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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>EDELMAN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 EAST RANDOLPH DRIVE FL 62</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60601</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING &amp; PR SVS.</ServicesDesc>
        <CompensationAmt>489456</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NORTHWESTERN MEMORIAL HEALTHCARE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 73690</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60601</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN EXPERTISE</ServicesDesc>
        <CompensationAmt>144246</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60611</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING SERVICES</ServicesDesc>
        <CompensationAmt>143500</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>THE LHT GROUP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>WESTERVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>43082</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELEARNING DEVELOP.</ServicesDesc>
        <CompensationAmt>113500</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>3820559</AllOtherContributionsAmt>
      <TotalContributionsAmt>3820559</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>LIVE TRAINING REVENUE</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>52615</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>52615</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONSULTING REVENUE</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>11250</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11250</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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        <ExclusionAmt>60854</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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        <ExclusionAmt>173</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
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      </RoyaltiesRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
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      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
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      <NetIncmFromFundraisingEvtGrp>
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        <RelatedOrExemptFuncIncomeAmt>6597</RelatedOrExemptFuncIncomeAmt>
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        <FundraisingAmt>9598</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>29954</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11143</ManagementAndGeneralAmt>
        <FundraisingAmt>809</FundraisingAmt>
      </FeesForServicesLegalGrp>
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      <FeesForServicesLobbyingGrp>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>326985</ManagementAndGeneralAmt>
        <FundraisingAmt>43836</FundraisingAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>24676</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9384</ManagementAndGeneralAmt>
        <FundraisingAmt>2544</FundraisingAmt>
      </AdvertisingGrp>
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        <ProgramServicesAmt>48244</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83981</ManagementAndGeneralAmt>
        <FundraisingAmt>3584</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>77377</ProgramServicesAmt>
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        <FundraisingAmt>7653</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>3119388</ProgramServicesAmt>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2061</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>883</DepreciationAmt>
        <BookValueAmt>1178</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>202845</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>171514</DepreciationAmt>
        <BookValueAmt>31331</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>90725</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>50090</DepreciationAmt>
        <BookValueAmt>40635</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>73144</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3927532</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-24516</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-24516</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3952048</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>3952048</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4337507</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>-68948</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-68948</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>4406455</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>4406455</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>TEXT FROM THE FOOTNOTE IN THE INSTITUTE'S AUDITED FINANCIAL STATEMENTS: THE INSTITUTE BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS A RESULT, NO LIABILITY HAS BEEN RECOGNIZED BY THE INSTITUTE FOR UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2018. THE INSTITUTE'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE TAX RETURNS FOR THE CURRENT YEAR ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES. ANY INTEREST AND PENALTIES WOULD BE INCLUDED IN INCOME TAX EXPENSE ON THE STATEMENT OF ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D PART XII LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR YEAR GRANT ADJUSTMENTS (68,948)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ICAHN SCHOOL OF MEDICINE AT MT SINAI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 GUSTAVE L LEVY PLACE</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10029</ZIPCd>
        </USAddress>
        <RecipientEIN>136171197</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>85070</CashGrantAmt>
        <PurposeOfGrantTxt>EDUCATION &amp; TRAINING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE REGENTS OF UCSF</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1855 FOLSOM STREET</AddressLine1Txt>
          <AddressLine2Txt>BOX 0812</AddressLine2Txt>
          <CityNm>SAN FRANCISCO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94143</ZIPCd>
        </USAddress>
        <RecipientEIN>946036493</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>127210</CashGrantAmt>
        <PurposeOfGrantTxt>EDUCATION &amp; TRAINING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF ARIZONA CENTER ON AGING</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1303 E UNIVERSITY</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>857190521</ZIPCd>
        </USAddress>
        <RecipientEIN>742652689</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>140279</CashGrantAmt>
        <PurposeOfGrantTxt>EDUCATION &amp; TRAINING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEDSTAR TOTAL ELDER CARE LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 IRVING ST NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20010</ZIPCd>
        </USAddress>
        <RecipientEIN>522087445</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>90921</CashGrantAmt>
        <PurposeOfGrantTxt>EDUCATION &amp; TRAINING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CLEVELAND CLINIC FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9500 EUCLID AVENUE</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44195</ZIPCd>
        </USAddress>
        <RecipientEIN>340714585</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>156444</CashGrantAmt>
        <PurposeOfGrantTxt>EDUCATION &amp; TRAINING</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN ACADEMY OF HOME CARE MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8735 W HIGGINS</AddressLine1Txt>
          <AddressLine2Txt>SUITE 300</AddressLine2Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60631</ZIPCd>
        </USAddress>
        <RecipientEIN>521891671</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>155000</CashGrantAmt>
        <PurposeOfGrantTxt>PUB. POLICY ADVOCACY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RUSH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>RUSH UNIVERSITY MEDICAL CENTER</AddressLine1Txt>
          <AddressLine2Txt>1201 W HARRISON ST SUITE 300</AddressLine2Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>606073319</ZIPCd>
        </USAddress>
        <RecipientEIN>362174823</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>94178</CashGrantAmt>
        <PurposeOfGrantTxt>HOME BASED PRIMARY CARE RESEARCH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JOURNEY CARE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>JOURNEY CARE FOUNDATION</AddressLine1Txt>
          <AddressLine2Txt>2050 CLAIRE COURT</AddressLine2Txt>
          <CityNm>GLENVIEW</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60025</ZIPCd>
        </USAddress>
        <RecipientEIN>363820916</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>250000</CashGrantAmt>
        <PurposeOfGrantTxt>HOME BASED PRIMARY CARE RESEARCH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>TRUSTEES OF THE UNIVERSITY OF PENNS</AddressLine1Txt>
          <AddressLine2Txt>3615 CHESTNUT STREET</AddressLine2Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19104</ZIPCd>
        </USAddress>
        <RecipientEIN>231352685</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>32008</CashGrantAmt>
        <PurposeOfGrantTxt>EDUCATION &amp; TRAINING</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>9</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING USE OF GRANT FUNDS THE MANAGEMENT TEAM CONDUCTS FIELD VISITS IN ADDITION TO REQUIRING FINANCIAL AND PROGRAMMATIC REPORTS FROM GRANTEES ON AN ONGOING BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS CORNWELL MD</PersonNm>
        <TitleTxt>SECRETARY &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>48678</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>67500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>158355</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>274533</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE SACKS</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>199615</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>38000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20618</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>258833</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA SINGLETON</PersonNm>
        <TitleTxt>DIRECTOR OF EDU. &amp; RESEARCH</TitleTxt>
        <BaseCompensationFilingOrgAmt>140769</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16898</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8621</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>166288</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THOMAS CORNWELL'S COMPENSATION FROM HCCI REFLECTS AMOUNTS PAID ON A CASH BASIS FOR 2018. IN ADDITION, THOMAS CORNWELL IS AN EMPLOYEE OF NORTHWESTERN MEDICAL HEALTHCARE, AND WORKS FOR HCCI AS A LEASED EMPLOYEE. HCCI PAYS FOR A PORTION OF MR. CORNWELL'S SALARY, PLUS BENEFITS. HCCI PAID NORTHWESTERN FOR 0.6 HEADCOUNT FOR 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC POLICY AND MEDICAL EDUCATION EXPENSES: $229,237 GRANTS: $155,000 REVENUE: NONE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 11B - PROCESS FOR REVIEWING FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 RETURN IS PREPARED BY HCCI'S EXTERNAL TAX PREPARER PRICEWATERHOUSECOOPERS LLC, REVIEWED BY HCCI'S COO, CEO AND ACCOUNTING STAFF, AND CIRCULATED TO THE ENTIRE BOARD BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 12C - CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE ANNUAL BOARD MEETING OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. CONFLICTS ARE REVIEWED AT THE BOARD LEVEL. PER THE POLICY, ANY OFFICER OR BOARD MEMBER THAT HAS A CONFLICTS RECUSES THEMSELVES FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 15A &amp; 15B - DETERMINING OFFICER COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE OF HCCI DETERMINES THE COMPENSATION FOR THE CEO. COMPENSATION OF THE COO WAS DETERMINED BY REVIEW OF THE CEO AND CERTAIN MEMBERS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT - PY/CY ACCRUAL ADJUSTMENT: ARKANSAS REPAYMENT - $6,642 REVERSE VNA ACCRUAL FROM PRIOR YEAR - $62,307 TOTAL ADJUSTMENTS: $68,949</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:MARKETING &amp; PR TOTAL FEES:491496</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:INFORMATION TECHNOLOGY TOTAL FEES:33609</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:FACULTY/CIRRICULUM TOTAL FEES:39501</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PRACTICE EVALUATIONS TOTAL FEES:30132</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:SPECIALIZED FEES TOTAL FEES:27050</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:GRANT WRITING &amp; DONOR RESEARCH TOTAL FEES:43066</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:HR CONSULTING SERVICE TOTAL FEES:10031</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>