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        <ExplanationTxt>AFORAM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT AFORAM HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. AFORAM IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR YEARS PRIOR TO DECEMBER 31, 2022.</ExplanationTxt>
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        <ExplanationTxt>AMERICAN FRIENDS OF THE RAMBAM MEDICAL CENTER (AFORAM) IS DEDICATED TO PROMOTING AND SUPPORTING THE RAMBAM HEALTH CARE CAMPUS, THE LARGEST MEDICAL FACILITY IN NORTHERN ISRAEL. A CORNERSTONE OF OUR MISSION IS TO ENSURE THAT ALL GRANT FUNDS ARE UTILIZED EFFECTIVELY AND IN ALIGNMENT WITH OUR COMMITMENT TO EXCELLENCE IN MEDICINE, LEADERSHIP IN SCIENTIFIC RESEARCH, AND EQUITABLE MEDICAL CARE FOR ALL IN NEED. TO MONITOR THE USE OF GRANT FUNDS AWARDED TO THE RAMBAM HEALTH CARE CAMPUS, AFORAM EMPLOYS A COMPREHENSIVE OVERSIGHT PROCESS THAT INCLUDES THE FOLLOWING KEY COMPONENTS: 1. PERIODIC PROGRESS REPORTS: WE REQUIRE THE RAMBAM HEALTH CARE CAMPUS TO SUBMIT DETAILED PROGRESS REPORTS AT REGULAR INTERVALS. THESE REPORTS OUTLINE HOW FUNDS ARE BEING UTILIZED, PROGRESS ON SPECIFIC PROJECTS, AND OVERALL IMPACT. THIS ALLOWS US TO ASSESS THE EFFECTIVENESS OF OUR SUPPORT AND MAKE INFORMED DECISIONS REGARDING FUTURE FUNDING. 2. ANNUAL SITE VISITS: AT A MINIMUM, OUR TEAM CONDUCTS ANNUAL VISITS TO THE RAMBAM HEALTH CARE CAMPUS. DURING THESE VISITS, WE ENGAGE DIRECTLY WITH HOSPITAL ADMINISTRATION, MEDICAL STAFF, AND RESEARCHERS TO EVALUATE THE IMPLEMENTATION OF FUNDED PROJECTS. THIS ON-THE-GROUND ASSESSMENT ENSURES TRANSPARENCY AND ACCOUNTABILITY IN HOW GRANT FUNDS ARE APPLIED. 3. EXPENDITURE SUBSTANTIATION: WE MAINTAIN A PROTOCOL FOR REQUESTING SUBSTANTIATION OF EXPENDITURES RELATED TO OUR GRANTS. THIS MAY INCLUDE INVOICES, RECEIPTS, AND OTHER DOCUMENTATION THAT DEMONSTRATE THE APPROPRIATE USE OF FUNDS. BY VERIFYING EXPENDITURES, WE ENSURE THAT OUR CONTRIBUTIONS ARE MAKING A MEANINGFUL DIFFERENCE. 4. STRATEGIC OVERSIGHT: OUR BOARD OF DIRECTORS IS ACTIVELY INVOLVED IN THE OVERSIGHT OF GRANT ALLOCATIONS. WE REVIEW FINANCIAL REPORTS AND PROGRAM UPDATES, ENSURING ALIGNMENT WITH OUR MISSION AND STRATEGIC OBJECTIVES. THROUGH THESE MEASURES, AFORAM NOT ONLY FULFILLS ITS RESPONSIBILITY AS A STEWARD OF DONOR CONTRIBUTIONS BUT ALSO REINFORCES ITS PRIMARY MISSION OF SUPPORTING RAMBAM IN DELIVERING HIGH-QUALITY MEDICAL CARE AND ADVANCING SCIENTIFIC RESEARCH. WE ARE COMMITTED TO TRANSPARENCY AND ACCOUNTABILITY, ENSURING THAT EVERY DOLLAR GRANTED CONTRIBUTES TO THE HEALTH AND WELL-BEING OF COMMUNITIES IN NEED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION AMENDED AND RESTATED ITS BYLAWS IN 2025 AND MADE THE FOLLOWING SIGNIFICANT CHANGES: - CLARIFIED THAT THE ORGANIZATION HAS NO MEMBERS AND IS GOVERNED SOLELY BY THE BOARD. - REVISED DIRECTOR QUALIFICATIONS, NOMINATION PROCEDURES, AND REMOVAL RIGHTS. - REVISED THE DEFINITION OF THE "ENTIRE BOARD,"' AFFECTING THE APPLICATION OF BOARD QUORUM AND VOTING REQUIREMENTS - EXPANDED AND CLARIFIED THE AUTHORITY AND DUTIES OF OFFICERS, INCLUDING THE CHAIR, PRESIDENT, CEO, TREASURER, AND SECRETARY. - ADDED PROVISIONS ADDRESSING DIRECTOR COMPENSATION AND CONFLICTS OF INTEREST. - FORMALIZED SPECIFIC BOARD COMMITTEES AND DEFINED THEIR AUTHORITY AND RESPONSIBILITIES - ADDED FORMAL PROVISIONS GOVERNING DISSOLUTION AND REQUIRING A TWO-THIRDS VOTE OF THE ENTIRE BOARD TO AMEND THE BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS FORM 990, AND DISTRIBUTES IT TO THE BOARD OF DIRECTORS BEFORE FILING IT WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY WHICH IS APPLICABLE TO DIRECTORS, PRINCIPAL OFFICERS, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS, WHICH IT REGULARLY MONITORS AND ENFORCES. SUCH INTERESTED PERSONS ARE REQUIRED TO ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR DETERMINING IF A CONFLICT OF INTEREST EXISTS AND VOTES ON THE TRANSACTION OR ARRANGEMENT. THE BOARD'S DISCUSSION AND DECISION ARE RECORDED IN THE MINUTES OF THE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>15A - THE ORGANIZATION'S PROCESS FOR DETERMINING COMPENSATION OF THE CEO INCLUDES THE USE OF COMPARABLE DATA FROM OTHER NON-PROFIT ORGANIZATIONS AND WAS APPROVED AND DOCUMENTED BY THE EXECUTIVE COMMITTEE. THIS PROCESS LAST OCCURRED IN 2025. 15B - THE ORGANIZATION'S PROCESS FOR DETERMINING COMPENSATION OF THE CFO INCLUDES THE USE OF COMPARABLE DATA FROM OTHER NON-PROFIT ORGANIZATIONS AND WAS APPROVED AND DOCUMENTED BY THE EXECUTIVE COMMITTEE. THIS PROCESS LAST OCCURRED IN 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, FORM 990, AND GOVERNING DOCUMENTS ARE ALSO AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITE OFF OF CONTRIBUTIONS RECEIVABLE -150,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>