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        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ASSOCIATION AND RECOGNIZE A TAX LIABILITY IF THE ASSOCIATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. AS DISCUSSED ABOVE, GDAHA AND GDAHIN ARE EXEMPT FROM INCOME TAXES AND MANAGEMENT BELIEVES THESE ENTITIES HAVE NOT ENGAGED IN ANY ACTIVITIES THAT WOULD DISQUALIFY THEM FROM TAX-EXEMPT STATUS. THE ASSOCIATION'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OTHER EXPENSES.</ExplanationTxt>
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        <PurposeOfGrantTxt>FOR HEALTH CARE PREPAREDNESS</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>MIAMI VALLEY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>ONE WYOMING STREET</AddressLine1Txt>
          <CityNm>DAYTON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45409</ZIPCd>
        </USAddress>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>FOR HEALTH CARE PREPAREDNESS</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>CITY OF DAYTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>300 NORTH MAIN STREET</AddressLine1Txt>
          <CityNm>DAYTON</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45402</ZIPCd>
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        <IRCSectionDesc>170(C)(1)</IRCSectionDesc>
        <CashGrantAmt>95000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FOR HEALTH CARE PREPAREDNESS</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PREPARADNESS SOLUTIONSBURDISS</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>2969 COUNTY ROAD 25A</AddressLine1Txt>
          <CityNm>SIDNEY</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45365</ZIPCd>
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        <RecipientEIN>830969664</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FOR HEALTH CARE PREPAREDNESS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)</BusinessNameLine1Txt>
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          <AddressLine1Txt>1600 CLIFTON RD</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30329</ZIPCd>
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        <RecipientEIN>582106707</RecipientEIN>
        <CashGrantAmt>138383</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>FOR HEALTH CARE PREPAREDNESS</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>OHIO DEPARTMENT OF MEDICAID</BusinessNameLine1Txt>
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          <AddressLine1Txt>50 W TOWN ST 400</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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        <CashGrantAmt>11500</CashGrantAmt>
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        <PurposeOfGrantTxt>FOR HEALTH CARE PREPAREDNESS</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>COALITION ON HOMELESSNESS AND HOUSING IN OHIO</BusinessNameLine1Txt>
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          <AddressLine1Txt>175 S 3RD ST SUITE 580</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
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        <CashGrantAmt>73128</CashGrantAmt>
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        <PurposeOfGrantTxt>FOR HEALTH CARE PREPAREDNESS</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>OHIO DEPARTMENT OF CHILDREN AND YOUTH</BusinessNameLine1Txt>
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          <AddressLine1Txt>175 S 3RD ST 580</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43215</ZIPCd>
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        <PurposeOfGrantTxt>FOR HEALTH CARE PREPAREDNESS</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE USE OF GRANT FUNDS IS MONITORED BY THE GRANTING ORGANIZATIONS: THE OHIO DEPARTMENT OF HEALTH &amp; THE OHIO HEALTH INFORMATION PARTNERSHIP.</ExplanationTxt>
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        <PersonNm>MARTIN LARSON</PersonNm>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2024 KEVIN HARLAN SERVED AS THE PRESIDENT OF UPPER VALLEY MEDICAL CENTER AND ATRIUM MEDICAL CENTER, MEDICAL PROVIDERS IN PREMIER'S HEALTH NETWORK. ERICA SCHNEIDER IS THE PRESIDENT OF KETTERING HEALTH MIAMISBURG, A MEDICAL PROVIDER IN THE KETTERING HEALTH NETWORK. DANIEL TRYON IS THE PRESIDENT OF SOIN MEDICAL CENTER KETTERING HEALTH AND KETTERING HEALTH GREENE MEMORIAL, MEDICAL PROVIDERS IN THE KETTERING HEALTH NETWORK. MIKE BRENDAL IS THE PRESIDENT OF KETTERING HEALTH MAIN, A MEDICAL PROVIDER IN THE KETTERING HEALTH NETWORK. NORMAN SPENCE IS THE PRESIDENT OF KETTERING HEALTH TROY, A MEDICAL PROVIDER IN THE KETTERING HEALTH NETWORK. PAUL HOOVER IS THE PRESIDENT OF KETTERING HEALTH HAMILTON, A MEDICAL PROVIDER IN THE KETTERING HEALTH NETWORK. DURING 2024 THERE WAS A GAP IN LEADERSHIP WHEN CHRIS LAFONTSEE SERVED AS AN EXECUTIVE AND THE NEW LEADERSHIP WITH PAM SPECIALITY HOSPITAL OF DAYTON TOOK OVER IN 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE PRESIDENT AND VICE PRESIDENT OF FINANCE PRIOR TO FILING. THEN THE DRAFT IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS ANY ACTIVITY THAT COULD GIVE RISE TO POTENTIAL CONFLICTS OF INTEREST ON A "AS NEEDED" BASIS. A GENERAL REVIEW FOR CONFLICTS OF INTEREST OCCURS ANNUALLY BY THE PRESIDENT AND BOARD OF DIRECTORS.</ExplanationTxt>
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        <ExplanationTxt>THE BOARD UTILIZES NATIONAL MARKET KNOWLEDGE AND ANNUAL PERFORMANCE EVALUATION TO EVALUATE AND ADJUST COMPENSATION OF THE PRESIDENT AND OTHER KEY EMPLOYEES.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>DOCUMENTS MADE AVAILABBLE AS REQUIRED BY LAW.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSIGHT OF THE INDEPENDENT AUDIT. THIS PROCESS IS CONSISTENT WITH THE PRIOR YEAR.</ExplanationTxt>
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