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        <DescriptionOfServices>LOBBYING</DescriptionOfServices>
        <Compensation>108000</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>1</NumberOfContractorsGT100K>
      <ProgramServiceRevenue>
        <Description>MEMBERSHIP DUES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>1621958</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1621958</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SPECIAL ASSESSMENT DUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>88924</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>88924</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>1710882</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>5298</TotalRevenueColumn>
        <ExclusionAmount>5298</ExclusionAmount>
      </InvestmentIncome>
      <OtherRevenueMisc>
        <Description>ANNUAL CONFERENCE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>39237</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>39237</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>OTHER REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>225</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>225</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>39462</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>1755642</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1750344</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>5298</ExclusionAmount>
      </TotalRevenue>
      <OtherSalariesAndWages>
        <Total>769419</Total>
        <ProgramServices>538593</ProgramServices>
        <ManagementAndGeneral>230826</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>56290</Total>
        <ProgramServices>39403</ProgramServices>
        <ManagementAndGeneral>16887</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>74613</Total>
        <ProgramServices>52229</ProgramServices>
        <ManagementAndGeneral>22384</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>56600</Total>
        <ProgramServices>39620</ProgramServices>
        <ManagementAndGeneral>16980</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>8441</Total>
        <ProgramServices>8441</ProgramServices>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>11750</Total>
        <ManagementAndGeneral>11750</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>108000</Total>
        <ProgramServices>108000</ProgramServices>
      </FeesForServicesLobbying>
      <FeesForServicesOther>
        <Total>122577</Total>
        <ProgramServices>122577</ProgramServices>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>47062</Total>
        <ManagementAndGeneral>47062</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>165907</Total>
        <ProgramServices>116135</ProgramServices>
        <ManagementAndGeneral>49772</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>11203</Total>
        <ProgramServices>7843</ProgramServices>
        <ManagementAndGeneral>3360</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>7210</Total>
        <ProgramServices>7210</ProgramServices>
      </ConferencesMeetings>
      <Interest>
        <Total>1067</Total>
        <ManagementAndGeneral>1067</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>11319</Total>
        <ManagementAndGeneral>11319</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>4493</Total>
        <ManagementAndGeneral>4493</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>GRASSROOTS</Description>
        <Total>92893</Total>
        <ProgramServices>92893</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS PROFESSIO</Description>
        <Total>55612</Total>
        <ProgramServices>55612</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EVENTS</Description>
        <Total>40595</Total>
        <ProgramServices>40595</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BOOKKEEPING</Description>
        <Total>35438</Total>
        <ManagementAndGeneral>35438</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES AND SUBSCRIPTIONS</Description>
        <Total>28169</Total>
        <ProgramServices>28169</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>66816</Total>
        <ProgramServices>39319</ProgramServices>
        <ManagementAndGeneral>27497</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>1775474</Total>
        <ProgramServices>1296639</ProgramServices>
        <ManagementAndGeneral>478835</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>212876</BOY>
        <EOY>54971</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>574971</BOY>
        <EOY>700307</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>5880</BOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>790</BOY>
        <EOY>1475</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>200021</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>170891</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>36104</BOY>
        <EOY>29130</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>57057</BOY>
        <EOY>17871</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>887678</BOY>
        <EOY>803754</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>76224</BOY>
        <EOY>90171</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>82044</BOY>
        <EOY>6900</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>13670</BOY>
        <EOY>10775</EOY>
      </MortNotesPyblSecuredInvestProp>
      <TotalLiabilities>
        <BOY>171938</BOY>
        <EOY>107846</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>715740</BOY>
        <EOY>695908</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>715740</BOY>
        <EOY>695908</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>887678</BOY>
        <EOY>803754</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-19832</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondeduct>0</SubstantiallyAllDuesNondeduct>
      <OnlyInHouseLobbying>0</OnlyInHouseLobbying>
      <AgreeToCarryoverPriorYear>0</AgreeToCarryoverPriorYear>
      <DuesAssessments>1710882</DuesAssessments>
      <NonDedLobbyPoliticalCurrent>577667</NonDedLobbyPoliticalCurrent>
      <NonDedLobbyPoliticalTotal>577667</NonDedLobbyPoliticalTotal>
      <AggrAmtReportedInDuesNotices>577667</AggrAmtReportedInDuesNotices>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Equipment>
        <OtherCostOrOtherBasis>119096</OtherCostOrOtherBasis>
        <Depreciation>93442</Depreciation>
        <BookValue>25654</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>80925</OtherCostOrOtherBasis>
        <Depreciation>77449</Depreciation>
        <BookValue>3476</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>29130</TotalOfBookValueLandBuildings>
      <TotalRevenue>1755642</TotalRevenue>
      <TotalExpenses>1775474</TotalExpenses>
      <ExcessOrDeficitForYear>-19832</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>-19832</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>1755642</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>1755642</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>1755642</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>1775474</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>1775474</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>1775474</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE ASSOCIATION APPLIES THE PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. APPLYING THESE PROVISIONS DID NOT RESULT IN THE RECOGNITION OF ANY ADDITIONAL FINANCIAL ASSETS OR LIABILITIES.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>LORA PELLEGRINI</NamePerson>
        <BaseCompensationFilingOrg>223830</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>15933</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5298</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>245061</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ERIC LINZER</NamePerson>
        <BaseCompensationFilingOrg>156771</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11600</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15904</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>184275</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>THE ASSOCIATION CONSISTS OF 13 HEALTH PLAN MEMBER ORGANIZATIONS. THE BOARD IS COMPRISED OF REPRESENTATIVES OF EACH HEALTH PLAN MEMBER ORGANIZATION AND INCLUDES THE CEO/EXECUTIVE DIRECTOR OF THE HEALTH PLAN MEMBER ORGANIZATIONS AND A DESIGNATED DIRECTOR DETERMINED BY THE HEALTH PLAN MEMBER ORGANIZATION. THE BOARD VOTES ON WHICH HEALTH PLAN MEMBER ORGANIZATIONS MAY JOIN THE ASSOCIATION. THE ASSOCIATION ALSO INCLUDES AFFILIATE MEMBERS CONSISTING OF OTHER ORGANIZATIONS INVOLVED WITH THE HEALTH CARE SYSTEM, INCLUDING PHARMACEUTICAL COMPANIES, PHARMACY BENEFIT MANAGERS, BEHAVIORAL HEALTH ORGANIZATIONS AND CONSULTING AND LEGAL FIRMS. AFFILIATE MEMBERS ARE NOT REPRESENTED ON THE BOARD AND THE BOARD VOTES ON WHICH AFFILIATE MEMBERS MAY JOIN THE ASSOCIATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>SEE EXPLANATION FOR LINE 6 ABOVE</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>SEE EXPLANATION FOR LINE 6 ABOVE</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 8B</Identifier>
        <Explanation>THE ASSOCIATION HAS FORMED AN AUDIT COMMITTEE, MADE UP OF THE VICE CHAIRMAN AND TREASURER OF THE BOARD OF DIRECTORS, WHO MEET PERIODICALLY TO REVIEW FINANCIAL MATTERS. ALTHOUGH MINUTES WERE NOT KEPT FOR SPECIFIC AUDIT COMMITTEE MEETINGS, THE DISCUSIONS HELD IN AUDIT COMMITTEE MEETINGS WERE DISCLOSED TO THE ENTIRE BOARD AND THEIR DELIBERATIONS WERE SUMMARIZED IN THE FULL BOARD MINUTES. THE ASSOCIATION INTENDS TO DOCUMENT, IN WRITING, THE MEETINGS OF THE AUDIT COMMITTEE IN 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE ASSOCIATION'S PRESIDENT, SENIOR VICE PRESIDENT OF PUBLIC AFFAIRS AND OPERATIONS AND THE AUDIT COMMITTEE REVIEW A DRAFT OF THE FORM 990, WHICH IS PREPARED BY THE ASSOCIATION'S INDEPENDENT ACCOUNTANTS. ANY RESULTING COMMENTS AND CHANGES ARE INCORPORATED INTO THE FORM BY THE INDEPENDENT ACCOUNTANTS. A FINAL VERSION OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO ITS FILING WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>DURING 2010, OFFICERS AND DIRECTORS OF THE ASSOCIATION FILED A STATEMENT DISCLOSING ANY POTENTIAL INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THERE WERE NO CONFLICTS NOTED DURING THIS PROCESS. THESE STATEMENTS ARE COMPLETED ANNUALLY IN A TIMELY MANNER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>COMPENSATION OF THE ASSOCIATION'S PRESIDENT IS REVIEWED ON AN ANNUAL BASIS IN CONNECTION WITH THE ASSOCIATION'S BUDGETING PROCESS. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE PRESIDENT USING DATA FROM COMPARABLE ORGANIZATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ASSOCIATION'S AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC VIA AN INFORMATION WEBSITE (GUIDESTAR) WHICH SERVICES THE NONPROFIT INDUSTRY, AS WELL AS UPON REQUEST. THE ASSOCIATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART V, LINE 2A</ReturnReference>
        <Explanation>THE ASSOCIATION LEASES ITS EMPLOYEES FROM A PROFESSIONAL EMPLOYER ORGANIZATION (PEO). AS SUCH, THE ASSOCIATION DOES NOT FILE A FORM W-3 OF ITS OWN WITH THE INTERNAL REVENUE SERVICE. SALARIES AND RELATED EXPENSES INCLUDED ON THE STATEMENT OF FUNCTIONAL EXPENSES AND FORM 990 PART VII REPRESENT AMOUNTS PAID TO THESE LEASED EMPLOYEES VIA THE PEO. THE ASSOCIATION IS RESPONSIBLE FOR REMITTING ALL PAYROLL COSTS TO THE PEO.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>