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      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Fellowships to support educational activities.</TypeOfAssistanceTxt>
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      <ForeignIndividualsGrantsGrp>
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      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Fellowships to support educational activities.</TypeOfAssistanceTxt>
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        <MannerOfCashDisbursementTxt>Wire</MannerOfCashDisbursementTxt>
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      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Fellowships to support educational activities.</TypeOfAssistanceTxt>
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      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Fellowships to support educational activities.</TypeOfAssistanceTxt>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
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        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>The accrual method of accounting was used to account for expenditures for activities outside the U.S.</ExplanationTxt>
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          <AddressLine1Txt>1200 Galveston Avenue</AddressLine1Txt>
          <CityNm>Pittsburgh</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
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      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Harinarayan Award</GrantTypeTxt>
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        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Organizations receive grants on a cost-reimbursement method only. As a result, the use of all grant funds is monitored by the League prior to any funds being disbursed.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Payments are made to the employers of two of the officers to compensate for administrative support provided by the institutions. Payment amounts were as follows for 2023: President $25,055 Secretary $25,000</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>National chapters are members of the League, but are not considered stockholders.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Changes to the constitution and by-laws have to be approved by the members. Every other year at the International congresses, proposed changes are voted on by the members at the Chapter Convention.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee is elected by the chapters (members). Depending on its size, chapters have a certain number of votes during the election process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>A copy of the 990 was provided to each member of the governing body to review before it was filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All members of the Executive Committee are required to complete a conflict of interest document annually. The completed documents are reviewed to ensure there are no conflicts of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive Director was recruited using an external and independent recruitment agency. Compensation was determined through comparative data and advice of in the external recruitment agency. Compensation is reviewed on an annual basis by the Finance Committee and Executive Committee in light of both performance and inflation. Compensation for other key employees is determined through use of comparative data including salary scales that are made available through membership of medical associations. Compensation is reviewed on an annual basis by the Finance Committee and Executive Committee in light of both performance and inflation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Summarized financial information is included in the Association's annual report. If the governing documents, financial statements, or policies of our organization are subject to the Federal public disclosure rules (or state public disclosure rules), these documents will be made available upon request as applicable law may require. Otherwise, the governing documents, financial statements, and/or policies will be provided to the public at the discretion of management.</ExplanationTxt>
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