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        <Explanation>Pt V Line 4 See attached Annual Report</Explanation>
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        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: Internal records document the supported organization's use of funds.</Explanation>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>Richard Stenson - $24,000 paid in the fiscal year ended 9/30/2011 Part I, Line 4b: Under the plan, Tuality Healthcare is obligated to contribute vested accrued benefits to the participant's plan account. Contributions to the participant's plan account are made on a monthly basis at an amount equal to two thousand dollars per month.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Organization Mission Statement</Identifier>
        <ReturnReference>Form 990, Part I, Line 1</ReturnReference>
        <Explanation>The mission of the Tuality Healthcare Foundation is to acquire and manage philanthropic contributions. We direct these funds to medical and health education projects and programs that we believe will advance our community's physical and mental quality of life. The Tuality Healthcare Foundation exists to support and assist Tuality Healthcare in fulfilling its mission of building a healthier community.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>Tuality Health Care is the sole memeber designated as the "Corporate Member" of Tuality Healthcare Foundation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>The Tuality Healthcare Board of Directors approves Directors appointed to the Tuality Healthcare Foundation Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>Upon request of the Board and such other times as the Corporate Member may elect, the Corporate Member shall review the affairs Tuality Healthcare Foundation and take such action as it deems appropriate in accordance with Tuality Healthcare Foundation's bylaws.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>A copy of the 990 is reviewed by Tuality Hospital's Chief Financial Officer. Then it is presented to the Tuality Foundation Board of Directors at a meeting, prior to the filing of the 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy by making it part of the employee's annual review. Board members are also required to review the policy annually. All afore said parties are required to certify that they have read the conflict of interest policy, have disclosed any potential conflicts of interest, and agree to immediately notify the Compliance Officer if a conflict should arise. Corrective actions are to be taken immediately to address any conflicts of interest.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>An independent board of directors is responsible for determining the compensation of CEOs, executive directors, officers, and key employees. Compensation is reviewed annually. Comparability data is taken into consideration in setting compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The organization's tax returns are made available for public inspection on the following website: Guidestar.org. Governing documents are made available upon written request to the Chief Financial Officer of Tuality Healthcare.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized losses on investments: -83,786.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Tuality Healthcare's board of directors and officers of the organization are responsible for overseeing the financial audit and choosing qualified auditors.</Explanation>
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          <State>OR</State>
          <ZIPCode>97123</ZIPCode>
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