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        <TitleTxt>VP REGULATORY</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>124836</ReportableCompFromOrgAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>853224</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>AMEX</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 981540</AddressLine1Txt>
            <CityNm>EL PASO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>799981540</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CREDIT CARD SERVICES</ServicesDesc>
        <CompensationAmt>230099</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>THE TOWER COMPANIES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2000 TOWER OAKS BLVD NINTH FLOOR</AddressLine1Txt>
            <CityNm>ROCKVILLE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20852</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BUILDING SERVICES</ServicesDesc>
        <CompensationAmt>262074</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ASELA CUERVO</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1050 17TH STREET NW SUITE 600</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>89978</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PROVIDER CONSULTING SOLUTIONS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3 CORPORATE DRIVE STE 201</AddressLine1Txt>
            <CityNm>CLIFTON PARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12065</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SURVEY TOOL</ServicesDesc>
        <CompensationAmt>130000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>GROUP BENEFIT SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2400 RESEARCH BLVD STE 420</AddressLine1Txt>
            <CityNm>ROCKVILLE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20850</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTH INSURANCE TPA</ServicesDesc>
        <CompensationAmt>107049</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>1484970</MembershipDuesAmt>
      <TotalContributionsAmt>1484970</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION PROGRAMS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>43786</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION PRODUCTS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>5901</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WASH LEGISLATIVE</Desc>
        <TotalRevenueColumnAmt>53861</TotalRevenueColumnAmt>
        <ExclusionAmt>53861</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ROYALTIES</Desc>
        <TotalRevenueColumnAmt>1500000</TotalRevenueColumnAmt>
        <ExclusionAmt>1500000</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MISCELLANEOUS</Desc>
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        <ExclusionAmt>1719</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1605267</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>127197</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
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      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>29300</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
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      <NetIncmFromFundraisingEvtGrp>
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        <ExclusionAmt>-10011</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
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      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
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      </NetIncomeOrLossGrp>
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      <TotalRevenueGrp>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      <BenefitsToMembersGrp>
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      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
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      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
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      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
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      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>2768</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>16600</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
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      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>19976</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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      </InformationTechnologyGrp>
      <RoyaltiesGrp>
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      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>308377</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>22429</TotalAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>81929</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>12215</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>EDUCATION PROGRAMS</Desc>
        <TotalAmt>207207</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>GOVERNMENT RELATIONS</Desc>
        <TotalAmt>180755</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BOARD AND COMMITTEE EXPENSES</Desc>
        <TotalAmt>17052</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>29216</TotalAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>47989</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2852535</TotalAmt>
      </TotalFunctionalExpensesGrp>
      <InfoInScheduleOPartXInd>X</InfoInScheduleOPartXInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>1706317</BOYAmt>
        <EOYAmt>1931428</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>300000</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>0</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>87329</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>442456</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>340569</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>69082</BOYAmt>
        <EOYAmt>101887</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>3760753</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>72543</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>315742</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
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        <EOYAmt>724444</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>0</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>980827</BOYAmt>
        <EOYAmt>1040186</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>5213754</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4800533</BOYAmt>
        <EOYAmt>5213754</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>6253940</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>384188</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>29033</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <SubstantiallyAllDuesNondedInd>false</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>false</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>true</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>1484970</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>358748</NonDeductibleLbbyngPltclCYAmt>
      <NonDedLbbyngPltclCyovAmt>-241197</NonDedLbbyngPltclCyovAmt>
      <NonDeductibleLbbyngPltclTotAmt>117551</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>470874</AggregateReportedDuesNtcAmt>
      <TaxableAmt>-353323</TaxableAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>part I-A</FormAndLineReferenceDesc>
        <ExplanationTxt>the 501 c(6) paid administrative expenses of a connected pac.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>8405</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5043</DepreciationAmt>
        <BookValueAmt>3362</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>269972</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>192962</DepreciationAmt>
        <BookValueAmt>77010</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>164079</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>142564</DepreciationAmt>
        <BookValueAmt>21515</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>101887</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3458277</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>29033</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>192521</OtherRevenueAmt>
      <RevenueNotReportedAmt>221554</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3236723</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>3236723</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3045056</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>192521</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>192521</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2852535</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2852535</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>990/SCHEDULE D PART XI/LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990/SCHEDULE D/PART XI/LINE 2D AND PART XII/LINE 2D THE AMOUNT LISTED BELOW OF DIRECT EXPENSE OF $192,521 IS RELATED TO FUNDRAISING AND DEDUCTED ON FORM 990, PART VIII, LINE 8B, IN CONTRAST TO BEING INCLUDED ON THE ORGANIZATIONS STATEMENT OF FUNCTIONAL EPXENSES WITHIN THE AUDITED FINANCIAL STATEMENTS. STAND UP FOR HOMECARE SPECIAL EVENT EXPENSE $123,271 GRASS ROOTS CAMPAIGN EVENT $ 38,750 PCS AUDIT TRACKER $ 30,500 ---------------------------------------------------------------------- TOTAL SPECIAL EVENT EXPENSES $192,521</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FIN 48 DISCLOSURE</FormAndLineReferenceDesc>
        <ExplanationTxt>Income taxes: AAH has applied for and received a determination letter from the Internal Revenue Service ("IRS") to be treated as a tax exempt entity pursuant to Section 501(c)(6) of the Internal Revenue Code and did not have any unrelated business income for the years ended December 31, 2014 and 2013. Due to its tax exempt status, AAH is not subject to income taxes. The Organization is required to file and does file tax returns with the IRS and other taxing authorities. Accordingly, these consolidated financial statements do not reflect a provision for income taxes and the Organization has no other tax positions which must be considered for disclosure. Income tax returns filed by the Organization are subject to examination by the Internal Revenue Service for a period of three years. While no income tax returns are currently being examined by the Internal Revenue Service, tax years since 2011 remain open. The LLC is a single member limited liability company which is not recognized for Federal income tax purposes. The LLC's activities are reported on AAH's income tax return. NSI had no taxable income and no deferred tax asset or liability as of and for the years ended December 31, 2014 or 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <FundraisingEventInformationGrp>
        <Event1Nm>STAND UP</Event1Nm>
        <GrossReceiptsEvent1Amt>127650</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>127650</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>123271</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GRASSROOTS</Event2Nm>
        <OtherDirectExpensesEvent2Amt>38750</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>54860</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>54860</GrossRevenueOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>30500</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>182510</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>182510</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>192521</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>192521</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-10011</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TOM RYAN</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>325000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8663</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>333663</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUE MAIRENA</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>184879</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>26215</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>211094</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAY WITTER</PersonNm>
        <TitleTxt>VP PUBLIC POLICY</TitleTxt>
        <BaseCompensationFilingOrgAmt>169231</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>14400</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>183631</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION A, QUESTION 2</FormAndLineReferenceDesc>
        <ExplanationTxt>VGM Group, inc.(VGM) is a national member service organization with its principal operations located in waterloo, iowa. VGM is comprised of a number of for-profit operating companies that offer business services to healthcare providers of respiratory therapy, durable medical equipment and supplies, orthotic and prosthetic devices, complex rehab and assistive technology equipment, pharmacies and home health agencies whose members may be members of the American Association for Homecare. 3. The Medgroup is a business service organization based in Texas. For-profit providers are members of the Medgroup as well as the AMerican Association for homecare.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, QUESTION 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The initial review of form 990 is completed by the Chief Operating Officer and any corrections are made. The Finance Committee then reviews the draft. Prior to the Fall board meeting the draft is distributed to the Board of Directors. At the Fall board meeting any questions related to the draft are addressed and the board approves the filing of the form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, QUESTION 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>the board is required to annually sign a statement that they have received and read the conflict of interest policy, and will comply with it.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION B, QUESTION 15</FormAndLineReferenceDesc>
        <ExplanationTxt>the organization has a compensation committee made up of members from the board of directors whose role is to determine the salary and benefits for the president &amp; ceo as well as other key employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SECTION C, QUESTION 19</FormAndLineReferenceDesc>
        <ExplanationTxt>no documents available to the public</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HOMECARE ASSOCIATION LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2011 CRYSTAL DRIVE</AddressLine1Txt>
          <CityNm>ARLINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22202</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>none</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>798</TotalIncomeAmt>
        <EndOfYearAssetsAmt>24579</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AAH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NAMES Services Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2011 crystal drive suite 725</AddressLine1Txt>
          <CityNm>arlington</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22202</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>MEDICAL EQUIP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AAH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>c corp</EntityTypeTxt>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>