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      <AggrAmtReportedInDuesNotices>5906051</AggrAmtReportedInDuesNotices>
      <TaxableAmount>-173170</TaxableAmount>
      <Form990ScheduleCPartIV>
        <Identifier>ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES:</Identifier>
        <ReturnReference>PART I-A, LINE 1:</ReturnReference>
        <Explanation>THE ASSOCIATION PAID CONTRIBUTIONS OR DUES TO REPUBLICAN AND DEMOCRATIC ASSOCIATIONS, AS WELL AS CONTRIBUTIONS TO STATE AND LOCAL POLITICAL COMMITTEES.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>2491587</OtherCostOrOtherBasis>
        <BookValue>2491587</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>4052190</OtherCostOrOtherBasis>
        <Depreciation>3143068</Depreciation>
        <BookValue>909122</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>4758123</OtherCostOrOtherBasis>
        <Depreciation>2111977</Depreciation>
        <BookValue>2646146</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1835936</OtherCostOrOtherBasis>
        <Depreciation>1169859</Depreciation>
        <BookValue>666077</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1974683</OtherCostOrOtherBasis>
        <Depreciation>1477628</Depreciation>
        <BookValue>497055</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>7209987</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>PAYROLL LIABILITIES</Description>
        <Amount>1558593</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>MORTGAGE INTEREST PAYABLE</Description>
        <Amount>20386</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>SECURITY DEPOSIT</Description>
        <Amount>23779</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP AGREEMENT</Description>
        <Amount>804167</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2406925</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>30516624</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>11914</NetUnrealizedGainsInvestments>
      <OtherRevenues>1276856</OtherRevenues>
      <RevenueNotRptdF990>1288770</RevenueNotRptdF990>
      <RevenueSubtotal>29227854</RevenueSubtotal>
      <OtherRevenuesNotIncluded>1134</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>1134</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>29228988</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>29076487</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>1334869</OtherExpensesIncluded>
      <ExpensesNotRptdF990>1334869</ExpensesNotRptdF990>
      <ExpensesSubtotal>27741618</ExpensesSubtotal>
      <OtherExpensesNotIncluded>1391</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>1391</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>27743009</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>THE ASSOCIATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ASSOCIATION'S INCOME TAX RETURNS ARE GENERALLY SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR THREE YEARS AFTER THEY WERE FILED.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>REVENUES OF PAC, PART OF CONSOLIDATED AUDIT 984,741. UNREALIZED GAIN ON INTEREST RATE SWAP 10,692. RENTAL EXPENSE 281,423.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>LOSS ON DISPOSAL OF ASSETS -257. REVENUE REPORTED AS EXPENSE FOR AUDIT 1,391.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>EXPENSES OF AHCA PAC, PART OF CONSOLIDATED AUDIT 1,053,189. LOSS ON DISPOSAL OF ASSETS 257. RENTAL EXPENSE 281,423.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>REVENUE REPORTED AS EXPENSE FOR AUDIT 1,391.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>1</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <Form990ScheduleJPartII>
        <NamePerson>MARK V PARKINSON</NamePerson>
        <Title>PRESIDENT AND CEO</Title>
        <BaseCompensationFilingOrg>1008823</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>153000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20000</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8244</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1190067</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>EILEEN O RAMAGE</NamePerson>
        <Title>CHIEF FINANCIAL OFFICER</Title>
        <BaseCompensationFilingOrg>116758</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>148024</OtherCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JEFFERSON MYERS</NamePerson>
        <Title>SVP, POLICY &amp; GOVERNMENT RELATIONS</Title>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID R GIFFORD</NamePerson>
        <Title>SVP QUALITY &amp; REGULATORY AFFAIRS</Title>
        <BaseCompensationFilingOrg>324067</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>37500</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>15375</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>8096</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JENNIFER S SHIMER</NamePerson>
        <Title>SVP MEMBER SERVICES AND COO</Title>
        <BaseCompensationFilingOrg>323017</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GREGORY M CRIST</NamePerson>
        <Title>SVP, PUBLIC AFFAIRS</Title>
        <BaseCompensationFilingOrg>249484</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>13616</BonusFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RAE ANNE DAVIS</NamePerson>
        <Title>SVP ADMINSTRATION AND CHIEF STRATEGI</Title>
        <BaseCompensationFilingOrg>226682</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ELISE D SMITH</NamePerson>
        <Title>SVP, FINANCE POLICY &amp; LEGAL AFFAIRS</Title>
        <BaseCompensationFilingOrg>226519</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>12597</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>28626</DeferredCompFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID A KYLLO</NamePerson>
        <Title>EXECUTIVE DIRECTOR, NCAL</Title>
        <BaseCompensationFilingOrg>204226</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>11291</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAULA R WARREN</NamePerson>
        <Title>CHIEF INFORMATION OFFICER</Title>
        <BaseCompensationFilingOrg>175657</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>9645</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>13174</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>3912</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KIMBERLY J ZIMMERMAN</NamePerson>
        <Title>SR. DIRECTOR GOVERNMENT RELATIONS</Title>
        <BaseCompensationFilingOrg>245874</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>18750</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SHARON C PURVIS</NamePerson>
        <Title>SR DIRECTOR, VENDOR RELATIONS</Title>
        <BaseCompensationFilingOrg>185910</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>3008</BonusFilingOrg>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12700</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>4323</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RUTA B KADONOFF</NamePerson>
        <Title>VP, QUALITY</Title>
        <BaseCompensationFilingOrg>174085</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>9720</BonusFilingOrg>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6046</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>189851</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BETHANY R MARTINO</NamePerson>
        <Title>SR. DIRECTOR, PUBLIC AFFAIRS</Title>
        <BaseCompensationFilingOrg>168041</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10260</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10145</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>1294</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>189740</TotalCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARYANNE SAPIO</NamePerson>
        <Title>SR. DIRECTOR GOV'T RELATIONS &amp; FED A</Title>
        <BaseCompensationFilingOrg>157638</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>18563</BonusFilingOrg>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11024</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>MEMBERSHIP TO THE CAPITOL HILL CLUB IS MAINTAINED FOR A FEW EMPLOYEES. THE CLUB IS USED TO HOST LARGE AND INDIVIDUAL MEETINGS WITH MEMBERS OF CONGRESS AND LOBBYISTS.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4A</ReturnReference>
        <Explanation>EILEEN RAMAGE, SEVERANCE: $148,024</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>HELMSIN YARWOOD ASSOCIATES</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FIRM OF WHICH FORMER AHCA PRESIDENT AND CEO BRUCE YARWOOD IS A PRINCIPAL</Relationship>
        <AmountOfTransaction>260000</AmountOfTransaction>
        <DescriptionOfTransaction>CONSULTING FEES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 1</ReturnReference>
        <Explanation>THE AHCA EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR, VICE CHAIR, IMMEDIATE PAST CHAIR, THE SECRETARY/TREASURER, AND ONE ADDITIONAL BOARD OF GOVERNORS MEMBER, SELECTED BY THE BOARD. THE EXECUTIVE COMMITTEE ACTS IN THE ABSENCE OF THE BOARD, AND REPORTS ITS ACTIONS TO THE BOARD AT THE EARLIEST CONVENIENCE. THE EXECUTIVE COMMITTEE ALSO SETS COMPENSATION, TERMS, AND CONDITIONS OF EMPLOYMENT FOR THE AHCA PRESIDENT, SUBJECT TO BOARD OF GOVERNORS APPROVAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE ORGANIZATION IS A SECTION 501C(6) TRADE ASSOCIATION COMPOSED OF REGULAR MEMBERS, WHO ARE STATE TAX-EXEMPT ASSOCIATIONS ("AFFILIATE ASSOCIATIONS"), AND ASSOCIATE MEMBERS, WHO MAY BE INDIVIDUALS, CORPORATIONS, PARTNERSHIPS, LLC'S, AND OTHER ENTITIES THAT EITHER (A) SUPPLY PRODUCTS OR SERVICES TO LONG TERM CARE PROVIDERS OR (B) ARE NOT SUPPLIERS, BUT HELP PROMOTE AHCA OBJECTIVES. AHCA ALSO HAS AN HONORARY MEMBERSHIP, WHICH MAY BE CONFERRED BY THE COUNCIL OF STATES ON THOSE INDIVIDUALS WHO HAVE RENDERED DISTINGUISHED SERVICE TO THE HEALTH CARE FIELD OR TO AHCA. HONORARY MEMBERS MAY NOT VOTE BUT MAY SERVE ON COMMITTEES IN AN ADVISORY CAPACITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE AHCA BOARD OF GOVERNORS CONSISTS OF: - THE CHAIR AND VICE-CHAIR OF AHCA - EIGHT AT-LARGE MEMBERS - A DD RESIDENTIAL SERVICES MEMBER - A REPRESENTATIVE OF NCAL - THE NATIONAL CENTER FOR ASSISTED LIVING, A SUBDIVISION OF AHCA (SELECTED BY NCAL) - A REPRESENTATIVE OF ASHCAE, A SUBDIVISION OF AHCA (SELECTED BY ASHCAE) - AN ASSOCIATE BUSINESS MEMBER (SELECTED BY THE ASSOCIATE MEMBERS); EX OFFICIO, NONVOTING - THE IMMEDIATE PAST CHAIR OF AHCA - THE PRESIDENT OF AHCA; EX OFFICIO, NONVOTING BOARD OF GOVERNORS MEMBERS ARE ELECTED AT THE ANNUAL MEETING OF THE COUNCIL OF STATES, BY SECRET BALLOT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>DUES RATES AND BY-LAWS CHANGES ARE SUBJECT TO APPROVAL BY THE COUNCIL OF STATES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE DRAFT OF THE 990 IS FIRST REVIEWED BY MANAGEMENT. IT IS THEN PROVIDED TO THE BOARD OF GOVERNORS ELECTRONICALLY FOR REVIEW. ANY AND ALL COMMENTS FROM THE BOARD OF GOVERNORS ARE ADDRESSED BY MANAGEMENT. IF ANY CHANGES TO THE FORM 990 ARE REQUIRED BASED ON REVIEW BY THE BOARD OF GOVERNORS, A REVISED VERSION IS THEN DISTRIBUTED TO THE BOARD OF GOVERNORS PRIOR TO FILING THE RETURN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY DESIGNED TO HELP DIRECTORS, OFFICERS, EMPLOYEES, AND OTHER INDIVIDUALS WITH DECISION-MAKING AUTHORITY FOR THE ORGANIZATION (I.E., EVERY "RESPONSIBLE PERSON") IDENTIFY SITUATIONS THAT PRESENT POTENTIAL CONFLICTS OF INTEREST AND PROVIDE PROCEDURES TO ADDRESS ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. EACH NEW RESPONSIBLE PERSON IS REQUIRED TO REVIEW THE POLICY AND ACKNOWLEDGE IT IN WRITING. ANNUALLY, EACH RESPONSIBLE PERSON MUST COMPLETE A DISCLOSURE FORM IDENTIFYING RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES IN WHICH THE RESPONSIBLE PARTY IS INVOLVED THAT HE OR SHE BELIEVES COULD GIVE RISE TO A CONFLICT OF INTEREST. ALSO, ALL OFFICERS AND DIRECTORS APPLYING FOR A POSITION ON THE BOARD ARE REQUIRED TO COMPLETE AN APPLICATION WHICH INCLUDES A CONFLICT DISCLOSURE STATEMENT AND POLICY. MEMBERS OF THE CREDENTIALING COMMITTEE REVIEW THE APPLICATIONS. ANNUAL DISCLOSURE FORMS FOR EMPLOYEES ARE REVIEWED BY HUMAN RESOURCES. CONFLICTS IDENTIFIED ARE MADE AVAILABLE TO THE CHAIR OR THE CHAIR'S DESIGNEE, AS WELL AS ANY COMMITTEE APPOINTED TO ADDRESS CONFLICTS OF INTEREST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>ALL COMPENSATION AWARDED TO THE CEO/PRESIDENT IS DETERMINED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF GOVERNORS BASED UPON COMPARABILITY DATA PROVIDED BY A NATIONALLY KNOWN COMPENSATION CONSULTING FIRM WITH SPECIAL EXPERTISE IN THE WASHINGTON, D.C. TRADE ASSOCIATION MARKET. THE COMPENSATION AMOUNT IS THEN COMMUNICATED TO THE HR DEPARTMENT BY THE BOARD CHAIR, IN WRITING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>NOT NORMALLY MADE AVAILABLE TO GENERAL PUBLIC, BUT FURNISHED TO ANY MEMBER ON REQUEST. ALSO, THE BY-LAWS ARE ACCESSIBLE IN A MEMBERS-ONLY SECTION OF THE WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>SWAP AGREEMENT GAIN 10,692.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE AUDIT REVIEW PROCESS HAS REMAINED UNCHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FOUNDATION FOR THE FUTURE OF AGING</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1201 L ST NW 400</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20005</ZIPCode>
        </AddressUS>
        <EIN>300212598</EIN>
        <PrimaryActivities>WORKS TO IMPROVE QUALITY OF LONG-TERM CARE SERVICES.</PrimaryActivities>
        <LegalDomicileState>DC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509A3 TYPE I</PublicCharityStatus>
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        <AddressUS>
          <AddressLine1>1201 L ST NW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20005</ZIPCode>
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        <PrimaryActivities>SEPARATE SEGREGATED FUND PAC</PrimaryActivities>
        <LegalDomicileState>DC</LegalDomicileState>
        <ExemptCodeSection>527(F)</ExemptCodeSection>
        <ControlledOrg>1</ControlledOrg>
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      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
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