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        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 3b Qualified Under 501C(4)(5) Or (6)</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 3c Support To Org. Used Exclusively Sec. 170(c)(2) Purposes</FormAndLineReferenceDesc>
        <ExplanationTxt>HRET engages in activities which further the AHA's exempt purpose to advance the health of individuals and communities. HRET does not provide any monetary support to AHA.</ExplanationTxt>
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          <BusinessNameLine1Txt>Maulik Joshi</BusinessNameLine1Txt>
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        <TitleTxt>PRESIDENT, AEVP Clinical Research &amp; Health Improvement</TitleTxt>
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          <BusinessNameLine1Txt>Kenneth P Anderson Jr</BusinessNameLine1Txt>
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        <TitleTxt>COO</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Stephen Martin Jr</BusinessNameLine1Txt>
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        <TitleTxt>VP CLINICAL QUALITY</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Stephen Hines</BusinessNameLine1Txt>
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        <TitleTxt>CHIEF RESEARCH OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>David Schulke</BusinessNameLine1Txt>
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        <TitleTxt>VP RESEARCH PROGRAMS</TitleTxt>
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        <OtherCompensationFilingOrgAmt>49741</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26614</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Heather Jorna</BusinessNameLine1Txt>
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        <TitleTxt>VP HEALTHCARE INNOVATIONS</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Barbara Edson</BusinessNameLine1Txt>
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        <TitleTxt>VP CLINICAL QUALITY</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Discretionary spending account</FormAndLineReferenceDesc>
        <ExplanationTxt>A taxable expense account was made available to the President in 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>the president of HRET reports to the American hospital association (aha) president. The HRET board, the aha president and the compensation committee of AHA participate in setting goals for performance of the HRET president and in measuring performance against these goals. the compensation committee of the aha board does not include any individual whose compensation it reviews. the committee engages an independent compensation consultant to produce comparable salary data for the president as appropriate, and makes recommendations for compensation adjustments, consistent with existing compensation agreements, policies and procedures. On an annual basis, the committee evaluates the president's performance against annual performance goals and determines whether any adjustment or performance-based reward should be made. The final compensation package of the HRET president is documented in a written employment agreement. contemporaneous minutes of the committee's deliberations are prepared and review by the committee in a timely manner.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>David Schulke RECEIVED A SEVERANCE PAYMENT OF $46,768 AS A RESULT OF A SEPARATION OF SERVICE. Stephen Martin RECEIVED A SEVERANCE PAYMENT OF $121,419 AS A RESULT OF A SEPARATION OF SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>John Evans: 457(f) Payout - $211,691 Rich Umbdenstock: 457(f) Payout - $338,653 Maulik Joshi: 457(f) Payout - $68,766 Richard Pollack: 457(f) Payout - $165,023</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>The AHA has established an incentive award program for employees when the AHA meets and exceeds its operational effectiveness goals for a calendar year. Awards are determined after the end of the calendar year and after review and approval of AHA's organizational performance by the AHA Board.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="15000238" softwareVersionNum="2015v2.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 9,882,736 including grants of $) THE HEALTH RESEARCH &amp; EDUCATIONAL TRUST (HRET), AN AFFILIATE OF THE AMERICAN HOSPITAL ASSOCIATION (AHA), HAS BEEN AWARDED A CONTRACT BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES TO SUPPORT THEIR PARTNERSHIP FOR PATIENTS (PFP) CAMPAIGN. PFP IS A PUBLIC-PRIVATE PARTNERSHIP THAT INTENDS TO HELP IMPROVE THE QUALITY, SAFETY AND AFFORDABILITY OF HEALTH CARE FOR ALL AMERICANS. THE PROJECT ASSISTS HOSPITALS ADOPT NEW PRACTICES THAT HAVE THE POTENTIAL TO REDUCE INPATIENT HARM BY 40 PERCENT AND READMISSIONS BY 20 PERCENT. THE PFP FOCUSES ON TEN AREAS FOR QUALITY IMPROVEMENT. WITHIN THESE AREAS, HRET SUPPORTS THE IMPLEMENTATION OF PROVEN BEST PRACTICES AND LESSONS LEARNED THROUGH THE USE OF WEBINARS AND EDUCATIONAL SESSIONS TO HOSPITALS PARTICIPATING IN THE PARTNERSHIP. HRET PROVIDES THIS EDUCATION AND TRAINING WITH OVER 1,600 HOSPITALS RECRUITED BY ITS 34 STATE HOSPITAL ASSOCIATION PARTNERS IN SUPPORT OF THEIR QUALITY IMPROVEMENT EFFORTS IN THE TARGETED AREAS: -ADVERSE DRUG EVENTS (ADE) -CATHETER-ASSOCIATED URINARY TRACT INFECTIONS (CAUTI) -CENTRAL LINE-ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI) -INJURIES FROM FALLS AND IMMOBILITY -OBSTETRICAL ADVERSE EVENTS -PRESSURE ULCERS -SURGICAL SITE INFECTIONS -VENOUS THROMBOEMBOLISM (VTE) -VENTILATOR-ASSOCIATED PNEUMONIA (VAP) -PREVENTABLE READMISSIONS AS A HOSPITAL ENGAGEMENT NETWORK (HEN). HRET IS ASSISTING IN IDENTIFICATION SOLUTIONS ALREADY WORKING IN OTHER HOSPITALS AND SYSTEMS TO REDUCE HEALTH CARE ACQUIRED CONDITIONS, AND ESTABLISH WAYS TO SPREAD THEM TO OTHER HOSPITALS AND HEALTH CARE PROVIDERS. AHA/HRET HEN IS DEVELOPING LEARNING COLLABORATIVES FOR HOSPITALS AND PROVIDING A WIDE ARRAY OF INITIATIVES AND ACTIVITIES TO IMPROVE PATIENT SAFETY. INTENSIVE TRAINING PROGRAMS ARE BEING CONDUCTED TO TEACH AND SUPPORT HOSPITALS IN MAKING PATIENT CARE SAFER, PROVIDE TECHNICAL ASSISTANCE SO THAT HOSPITALS CAN ACHIEVE QUALITY MEASUREMENT GOALS, AND ESTABLISH AND IMPLEMENT A SYSTEM TO TRACK AND MONITOR HOSPITAL PROGRESS IN MEETING QUALITY IMPROVEMENT GOALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 1,513,612 including grants of $ 15,718)(Revenue $ 306,154) OTHER PROGRAM SERVICE ACCOMPLISHMENTS: CARE COORDINATION: MANAGEMENT AND POLICY RESEARCH TO IDENTIFY BEST PRACTICES IN CARE COORDINATION AND EVALUATION OF EFFECTIVE CARE COORDINATION PRACTICES. LEADERSHIP/GOVERNANCE: MANAGEMENT RESEARCH TO SUPPORT LEADERSHIP AND GOVERNANCE IN IMPROVEMENT. QUANTITATIVE RESEARCH: ANALYSIS OF SECONDARY DATA ASSOCIATED WITH HEALTH CARE PERFORMANCE ACROSS MULTIPLE DIMENSIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TREASURER OF HRET REPORTS TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) EXECUTIVE VICE PRESIDENT. THE AHA EXECUTIVE VICE PRESIDENT AND THE COMPENSATION COMMITTEE OF AHA PARTICIPATE IN SETTING GOALS FOR PERFORMANCE OF THE TREASURER AND IN MEASURING PERFORMANCE AGAINST THESE GOALS. THE COMPENSATION COMMITTEE OF THE AHA BOARD OF DIRECTORS DOES NOT INCLUDE ANY INDIVIDUAL WHOSE COMPENSATION IT REVIEWS. THE COMMITTEE ENGAGES AN INDEPENDENT CONSULTANT TO PRODUCE COMPARABLE SALARY DATA FOR THE TREASURER, AND MAKES RECOMMENDATIONS FOR COMPENSATION ADJUSTMENTS, CONSISTENT WITH EXISTING COMPENSATION AGREEMENTS, POLICIES AND PROCEDURES. THE COMMITTEE CONSIDERS THE RECOMMENDATIONS FROM THE COMPENSATION CONSULTANT EVALUATES THE TREASURER'S PERFORMANCE AGAINST ANNUAL PERFORMANCE GOALS, AND DETERMINES WHETHER ANY ADJUSTMENT OR PERFORMANCE-BASED REWARD SHOULD BE MADE. THE PROCESS FOR DETERMINING, REVIEWING AND APPROVING COMPENSATION AND ADJUSTMENTS TO COMPENSATION IS UNDERTAKEN ON AN ANNUAL BASIS. CONTEMPORANEOUS MINUTES OF THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE PREPARED AND REVIEWED BY THE COMMITTEE IN A TIMELY MANNER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's sole corporate member is American Hospital Association, a related tax-exempt organization. As the organization's sole Corporate Member, American Hospital Association has the right to elect or appoint members of the organization's governing body and approve or deny significant decisions of the organization's governing body.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>See narrative for Form 990, Part VI, Line 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>See narrative for Form 990, Part VI, Line 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The filing organization's management reviews the Form 990 and shares it with the HRET board of directors prior to filing with the IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>On an annual basis, the organization's trustees, officers, and employees are required to read, complete and return a conflict of interest questionnaire. The returned questionnaires are handled jointly by Legal, Human Resources and Audit and Compliance staff. Any questionnaire that raises a potential issue is reviewed and referred to the Association's President for a final determination of any action to be considered or undertaken. Any potential conflict of interest that arises after the questionnaire is completed must be promptly reported. Any restrictions imposed based on information disclosed in a conflict of interest questionnaire or otherwise would be commensurate with the type of conflict identified and would be disclosed to the Board of Trustees.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>the president of HRET reports to the American hospital association (aha) executive vice president. The HRET board, the aha executive vice president and the compensation committee of AHA participate in setting goals for performance of the HRET president and in measuring performance against these goals. the compensation committee of the aha board does not include any individual whose compensation it reviews. the committee engages an independent compensation consultant to produce comparable salary data for the president as appropriate, and makes recommendations for compensation adjustments, consistent with existing compensation agreements, policies and procedures. On an annual basis, the committee evaluates the president's performance against annual performance goals and determines whether any adjustment or performance-based reward should be made. The final compensation package of the HRET president is documented in a written employment agreement. contemporaneous minutes of the committee's deliberations are prepared and reviewed by the committee in a timely manner.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's governing document and conflict of interest policy are available upon request. The organization's Financial statements are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104 and are not available to the public at this time.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Subcontractors - Total Expense: 10630582, Program Service Expense: 9715394, Management and General Expenses: 915188, Fundraising Expenses: ; HEN Subcontractors - Total Expense: 9377868, Program Service Expense: 9377868, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
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    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>AMERICAN HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>155 NORTH WACKER DRIVE SUITE 400</AddressLine1Txt>
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        <PrimaryActivitiesTxt>EDUCATION/ADVOCACY</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>INSTITUTE FOR DIVERSITY IN HEALTHCARE</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>DIVERSITY</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>AHA</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>AHAPAC</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 10th Street NW</AddressLine1Txt>
          <AddressLine2Txt>Two CityCenter Suite 400</AddressLine2Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>FOR POLITICAL CAMPAIGNS</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>AMERICAN ORGANIZATION OF NURSE EXECUTIVES</BusinessNameLine1Txt>
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          <AddressLine1Txt>155 NORTH WACKER DRIVE SUITE 400</AddressLine1Txt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>606061725</ZIPCd>
        </USAddress>
        <EIN>363591337</EIN>
        <PrimaryActivitiesTxt>NURSE LEADERSHIP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(6</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AHA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AONE FOUNDATION FOR NURSING LEADERSHIP RESEARCH AND EDUCATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>800 10th Street NW</AddressLine1Txt>
          <AddressLine2Txt>Two CityCenter Suite 400</AddressLine2Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20001</ZIPCd>
        </USAddress>
        <EIN>272399044</EIN>
        <PrimaryActivitiesTxt>NURSE EDUCATION SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AONE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AHA SERVICES INC AND SUBSIDIARIES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>155 NORTH WACKER DRIVE</AddressLine1Txt>
          <AddressLine2Txt>STE 400</AddressLine2Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60606</ZIPCd>
        </USAddress>
        <EIN>320002089</EIN>
        <PrimaryActivitiesTxt>ADMINISTRATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>0</OwnershipPct>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>