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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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      <ProgramServiceRevenueGrp>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>675</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>9009</ManagementAndGeneralAmt>
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        <Desc>UNRELATED BUSINESS INCOME</Desc>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>78978</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>COMMITTEES</Desc>
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      <OtherExpensesGrp>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
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      <FSAuditedInd>true</FSAuditedInd>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <Desc>DUE TO ASPN</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO HSE</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>ASC 740-10, "INCOME TAXES" REQUIRES THE ASSOCIATION TO EVALUATE AND DISCLOSE TAX POSITIONS THAT COULD HAVE AN EFFECT ON THE ASSOCIATION'S FINANCIAL STATEMENTS. THE ASSOCIATION REPORTS ITS ACTIVITIES TO THE INTERNAL REVENUE SERVICE ON AN ANNUAL BASIS. THIS INFORMATIONAL RETURN IS GENERALLY SUBJECT TO AUDIT AND REVIEW BY THE GOVERNMENTAL AGENCIES FOR A PERIOD OF THREE YEARS AFTER FILING. SUBSTANTIALLY ALL OF THE ASSOCIATION'S INCOME, EXPENDITURES AND ACTIVITIES RELATE TO ITS EXEMPT PURPOSE, THEREFORE, MANAGEMENT HAS DETERMINED THAT THE ASSOCIATION IS NOT SUBJECT TO MATERIAL UNRELATED BUSINESS INCOME TAXES AND WILL CONTINUE TO QUALIFY AS A TAX-EXEMPT NOT-FOR-PROFIT ENTITY.</ExplanationTxt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MONITOR USE OF GRANT FUNDS FOR RECIPIENT ORGANIZATION NOTED IN PART II AS THE GRANTS ARE MADE FOR THE GENERAL SUPPORT OF THE RECIPIENT ORGANIZATION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS - THE ASSOCIATION MAKES GRANTS AND PROVIDES GENERAL SUPPORT TO ORGANIZATIONS AND INDIVIDUALS DOING WORK IN THE REALM OF HAND SURGERY AND THERAPY AS DETAILED IN SCHEDULE I.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROFESSIONAL RELATIONS AND RESEARCH INSTITUTE ("PRRI") OF BEVERLY, MASSACHUSETTS, MAINTAINS THE BOOKS AND RECORDS OF THE ORGANIZATION AND PERFORMS OTHER RELATED MANAGERIAL AND ADMINISTRATIVE FUNCTIONS FOR WHICH IT IS COMPENSATED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS SEVEN CLASSES OF MEMBERS: ACTIVE, AFFILIATE, CANDIDATE, INTERNATIONAL, EMERITUS, HONORARY, AND RETIRED. ACTIVE AND AFFILIATE MEMBERS HAVE THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>ACTIVE AND AFFILIATE MEMBERS HAVE THE RIGHT TO ELECT OFFICERS TO THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTIVE AND AFFILITE MEMBERS HAVE THE RIGHT TO VOTE ON ALL QUESTIONS AT MEETINGS AND TO APPROVE ANY CHANGES TO THE BY-LAWS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE ADMINISTRATIVE STAFF OF THE MANAGEMENT COMPANY ("PRRI") AND IS THEN PROVIDED TO THE TREASURER FOR FINAL REVIEW BEFORE IT IS FILED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED AT EACH BOARD MEETING.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>GOVERNING DOCUMENTS AVAILABLE ON THE ORGANIZATION'S WEBSITE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION'S MANAGEMENT COMPANY ("PRRI").</ExplanationTxt>
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      <SupplementalInformationDetail>
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</Return>