAddress>
          <AddressLine1Txt>409 SOUTH 2ND STREET</AddressLine1Txt>
          <CityNm>HARRISBURG</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
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        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>TO SUPPORT THE GENERAL PROJECTS OF THE PINNACLE HEALTH SYSTEM</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WINNERS OF SCHOLARSHIPS ARE REQUIRED TO PROVIDE THE ORGANIZATION THE NAME OF THE HIGHER EDUCATION INSTITUIION THEY WILL BE ATTENDING. THE ORGANZIATION MAKES THE CHECK PAYABLE TO BOTH THE INDIVIDUAL AND THE INSTITUTION TO ENSURE PROPER USE OF THE SCHOLARSHIP FUNDS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP IN THE AUXILIARY IS OPEN TO ALL PERSONS WHO ARE INTERESTED IN PINNACLE HEALTH SYSTEM AND ARE WILLING TO UPHOLD THE PURPOSES OF THE AUXILIARY. MEMBERSHIP BECOMES EFFECTIVE WHEN THE INITIAL DUES ARE PAID.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS ELECT THE OFFICERS OF THE BOARD OF DIRECTORS AND THE PRESIDENT APPOINTS THE CHAIRMEN OF THE STANDING COMMITTEES. THE BOARD IS COMPRISED OF THE OFFICERS AND THE CHAIRMEN OF THE STANDING COMMITTEES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY MEMBER IN GOOD STANDING SHALL HAVE THE RIGHT TO VOTE; ALSO THE BYLAWS REQUIRED AN AFFIRMATIVE VOTE OF 2/3 OF THE MEMBERS PRESENT AT A MEETING TO APPROVE AMENDMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PRESENTED IN DRAFT FORM TO THE BOARD FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE CONFLICTS</ExplanationTxt>
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      <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 TO THE PUBLIC UPON REQUEST</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE HAS BEEN NO CHANGE IN THE PROCESS FOR THIS YEAR.</ExplanationTxt>
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</Return>