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      <ContractorCompensationGrp>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION FOLLLOWS THE REQUIREMENTS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ASSOCIATION HAS DETERMINED THAT THEY DO NOT HAVE UNCERTAIN TAX POSITIONS AND THEREFORE ARE NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024.</ExplanationTxt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15390</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <ExplanationTxt>MANAGEMENT SERVICES ARE PERFORMED BY ORBA CLOUD CFO SERVICES WHICH INCLUDE FINANCIAL MANAGEMENT, OTHER SERVICES AND GENERAL SERVICES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS TWO CLASSES OF MEMBERSHIP, ACTIVE AND AFFILIATE. ONLY ACTIVE MEMBERS HAVE VOTING RIGHTS (BASED UPON THE SIZE OF THE GROUP PRACTICE).</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>EACH MEMBER GROUP THAT IS ELIGIBLE TO VOTE (ACTIVE MEMBERS) VOTES FOR BOARD OFFICERS VIA AN ONLINE ELECTION PLATFORM.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>AN ELECTRONIC COPY OF THE FORM IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD FOR REVIEW. QUESTIONS AND COMMENTS ON THE FORM FROM THE TREASURER AND BOARD MEMBERS ARE DIRECTED TO THE CEO FOR RESOLUTION. AFTER ALL DISCUSSION POINTS ARE RESOLVED, THE FORMS ARE FINALIZED AND PROVIDED TO THE TREASURER FOR FINAL REVIEW AND SIGNATURE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO ANALYZES AMOUNTS DUE FROM OR TO ANY OFFICER, DIRECTOR, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS TO ANALYZE AMOUNTS PAID TO OR RECEIVED FROM SUCH PERSON. THE ASSOCIATION'S CEO ALSO SUBMITS A QUESTIONNAIRE ANNUALLY TO SUCH PERSON WITH THE QUESTIONS DESIGNED TO DETECT ANY VIOLATION OF THE CONFLICT OF INTEREST POLICY. THE DECLARED CONFLICTS ARE INCLUDED IN EVERY BOARD OF DIRECTOR'S AGENDA.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS CONSIDERS COMPENSATION PAID BY OTHER ORGANIZATIONS FOR COMPARABLE POSITIONS IN DETERMINING THE COMPENSATION OFFERED. THE CEO'S EMPLOYMENT CONTRACT IS SUBJECT TO BOARD APPROVAL AND ALL MEMBERS OF THE BOARD ARE INDEPENDENT.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE AVAILABLE AT ANNUAL MEETINGS OR UPON REQUEST.</ExplanationTxt>
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        <ExplanationTxt>CONSULTING: PROGRAM SERVICE EXPENSES 363,416. MANAGEMENT AND GENERAL EXPENSES 22,402. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 385,818. GOVERNMENT RELATIONS: PROGRAM SERVICE EXPENSES 318,301. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 318,301. IT SUPPORT: PROGRAM SERVICE EXPENSES 19,028. MANAGEMENT AND GENERAL EXPENSES 1,173. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,201. HEALTH POLICY SERVICES: PROGRAM SERVICE EXPENSES 1,018. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,018.</ExplanationTxt>
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          <AddressLine1Txt>875 N MICHIGAN AVE STE 3100</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
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      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>