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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>NTCA qualifies as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code and, accordingly, is only subject to federal or state income taxes on specific types of income from activities that are unrelated to its exempt purpose. NTCA had no income from unrelated activities and has no income taxes due as of September 30, 2025 and 2024. NTCAs application of ASC 740 regarding uncertain tax positions had no effect on its financial position as management believes NTCA has no material unrecognized income tax benefits, including any potential risk of loss of its not-for-profit tax status. NTCA would account for any potential interest or penalties related to possible future liabilities for unrecognized income tax benefits as income tax expense. NTCA is no longer subject to examination by federal, state or local tax authorities for periods before 2022.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS TWO CLASSES OF MEMBERSHIP: INSTITUTIONAL MEMBERS &amp; INDIVIDUAL MEMBERS. INSTITUTIONAL MEMBERS - ALL TUBERCULOSIS (TB) PROGRAMS AT THE STATE, BIG CITY, TERRITORIAL AND LOCAL LEVEL SHALL BE ELIGIBLE FOR ONE OF THE TWO CATEGORIES OF INSTITUTIONAL MEMBERSHIP; STATE, BIG CITY AND TERRITORIAL TB PROGRAM MEMBERSHIP OR LOCAL TB MEMBERSHIP. INDIVIDUAL MEMBERS - INCLUDES ANY INDIVIDUAL PROFESSIONAL, STUDENT, HONORARY, AND RETIRED ASSOCIATION MEMBER NOT OTHERWISE INCLUDED AS AN INSTITUTIONAL MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INSTITUTIONAL MEMBER MAY HOLD OFFICE, ELECT OFFICERS, AND SERVE ON STANDING OR SPECIAL COMMITTEES, AS CAN INDIVIDUAL TB CONTROLLER MEMBERS. INDIVIDUAL MEMBERS, WHO ARE NOT TB CONTROLLERS, SHALL ENJOY ALL THE RIGHTS AND PRIVILEGES OF INSTITUITIONAL MEMBERS EXCEPT THE RIGHT TO VOTE OR HOLD OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>MORE THAN ONE PERSON FROM A STATE OR TERRITORY MAY BE AN INSTITUTIONAL MEMBER OF THE ASSOCIATION. HOWEVER, THE STATE OR TERRITORY SHALL BE ENTITLED TO ONLY ONE VOTE IN OFFICIAL DECISIONS, SUCH AS AMENDING THE CONSTITUTION, MERGING OR AFFILIATING WITH OTHER ORGANIZATIONS, AND DISSOLVING THE ASSOCIATION. IN SUCH SITUATIONS, THE PERSON CASTING THE OFFICIAL STATE OR TERRITORY VOTE SHALL BE THE STATE TB CONTROL OFFICER OR HIS/HER DESIGNATE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ACCOUNTANT PROVIDES A DRAFT COPY OF FORM 990 TO THE EXECUTIVE COMMITTEE FOR REVIEW AND APPROVAL PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>For those volunteers on NTCA workgroups or committees with implications for national guidelines or recommendations for use and clinical practice, when there is a potential conflict, or even a concern about a possible conflict, we have instituted a conflict of interest declaration for the committee/workgroup members. A member is not excluded from the workgroup or committee if a conflict is identified, but these documents are made available to the public to inform decisions about the independence of the recommendations or guidelines. For faculty and planning committee members for the national conference (or other educational activity sponsored by NTCA), the signed financial disclosure statement identifies the specific financial relationship the individual has with the company or product. These statements are included in the documents provided to participants so they are aware of any relationships and/or conflicts that might influence the content of their presentation. A document is available at registration. table (and posted on the conference app) that lists all faculty and planning committee members without financial disclosures/conflicts of interest, and, for those with any disclosures,includes a statement for everyone. In addition to these public-facing statements, the process outlined above of having multiple reviewers of the content (both prior to the presentation and immediately following) is also conducted to provide the ACCME</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS LEADS HIRING PROCESS AND DETERMINES ALL SALARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ACCOUNTANT PROVIDES A COPY OF FORM 990 SPECIFICALLY FOR PUBLIC INSPECTION. THIS COPY IS AVAILABLE UPON REQUEST.</ExplanationTxt>
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