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      <NetUnrealizedGainsInvstAmt>58670</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>58670</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6644153</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>5907</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>5907</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6650060</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>6578778</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>6578778</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>5907</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>5907</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>6584685</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMDA BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITION TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS OR THAT WOULD HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. THERE ARE NO UNRECOGNIZED TAX BENEFITS OR LIABILITIES THAT NEED TO BE RECORDED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AVALON HEALTH CARE MANAGEMENT INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>206 N 2100 W</AddressLine1Txt>
          <CityNm>SALT LAKE CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84116</ZIPCd>
        </USAddress>
        <RecipientEIN>870462037</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>112500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO ASSIST THEIR MISSION TO ADVANCE THE QUALITY OF LIFE FOR PERSONS IN POST-ACUTE/LONG-TERM CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UPMC SENIOR COMMUNITIES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 LOTHROP ST FORBES TOWER STE</AddressLine1Txt>
          <AddressLine2Txt>10097</AddressLine2Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15213</ZIPCd>
        </USAddress>
        <RecipientEIN>251574736</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>82500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO ASSIST THEIR MISSION TO ADVANCE THE QUALITY OF LIFE FOR PERSONS IN POST-ACUTE/LONG-TERM CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALG SENIOR</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2568</AddressLine1Txt>
          <CityNm>HICKORY</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28603</ZIPCd>
        </USAddress>
        <RecipientEIN>811304204</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>195000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO ASSIST THEIR MISSION TO ADVANCE THE QUALITY OF LIFE FOR PERSONS IN POST-ACUTE/LONG-TERM CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SABER HEALTHCARE GROUP LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>23700 COMMERCE PARK</AddressLine1Txt>
          <CityNm>BEACHWOOD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44122</ZIPCd>
        </USAddress>
        <RecipientEIN>020542620</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>123750</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO ASSIST THEIR MISSION TO ADVANCE THE QUALITY OF LIFE FOR PERSONS IN POST-ACUTE/LONG-TERM CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GENESIS HEALTHCARE LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>101 EAST STATE STREET</AddressLine1Txt>
          <CityNm>KENNETT SQUARE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19348</ZIPCd>
        </USAddress>
        <RecipientEIN>273237296</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>112500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO ASSIST THEIR MISSION TO ADVANCE THE QUALITY OF LIFE FOR PERSONS IN POST-ACUTE/LONG-TERM CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 5038</AddressLine1Txt>
          <CityNm>SIOUX FALLS</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57117</ZIPCd>
        </USAddress>
        <RecipientEIN>450228055</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>112500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO ASSIST THEIR MISSION TO ADVANCE THE QUALITY OF LIFE FOR PERSONS IN POST-ACUTE/LONG-TERM CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOMAHA SENIOR CARE LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4908 CASS STREET</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68132</ZIPCd>
        </USAddress>
        <RecipientEIN>824724868</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO ASSIST THEIR MISSION TO ADVANCE THE QUALITY OF LIFE FOR PERSONS IN POST-ACUTE/LONG-TERM CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MIAMI UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>501 E HIGH ST ROOM 107</AddressLine1Txt>
          <CityNm>OXFORD</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45056</ZIPCd>
        </USAddress>
        <RecipientEIN>316402089</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>29134</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO ASSIST THEIR MISSION TO ADVANCE THE QUALITY OF LIFE FOR PERSONS IN POST-ACUTE/LONG-TERM CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF PITTSBURGH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3017 CATHEDRAL OF LEARNING</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15260</ZIPCd>
        </USAddress>
        <RecipientEIN>250965591</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>24983</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO ASSIST THEIR MISSION TO ADVANCE THE QUALITY OF LIFE FOR PERSONS IN POST-ACUTE/LONG-TERM CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRANSITIONAL CARE PHYSICIANS OF GEORGIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 5856</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>31107</ZIPCd>
        </USAddress>
        <RecipientEIN>462747661</RecipientEIN>
        <IRCSectionDesc>N/A</IRCSectionDesc>
        <CashGrantAmt>70000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO ASSIST THEIR MISSION TO ADVANCE THE QUALITY OF LIFE FOR PERSONS IN POST-ACUTE/LONG-TERM CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AVERA HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3900 W AVERA DRIVE</AddressLine1Txt>
          <CityNm>SIOUX FALLS</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57108</ZIPCd>
        </USAddress>
        <RecipientEIN>460422673</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>TO ASSIST THEIR MISSION TO ADVANCE THE QUALITY OF LIFE FOR PERSONS IN POST-ACUTE/LONG-TERM CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>5</Total501c3OrgCnt>
      <TotalOtherOrgCnt>6</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUB-GRANTEES ARE VETTED BEFORE AMDA ENGAGES WITH THEM. BUDGETS ARE MAINTAINED FOR ALL GRANTEES, AND AMDA MEETS WITH EACH GRANTEE ON A BI-WEEKLY BASIS TO REVIEW PROGRESS AND ASK QUESTIONS REGARDING APPROPRIATE USES OF FUNDS. EACH CHAIN IDENTIFIED 3 FACILITIES TO PARTICIPATE IN A QUALITY IMPROVEMENT PILOT. ATTENDANCE FOR ALL 9 FACILITIES WAS TAKEN ON A GROUP CALL AND AT INDIVIDUAL CHECK INS EACH MONTH. SITES ALSO SUBMITTED DATA EACH MONTH. PAYMENT WAS PROVIDED IN 3 INSTALLMENTS AND CONTINGENT ON ALL 3 OF THOSE MILESTONES BEING MET EACH MONTH. AMDA STAFF ALSO HAD ROUTINE CONTACT OUTSIDE OF THE CALLS AND DATA SUBMISSION TO ANSWER QUESTIONS OR PROVIDE LOGISTICAL SUPPORT AS NEEDED. SUB-GRANTEES ARE ALSO RESPONSIBLE FOR SUBMITTING A FINAL REPORT ON ACTIVITIES AS WELL AS A BUDGET RECONCILIATION REPORT BY AUGUST 31.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE ZINNERT</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR AS OF APRIL</TitleTxt>
        <BaseCompensationFilingOrgAmt>189548</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1450</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21345</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>212343</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY ECKERT</PersonNm>
        <TitleTxt>DIRECTOR, FINANCE &amp; OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>158813</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>158813</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELIZABETH SOBCZYK</PersonNm>
        <TitleTxt>PROJECT DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>157380</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3935</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3390</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>164705</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER E LAXTON CAE</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR UNTIL APRIL</TitleTxt>
        <BaseCompensationFilingOrgAmt>146601</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3033</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4826</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>154460</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALEKSANDR BARDAKH DIRECTOR</PersonNm>
        <TitleTxt>ADVOCACY &amp; STRATEGIC PARTERNSHIPS</TitleTxt>
        <BaseCompensationFilingOrgAmt>142333</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4634</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8542</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>155509</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LORI M SHARP DIRECTOR</PersonNm>
        <TitleTxt>OF MEMBERSHIP &amp; MARKETING</TitleTxt>
        <BaseCompensationFilingOrgAmt>139823</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4677</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10754</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>155254</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>AMDA HAS AN EXECUTIVE COMMITTEE, WHICH IS COMPOSED OF THE PRESIDENT, IMMEDIATE PAST PRESIDENT, PRESIDENT-ELECT, VICE PRESIDENT, TREASURER AND EXECUTIVE DIRECTOR. ITS PURPOSE IS TO DECIDE ON THE AGENDA ITEMS TO BE TAKEN UP AT BOARD MEETINGS AND TO MAKE NECESSARY BOARD-LEVEL DECISIONS BETWEEN BOARD MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AMDA IS A MEMBERSHIP ORGANIZATION WHICH HAS INDIVIDUAL AND CORPORATE MEMBERS. THERE SHALL BE FOUR CLASSIFICATIONS OF MEMBRERSHIP IN AMDA: GENERAL MEMBERSHIP, AFFILIATE MEMBERSHIP, HONORARY MEMBERHSIP, AND OTHER. GENERAL MEMBERS MEMBERSHIP IN AMDA MAY BE GRANTED TO ANY LICENSED PHYSICIAN WHO HOLDS THE POSITION OF MEDICAL DIRECTOR OR A LICENSED PHYSICIAN, NURSE PRACTITIONER OR PHYSICIAN ASSISTANT WHO HAS AN INTEREST IN OR WHO PROVIDES PROFESSIONAL MEDICAL SERVICES IN FULL OR IN PART IN POST-ACUATE AND LONG-TERM CARE. AFFILATE MEMBERS AFFILATE MEMBERHSIP IN AMDA MAY BE GRANTED BY THE BOARD OF DIRECTORS TO ANY INDIVIDUAL, GROUP, ORGANIZATION OR ENTITY INTERESTED IN OR PROMOTING THE AFFAIRS OF AMDA. AFFILIATE MEMBRERS MAY ATTEND MEETINGS OF THE MEMBERHSIP AND MAY SPEAK THEREAT, BUT SHALL HAVE NO VOTE NOR BE ELIGIBLE TO HOLD OFFICE. HONORARY MEMBERSHIP INDIVIDUAL HONORARY MEMBERHSIP MAY BE CONFERRED BY THE BOARD OF DIRECTORS OF AMDA ON INDIVIDUALS WHO HAVE RENDERED DISTINGUISHED SERVICE TO THE HEALTH CARE FIELD OR TO AMDA; THEY MAY SERVE ON COMMITTEES IN A NON-VOTING, ADVISORY CAPACITY. OTHER MEMBERSHIP CATEGORIES TO MEET THE CHANGING NEEDS OF A GROWING AND DYNAMIC SOCIETY, THE BOARD OF DIRECTORS OF AMDA MAY ESTABLISH AS NECESSARY OTHER CATEGORIES OF MEMBERHSIP, E.G., CORPORATE/MULTI-FACILITY, RESIDENT FELLOWS, RETIRED PHYSICIANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AMDA'S VOTING MEMBERS ELECT DELEGATES TO THE ORGANIZATION'S HOUSE OF DELEGATES. THE HOUSE OF DELEGATES IS COMPRISED OF ONE DELEGATE PER 25 REGULAR AMDA MEMBERS PER STATE AND THREE ADDITIONAL REPRESENTATIVES FROM THE HOUSE OF DELEGATES TO THE BOARD OF DIRECTORS. THE HOUSE OF DELEGATES ELECTS DIRECTORS TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>AMDA'S MEMBERS ELECT DELEGATES TO THE ORGANIZATION'S HOUSE OF DELEGATES. THE ELECTED HOUSE OF DELEGATES APPROVES BYLAW AMENDMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AMDA'S MANAGEMENT REVIEWS THE 990 AS IT IS PREPARED. ONCE COMPLETE, THE TREASURER REVIEWS A DRAFT OF THE FORM 990 AND THEN SHARES IT WITH THE ENTIRE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS AND OFFICERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY. A CONFLICT DISCLOSURE STATEMENT IS READ AT THE START OF EVERY BOARD &amp; COMMITTEE MEETING. ANNUALLY, THE EXECUTIVE DIRECTOR REVIEWS ALL SUBMITTED CONFLICT OF INTEREST STATEMENTS. THE EXECUTIVE DIRECTOR REQUIRES THAT ALL MISSING OR INCOMPLETE FORMS BE PROPERLY COMPLETED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE TIME OF INITIAL HIRE, THE BOARD OF DIRECTORS REFERS TO COMPARATIVE DATA, SUCH AS PUBLISHED COMPENSATION SURVEYS AND REVIEW OF SIMILAR ORGANIZATIONS' FORMS 990, TO DETERMINE AN APPROPRIATE COMPENSATION PACKAGE FOR THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR IS INITIALLY OFFERED A THREE YEAR EMPLOYMENT CONTRACT WITH ONE-YEAR EXTENSIONS. ANNUALLY, THE ONE-YEAR EXTENSIONS COMPENSATION PACKAGE IS AGAIN REVIEWED BY THE INDEPENDENT BOARD, AND COMPARED TO INDUSTRY STANDARDS AND PRIOR YEARS' COMPENSATION. THE LAST REVIEW WAS DONE IN MID-2022. DURING 2023, A NEW EXECUTIVE DIRECTOR WAS HIRED THROUGH A THIRD-PARTY RECRUITING FIRM THAT PERFORMED MARKET ANALYSIS TO SET AND NEGOTIATE THE SALARY FOR THE NEW EXECUTIVE DIRECTOR. AMDA REVIEWS COMPENSATION INFORMATION FOR OTHER EMPLOYEES ANNUALLY. COMPENSATION INFORMATION IS COMPARED TO THE PUBLISHED "ASSOCIATION COMPENSATION AND BENEFITS STUDY".</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AMDA RETAINS COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS. WHEN A REQUEST IS RECEIVED, AMDA SHARES THE INFORMATION WITH THE REQUESTER IN THE FORMAT CHOSEN BY THE REQUESTER. FEES ARE CHARGED AS ALLOWED BY LAW. IN ADDITION, GUIDESTAR.ORG MAINTAINS COPIES OF THE ORGANIZATION'S FORMS 990 FOR PERUSAL BY THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS 681,730. TEMPORARY LABOR 4,402. TECH WRITER/PUBLISHER 279,737. SPEAKERS 40,589. DECORATOR 43,392.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS NOT CHANGED EITHER ITS AUDIT OVERSIGHT PROCESS OR SELECTION OF AN INDEPENDENT ACCOUNTANT PROCESS DURING THE TAX YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AMENDING THE FORM 990 AND 990T TO CORRECT A MISPELLING IN THE ORGANIZATION'S NEW NAME ON THE ORIGINALLY FILED RETURN, AND ALSO AMENDING THE FORM 990T AND REQUESTING A REFUND OF TAXES PAID WITH THE ORIGINALLY FILED 990T.</ExplanationTxt>
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