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        <Desc>CONSTITUTIONAL CHALLENGES AND LITIGATION:ON MAY 16, 2024, AFTER YEARS OF WORKING IN GOOD FAITH WITH COLORADO, THE ALLIANCE WAS FORCED TO BRING LEGAL ACTION TO DEFEND THE RIGHTS OF ITS MEMBER MINISTRIES AND THEIR MEMBERS TO EXERCISE THEIR RELIGIOUS LIBERTY IN THE HEALTH CARE SYSTEM. HEALTH CARE SHARING MINISTRIES (HCSMS) HELP FACILITATE THE SHARING OF MEDICAL EXPENSES AMONG A COMMUNITY OF RELIGIOUS BELIEVERS. THE COMPLAINT MARSHALS SIGNIFICANT EVIDENCE THAT COLORADO IS SELECTIVELY TARGETING HEALTH CARE SHARING MINISTRIES BECAUSE OF THEIR RELIGIOUS BELIEFS WHILE LEAVING SIMILAR SECULAR ACTIVITIES UNTOUCHED. THE COMPLAINT ALSO MARSHALS SIGNIFICANT EVIDENCE THAT THE COLORADO REGIME WILL HARM HEALTH CARE SHARING MINISTRIES AND THEIR MEMBERS, WITHOUT SUFFICIENT JUSTIFICATON. NO OTHER STATE HAS THE SAME REGIME AS COLORADO. CONSEQUENTLY, THE COMPLAINT ALLEGES THAT COLORADO IS VIOLATING THE FIRST AMENDMENT IN FIVE DIFFERENT WAYS. FIRST, IT VIOLATES THE FREE EXERCISE RIGHTS OF MINISTRIES TO BE FREE FROM LAWS THAT ALLOW STATE OFFICIALS TO EXEMPT THEIR FAVORED ORGANIZATIONS. SECOND, IT VIOLATES THE FREE EXERCISE RIGHTS OF MINISTRIES TO BE FREE FROM LAWS THAT TARGET RELIGIOUS EXERCISE AND THAT DO NOT TREAT COMPARABLE SECULAR ACTIVITES SIMILARLY TO RELIGIOUS ACTIVITES. THIRD, IT VIOLATES THE ESTABLISHMENT CLAUSE RIGHTS OF MINISTRIES TO BE FREE FROM EXCESSIVE ENTANGLEMENT AND CONTINUOUS MONITORING BY THE GOVERNMENT. FOURTH, IT VIOLATES THE FREEDOM OF ASSOCIATION RIGHTS OF MINISTRIES NOT TO DISCLOSE WITH WHOM THEY AFFILIATE AND ASSOCIATE. FINALLY, IT VIOLATES THE FREE SPEECH RIGHTS OF MINISTRIES WITH RESPECT TO THEIR RELIGIOUS SPEECH TO THEIR MEMBERS AND PROSPECTVE MEMBERS. THE CASE IS NOW BEFORE THE TENTH CIRCUIT COURT OF APPEALS.</Desc>
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      <OccupancyGrp>
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        <EOYAmt>667090</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>253230</EOYAmt>
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      <DeferredRevenueGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>253230</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>413860</EOYAmt>
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        <EOYAmt>667090</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>33907</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
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        <PersonNm>KATY TALENTO</PersonNm>
        <TitleTxt>EXEC. DIR. &amp; INTERIM SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>261000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>261000</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARCIE JOHNSTON</PersonNm>
        <TitleTxt>SECRETARY THRU 2/17/25</TitleTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AHCSM'S BYLAWS PROVIDE FOR FIVE CLASSES OF MEMBERSHIP: (1) PARTNER MEMBERS, (2) ACCREDITED PARTNER MEMBERS, (3) FOUNDING MEMBERS, (4) ASSOCIATE MEMBERS, AND (5) SUPPORTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH PARTNER MEMBER HAS THE AUTHORITY TO APPOINT ONE DIRECTOR. IN ADDITION, ANY PARTNER MEMBER WHOSE MONTHLY DUES EQUALS OR EXCEEDS 10% OF THE AGGREGATE MONTHLY DUES FOR ALL PARTNER MEMBERS SHALL HAVE THE AUTHORITY TO APPOINT TWO DIRECTORS (IN TOTAL), ANY PARTNER MEMBER WHOSE MONTHLY DUES EQUALS OR EXCEEDS 25% OF THE AGGREGATE MONTHLY DUES FOR ALL PARTNER MEMBERS SHALL HAVE THE AUTHORITY TO APPOINT THREE DIRECTORS (IN TOTAL), ANY PARTNER MEMBER WHOSE MONTHLY DUES EQUALS OR EXCEEDS 35% OF THE AGGREGATE MONTHLY DUES FOR ALL PARTNER MEMBERS SHALL HAVE THE AUTHORITY TO APPOINT FOUR DIRECTORS (IN TOTAL). THE NUMBER AND ALLOCATION OF DIRECTORS IS DETERMINED AS OF THE BEGINNING OF EACH FISCAL YEAR AND WHENEVER THERE IS A CHANGE IN THE NUMBER OF PARTNER MEMBERS. IN ADDITION, ANY PARTNER MEMBER WHOSE MONTHLY DUES EQUALS OR EXCEEDS 50% OF THE AGGREGATE MONTHLY DUES FOR ALL PARTNER MEMBERS SHALL HAVE THE AUTHORITY TO APPOINT THE MINIMUM NUMBER OF DIRECTORS NECESSARY TO RESULT IN SUCH MEMBER HAVING 50% OF THE TOTAL NUMBER OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A FINAL DRAFT OF FORM 990 IS EMAILED TO ALL BOARD MEMBERS BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT ASKS FOR QUESTIONNAIRES FROM THE BOARD ABOUT POTENTIAL CONFLICTS, AND RELATED PARTIES, AND REVIEWS THE QUESTIONNAIRE RESPONSES AND POTENTIAL ACTION ITEMS ARISING FROM THEM, ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS AND APPROVES THE CONTRACTS WITH THE CEO AND SECRETARY ON AN ANNUAL BASIS DURING THE BUDGET PLANNING AND APPROVAL PROCESS. DURING THE BUDGET PROCESS, MARKET RATES FOR SERVICES OF THE NATURE PROVIDED ARE CONSIDERED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES FORMS 1023 AND 990 (FOR THE PAST 3 YEARS) AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS (FOR THE PAST 3 YEARS) AVAILABLE TO THE PUBLIC UPON REQUEST MADE TO ASSOCIATION HEADQUARTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>ADVOCACY 701,677. PROFESSIONAL SERVICES 3,618. PUBLIC RELATIONS 87,900.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII. LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL STATEMENT REVIEW PROCESS HAS NOT CHANGED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>