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        <ExplanationTxt>ALTSO has no uncertain tax positions as of December 31, 2024 in accordance with Accounting Standards Codification Topic 740, "Income Taxes" which provides standards for establishing and classifying any tax provisions for uncertain positions. ALTSO is no longer subject to federal or state and local income tax examinations by tax authorities for years before 2022.</ExplanationTxt>
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        <GrossReceiptsTotalAmt>1131248</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>884649</CharitableContributionsTotAmt>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GABRIELLA MUELLER EVRARD</PersonNm>
        <TitleTxt>Executive Dir.</TitleTxt>
        <BaseCompensationFilingOrgAmt>124847</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27786</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>152633</TotalCompensationFilingOrgAmt>
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        <Desc>Orthopedic prod</Desc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE IS RESPONSIBLE FOR REVIEWING AND APPROVING THE 990 ON BEHALF OF THE BOARD OF DIRECTORS. COPIES OF THE 990 ARE MADE AVAILABLE TO THE ENTIRE BOARD FOR THEIR REVIEW AND COMMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS (DURING THE DECEMBER MEETINGS) ALL BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT. THE CHAIRMAN ENSURES THAT ALL SIGNED FORMS ARE RECEIVED FROM THE BOARD AND MADE AVAILABLE TO THE AUDITORS DURING THE AUDIT PROCESS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICIAL:THE COMPENSATION OF ALL EMPLOYEES ARE RECORDED ON AN ANNUAL BUDGET AND ARE APPROVED BY THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. COMPENSATION OF OFFICERS ARE CAREFULLY REVIEWED BY THE FINANCE COMMITTEE AND CHAIR OF THE BOARD, AND THE RATIONALE (IF NEEDED) IS DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF ALL EMPLOYEES ARE RECORDED ON AN ANNUAL BUDGET AND ARE APPROVED BY THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. COMPENSATION OF OFFICERS ARE CAREFULLY REVIEWED BY THE FINANCE COMMITTEE AND CHAIR OF THE BOARD, AND THE RATIONALE (IF NEEDED) IS DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>ALL POLICIES/DOCUMENTS THAT ARE REQUIRED TO BE PROVIDED TO THE PUBLIC ARE AVAILABLE UPON REQUEST. Requests for publicly available documents must be submitted to the Organization in writing. Copies are provided on paper or in digital form.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The entire board of directors assumes responsibility for oversight of the audit of financial statements and selection of the independent accountant.</ExplanationTxt>
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