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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ACCOUNTS FOR INCOME TAX PROVISIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD ACCOUNTING STANDARDS CONCEPT TOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION BELIEVES THAT ITS INCOME TAX FILING POSITIONS AND DEDUCTIONS WILL BE SUSTAINED UPON EXAMINATION AND, ACCORDINGLY, HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES, AT JUNE 30, 2023 AND 2022 FOR UNCERTAIN INCOME TAX POSITIONS. THE ORGANIZATION CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW, AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION HAS ADOPTED A POLICY UNDER WHICH, IF REQUIRED TO BE RECOGNIZED IN THE FUTURE, IT WILL CLASSIFY INTEREST RELATED TO THE UNDERPAYMENT OF INCOME TAXES AS A COMPONENT OF INTEREST EXPENSE, AND IT WILL CLASSIFY ANY RELATED PENALTIES IN GENERAL AND ADMINISTRATIVE EXPENSES IN THE CONSOLIDATED STATEMENTS OF ACTIVITIES. THE ORGANIZATION IS SUBJECT TO U.S. FEDERAL, STATE AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE CURRENT YEAR AND THE THREE PRECEDING YEARS.</ExplanationTxt>
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        <ExplanationTxt>BOOK/TAX DIFFERENCE - MARYLAND HOSPITAL ASSOCIATION LLC 33,060.</ExplanationTxt>
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        <PurposeOfGrantTxt>THE GRANT WAS PROVIDED TO COVER THE COSTS OF EXECUTIVE VARIABLE PAY COMPENSATION.</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>CLASSES OF MEMBERS - HOSPITAL CHIEF, EXECUTIVE OFFICERS OR TRUSTEES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF TRUSTEES (MEMBERSHIP) ELECTS OFFICERS AND MEMBERS OF EXECUTIVE COMMITTEE ANNUALLY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOALS, BUDGET, ELECTION OF EXECUTIVE COMMITTEE AND OFFICERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY STAFF, MHA OPERATIONS COMMITTEE AND MHA EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SENIOR VICE PRESIDENT OF OPERATIONS REVIEWS THE POLICY AND SIGNED STATEMENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE MEETS ANNUALLY, REVIEWS MARKET COMPARABLE DATA, CONSULTS WITH AN INDEPENDENT COMPENSATION CONSULTANT, AND MAKES RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE WHO HAS FINAL AUTHORITY. ADDITIONALLY, DURING THE YEAR ENDED JUNE 30, 2021, YAFFE AND COMPANY CONDUCTED A COMPENSATION ANALYSIS OF KEY EXECUTIVES WHICH INCLUDED A REVIEW OF COMPARABLE MARKET DATA FOR SIMILAR POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>BY LAWS - POSTED ON THE WEBSITE CONFLICT OF INTEREST POLICY - AVAILABLE UPON REQUEST (LINK FROM WEBSITE)</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>CONSULTING 1,415,216. RECRUITMENT/PRE-EMPLOYMENT 179,947. TEMPORARY STAFFING 142,583.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>MHA, LLC BOOK/TAX DIFFERENCE -33,060.</ExplanationTxt>
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    </IRS990ScheduleO>
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        <InvolvedAmt>17557</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MHEI AND MARYLAND PRIME AND SUBSIDIARY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>133185</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FAIR MARKET VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
