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        <OtherDirectExpensesTotalGaming>24254</OtherDirectExpensesTotalGaming>
        <DirectExpenseSummaryGaming>24254</DirectExpenseSummaryGaming>
        <NetGamingIncomeSummary>-8404</NetGamingIncomeSummary>
      </GamingInformation>
      <Licensed>true</Licensed>
      <LicenseSuspendedEtc>false</LicenseSuspendedEtc>
      <GamingWithNonmembers>false</GamingWithNonmembers>
      <MemberOfOtherEntity>false</MemberOfOtherEntity>
      <NameOfGamingRecKeeperPerson>GAIL GANNON</NameOfGamingRecKeeperPerson>
      <AddressOfGamingRecKeeperUS>
        <AddressLine1>228 SEVENTH STREET SE</AddressLine1>
        <City>WASHINGTON</City>
        <State>DC</State>
        <ZIPCode>20003</ZIPCode>
      </AddressOfGamingRecKeeperUS>
      <ContractWith3rdPartyForGamRev>false</ContractWith3rdPartyForGamRev>
      <CharitableDistribRequired>false</CharitableDistribRequired>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc5">
      <RecordsMaintained>false</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ALLIANCE FOR HOME HEALTH QUALITY</BusinessNameLine1>
          <BusinessNameLine2>INNOVATION</BusinessNameLine2>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>7700 WISCONSIN AVE STE 500</AddressLine1>
          <City>BETHESDA</City>
          <State>MD</State>
          <ZIPCode>20814</ZIPCode>
        </AddressUS>
        <EINOfRecipient>262916614</EINOfRecipient>
        <IRCSection>6</IRCSection>
        <AmountOfCashGrant>181032</AmountOfCashGrant>
        <PurposeOfGrant>ALLIANCE MEMBERSHIP</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOfOtherOrganizations>1</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES</Identifier>
        <ReturnReference>SCHEDULE I, PAGE 1, PART I, LINE 2</ReturnReference>
        <Explanation>NAHC MAKES GENERAL SUPPORT CONTRIBUTIONS AND CONTRIBUTIONS AS PART OF MEMBERSHIP ONLY. AS SUCH, IT DOES NOT MONITOR THE USE OF GRANT FUNDS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc6">
      <FirstClassOrCharterTravel>X</FirstClassOrCharterTravel>
      <TravelForCompanions>X</TravelForCompanions>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <Form990ScheduleJPartII>
        <NamePerson>VAL HALAMANDARIS</NamePerson>
        <BaseCompensationFilingOrg>500000</BaseCompensationFilingOrg>
        <BonusFilingOrg>121937</BonusFilingOrg>
        <DeferredCompFilingOrg>15269</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17400</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>654606</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN GUILLOTTE</NamePerson>
        <BaseCompensationFilingOrg>152349</BaseCompensationFilingOrg>
        <BonusFilingOrg>2981</BonusFilingOrg>
        <DeferredCompFilingOrg>1550</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21446</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>178326</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM DOMBI</NamePerson>
        <BaseCompensationFilingOrg>400000</BaseCompensationFilingOrg>
        <BonusFilingOrg>14322</BonusFilingOrg>
        <DeferredCompFilingOrg>12173</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17203</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>443698</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THERESA FORESTER</NamePerson>
        <BaseCompensationFilingOrg>249995</BaseCompensationFilingOrg>
        <BonusFilingOrg>1667</BonusFilingOrg>
        <DeferredCompFilingOrg>7500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7541</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>266703</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES KINCHELOE</NamePerson>
        <BaseCompensationFilingOrg>205005</BaseCompensationFilingOrg>
        <BonusFilingOrg>8466</BonusFilingOrg>
        <DeferredCompFilingOrg>6150</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7645</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>227266</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD BRENNAN</NamePerson>
        <BaseCompensationFilingOrg>158555</BaseCompensationFilingOrg>
        <BonusFilingOrg>1865</BonusFilingOrg>
        <DeferredCompFilingOrg>4313</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>20859</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>185592</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BARBARA WOOLEY</NamePerson>
        <BaseCompensationFilingOrg>150008</BaseCompensationFilingOrg>
        <BonusFilingOrg>6475</BonusFilingOrg>
        <DeferredCompFilingOrg>3815</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7645</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>167943</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID BRENNAN</NamePerson>
        <BaseCompensationFilingOrg>152499</BaseCompensationFilingOrg>
        <BonusFilingOrg>2115</BonusFilingOrg>
        <DeferredCompFilingOrg>4633</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7645</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>166892</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DENISE BONN</NamePerson>
        <BaseCompensationFilingOrg>145000</BaseCompensationFilingOrg>
        <BonusFilingOrg>2788</BonusFilingOrg>
        <DeferredCompFilingOrg>3179</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>1218</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>152185</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARY ST PIERRE</NamePerson>
        <BaseCompensationFilingOrg>127679</BaseCompensationFilingOrg>
        <BonusFilingOrg>2481</BonusFilingOrg>
        <DeferredCompFilingOrg>3870</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17203</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>151233</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>FRINGE OR EXPENSE EXPLANATION</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 1A</ReturnReference>
        <Explanation>THE CEO SOMETIMES FLIES FIRST CLASS IN CASES WHERE NO OTHER SEATS ARE AVAILABLE. HIS SPOUSE SOMETIMES ACCOMPANIES HIM ON BUSINESS TRAVEL. THIS COST IS NOT INCLUDED IN HIS W-2, AS SPOUSE TRAVEL IS PART OF HIS EMPLOYMENT CONTRACT.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 4</ReturnReference>
        <Explanation>DENISE BONN 20,435 0 0</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc7">
      <GeneralExplanation>
        <Identifier>EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS</Identifier>
        <ReturnReference>FORM 990, PAGE 1, PART I, LINE 6</ReturnReference>
        <Explanation>VOLUNTEERS INCLUDE UNCOMPENSATED MEMBERS OF THE BOARD OF DIRECTORS THAT SERVED IN A GOVERANCE CAPACITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ALL OTHER ACCOMPLISHMENT DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PAGE 2, PART III, LINE 4D</ReturnReference>
        <Explanation>CENTER FOR HEALTH CARE LAW ACTIVITIES VIDEO AND PHOTO PRODUCTION REGULATORY AFFAIRS EXHIBITS POLICY CONFERENCE PUBLIC RELATIONS PRIVATE DUTY CONFERENCE STATE RELATIONS FINANCIAL MANAGERS CONFERENCE OTHER MEETINGS HOME CARE UNIVERSITY ACTIVITIES MEMBER SERVICES HOME CARE TECHNOLOGY ASSOCIATION ACTIVITIES VENDOR SERVICES FREDERICK DOUGLAS MUSEUM ACTIVITIES HOSPICE ACTIVITIES AFFILIATES ACTIVITIES</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RELATED PARTY INFORMATION AMONG OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 2</ReturnReference>
        <Explanation>VAL HALAMANDARIS RICHARD BRENNAN CEO VP OF TECH FAMILY RELATIONSHIP VAL HALAMANDARIS DAVID BRENNAN CEO VP OF TECH FAMILY RELATIONSHIP DAVID BRENNAN RICHARD BRENNAN VP OF TECH VP OF TECH FAMILY RELATIONSHIP</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 6</ReturnReference>
        <Explanation>THERE ARE SIX CLASSES OF MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ELECTION OF MEMBERS AND THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7A</ReturnReference>
        <Explanation>THERE ARE 6 CLASSES OF MEMBERS WITH THE POWER TO ELECT 1 DIRECTOR FROM A SLATE FOR ITS RESPECTIVE SECTION(S) OR REGION(S).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>A DRAFT OF THE 990 IS PROVIDED TO THE EXECUTIVE COMMITTEE AND PRESIDENT WHO EACH INDIVIDUALLY REVIEW THE RETURN BEFORE IT IS FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>IN REVIEWING COMPENSATION FOR THE PRESIDENT, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED A COMPENSATION ANALYSIS OF NOT-FOR-PROFIT LEADERS PREPARED BY THE AMERICAN RESEARCH COMPANY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>NAHC MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc8">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FDN FOR HOSPICE AND HOME CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>228 7TH STREET SE</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20003</ZIPCode>
        </AddressUS>
        <EIN>237425651</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>3</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOME CARE UNIVERSITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>228 7TH STREET SE</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20003</ZIPCode>
        </AddressUS>
        <EIN>522100419</EIN>
        <PrimaryActivities>RESEARCH</PrimaryActivities>
        <LegalDomicileState>DC</LegalDomicileState>
        <ExemptCodeSection>3</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE CARING INSTITUTE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>228 7TH STREET SE</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20003</ZIPCode>
        </AddressUS>
        <EIN>521666513</EIN>
        <PrimaryActivities>AWARDS</PrimaryActivities>
        <LegalDomicileState>DC</LegalDomicileState>
        <ExemptCodeSection>3</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NAHC PLUS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>228 7TH STREET SE</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20003</ZIPCode>
        </AddressUS>
        <EIN>521963766</EIN>
        <PrimaryActivity>CONSULTING</PrimaryActivity>
        <LegalDomicileState>DC</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NAHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfEOYAssets>13463</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>THE CARING INSTITUTE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>104502</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>FOUNDATION FOR HOSPICE &amp; HOMECARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>402132</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>