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Under Fin 48, an organization must recognize the tax benefit associated with tax positions taken for tax return purposes when it is more likely than not that the position will be sustained. The implementation of Fin 48 had no impact on the hospital and affiliate's consolidated financial statements. The hospital and affiliates do not believe there are any material uncertain tax positions and, accordingly, they will not recognize any liability for unrecognized tax benefits. The hospital and affiliates have filed for and received income tax exemptions in the jurisdictions where they are required to do so. Additionally, the hospital and affiliates have or are in the process of filing internal revenue service for 990 tax returns, as required, and all other applicable returns in jurisdictions when it is required. No interest or penalties were accrued as of January 1, 2010 as a result of the adoption of Fin 48. 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