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          <USAddress>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation follows the provisions of the Accounting for Uncertainty in Income Taxes section of the Income Taxes Topic of the Codification, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, the Foundation may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Foundation and various positions related to the potential sources of unrelated business income (UBI). There were no unrecognized tax benefits identified or recorded as liabilities as of May 31, 2018 and 2017. The Foundation files Forms 990 in the U.S. federal jurisdiction and the State of Illinois. With few exceptions, the Foundation is no longer subject to examination by the Internal Revenue Service for fiscal years ended before May 31, 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        <PersonNm>Gregory D Baiocchi</PersonNm>
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        <TitleTxt>Director Healthcare Fin. Policy Op.</TitleTxt>
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        <PersonNm>Lorraine Schnelle</PersonNm>
        <TitleTxt>VP Learning&amp;Professional Development</TitleTxt>
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        <PersonNm>Edwin P Czopek</PersonNm>
        <TitleTxt>Former CFO</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation is determined by the related organization, Healthcare Financial Management Association. The following methods were used: -Compensation committee -Independent compensation consultant -Form 990 of other organizations -Written employment contract -Compensation survey or study -Approval by the board or compensation committee</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Lines 4a-b</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 4a: Gregory D. Baiocchi and Edwin P. Czopek have received severance payments that have been properly reported on Schedule J, Part II. Line 4b: The following individuals received contributions from their supplemental non-qualified retirement plan in 2017 from the related organization, Healthcare Financial Management Association: Gregory D. Baiocchi - $20,665 Susan Brenkus - $23,960 William Casey - $19,950 Edwin P. Czopek - $25,889 Joseph Fifer - $53,462 Rick L. Gundling - $23,800 Todd Nelson - $19,919 Daniel Verdon - $15,289 Garth Jordan - $27,500 Joyce Zimowski - $16,667 Lorraine Schnelle - $6,833 The following individuals participate in, or received a payment from, their supplemental non-qualified retirement plan in 2017 from the related organization, Healthcare Financial Management Association: Gregory D. Baiocchi - $54,389 Susan Brenkus - $15,141 Edwin P. Czopek - $113,574 Joseph Fifer - $31,402 Rick L. Gundling - $11,189</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors has delegated responsibility for governance's review of the Form 990 to the Secretary/Treasurer who serves as a member of the Board of Directors. Members of the Board of Directors are provided with copies of the returns prior to the returns being filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has a formal Board policy which directs the annual review and affirmation of the organization's Conflict of Interest policy and related guidelines.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The related organization, Healthcare Financial Management Association, uses an annual formal process for determining the annual compensation for the President/CEO and business executives. This process includes: use of independent outside business consultants; review and approval by a governing body or compensation committee; use and reference of compensation data for comparison of similar qualified professionals in functionally comparable positions at similarly situated organizations; contemporaneous documentation and recordkeeping with respect to deliberations and decision regarding the compensation arrangement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's Governing Documents, Conflict of Interest Statement and Financial Statements are supplied to outside inquiries upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractual Services: Program service expenses 744,402. Management and general expenses 0. Fundraising expenses 0. Total expenses 744,402. Meal Functions: Program service expenses 1,349,536. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,349,536.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Healthcare Financial Management Association</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>Three Westbrook Corporate Ctr 600</AddressLine1Txt>
          <CityNm>Westchester</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60154</ZIPCd>
        </USAddress>
        <EIN>362318336</EIN>
        <PrimaryActivitiesTxt>Professional Membershop Organization</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>HFMA Learning Solutions Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3 Westbrook Corporate Center</AddressLine1Txt>
          <CityNm>Westchester</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60154</ZIPCd>
        </USAddress>
        <EIN>364239827</EIN>
        <PrimaryActivitiesTxt>Education Media</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
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      <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>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>4718649</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>3800000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>