<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2019v5.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2020-04-08T10:56:51-05:00</ReturnTs>
    <TaxPeriodEndDt>2019-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>410746749</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>CLIFTONLARSONALLEN LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>901 N GLEBE ROAD SUITE 200</AddressLine1Txt>
        <CityNm>ARLINGTON</CityNm>
        <StateAbbreviationCd>VA</StateAbbreviationCd>
        <ZIPCd>22203</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2019-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>237124261</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>AMERICAN KIDNEY FUND INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>AMER</BusinessNameControlTxt>
      <PhoneNum>3018813052</PhoneNum>
      <USAddress>
        <AddressLine1Txt>11921 ROCKVILLE PIKE NO 300</AddressLine1Txt>
        <CityNm>ROCKVILLE</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>20852</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>LAVARNE A BURTON</PersonNm>
      <PersonTitleTxt>PRESIDENT &amp; CHIEF EXECUTIVE OFFICER</PersonTitleTxt>
      <PhoneNum>3018813052</PhoneNum>
      <SignatureDt>2020-04-01</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>AMY CHAPMAN</PreparerPersonNm>
      <PTIN>P00843460</PTIN>
      <PhoneNum>5712279500</PhoneNum>
      <PreparationDt>2020-03-31</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>67.137.57.251</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2020-04-01</IPDt>
      <IPTm>08:56:15</IPTm>
      <IPTimezoneCd>ED</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>73165959F041044F9DC26414D498D34F5ABB8EC7</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>CB6B290C6942481B0FCA2AD70F62C9B967E77707</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2019</TaxYr>
    <BuildTS>2020-09-23 17:36:50Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="11">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>LAVARNE A BURTON</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>11921 ROCKVILLE PIKE NO 300</AddressLine1Txt>
        <CityNm>ROCKVILLE</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>20852</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>326643338</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.KIDNEYFUND.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1971</FormationYr>
      <LegalDomicileStateCd>DC</LegalDomicileStateCd>
      <ActivityOrMissionDesc>WE HELP PEOPLE FIGHT KIDNEY DISEASE AND LIVE HEALTHIER LIVES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>21</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>21</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>93</TotalEmployeeCnt>
      <TotalVolunteersCnt>500</TotalVolunteersCnt>
      <TotalGrossUBIAmt>49588</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>301221651</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>320548623</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>454</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>979</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>375858</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>610863</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>184525</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>121601</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>301782488</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>321282066</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>294484021</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>266256889</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>10012384</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>11066512</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>260660</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>397563</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>5229897</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>9281428</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>11655321</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>314038493</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>289376285</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-12256005</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>31905781</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>26571292</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>61549114</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>3029105</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>4397448</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>23542187</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>57151666</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>FOUNDED IN 1971, THE AMERICAN KIDNEY FUND'S MISSION IS TO FIGHT KIDNEY DISEASE AND HELP PEOPLE LIVE HEALTHIER LIVES. OUR COMPREHENSIVE PROGRAMS OF KIDNEY DISEASE AWARENESS, PREVENTION AND TREATMENT-RELATED FINANCIAL ASSISTANCE HELP PEOPLE NO MATTER WHERE THEY ARE IN THE FIGHT AGAINST KIDNEY DISEASE--FROM BEING AT RISK, TO MANAGING KIDNEY DISEASE, TO COPING WITH DIALYSIS, TO LIVING POST-TRANSPLANT.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>270575575</ExpenseAmt>
      <GrantAmt>266030979</GrantAmt>
      <Desc>PATIENT ASSISTANCE:IN 2019, WE HELPED MORE THAN 84,000 LOW-INCOME KIDNEY FAILURE PATIENTS IN ALL 50 STATES GAIN ACCESS TO LIFESAVING HEALTHCARE, INCLUDING DIALYSIS AND TRANSPLANT, BY PROVIDING NEED-BASED GRANTS TO PAY FOR HEALTH INSURANCE PREMIUMS, TRANSPORTATION TO TREATMENT, PRESCRIPTION MEDICATIONS AND NUTRITIONAL PRODUCTS, AND EMERGENCY ASSISTANCE IN THE WAKE OF NATURAL DISASTERS. WITH AKF'S SUPPORT FOR HEALTH COVERAGE THEY OTHERWISE COULD NOT AFFORD, NEARLY 1,400 DIALYSIS PATIENTS HAD LIFESAVING KIDNEY TRANSPLANTS AND POST-TRANSPLANT CARE IN 2019, REPRESENTING 6% OF ALL U.S. KIDNEY TRANSPLANTS DURING THE YEAR. WE ALSO PROVIDED MORE THAN 200 DIALYSIS PATIENTS WITH CLOSE TO $47,000 IN DISASTER RELIEF ASSISTANCE IN THE WAKE OF HURRICANES, FLOODS, AND WILDFIRES. PATIENTS SEEKING HELP FROM AKF MUST DEMONSTRATE FINANCIAL NEED THROUGH COMPLETION OF A GRANT APPLICATION. ON AVERAGE, OUR GRANT RECIPIENTS HAVE TOTAL HOUSEHOLD INCOMES LESS THAN $25,000 PER YEAR.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>10784018</ExpenseAmt>
        <RevenueAmt>979</RevenueAmt>
        <Desc>PUBLIC EDUCATION, OUTREACH AND PREVENTION ACTIVITIES:37 MILLION AMERICANS HAVE CHRONIC KIDNEY DISEASE (CKD). AKF'S EDUCATION PROGRAMS HELP INDIVIDUALS IDENTIFY THEIR RISKS FOR CKD AND MANAGE CKD, KIDNEY FAILURE AND CO-MORBIDITIES. OUR KNOW YOUR KIDNEYS PROGRAM IS THE LARGEST NATIONAL PROGRAM PROVIDING FREE KIDNEY HEALTH SCREENINGS AND EDUCATION FOR AT-RISK INDIVIDUALS. THROUGH THIS PROGRAM WE COMBAT PREVENTABLE KIDNEY DISEASE BY OFFERING FREE HEALTH SCREENINGS, NUTRITION AND FITNESS PRESENTATIONS, FOLLOW-UP SERVICES AND PUBLIC EDUCATION MATERIALS. OUR SCREENINGS CHECK FOR INDICATORS OF HYPERTENSION, DIABETES AND CKD. IN TOTAL, WE SCREENED MORE THAN 12,000 PEOPLE AT 63 EVENTS IN 2019. WE CONDUCT SCREENINGS AT VENUES INCLUDING EXPOSITIONS AND FESTIVALS, FAITH-BASED ORGANIZATIONS, COMMUNITY CENTERS, COLLEGES AND CORPORATE OFFICES, AS WELL AS OUR SIGNATURE COMMUNITY OUTREACH EVENT, KIDNEY ACTION DAY, HELD IN CITIES WHERE RATES OF KIDNEY DISEASE ARE HIGHER THAN THE NATIONAL AVERAGE. IN 2019 WE EXPANDED THE KNOW YOUR KIDNEYS PROGRAM BY LAUNCHING A DIGITAL PUBLIC EDUCATION AND AWARENESS CAMPAIGN THAT REACHES PEOPLE NATIONWIDE WITH STRATEGIES FOR PREVENTING THE DISEASE AND SLOWING ITS PROGRESSION. AKF'S EDUCATIONAL OFFERINGS INCLUDE OUR WEBSITE, KIDNEYFUND.ORG, WHICH HAD 19 MILLION PAGE VIEWS IN 2019; OUR NEW DIET WEBSITE FOR KIDNEY PATIENTS, KIDNEY KITCHEN; OUR BRANDED AWARENESS CAMPAIGNS WHICH FOCUS ON MANAGING VARIOUS ASPECTS OF KIDNEY DISEASE AND ITS CO-MORBIDITIES; FREE, MONTHLY WEBINARS FOR PATIENTS, FAMILIES AND CAREGIVERS; OUR KIDNEY HEALTH COACH PEER-TO-PEER COMMUNITY OUTREACH PROGRAM; AND A COMPREHENSIVE SERIES OF PRINTED HEALTH EDUCATION AND DISEASE MANAGEMENT MATERIALS FOR PEOPLE WITH KIDNEY DISEASE AND KIDNEY FAILURE. WE CONTINUALLY ENHANCE OUR EDUCATION CONTENT AND OFFERINGS. IN 2019, WE EXPANDED OUR INFORMATION ON ANEMIA, GOUT, RARE DISEASES AND MANY OTHER TOPICS. WE ALSO PUBLISHED MANY ADDITIONAL PAGES FOR OUR SPANISH-LANGUAGE WEBSITE. FOR CHILDREN, LIVING WITH KIDNEY DISEASE IS EXTREMELY CHALLENGING. WE PROVIDE A NATIONWIDE ART CONTEST FOR PEDIATRIC KIDNEY PATIENTS, GIVING THEM AN OPPORTUNITY TO BE RECOGNIZED FOR THEIR ARTISTIC TALENTS. THE WINNERS HAVE THEIR DRAWINGS PUBLISHED IN AKF'S WALL CALENDAR AND THE CALENDAR IS DISTRIBUTED TO FRIENDS AND THE GENERAL PUBLIC. WE RUN AN ONLINE, PUBLIC CONTEST TO CHOOSE THE COVER ART, AND IN 2019, 4,850 PEOPLE VOTED. THE COVER WINNER IS HONORED AS PART OF AKF'S ANNUAL GALA, THE HOPE AFFAIR, IN WASHINGTON, DC. AKF HELD ITS ANNUAL ADVOCACY DAY ON CAPITOL HILL, IN WHICH 27 AKF AMBASSADORS FROM 19 STATES AND THE DISTRICT OF COLUMBIA GATHERED IN OUR NATION'S CAPITAL FOR A DAY OF ADVOCACY TRAINING FOLLOWED BY MEETINGS WITH THEIR CONGRESSIONAL DELEGATIONS. AKF AMBASSADORS HAD MEETINGS WITH 61 CONGRESSIONAL OFFICES, WHERE THEY DISCUSSED THE IMPORTANCE OF PROTECTING PATIENT ACCESS TO CHARITABLE PREMIUM ASSISTANCE AND ENCOURAGED MEMBERS OF CONGRESS TO CO-SPONSOR THE LIVING DONOR PROTECTION ACT (H.R.1224/S.511). PATIENT FLY-INS WERE ALSO HELD IN SPRINGFIELD IL AS WELL AS SACRAMENTO, CA. THERE WERE 78,900 ADVOCACY INTERACTIONS GENERATED IN SOCIAL MEDIA RELATING TO ADVOCACY AND PUBLIC POLICY ISSUES. IN 2019, AKF'S PATIENT ADVOCATES WENT TO AKF'S WEBSITE TO SEND 8,500 ACTION ALERTS TO THEIR ELECTED OFFICIALS.AKF DEVELOPS COURSES THAT ARE PROVIDED ONLINE AND MEET THE CONTINUING EDUCATION REQUIREMENTS FOR PROFESSIONALS WHO TREAT KIDNEY PATIENTS. IN 2019, WE REGISTERED NEARLY 6,000 COURSES COMPLETED BY SOCIAL WORKERS, DIALYSIS TECHNICIANS, DIETITIANS, HEALTH EDUCATORS AND OTHER RENAL CARE PROFESSIONALS. IN ADDITION, WE EXPANDED OUR PROFESSIONAL EDUCATION OFFERINGS TO INCLUDE LOCAL, CME CONFERENCES FOR PRIMARY CARE PROVIDERS AND NEPHROLOGISTS. OUR LIVE WEBINARS ARE LED BY KIDNEY DISEASE EXPERTS AS WELL AS PATIENTS, AND FEATURE A DISCUSSION ABOUT A DIFFERENT TOPIC EACH MONTH. ALL WEBINARS ARE RECORDED AND POSTED TO AKF'S WEBSITE. 2019 WEBINARS FOCUSED ON A VARIETY OF TOPICS INCLUDING: MANAGING GOUT; LIVING KIDNEY DONATION; KIDNEY DISEASE IN TEENS; A POPULAR NEW "ASK THE EXPERT" SERIES; AND MANAGING THE KIDNEY DIET.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>279143</ExpenseAmt>
        <GrantAmt>225910</GrantAmt>
        <Desc>CLINICAL RESEARCH:ESTABLISHED IN 1988, AKF'S CLINICAL SCIENTIST IN NEPHROLOGY PROGRAM HAS PROVIDED RESEARCH FUNDING TO SOME OF NEPHROLOGY'S BRIGHTEST SCHOLARS. MANY FORMER CSN FELLOWS HAVE GONE ON TO DISTINGUISHED CAREERS IN THE FIELD, CONDUCTING GROUNDBREAKING RESEARCH THAT ADVANCES KNOWLEDGE AND TREATMENT OF KIDNEY DISEASE. IN 2019, AKF SELECTED TWO NEW FELLOWS: DR. PABLO GARCIA FROM STANFORD UNIVERSITY AND DR. O. ALISON POTOK FROM THE UNIVERSITY OF CALIFORNIA, SAN DIEGO. DR. GARCIA'S RESEARCH PROJECT IS FOCUSED ON THE EPIDEMIOLOGY OF PRIMARY TUBULOINTERSTITIAL KIDNEY DISEASE, WHILE DR. POTOK'S RESEARCH PROJECT IS EVALUATING THE DIFFERENCES IN EGFR CALCULATIONS WHEN USED IN OLDER ADULT POPULATIONS.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>281638736</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039600001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039600001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039600001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>1</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041200001">1</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041200001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041200001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">1</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc1042900001">0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">0</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>67</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>93</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <Form1098CFiledInd>1</Form1098CFiledInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>21</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>21</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>AL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>AK</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>AR</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>AZ</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CO</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CT</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>DC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>FL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>GA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>IN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>IL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KS</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>ME</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MS</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>ND</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NH</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NJ</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NM</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OH</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OK</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OR</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>RI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>SC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>TN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>UT</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>VA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WV</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>CFO</PersonNm>
        <PhoneNum>3019846660</PhoneNum>
        <USAddress>
          <AddressLine1Txt>11921 ROCKVILLE PIKE SUITE 300</AddressLine1Txt>
          <CityNm>ROCKVILLE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20852</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY D KLEPNER</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE A WRIGHT-NUNES MD MPH</PersonNm>
        <TitleTxt>CHAIR, MEDICAL AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAUREEN NUGENT FRANCO</PersonNm>
        <TitleTxt>CHAIR-ELECT</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT M TAROLA CPA CGMA</PersonNm>
        <TitleTxt>IMMEDIATE PAST CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY H WARREN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN B MORIARTY JR ESQ</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AKHTAR ASHFAQ MD FACP FASN</PersonNm>
        <TitleTxt>TRUSTEE (01/2019-03/2019)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW M SHORE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY J MESSANA</PersonNm>
        <TitleTxt>TRUSTEE (01/2019-10/2019)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ARTHUR H METCALF II CPA ABV CFF</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELAINE MILEM</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE ROBERT BURTON III MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREGORY P MADISON</PersonNm>
        <TitleTxt>MEMBER-AT-LARGE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEIDI L WAGNER JD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN F HANLEY CFA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA A ROBIN</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA A GRASSO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL R VAUGHAN MD</PersonNm>
        <TitleTxt>TRUSTEE (01/2019-10/2019)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL W FLOOD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA W MCNAMARA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD HARRISON</PersonNm>
        <TitleTxt>TRUSTEE (01/2019-10/2019)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD T MILLER MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SILAS P NORMAN MD MPH</PersonNm>
        <TitleTxt>MEMBER-AT-LARGE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THE HONORABLE DONNA M CHRISTENSEN</PersonNm>
        <TitleTxt>MD, TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM J SCHUYLER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YOSHIO N HALL MD MS</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAVARNE A BURTON EX-OFFICIO</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHIEF EXECUTIV</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>638222</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>84922</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD ROY JR</PersonNm>
        <TitleTxt>EVP, AND COO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>386804</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23324</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE PUZZO</PersonNm>
        <TitleTxt>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>311042</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32677</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOLLY BODE</PersonNm>
        <TitleTxt>VP OF GOVERNMENT AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>318697</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34345</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARSHALL STRISIK</PersonNm>
        <TitleTxt>VP AND GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>287355</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41083</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL SPIGLER</PersonNm>
        <TitleTxt>VP OF PATIENT SVCS/KIDNEY</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>246595</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38648</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMARA RUGGIERO</PersonNm>
        <TitleTxt>VP OF COMMUNICATIONS AND MARKETING</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>288209</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30354</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2476924</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>285353</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>28</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KING AND SPALDING LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1180 PEACHTREE STREET NE</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30309</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>1037037</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VENDORIN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1937</AddressLine1Txt>
            <CityNm>HATTIESBURG</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>39403</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GRANT PAYMENT PROCESSING</ServicesDesc>
        <CompensationAmt>733127</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ORASES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5728 INDUSTRY LANE</AddressLine1Txt>
            <CityNm>FREDERICK</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21704</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE DEVELOPMENT/HOSTING</ServicesDesc>
        <CompensationAmt>626624</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROBBINSKERSTEN DIRECT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>201 SUMMER STREET</AddressLine1Txt>
            <CityNm>HOLLISTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01746</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIRECT MAIL SERVICES</ServicesDesc>
        <CompensationAmt>547668</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MERCURY PUBLIC AFFAIRS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 VARICK STREET SUITE 600</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10014</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PUBLIC RELATIONS SERVICES</ServicesDesc>
        <CompensationAmt>415000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>176947</FederatedCampaignsAmt>
      <FundraisingAmt>873670</FundraisingAmt>
      <AllOtherContributionsAmt>319498006</AllOtherContributionsAmt>
      <NoncashContributionsAmt>535133</NoncashContributionsAmt>
      <TotalContributionsAmt>320548623</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CALENDAR SALES</Desc>
        <BusinessCd>511140</BusinessCd>
        <TotalRevenueColumnAmt>979</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>979</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>979</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>645681</TotalRevenueColumnAmt>
        <ExclusionAmt>645681</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>46343</TotalRevenueColumnAmt>
        <ExclusionAmt>46343</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>4941476</SecuritiesAmt>
        <OtherAmt>273275</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>4906403</SecuritiesAmt>
        <OtherAmt>343166</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>35073</SecuritiesAmt>
        <OtherAmt>-69891</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-34818</TotalRevenueColumnAmt>
        <ExclusionAmt>-34818</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>137373</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>873670</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>111703</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>25670</TotalRevenueColumnAmt>
        <ExclusionAmt>25670</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>ADVERTISING IN NEWSLETTERS</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>49588</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>49588</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>49588</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>321282066</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>979</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>49588</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>682876</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>266256889</TotalAmt>
        <ProgramServicesAmt>266256889</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1133273</TotalAmt>
        <ProgramServicesAmt>572895</ProgramServicesAmt>
        <ManagementAndGeneralAmt>343145</ManagementAndGeneralAmt>
        <FundraisingAmt>217233</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7848119</TotalAmt>
        <ProgramServicesAmt>5287946</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1210453</ManagementAndGeneralAmt>
        <FundraisingAmt>1349720</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>454764</TotalAmt>
        <ProgramServicesAmt>296279</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79220</ManagementAndGeneralAmt>
        <FundraisingAmt>79265</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1069383</TotalAmt>
        <ProgramServicesAmt>686501</ProgramServicesAmt>
        <ManagementAndGeneralAmt>197779</ManagementAndGeneralAmt>
        <FundraisingAmt>185103</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>560973</TotalAmt>
        <ProgramServicesAmt>365474</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97721</ManagementAndGeneralAmt>
        <FundraisingAmt>97778</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>988939</TotalAmt>
        <ProgramServicesAmt>697202</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125496</ManagementAndGeneralAmt>
        <FundraisingAmt>166241</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>57883</TotalAmt>
        <ProgramServicesAmt>40808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7345</ManagementAndGeneralAmt>
        <FundraisingAmt>9730</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>564161</TotalAmt>
        <ProgramServicesAmt>564161</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>397563</TotalAmt>
        <FundraisingAmt>397563</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>71936</TotalAmt>
        <ManagementAndGeneralAmt>71936</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1712589</TotalAmt>
        <ProgramServicesAmt>1355459</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2131</ManagementAndGeneralAmt>
        <FundraisingAmt>354999</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>522624</TotalAmt>
        <ProgramServicesAmt>485469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75</ManagementAndGeneralAmt>
        <FundraisingAmt>37080</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>3611776</TotalAmt>
        <ProgramServicesAmt>2056863</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44986</ManagementAndGeneralAmt>
        <FundraisingAmt>1509927</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1199898</TotalAmt>
        <ProgramServicesAmt>902422</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100795</ManagementAndGeneralAmt>
        <FundraisingAmt>196681</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>881642</TotalAmt>
        <ProgramServicesAmt>621536</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111919</ManagementAndGeneralAmt>
        <FundraisingAmt>148187</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>365791</TotalAmt>
        <ProgramServicesAmt>260651</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9134</ManagementAndGeneralAmt>
        <FundraisingAmt>96006</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>117524</TotalAmt>
        <ProgramServicesAmt>83744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2935</ManagementAndGeneralAmt>
        <FundraisingAmt>30845</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>560036</TotalAmt>
        <ProgramServicesAmt>394811</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71093</ManagementAndGeneralAmt>
        <FundraisingAmt>94132</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>146743</TotalAmt>
        <ProgramServicesAmt>103454</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18622</ManagementAndGeneralAmt>
        <FundraisingAmt>24667</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FAIRS AND EXHIBITS</Desc>
        <TotalAmt>367029</TotalAmt>
        <ProgramServicesAmt>365728</ProgramServicesAmt>
        <ManagementAndGeneralAmt>539</ManagementAndGeneralAmt>
        <FundraisingAmt>762</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DATA PROCESSING</Desc>
        <TotalAmt>177106</TotalAmt>
        <ProgramServicesAmt>63668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2767</ManagementAndGeneralAmt>
        <FundraisingAmt>110671</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAILING LIST RENTAL</Desc>
        <TotalAmt>148933</TotalAmt>
        <ProgramServicesAmt>47688</ProgramServicesAmt>
        <FundraisingAmt>101245</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>124194</TotalAmt>
        <ProgramServicesAmt>103344</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4927</ManagementAndGeneralAmt>
        <FundraisingAmt>15923</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>36517</TotalAmt>
        <ProgramServicesAmt>25744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4634</ManagementAndGeneralAmt>
        <FundraisingAmt>6139</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>289376285</TotalAmt>
        <ProgramServicesAmt>281638736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2507652</ManagementAndGeneralAmt>
        <FundraisingAmt>5229897</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <JointCostsInd>X</JointCostsInd>
      <TotalJointCostsGrp>
        <TotalAmt>2133717</TotalAmt>
        <ProgramServicesAmt>683216</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>1450501</FundraisingAmt>
      </TotalJointCostsGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>9928491</BOYAmt>
        <EOYAmt>41934720</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>406909</BOYAmt>
        <EOYAmt>1056055</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1117107</BOYAmt>
        <EOYAmt>1432857</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3792316</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2442023</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1452869</BOYAmt>
        <EOYAmt>1350293</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>13665916</BOYAmt>
        <EOYAmt>15775189</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>26571292</BOYAmt>
        <EOYAmt>61549114</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1386476</BOYAmt>
        <EOYAmt>1768656</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
        <EOYAmt>791458</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>55961</BOYAmt>
        <EOYAmt>146662</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1586668</BOYAmt>
        <EOYAmt>1690672</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>3029105</BOYAmt>
        <EOYAmt>4397448</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>22514910</BOYAmt>
        <EOYAmt>54803831</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1027277</BOYAmt>
        <EOYAmt>2347835</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>23542187</BOYAmt>
        <EOYAmt>57151666</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>26571292</BOYAmt>
        <EOYAmt>61549114</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>31905781</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1703698</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>58459114</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>67662127</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>52114106</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>54254318</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>47044440</CurrentTaxYearAmt>
        <TotalAmt>279534105</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>58459114</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>67662127</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>52114106</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>54254318</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>47044440</CurrentTaxYearAmt>
        <TotalAmt>279534105</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>162021514</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>117512591</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>367773</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>372689</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>433710</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>419132</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>692024</CurrentTaxYearAmt>
        <TotalAmt>2285328</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus2YearsAmt>23762</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>66493</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>25670</CurrentTaxYearAmt>
        <TotalAmt>115925</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <TotalSupportAmt>281935358</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>7109</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.41680</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.40790</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/15 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/15 AMOUNT: 98727500. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/16 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/16 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/17 AMOUNT: 120005000. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/17 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/18 AMOUNT: 133000000. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/18 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/19 AMOUNT: 148500000. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/19 AMOUNT: 125004183.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>48991</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>485601</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>534592</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>288790813</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>289325405</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>6000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>601043</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>494165</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>711745</CurrentYearMinus1Amt>
        <CurrentYearAmt>534592</CurrentYearAmt>
        <TotalAmt>2341545</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus3Amt>40915</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>59082</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>81401</CurrentYearMinus1Amt>
        <CurrentYearAmt>48991</CurrentYearAmt>
        <TotalAmt>230389</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>186273</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>4757</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3398</OtherExpendituresAmt>
        <EndYearBalanceAmt>187632</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>185062</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>4235</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3024</OtherExpendituresAmt>
        <EndYearBalanceAmt>186273</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>184136</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3241</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2315</OtherExpendituresAmt>
        <EndYearBalanceAmt>185062</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>183273</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3020</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2157</OtherExpendituresAmt>
        <EndYearBalanceAmt>184136</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>182408</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3030</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2165</OtherExpendituresAmt>
        <EndYearBalanceAmt>183273</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.93280</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.06720</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>183600</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>100535</DepreciationAmt>
        <BookValueAmt>83065</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3469252</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2210526</DepreciationAmt>
        <BookValueAmt>1258726</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>139464</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>130962</DepreciationAmt>
        <BookValueAmt>8502</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1350293</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ANNUITIES PAYABLE</Desc>
        <Amt>190826</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT</Desc>
        <Amt>400692</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>AMOUNTS HELD FOR OTHERS</Desc>
        <Amt>1099154</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1690672</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>323125247</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1703698</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>545607</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>-334188</OtherRevenueAmt>
      <RevenueNotReportedAmt>1915117</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>321210130</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>71936</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>71936</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>321282066</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>289515768</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>545607</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>545607</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>288970161</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>71936</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>334188</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>406124</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>289376285</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEREST EARNED OFF ENDOWMENTS ARE TO SUPPORT RESEARCH AND PATIENT SERVICES PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMERICAN KIDNEY FUND, INC. (AKF) FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. AKF EVALUATED ITS TAX POSITIONS AND DETERMINED THAT THEY ARE MORE-LIKELY-THAN-NOT TO BE SUSTAINED ON EXAMINATION. AKF'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES NETTED OUT OF CAR CONTRIBUTION ON FINANCIAL STATEMENTS -73,246. NONDIRECT FUNDRAISING EXPENSES -260,942.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES NETTED OUT OF CAR CONTRIBUTION ON FINANCIAL STATEMENTS 73,246. NONDIRECT FUNDRAISING EXPENSES 260,942.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>ROBBINSKERSTENDIRECT</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>201 SUMMER STREET</AddressLine1Txt>
          <CityNm>HOLLISTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01746</ZIPCd>
        </USAddress>
        <ActivityTxt>DIRECT MAIL COUNSEL</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>2672265</GrossReceiptsAmt>
        <RetainedByContractorAmt>337121</RetainedByContractorAmt>
        <NetToOrganizationAmt>2335144</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>AUTOMOTIVE RECOVERY SERVICES DBA CAR PROGRAM LLC</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>3755 OMEC CIRCLE</AddressLine1Txt>
          <CityNm>RANCHO CORDOVA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95742</ZIPCd>
        </USAddress>
        <ActivityTxt>VEHICLE ADMINISTRATOR</ActivityTxt>
        <FundraiserControlOfFundsInd>1</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>273275</GrossReceiptsAmt>
        <RetainedByContractorAmt>60442</RetainedByContractorAmt>
        <NetToOrganizationAmt>212833</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>2945540</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>397563</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>2547977</TotalNetToOrganizationAmt>
      <LicensedStatesCd>AK</LicensedStatesCd>
      <LicensedStatesCd>AL</LicensedStatesCd>
      <LicensedStatesCd>AR</LicensedStatesCd>
      <LicensedStatesCd>AZ</LicensedStatesCd>
      <LicensedStatesCd>CA</LicensedStatesCd>
      <LicensedStatesCd>CO</LicensedStatesCd>
      <LicensedStatesCd>CT</LicensedStatesCd>
      <LicensedStatesCd>DC</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <LicensedStatesCd>GA</LicensedStatesCd>
      <LicensedStatesCd>IL</LicensedStatesCd>
      <LicensedStatesCd>IN</LicensedStatesCd>
      <LicensedStatesCd>KS</LicensedStatesCd>
      <LicensedStatesCd>KY</LicensedStatesCd>
      <LicensedStatesCd>MA</LicensedStatesCd>
      <LicensedStatesCd>MD</LicensedStatesCd>
      <LicensedStatesCd>ME</LicensedStatesCd>
      <LicensedStatesCd>MI</LicensedStatesCd>
      <LicensedStatesCd>MS</LicensedStatesCd>
      <LicensedStatesCd>NC</LicensedStatesCd>
      <LicensedStatesCd>ND</LicensedStatesCd>
      <LicensedStatesCd>NH</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NM</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
      <LicensedStatesCd>OH</LicensedStatesCd>
      <LicensedStatesCd>OK</LicensedStatesCd>
      <LicensedStatesCd>OR</LicensedStatesCd>
      <LicensedStatesCd>PA</LicensedStatesCd>
      <LicensedStatesCd>RI</LicensedStatesCd>
      <LicensedStatesCd>SC</LicensedStatesCd>
      <LicensedStatesCd>TN</LicensedStatesCd>
      <LicensedStatesCd>UT</LicensedStatesCd>
      <LicensedStatesCd>VA</LicensedStatesCd>
      <LicensedStatesCd>WI</LicensedStatesCd>
      <LicensedStatesCd>WV</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>THE HOPE AFFAIR</Event1Nm>
        <GrossReceiptsEvent1Amt>660863</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>587294</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>73569</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>12000</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>49145</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>2200</EntertainmentEvent1Amt>
        <Event2Nm>NY GOLF EVENT</Event2Nm>
        <GrossReceiptsEvent2Amt>195823</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>162477</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>33346</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>2500</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>30846</FoodAndBeverageEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>154357</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>123899</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>30458</GrossRevenueOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>15012</FoodAndBeverageOtherEventsAmt>
        <GrossReceiptsTotalAmt>1011043</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>873670</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>137373</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>14500</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>95003</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>2200</EntertainmentTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>111703</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>25670</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>KIDNEY PATIENT ASSISTANCE GRANTS</GrantTypeTxt>
        <RecipientCnt>84000</RecipientCnt>
        <CashGrantAmt>266030979</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EDUCATIONAL STIPENDS</GrantTypeTxt>
        <RecipientCnt>3</RecipientCnt>
        <CashGrantAmt>225910</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>1) AMERICAN KIDNEY FUND, INC. (AKF) PROVIDES GRANTS THAT HELP KIDNEY PATIENTS WHO DEMONSTRATE FINANCIAL NEED. PATIENTS AND CAREGIVERS CAN NOW APPLY ONLINE. PATIENTS DEMONSTRATE NEED BY WORKING WITH THEIR SOCIAL WORKER AND RENAL PROFESSIONALS TO COMPLETE AN APPLICATION FOR FINANCIAL AID. GRANTS FROM AKF ARE USED FOR TRANSPORTATION, MEDICATION, HEALTH INSURANCE OR NUTRITIONAL PRODUCTS RELATED TO PATIENTS' KIDNEY DISEASE. AKF REQUIRES PROOF THE PATIENT HAS A CURRENT HEALTH INSURANCE PLAN IN PLACE; INVOICES FOR REIMBURSED TRANSPORTATION REPAIRS; AND DOCTOR PRESCRIPTIONS FOR MEDICATION. THE PATIENT'S TEAM OF SOCIAL WORKERS AND DOCTORS ENSURE THE MONEY OR PRODUCT IS USED FOR KIDNEY RELATED NEEDS OR HEALTH INSURANCE PREMIUMS. 2) AKF GRANTS THE CLINICAL SCIENTIST IN NEPHROLOGY FELLOWSHIP YEARLY. THE MAXIMUM DURATION OF EACH FELLOWSHIP IS TWO YEARS. THE LEVEL OF FUNDING IS UP TO $80,000 PER YEAR AND SHALL BE USED PRINCIPALLY TO SUPPORT THE CANDIDATE AND HIS/HER CAREER DEVELOPMENT. THIS SUM IS EXPECTED TO COVER THE INDIVIDUAL FELLOW'S SALARY (WHICH WILL FOLLOW NIH GUIDELINES ACCORDING TO THE POST-GRADUATE YEAR PLUS COMPARABLE FRINGE BENEFITS AT THE INSTITUTION, NOT TO EXCEED $50,000) AS WELL AS TRAINING-RELATED EXPENSES. AKF MAKES PAYMENTS TO THE EDUCATIONAL INSTITUTIONS WHERE THE CANDIDATE IS COMPLETING HIS/HER STUDIES AND AKF RECEIVES REPORTS ON THE CANDIDATE'S STUDIES DURING HIS/HER SUPPORTED PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAVARNE A BURTON EX-OFFICIO</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHIEF EXECUTIV</TitleTxt>
        <BaseCompensationFilingOrgAmt>515547</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>122675</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>69600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15322</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>723144</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONALD ROY JR</PersonNm>
        <TitleTxt>EVP, AND COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>328279</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>58525</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3724</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>410128</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE PUZZO</PersonNm>
        <TitleTxt>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>268717</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>42325</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13077</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>343719</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOLLY BODE</PersonNm>
        <TitleTxt>VP OF GOVERNMENT AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>276372</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>42325</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14745</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>353042</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARSHALL STRISIK</PersonNm>
        <TitleTxt>VP AND GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>259855</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>27500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18088</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22995</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>328438</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL SPIGLER</PersonNm>
        <TitleTxt>VP OF PATIENT SVCS/KIDNEY</TitleTxt>
        <BaseCompensationFilingOrgAmt>211520</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35075</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16622</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22026</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>285243</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMARA RUGGIERO</PersonNm>
        <TitleTxt>VP OF COMMUNICATIONS AND MARKETING</TitleTxt>
        <BaseCompensationFilingOrgAmt>248034</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40175</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11783</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18571</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>318563</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>LAVARNE A. BURTON'S 457(F) PLAN PAYMENT: $50,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <CarsAndOtherVehiclesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>340</ContributionCnt>
        <NoncashContributionsRptF990Amt>115051</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </CarsAndOtherVehiclesGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>7</ContributionCnt>
        <NoncashContributionsRptF990Amt>31804</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>16191</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>40000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 32B:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMERICAN KIDNEY FUND, INC. (AKF) HAS A CONTRACT WITH AUTOMOTIVE RECOVERY SERVICES (THE CAR PROGRAM, LLC). THE CAR PROGRAM, LLC PROVIDES THE ADMINISTRATIVE SERVICES ASSOCIATED WITH VEHICLE PICK UP REQUESTS, COORDINATES TOWING AND DISPOSAL OF VEHICLES. THE PROGRAM IS RUN THROUGHOUT THE YEAR. THE CAR PROGRAM, LLC MAINTAINS A WEBSITE THAT LISTS AKF AS ONE OF MANY CHARITIES ELIGIBLE FOR CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE CONSISTS OF AMERICAN KIDNEY FUND, INC. (AKF) BOARD OF TRUSTEE MEMBERS. THE COMPOSITION INCLUDES CHAIR, CHAIR-ELECT, IMMEDIATE PAST CHAIR, SECRETARY, TREASURER, CHAIR OF MEDICAL AFFAIRS AND TWO AT-LARGE AKF BOARD OF TRUSTEE MEMBERS. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL POWERS AND DUTIES OF THE BOARD EXCEPT AS SPECIFICALLY RESERVED BY LAW OR BY THE BOARD THROUGH A CONTINUING RESOLUTION. THE EXECUTIVE COMMITTEE MEETING MINUTES ARE PROVIDED TO THE FULL BOARD FOR REVIEW AND APPROVAL AT EACH BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AMERICAN KIDNEY FUND, INC. (AKF)'S MANAGEMENT PREPARES THE INFORMATION FOR THE 990 ENSURING ALL COMMUNICATIONS AND PROGRAMMATIC STAFF ARE INCLUDED IN THE PREPARATION AND REVIEW OF THE 990. THE AKF TRUSTEES HAVE TASKED THE AKF AUDIT AND COMPLIANCE COMMITTEE WITH THE DETAILED REVIEW OF THE FORM 990 PRIOR TO ITS FILING. THE AKF AUDIT AND COMPLIANCE COMMITTEE THEN PROVIDES PROVISIONAL APPROVAL TO THE 990. THE AUDIT AND COMPLIANCE COMMITTEE REVIEWED 990 IS THEN PROVIDED TO THE FULL BOARD FOR FINAL REVIEW BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMERICAN KIDNEY FUND, INC. (AKF) TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY AT THE AKF SPRING BOARD MEETING. THE CONFLICT OF INTEREST FORM REQUIRES THE TRUSTEE TO ACKNOWLEDGE READING AND UNDERSTANDING AKF'S CONFLICT OF INTEREST STATEMENT AND MUST AFFIRMATIVELY NOTE ON FOUR SPECIFIC QUESTIONS REGARDING POTENTIAL CONFLICTS OF INTEREST. IF NONE EXIST, THE FORM MUST STILL BE COMPLETED AND NOTES MADE THAT NO CONFLICTS OF INTEREST EXIST. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) COUNTER-SIGN THE FORM AND THE SPECIAL PROJECT ASSISTANT TO THE CEO TABULATES THE FORMS AND IF ANY CONFLICTS OF INTEREST ARE NOTED ON THE FORMS, FURTHER ACTIONS WOULD BE TAKEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AKF TRUSTEES HAVE A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT TRUSTEES THAT ARE TASKED WITH REVIEW OF PERFORMANCE, EXECUTIVE COMPENSATION, AND INCENTIVE PLANS OF THE PRESIDENT AND CEO. ON A BI-ANNUAL BASIS, AKF HIRES AN INDEPENDENT SALARY CONSULTING FIRM TO CONDUCT A SURVEY OF THE NON-PROFIT COMMUNITY TO ENSURE AKF'S COMPENSATION AND BENEFITS FOR THE EXECUTIVE LEVEL (PRESIDENT AND CEO ALONG WITH THE VICE PRESIDENTS) ARE WITHIN INDUSTRY NORMS AND BEST PRACTICES. AKF COMPLETED ITS LATEST INDEPENDENT REVIEW OF EXECUTIVE COMPENSATION AND BENEFITS WITH A REPORT DATED 1/30/2020. THE AMERICAN KIDNEY FUND AWARDS BONUSES TO ITS EXECUTIVE TEAM EMPLOYEES BASED UPON THEIR ACHIEVING STRINGENT PERFORMANCE OBJECTIVES THAT ARE SET FORTH IN AN ANNUAL EXECUTIVE INCENTIVE PLAN (EIP). THE GOALS IN THE EIP DIRECTLY SUPPORT ACHIEVEMENT OF THE AWARENESS, PREVENTION, EDUCATION AND PATIENT SUPPORT OBJECTIVES THAT ARE OUTLINED IN AKF'S STRATEGIC PLAN. THE EIP IS APPROVED BY THE BOARD'S EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE ANNUALLY. AKF COMPLETED ITS LATEST INDEPENDENT REVIEW OF EXECUTIVE COMPENSATION AND BENEFITS WITH A REPORT DATED 1/30/2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS LAST THREE 990 FORMS AVAILABLE ON ITS OWN WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AKF MAKES AVAILABLE ITS AUDITED FINANCIAL STATEMENTS, FORM 990, FINANCIAL INTEREST DISCLOSURE FORM AND ANNUAL REPORTS ON ITS WEBSITE UNDER THE "ABOUT US" TAB.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE B, DESCRIPTION OF CONTRIBUTIONS:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMERICAN KIDNEY FUND IS A PUBLICLY SUPPORTED ORGANIZATION WITH DIVERSE BASE OF CONTRIBUTORS, WHICH INCLUDES INDIVIDUALS, CORPORATIONS, FOUNDATIONS, AND OTHER ORGANIZATIONS. IN 2019, THE AMERICAN KIDNEY FUND HAD NEARLY 63,000 ACTIVE CONTRIBUTORS AND OF THOSE 239 CONTRIBUTORS INDIVIDUALLY CONTRIBUTED MORE THAN $5,000 A PIECE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AMERICAN KIDNEY FUND SERVICE ORGANIZATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11921 ROCKVILLE PIKE SUITE 300</AddressLine1Txt>
          <CityNm>ROCKVILLE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20852</ZIPCd>
        </USAddress>
        <EIN>300013495</EIN>
        <PrimaryActivitiesTxt>SUPPORT AMERICAN KIDNEY FUND, INC.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AMERICAN KIDNEY FUND INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART II, RELATED TAX-EXEMPT ORGANIZATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMERICAN KIDNEY FUND SERVICE ORGANIZATION IS CURRENTLY DORMANT AND DID NOT HAVE ANY ACTIVITY IN 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
