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        <PersonNm>MORTEN HANSEN</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <PersonNm>NICK BUSH</PersonNm>
        <TitleTxt>DIRECTOR AT LARGE</TitleTxt>
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        <PersonNm>ROBERT M BLAKE</PersonNm>
        <TitleTxt>DIRECTOR AT LARGE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROSE SCHAFHAUSER</PersonNm>
        <TitleTxt>EXECUTIVE COMMITTEE MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROXANNE VENARD</PersonNm>
        <TitleTxt>HME/RT COUNCIL CHAIR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RYAN BULLOCK</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SETH JOHNSON</PersonNm>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SKIP MATTHEWS</PersonNm>
        <TitleTxt>MEDICAL SUPPLY COUNCIL CHAIR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN ACKERMAN</PersonNm>
        <TitleTxt>IMMEDIATE PAST CHAIR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE GRIGGS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TODD WALLING</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TOM PONTZIUS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAY WITTER</PersonNm>
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        <PersonNm>KIMBERLY SUE MAIRENA</PersonNm>
        <TitleTxt>COO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS HENRY RYAN</PersonNm>
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        <PersonNm>DAVID CHANDLER</PersonNm>
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        <PersonNm>KIMBERLEY BRASON</PersonNm>
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        <PersonNm>LAURA WILLIARD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL NICOL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MINA UEHARA</PersonNm>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BROWN &amp; FORTUNATO</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KEYBRIDGE COMMUNICATIONS</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>1722-A WISCONSIN AVE NW</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 171</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TG COMMUNICATIONS</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>9807 ZACHERY AVE</AddressLine1Txt>
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        <EOYAmt>12542</EOYAmt>
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        <EOYAmt>176439</EOYAmt>
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        <EOYAmt>49921</EOYAmt>
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      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
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      <AggregateReportedDuesNtcAmt>1077280</AggregateReportedDuesNtcAmt>
      <TaxableAmt>-808041</TaxableAmt>
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        <FormAndLineReferenceDesc>PART I-A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 501 C(6) PAID ADMINISTRATIVE EXPENSES OF A CONNECTED PAC.</ExplanationTxt>
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    </IRS990ScheduleC>
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        <DepreciationAmt>1454</DepreciationAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>80615</DepreciationAmt>
        <BookValueAmt>5209</BookValueAmt>
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        <DepreciationAmt>62910</DepreciationAmt>
        <BookValueAmt>2854</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>12542</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>184321</Amt>
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      <TotalLiabilityAmt>184321</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3606756</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-814015</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-46035</OtherRevenueAmt>
      <RevenueNotReportedAmt>-860050</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4466806</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>26229</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>26229</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>4493035</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3953320</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>26229</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>46035</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>72264</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AAH HAS APPLIED FOR AND RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE ("IRS") TO BE TREATED AS A TAX-EXEMPT ENTITY PURSUANT TO SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE AND DID NOT HAVE ANY UNRELATED BUSINESS INCOME FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021. DUE TO ITS TAX-EXEMPT STATUS, AAH IS NOT SUBJECT TO INCOME TAXES. THE ORGANIZATION IS REQUIRED TO FILE AND DOES FILE TAX RETURNS WITH THE IRS AND OTHER TAXING AUTHORITIES. ACCORDINGLY, THESE CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION FOR INCOME TAXES AND THE ORGANIZATION HAS NO OTHER TAX POSITIONS WHICH MUST BE CONSIDERED FOR DISCLOSURE. TAX YEARS PRIOR TO 2019 FOR THE ORGANIZATION ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE LLC IS A SINGLE MEMBER LIMITED LIABILITY COMPANY WHICH IS NOT RECOGNIZED FOR FEDERAL INCOME TAX PURPOSES. THE LLC'S ACTIVITIES ARE REPORTED ON AAH'S INCOME TAX RETURN. THE PAC IS A TAX-EXEMPT POLITICAL ACTION COMMITTEE WHICH IS A DISREGARDED ENTITY FOR FEDERAL INCOME TAX PURPOSES. THE PAC'S ACTIVITIES ARE REPORTED ON AAH'S INCOME TAX RETURN. NSI HAD NO TAXABLE INCOME AND NO DEFERRED TAX ASSET OR LIABILITY AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EVENT EXPENSES NETTED WITH REVENUE ON AUDITED F/S -46,035.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EVENT EXPENSES NETTED WITH REVENUE ON AUDITED F/S 46,035.</ExplanationTxt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18519</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>433465</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>KIMBERLY SUE MAIRENA</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <PersonNm>JAY WITTER</PersonNm>
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        <BonusFilingOrganizationAmount>8900</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VGM GROUP, INC. (VGM) IS A NATIONAL MEMBER SERVICE ORGANIZATION WITH ITS PRINCIPAL OPERATIONS LOCATED IN WATERLOO, IOWA. VGM IS COMPRISED OF A NUMBER OF FOR-PROFIT OPERATING COMPANIES THAT OFFER BUSINESS SERVICES TO HEALTHCARE PROVIDERS OF RESPIRATORY THERAPY, DURABLE MEDICAL EQUIPMENT AND SUPPLIES, ORTHOTIC AND PROSTHETIC DEVICES, COMPLEX REHAB AND ASSISTIVE TECHNOLOGY EQUIPMENT, PHARMACIES AND HOME HEALTH AGENCIES WHOSE MEMBERS MAY BE MEMBERS OF THE AMERICAN ASSOCIATION FOR HOMECARE. THE MEDGROUP IS A BUSINESS SERVICE ORGANIZATION BASED IN TEXAS. FOR-PROFIT PROVIDERS ARE MEMBERS OF THE MEDGROUP AS WELL AS THE AMERICAN ASSOCIATION FOR HOMECARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE REVIEWS THE AUDIT REPORT AND THEN RECOMMENDS IT TO THE BOARD FOR APPROVAL. AT THE FALL BOARD MEETING THE AUDIT REPORT IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990 IS BASED OFF THE INFORMATION FOUND ON THE AUDIT REPORT. THE INITIAL REVIEW OF FORM 990 IS COMPLETED BY THE CHIEF OPERATING OFFICER AND ANY CORRECTIONS ARE MADE. THE PRESIDENT APPROVES THE FILING OF THE 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD IS REQUIRED TO ANNUALLY SIGN A STATEMENT THAT THEY HAVE RECEIVED AND READ THE CONFLICT OF INTEREST POLICY, AND WILL COMPLY WITH IT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A COMPENSATION COMMITTEE MADE UP OF MEMBERS FROM THE BOARD OF DIRECTORS WHOSE ROLE IS TO DETERMINE THE SALARY AND BENEFITS FOR THE PRESIDENT &amp; CEO AS WELL AS OTHER KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>HOMECARE ASSOCIATION LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>241 18TH ST SOUTH STE 500</AddressLine1Txt>
          <CityNm>ARLINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22202</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>-1220</TotalIncomeAmt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AAH</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NAMES SERVICES INC</BusinessNameLine1Txt>
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          <CityNm>ARLINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>MEDICAL EQUIP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
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