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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>8239</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2992537</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>8239</InvestmentExpensesNotIncld2Amt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Management has evaluated NAMD's tax positions and concluded that the financial statements do not include any uncertain tax positions.</ExplanationTxt>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>Matthew Salo</PersonNm>
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        <BonusFilingOrganizationAmount>180199</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsFilingOrgAmt>8092</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>Dianne Hasselman</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>178489</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>NAMD is an association composed of directors, administrators, and deputies responsible for the administration of the Medicaid program in each state, U.S. territories and the District of Columbia jurisdictions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The members of the Association elect the President, Vice President, Finance Chair, Governance chair, and eight (8) Regional Members and one Territorial Representative.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Decisions are subject to approval of the members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by an accounting firm and is reviewed and signed by the NAMD Executive Director.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Annual conflict of interest policy is reviewed and signed by the Board of Directors.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>The Board of Directors annually evaluates the performance of the Executive Director and sets the salary and any bonus.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>These documents are not available to the public.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Other consulting fees: Program service expenses 0. Management and general expenses 9,553. Fundraising expenses 0. Total expenses 9,553. Event Management Consulting: Program service expenses 50,270. Management and general expenses 0. Fundraising expenses 0. Total expenses 50,270. Lobbying consulting fees: Program service expenses 100,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 100,000. Leadership consulting fees: Program service expenses 20,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 20,000. Website Consulting fees: Program service expenses 700. Management and general expenses 0. Fundraising expenses 0. Total expenses 700. PR Consulting Fees: Program service expenses 137,631. Management and general expenses 0. Fundraising expenses 0. Total expenses 137,631. Healthcare Consulting: Program service expenses 10,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,000.</ExplanationTxt>
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</Return>