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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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          <BusinessName>
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        <Desc>Deferred compensation assets</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred compensation liabilities</Desc>
        <Amt>171949</Amt>
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      <TotalLiabilityAmt>171949</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>At December 31, 2023, no tax provision was made as the Organization had no unrelated business income. Management has evaluated the Organization's tax positions and concluded that there are no significant uncertain tax positions that qualify for either recognition or disclosure in the accompanying combined financial statements.</ExplanationTxt>
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        <PersonNm>Mariann Yeager</PersonNm>
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        <PersonNm>Jay Nakashima</PersonNm>
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        <PersonNm>Debra Condrey</PersonNm>
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        <PersonNm>Alan Swenson</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lindsey Elkind</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alan Smith</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Yackanich</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>8831</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Biannca Davis</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <FormAndLineReferenceDesc>Form 990, Part I Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Sequoia seeks to lessen the burden on the United States federal government to advance the interoperability of different electronic health information technologies to support the safe and secure sharing of electronic health information for the benefit of all Americans. This is a top priority of the federal government and Sequoia works to support these efforts in the following ways: (1) serving as the Recognized Coordinating Entity to the Health and Human Services Office of the National Coordinator for Health Information Technology (ONC) to develop the Common Agreement for ONC's Trusted Exchange Framework and Common Agreement; (2) under separate Management and Support Services Agreements provide support to Healtheway, Inc. and Carequality, Inc. (501(c)(3) exempt organizations) in operating their own independent health information exchanges endeavors (3) serving as a convenor of the diverse stakeholders that are involved in the access, exchange and use of electronic health information to help develop consensus solutions to the complex challenges that serve as barriers to the seamless exchange of electronic health information among those who have the legal right to access the information and have a valid need for the information, and; (4) serve as a trusted nationwide authority for education on important topics related to electronic health information issues.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Sequoia seeks to lessen the burden on the United States federal government to advance the interoperability of different electronic health information technologies to support the safe and secure sharing of electronic health information for the benefit of all Americans. This is a top priority of the federal government and Sequoia works to support these efforts in the following ways: (1) serving as the Recognized Coordinating Entity to the Health and Human Services Office of the National Coordinator for Health Information Technology (ONC) to develop the Common Agreement for ONC's Trusted Exchange Framework and Common Agreement; (2) under separate Management and Support Services Agreements provide support to Healtheway, Inc. and Carequality, Inc. (501(c)(3) exempt organizations) in operating their own independent health information exchanges endeavors (3) serving as a convenor of the diverse stakeholders that are involved in the access, exchange and use of electronic health information to help develop consensus solutions to the complex challenges that serve as barriers to the seamless exchange of electronic health information among those who have the legal right to access the information and have a valid need for the information, and; (4) serve as a trusted nationwide authority for education on important topics related to electronic health information issues.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 will be reviewed by finance committee prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All directors, officers, and members with board-delegated powers have a duty to disclose any conflict of interest. Directors exercise due diligence when deciding whether to enter into the transaction or arrangement. Failure to report an actual or possible conflict of interest may result in disciplinary and corrective action.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The company engaged an outside human resources consultant to do an independent salary benchmark survey for all company employee positions. Compensation falls within these parameters. Their review also included a detailed review and audit of all positions to confirm exempt and non-exempt status.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's governing documents and conflict of interest policy are available to the public; however, the financial statements are not available to the public.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>HR consulting: Program service expenses 0. Management and general expenses 85,240. Fundraising expenses 0. Total expenses 85,240. Government relations: Program service expenses 73,029. Management and general expenses 0. Fundraising expenses 0. Total expenses 73,029. Outreach &amp; education services: Program service expenses 106,944. Management and general expenses 0. Fundraising expenses 0. Total expenses 106,944. Other consultants: Program service expenses 92,428. Management and general expenses 39,612. Fundraising expenses 0. Total expenses 132,040. Testing services and tools: Program service expenses 90,319. Management and general expenses 0. Fundraising expenses 0. Total expenses 90,319. RCE subcontractor expenses: Program service expenses 973,155. Management and general expenses 0. Fundraising expenses 0. Total expenses 973,155.</ExplanationTxt>
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