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          <BusinessNameLine1Txt>William Hope MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.3</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Nicole Goddard</BusinessNameLine1Txt>
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        <TitleTxt>Executive Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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          <BusinessName>
            <BusinessNameLine1Txt>Goddard Associated</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6025 S Quebec sr STE 365</AddressLine1Txt>
            <CityNm>Centennial</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80111</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>Management Services</ServicesDesc>
        <CompensationAmt>288329</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Cornell University</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>575 Lexington Ave 9th FL Box 76</AddressLine1Txt>
            <CityNm>New York</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Data Analysis</ServicesDesc>
        <CompensationAmt>128995</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Vanderbilt University Medical Center</BusinessNameLine1Txt>
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            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37232</ZIPCd>
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      <ContractorCompensationGrp>
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            <CityNm>DENVER</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>802108953</ZIPCd>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>2500</ProgramServicesAmt>
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        <ProgramServicesAmt>86499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>201830</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>101775</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17571</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>5513</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>20400</FundraisingAmt>
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        <ProgramServicesAmt>40852</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7635</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>3713</TotalAmt>
        <ProgramServicesAmt>3713</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>5000</TotalAmt>
        <ProgramServicesAmt>5000</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>38147</TotalAmt>
        <ManagementAndGeneralAmt>38147</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PATIENT ADVOCACY</Desc>
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        <ProgramServicesAmt>1000</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
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        <ManagementAndGeneralAmt>605</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1013409</ProgramServicesAmt>
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        <FundraisingAmt>20400</FundraisingAmt>
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      <TotalAssetsGrp>
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      <LoansFromOfficersDirectorsGrp>
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      <CapStkTrPrinCurrentFundsGrp>
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        <EOYAmt>397984</EOYAmt>
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      <PdInCapSrplsLandBldgEqpFundGrp>
        <BOYAmt>0</BOYAmt>
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      <RtnEarnEndowmentIncmOthFndsGrp>
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        <EOYAmt>397984</EOYAmt>
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        <EOYAmt>397984</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>99233</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>22909</PriorPeriodAdjustmentsAmt>
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      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
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      <SubstantialContributorsTotAmt>2506473</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>937410</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>37</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>43</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
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      <First5Years170Ind>X</First5Years170Ind>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="23017437" softwareVersionNum="2023v5.1">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN HERNIA SOCIETY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2508 W 71ST ST</AddressLine1Txt>
          <CityNm>PRAIRIE VILLAGE</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66208</ZIPCd>
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        <RecipientEIN>650720354</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>Each grant to AHS requires that AHS first submit a written report to ACHQC on its expenditure of the grant and then that it submit that report before ACHQC will provide any further grants to AHS. If a grant is not be expended prior to the next annual grant, ACHQC would require that AHS submit an interim report on any expenditures under the grant and the intended use of and future expenditures under the grant.</ExplanationTxt>
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    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="23017437" softwareVersionNum="2023v5.1">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Goddard Associates</BusinessNameLine1Txt>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>See Part V</RelationshipDescriptionTxt>
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        <TransactionDesc>Mgmt. &amp; Administrative Services</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule L, Part IV Explanation of Transaction</FormAndLineReferenceDesc>
        <ExplanationTxt>ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE ENGAGED GODDARD AND ASSOCIATES FOR MANAGEMENT AND ADMINISTRATIVE SERVICES DURING 2023. CAROL GODDARD, FORMER EXECUTIVE DIRECTOR, AND NICOLE GODDARD, CURRENT EXECUTIVE DIRECTOR OF ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE ARE THE OWNERS OF GODDARD AND ASSOCIATES. THIS TRANSACTION TOOK PLACE AT FAIR MARKET VALUE AND WAS APPROVED BY THE INDEPENDENT MEMBERS OF THE BOARD.</ExplanationTxt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1 ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>COLLABORATION INCLUDES (I) WITH SURGEONS AND OTHER STAKEHOLDERS IN THE PROVISION OF CARE THROUGH THE ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE WHICH GATHERS, ANALYZES, COLLABORATIVELY SHARES, AND PUBLISHES DATA RELATING TO THE SURGICAL INTERVENTION AND TREATMENT OF HERNIA, ABDOMINAL CORE, AND ABDOMINAL WALL DISEASE IN HUMAN PATIENTS WITHIN THE UNITED STATES, UTILIZING A WEB-BASED DATA COLLECTION SYSTEM, CURRENTLY FOUND AT ACHQC.ORG AND (II) WITH PATIENTS THROUGH THE ACHQC PATIENT ENGAGEMENT &amp; ADVOCACY COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 4,200 including grants of $ 0)(Revenue $ 0) IN 2023, ACHQC CONTINUED THE EXPANSION OF EMBEDDED REGISTRY-BASED STUDIES TO USE QC DATA TO CONDUCT PROSPECTIVE STUDIES RELATED TO THE SURGICAL CARE OF HERNIAS AND ABDOMINAL CORE DISEASES AND SIGNIFICANTLY FOR THE FUTURE EXPANSION OF THE REGISTRY, DEVELOPED THE PROTOCOLS AND VARIABLES TO EXPAND THE REGISTRY IN 2024 TO PROVIDE A HIATAL HERNIA MODULE WHICH WILL SUPPORT THE COLLECTION AND ANALYSES OF DATA ON HIATAL HERNIA SURGERIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Material differences in voting rights</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE TWO CLASSES OF VOTING DIRECTORS ON THE ABDOMINAL CORE HEALTH QUALITY COLLABORATIVES (ACHQC) BOARD: 1) THE FIRST CLASS COMPRISES TWO THIRDS OF THE BOARD AND THESE DIRECTORS APPOINT THEIR REPLACEMENTS AND CAN REMOVE THE DIRECTORS IN THIS CLASS. 2) THE SECOND CLASS OF DIRECTORS COMPRISE THE OTHER ONE THIRD OF THE BOARD AND ARE APPOINTED AND REMOVED BY AMERICAS HERNIA SOCIETY, AND THESE DIRECTORS CANNOT VOTE TO APPOINT OR REMOVE THE DIRECTORS IN THE FIRST CLASS OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 3 Delegation of management duties</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENGAGED GODDARD ASSOCIATES FOR THE MANAGEMENT AND ADMINISTRATIVE SERVICES DURING THE PERIOD 01/01/2023 TO 12/31/2023. DURING THAT ENTIRE PERIOD, NICOLE GODDARD WAS THE EXECUTIVE DIRECTOR OF ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE AND WAS COMPENSATED $151,941 FOR HER WORK AS THE EXECUTIVE DIRECTOR OF ACHQC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE TWO CLASSES OF VOTING DIRECTORS ON THE ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE'S (ACHQC) BOARD: 1) THE FIRST CLASS COMPRISES TWO THIRDS OF THE BOARD AND THESE DIRECTORS APPOINT THEIR REPLACEMENTS AND CAN REMOVE THE DIRECTORS IN THIS CLASS. 2) THE SECOND CLASS OF DIRECTORS COMPRISE THE OTHER ONE THIRD OF THE BOARD AND ARE APPOINTED AND REMOVED BY AMERICAS HERNIA SOCIETY, AND THESE DIRECTORS CANNOT VOTE TO APPOINT OR REMOVE THE DIRECTORS IN THE FIRST CLASS OF DIRECTORS. BASED UPON THIS SECOND CLASS OF BOARD APPOINTMENT AUTHORITY, AMERICAS HERNIA SOCIETY IS CONSIDERED A MEMBER OF ACHQC FOR FORM 990 REPORTING PURPOSES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE TWO CLASSES OF VOTING DIRECTORS ON THE ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE'S (ACHQC) BOARD: 1) THE FIRST CLASS COMPRISES TWO THIRDS OF THE BOARD AND THESE DIRECTORS APPOINT THEIR REPLACEMENTS AND CAN REMOVE THE DIRECTORS IN THIS CLASS. 2) THE SECOND CLASS OF DIRECTORS COMPRISE THE OTHER ONE THIRD OF THE BOARD AND ARE APPOINTED AND REMOVED BY AMERICAS HERNIA SOCIETY, AND THESE DIRECTORS CANNOT VOTE TO APPOINT OR REMOVE THE DIRECTORS IN THE FIRST CLASS OF DIRECTORS. BASED UPON THIS SECOND CLASS OF BOARD APPOINTMENT AUTHORITY, AMERICAS HERNIA SOCIETY IS CONSIDERED A MEMBER OF ACHQC FOR FORM 990 REPORTING PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND PROVIDED TO THE BOARD WITH TIME TO REVIEW PRIOR TO ITS FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY: AN ANNUAL CONFLICT OF INTEREST FORM IS COMPLETED BY EACH DIRECTOR AND FILED WITH THE ORGANIZATION WHICH IS REQUIRED TO BE UPDATED WITHIN 30 DAYS OF ANY CHANGE. ALSO, AT THE SEMI ANNUAL IN PERSON DIRECTOR MEETINGS, CONFLICTS ARE ANNOUNCED BY EACH DIRECTOR AT THE BEGINNING OF EACH MEETING. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE PERSON WITH A CONFLICT RECUSES HIM OR HERSELF FROM THE DECISION-MAKING PROCESS AND THE INDEPENDENT MEMBERS OF THE BOARD VOTE ON WHETHER OR NOT THE ORGANIZATIONS INTERESTS ARE BEST SERVED BY PARTICIPATING IN THE TRANSACTION WITH A MEMBER WHO HAS A CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the President/CMO and VP/Director of Outcomes and Quality was determined by a formal compensation study through a retained, independent expert. The Executive Director is not compensated by ACHQC, but rather is compensated through Goddard Associates which is retained by ACHQC to manage its day-to-day operations under a negotiated management agreement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARIES OF THE PRESIDENT/MEDICAL DIRECTOR AND THE VICE PRESIDENT/DIRECTOR OF QUALITY AND OUTCOMES ARE THE SAME AS THEIR COMPENSATION PREVIOUSLY PAID BY AN AFFILIATED ORGANIZATION THAT HAS SINCE STATUTORILY MERGED INTO ABDOMINAL CORE HEALTH QUALITY COLLABORATIVE (ACHQC). COMPENSATION AT THAT AFFILIATED ORGANIZATION WAS SET IN 2016 BY PETER MITERKO OF COMPENSATION AND BENEFIT SOLUTIONS, LLC WHO ISSUED A SECTION 4958 OPINION ON COMPENSATION, AND THE OFFICER COMPENSATION HAS NOT CHANGED SINCE THEN. NO OTHER EMPLOYEE COMPENSATION IS SO REVIEWED, BUT NO OTHER EMPLOYEE IS COMPENSATED AT A RATE EXCEEDING $20/HOUR AND NONE WORK MORE THAN 20 HOURS PER MONTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2023, THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC WITHOUT A VALID BUSINESS PURPOSE. THE FORM 990 IS PROVIDED UPON REQUEST. Since April 1, 2024, a public version of ACHQC's Form 990 is posted on its website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A Description of Compensation:</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICER MIKE ROSEN, PRESIDENT, ALSO SERVES AS CHIEF MEDICAL OFFICER. OFFICER BEN POULOSE, VICE PRESIDENT, ALSO SERVES AS DIRECTOR OF QUALITY AND OUTCOMES. BOTH ARE COMPENSATED PRIMARILY FOR THEIR EMPLOYEE ROLES VS THOSE OF THEIR OFFICER ROLES AS PRESIDENT AND VICE PRESIDENT, RESPECTIVELY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>DATA COORDINATION - Total Expense: 240622, Program Service Expense: 240622, Management and General Expenses: , Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 113006, Program Service Expense: 113006, Management and General Expenses: , Fundraising Expenses: ; EXECUTIVE CONTRACT - Total Expense: 103250, Program Service Expense: 82850, Management and General Expenses: , Fundraising Expenses: 20400; PAYROLL SERVICES - Total Expense: 3419, Program Service Expense: 3419, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>