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        <ExplanationTxt>GHA is exempt from federal income tax under Section 501(c)(6) of the Internal Revenue Code (the "Code"), except for unrelated business income. GHAREF is exempt from federal income tax under Section 501(c)(3) of the Code. GHCIC has received exemptions from the Cayman Island government exempting these entities from all local income, profits, and capital gains taxes until December 9, 2034. No such taxes are levied in the Cayman Islands at the present time. HCIR and GHHS are for-profit entities and subject to income tax. With respect to its for-profit subsidiaries, the Association records income taxes using the asset and liability method under which deferred income taxes are determined based on the differences between the financial accounting and tax bases of assets and liabilities. Deferred income taxes at the end of each period are determined using the currently enacted tax rate expected to apply to taxable income in the periods that the deferred income taxes are expected to be realized or settled. The Association recognizes tax benefits from uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. The Association has evaluated its tax positions and has determined that they do not have any material unrecognized tax benefits or obligations as of December 31, 2023.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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          <BusinessNameLine1Txt>Carie Summers</BusinessNameLine1Txt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Travel for companions</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A POLICY THAT STATES: Generally, expenses incurred by a spouse or companion of a GHA employee are not reimbursable unless there is a business purpose for the expenses and the GHA employee has obtained prior written approval from the employee's supervisor. For the President, the terms of travel expense reimbursement are dictated by his employment contract: GHA shall reimburse the President for travel, board, meals and other reasonably necessary business costs incurred in connection with, and necessary for the performance of, his duties and responsibilities under this agreement. Such reimbursement shall extend to reasonable travel expenses incurred by the Presidents spouse where her attendance is expected at certain business-related functions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO AND OTHER LEADERSHIP TEAM MEMBERS HAVE A 457(F) DEFERRED COMPENSATION PLAN. THE FOLLOWING AMOUNTS ACCRUED UNDER THE TERMS OF THE PLAN: CARIE SUMMERS - $ 61,457 ANNA ADAMS - $ 51,579 EARL ROGERS - $ 228,158 CHARLES ADAMS - $ 12,188 KERI CONLEY - $ 50,307 William Wylie - $ 41,418 Caylee Noggle - $ 13,221</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGIA HOSPITAL ASSOCIATION ISSUES W-2'S FOR ITS OFFICERS, HOWEVER PORTIONS OF THEIR SALARIES AND BENEFITS ARE ALLOCATED TO OTHER RELATED ENTITIES. THE ALLOCATIONS ARE AS FOLLOWS: EARL ROGERS - 90% TO GEORGIA HOSPITAL ASSOCIATION (GHA), 3% TO GEORGIA HOSPITAL ASSOCIATION RESEARCH AND EDUCATION FOUNDATION (GHAREF), 4% to Healthcare insurance resources (HCIR), 3% TO HEALTH SERVICES, INC (GHHS). CHARLES ADAMS - 20% TO GHA, 20% TO GHAREF, 40% TO HCIR, AND 20% TO GHHS. CARIE SUMMERS - 45% TO GHA, 45% TO GHAREF, 5% TO HCIR, AND 5% TO GHHS. KERI CONLEY - 65% TO GHA, 25% TO GHREF, 5% TO HCIR AND 5% TO GHHS ANNA ADAMS - 100% TO GHA Caylee Noggle - 90% to GHA, 3% to GHAREF, 4% to HCIR and 3% to GHHS Bill Wylie - 50% to GHA, 30% to HCIR and 20% to GHHS</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM CAN BE FOUND ON GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive VP Charles Adams and the EVP, External Affairs Anna Adams - Family relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The members of the corporation shall consist of those persons, including individuals and organizations, who may from time to time be appointed to membership in such manner and under such requirements as may be prescribed in these (Georgia Hospital Association, Incorporated) bylaws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The government and management of affairs of the corporation shall be vested in the Board of Trustees. The Board of Trustees shall have supervision, control and direction of the management, affairs, and property of the corporation; shall determine its policies or changes therein; and shall actively prosecute its purposes and objectives and supervise the disbursement of its funds. The Board of Trustees may adopt, by majority vote, such rules and regulations for the conduct of its business and the business of the corporation as shall be deemed advisable, and may, in the execution of the powers granted, delegate certain of its authority and responsibility to an executive committee. Under no circumstances, however, shall any actions be taken which are inconsistent with any action of the Assembly or with the articles of incorporation or these bylaws; and the fundamental and basic purposes of the corporation, as expressed in the articles of incorporation and these bylaws, shall not be amended or changed.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUDIT/FINANCE COMMITTEE OF THE ORGANIZATION MET AND was provided an overview of THE FORM 990 by the Association's Tax Firm. ELECTRONIC COPIES OF FORM 990 were made available TO EACH MEMBER OF THE BOARD OF TRUSTEES. THIS OCCURED AT THE LAST BOARD MEETING BEFORE THE FORM 990 WAS FILED. DURING THIS MEETING, THE AUDIT/FINANCE COMMITTEE CHAIR REPORTED THE COMMITTEE'S REVIEW TO THE BOARD AND ASKED THE BOARD TO VOTE FOR APPROVAL OF THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Key employees are required to complete an Annual Conflict of Interest Disclosure Statement. The Disclosure Statement for GHA officers and managers is in the GHA Employee Handbook. Trustees complete a similar Disclosure Statement that is specific to GHA trustees.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members are not compensated. Employee compensation based on market-based salary study for comparable positions conducted every three years. Salaries set within the range identified in the study. Salaries approved by manager, HR Director and CEO.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members are not compensated. Employee compensation based on market-based salary study for comparable positions conducted every three years. Salaries set within the range identified in the study. Salaries approved by manager, HR Director and CEO.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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          <BusinessNameLine1Txt>Health Care Insurance Resources</BusinessNameLine1Txt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>Health Care Insurance Resources</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>350000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>