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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK FRIAS</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT L WALKER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY ROBINSON</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE HOGERTY</PersonNm>
        <TitleTxt>CFAO</TitleTxt>
        <AverageHoursPerWeekRt>22.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>18.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>261918</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>214297</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>81760</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL HAUT</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>36.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>118519</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>13169</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15199</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KARL RISHE</PersonNm>
        <TitleTxt>CHIEF LEARNING &amp; MEMBER EXPERIENCE OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>209353</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>16975</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>59675</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEAH EVANGELISTA</PersonNm>
        <TitleTxt>CHIEF PUBLIC AFFAIRS &amp; BRAND OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>13.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>27.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>177494</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>368641</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53624</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORI HOTZEL</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>37.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>414169</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>33581</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45603</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOREY MACK</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>26.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>14.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>166052</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33691</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BLAKE SCHOFIELD</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>265866</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>21557</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50835</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG PETERSON</PersonNm>
        <TitleTxt>CHIEF PEOPLE OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>21369</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42582</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KASSANDRA K JENSEN</PersonNm>
        <TitleTxt>CHIEF LEARNING OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE LUNBECK</PersonNm>
        <TitleTxt>VP, MEMBER RELATIONS</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9134</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TROY RICHARDSON</PersonNm>
        <TitleTxt>VP, ANALYTICS &amp; DATA STRATEGY</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>12636</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63046</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3493631</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1462587</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>747678</TotalOtherCompensationAmt>
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      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARKE SYSTEMS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2870 PEACHTREE ROAD NW</AddressLine1Txt>
            <AddressLine2Txt>SUITE 915-1386</AddressLine2Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30305</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE/WEBSITE UPGRADES</ServicesDesc>
        <CompensationAmt>255333</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUSCH BLACKWELL LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4801 MAIN STREET STE 1000</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64112</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>237566</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CCDC HOTEL LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>950 NEW YORK AVENUE NW</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONFERENCES</ServicesDesc>
        <CompensationAmt>227694</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MELZER HEALTHCARE ADVISORS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1234 EAST NEWTON ST</AddressLine1Txt>
            <CityNm>SEATTLE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PUBLIC AWARENESS CONSULTING</ServicesDesc>
        <CompensationAmt>202000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FORVIS MAZARS LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>910 EAST SAINT LOUIS STREET</AddressLine1Txt>
            <AddressLine2Txt>SUITE 400</AddressLine2Txt>
            <CityNm>SPRINGFIELD</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65806</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TAX &amp; AUDITING SERVICES</ServicesDesc>
        <CompensationAmt>162225</CompensationAmt>
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      <TotalContributionsAmt>184733</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM FEES</Desc>
        <BusinessCd>813212</BusinessCd>
        <TotalRevenueColumnAmt>32476732</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32476732</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>813212</BusinessCd>
        <TotalRevenueColumnAmt>3760165</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3760165</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONSULTING &amp; RESEARCH</Desc>
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        <TotalRevenueColumnAmt>197129</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>197129</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>6601094</TotalRevenueColumnAmt>
        <ExclusionAmt>6601094</ExclusionAmt>
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      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>7835</TotalRevenueColumnAmt>
        <ExclusionAmt>7835</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>88981484</SecuritiesAmt>
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        <TotalRevenueColumnAmt>21724782</TotalRevenueColumnAmt>
        <ExclusionAmt>21724782</ExclusionAmt>
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      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>13993</TotalRevenueColumnAmt>
        <ExclusionAmt>13993</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <ExclusionAmt>0</ExclusionAmt>
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        <ProgramServicesAmt>132895</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>1019640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1077288</ManagementAndGeneralAmt>
        <FundraisingAmt>42794</FundraisingAmt>
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        <ManagementAndGeneralAmt>9105906</ManagementAndGeneralAmt>
        <FundraisingAmt>361725</FundraisingAmt>
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        <ProgramServicesAmt>713811</ProgramServicesAmt>
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        <ProgramServicesAmt>648569</ProgramServicesAmt>
        <ManagementAndGeneralAmt>654103</ManagementAndGeneralAmt>
        <FundraisingAmt>26585</FundraisingAmt>
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        <ProgramServicesAmt>443553</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103575</ManagementAndGeneralAmt>
        <FundraisingAmt>2189</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>56966</ManagementAndGeneralAmt>
        <FundraisingAmt>1163</FundraisingAmt>
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        <ManagementAndGeneralAmt>115456</ManagementAndGeneralAmt>
        <FundraisingAmt>2356</FundraisingAmt>
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        <ProgramServicesAmt>1313655</ProgramServicesAmt>
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        <FundraisingAmt>68124</FundraisingAmt>
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        <ProgramServicesAmt>194640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>352098</ManagementAndGeneralAmt>
        <FundraisingAmt>11158</FundraisingAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>38506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>417996</ManagementAndGeneralAmt>
        <FundraisingAmt>9316</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>874513</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3984337</ManagementAndGeneralAmt>
        <FundraisingAmt>99160</FundraisingAmt>
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        <ProgramServicesAmt>668292</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42324</ManagementAndGeneralAmt>
        <FundraisingAmt>14502</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>790949</TotalAmt>
        <ProgramServicesAmt>334109</ProgramServicesAmt>
        <ManagementAndGeneralAmt>441021</ManagementAndGeneralAmt>
        <FundraisingAmt>15819</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>3814090</ProgramServicesAmt>
        <ManagementAndGeneralAmt>729959</ManagementAndGeneralAmt>
        <FundraisingAmt>92736</FundraisingAmt>
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        <ManagementAndGeneralAmt>1190</ManagementAndGeneralAmt>
        <FundraisingAmt>24</FundraisingAmt>
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        <ProgramServicesAmt>1110458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64900</ManagementAndGeneralAmt>
        <FundraisingAmt>23987</FundraisingAmt>
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        <ProgramServicesAmt>38067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>228626</ManagementAndGeneralAmt>
        <FundraisingAmt>5443</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>STRATEGIC DEVELOPMENT</Desc>
        <TotalAmt>3005207</TotalAmt>
        <ProgramServicesAmt>3005207</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>334822</TotalAmt>
        <ProgramServicesAmt>267788</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60338</ManagementAndGeneralAmt>
        <FundraisingAmt>6696</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <TotalAmt>278766</TotalAmt>
        <ProgramServicesAmt>143287</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129904</ManagementAndGeneralAmt>
        <FundraisingAmt>5575</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1344</ProgramServicesAmt>
        <ManagementAndGeneralAmt>459366</ManagementAndGeneralAmt>
        <FundraisingAmt>9402</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>11674785</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-18706526</ManagementAndGeneralAmt>
        <FundraisingAmt>-143505</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>39546159</TotalAmt>
        <ProgramServicesAmt>35525370</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3301427</ManagementAndGeneralAmt>
        <FundraisingAmt>719362</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>7817973</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>317067</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE HOGERTY</PersonNm>
        <TitleTxt>CFAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>224251</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>183478</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>36080</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>29520</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1587</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1299</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>31157</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>25492</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13811</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>11300</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>306886</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>251089</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEAH EVANGELISTA</PersonNm>
        <TitleTxt>CHIEF PUBLIC AFFAIRS &amp; BRAND OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>152273</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>316259</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>25058</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>52043</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>163</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>339</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9450</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12878</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>26746</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>194922</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>404837</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TOREY MACK</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>260631</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>140339</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>47320</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25480</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>432</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>233</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20475</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11025</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1424</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>767</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>330282</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>177844</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LORI HOTZEL</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>358530</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>29069</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>53188</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>4313</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2451</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>199</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>29138</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2363</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13044</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1058</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>456351</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>37002</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KARL RISHE</PersonNm>
        <TitleTxt>CHIEF LEARNING &amp; MEMBER EXPERIENCE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>208992</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>16946</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>361</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>29</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20252</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1642</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34947</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2834</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>264552</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>21451</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KASSANDRA K JENSEN</PersonNm>
        <TitleTxt>CHIEF LEARNING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>94181</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>51100</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>188250</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7700</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10046</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>351277</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BLAKE SCHOFIELD</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>265569</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>21533</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>297</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>24</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23754</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1926</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23268</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1887</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>312888</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>25370</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CRAIG PETERSON</PersonNm>
        <TitleTxt>CHIEF PEOPLE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>226841</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>18392</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35243</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>2858</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1470</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>119</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24166</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1959</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15223</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1234</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>302943</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>24562</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TROY RICHARDSON</PersonNm>
        <TitleTxt>VP, ANALYTICS &amp; DATA STRATEGY</TitleTxt>
        <BaseCompensationFilingOrgAmt>195790</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>10305</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>43985</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>2315</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>311</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>16</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>1190</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>37281</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1962</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>299980</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>15788</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE LUNBECK</PersonNm>
        <TitleTxt>VP, MEMBER RELATIONS</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>37500</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5491</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3643</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>253023</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING LISTED EMPLOYEES RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: - KASSANDRA K JENSEN WAS PAID A SEVERANCE PAY EQUAL TO NINE MONTHS OF BASE SALARY ($187,885) AND THE ENTIRE COST OF HER COBRA HEALTH INSURANCE PREMIUMS FOR A PERIOD OF THREE MONTHS AFTER THE DATE OF SEPARATION ($4,828). - MICHELLE LUNBECK WAS PAID A SEVERANCE PAY EQUAL TO NINE MONTHS OF BASE SALARY ($141,117) AND THE ENITRE COST OF HER COBRA HEALTH INSURANCE PREMIUMS FOR A PERIOD OF THREE MONTHS AFTER THE DATE OF SEPARATION ($1,578).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING LISTED EMPLOYEE PARTICIPATED IN A 457(F) PLAN DURING THE YEAR: - MATTHEW COOK (NO DISTRIBUTION IN 2025, $180,960 WAS CONTRIBUTED TO THE PLAN).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>MATT COOK'S COMPENSATION AGREEMENT ALLOWED FOR AN ANNUAL BONUS WITH THE ACTUAL AMOUNT APPROVED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION WAS BASED ON AN ASSESSMENT OF THE MARKET OF SIMILAR SIZED ORGANIZATIONS AND RESPONSIBILITIES. THE COMPENSATION IS INCLUDED IN A WRITTEN EMPLOYMENT AGREEMENT. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION MATTERS RELATED TO THE CEO. THE COMMITTEEE DETERMINED THE COMPENSATION INCREASE AND BONUS AMOUNT AWARDED ON THE CEO'S FIRST ANNIVERSARY DATE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="25022866" softwareVersionNum="2025v4.2">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A-4C DESCRIPTION OF PROGRAM SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>(EXPENSES $ 3,199,891 INCLUDING GRANTS OF $ 132,895)(REVENUE $ 161,500) POLICY AND PUBLIC AWARENESS: AS THE VOICE FOR CHILDREN'S HOSPITALS AND CHILD HEALTH, NACHRI ACTS AS ITS MEMBERS' "EYES AND EARS" IN WASHINGTON, D.C., FOCUSING ON LEGISLATION AND REGULATORY ACTION THAT DIRECTLY AFFECT ITS CONSTITUENCIES. TIMELY PUBLIC POLICIES ARE CRITICAL TO THE ABILITY OF CHILDREN'S HOSPITALS TO CARE FOR ALL CHILDREN THROUGH CLINICAL CARE, TRAINING, RESEARCH AND PUBLIC HEALTH ADVOCACY. AS HEALTH CARE POLICIES ARE DEBATED AT THE STATE AND FEDERAL LEVELS, NACHRI AND ITS MEMBER HOSPITALS WORK WITH POLICYMAKERS TO ENSURE THAT EVERY CHILD HAS ACCESS TO HIGH QUALITY, COST-EFFECTIVE PRIMARY, PREVENTIVE AND SPECIALTY CARE SERVICES TAILORED TO MEET THEIR NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP IS COMPOSED OF TWO CATEGORIES OF MEMBERS, VOTING AND NONVOTING. VOTING MEMBERS ARE HOSPITALS AND THOSE RELATED INSTITUTIONS EMPHASIZING THE CLINICAL CARE OF CHILDREN. NONVOTING MEMBERS ARE INSTITUTIONS AND INDIVIDUALS. MEMBERSHIP MAY BE GRANTED UPON APPLICATION TO THE BOARD OF TRUSTEES, WHICH SHALL ESTABLISH MEMBERSHIP CRITERIA, GRANT OR DENY MEMBERSHIP AND ASSIGN APPLICANTS TO MEMBERSHIP CATEGORIES AT ITS PLEASURE. THE SOLE VOTING MEMBER IS THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, INC., A RELATED, NON-PROFIT ENTITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>NACHRI'S BOARD OF TRUSTEES CONSISTS OF THOSE PERSONS WHO SERVE AS TRUSTEES OF NACHRI'S SOLE MEMBER, THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS NACH), A RELATED 501(C)(6) ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP MAY APPROVE VARIOUS DECISIONS OF THE GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>INITIAL COMPILATION OF INFORMATION IS COMPLETED BY FINANCE STAFF FOR TRANSMISSION TO AN OUTSIDE FIRM FOR TAX RETURN PREPARATION. THE DRAFT RETURN IS PROVIDED TO THE BOARD OF TRUSTEES; ANY BOARD COMMENTS OR QUESTIONS ARE CLEARED PRIOR TO FILING THE FINAL RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES MUST FILL OUT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. AT THE START OF ALL BOARD AND COMMITTEE MEETINGS, THE PARTICIPATING MEMBERS ARE ASKED TO DECLARE ANY CONFLICT OF INTEREST ACCORDINGLY. PERIODICALLY, ALL STAFF MUST FILL OUT A CONFLICT OF INTEREST FORM AND MUST ADHERE TO THE ASSOCIATION'S CONFLICT OF INTEREST POLICY. ANY CONFLICTS OF INTEREST ARE RESOLVED AS APPROPRIATE. THE HUMAN RESOURCE DEPARTMENT ENCOURAGES STAFF TO BRING ANY SITUATIONS TO THEIR ATTENTION AND MAKE PROMPT AND FULL DISCLOSURE OF ANY POTENTIAL SITUATIONS THAT MAY INVOLVE A CONFLICT OF INTEREST. THE POLICY IS INCLUDED IN OUR EMPLOYEE MANUAL AND WHISTLEBLOWER POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION WAS BASED ON AN ASSESSMENT OF THE MARKET OF SIMILAR SIZED ORGANIZATIONS AND RESPONSIBILITIES. THE COMPENSATION IS INCLUDED IN A WRITTEN EMPLOYMENT AGREEMENT. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWS ALL COMPENSATION MATTERS RELATED TO THE CEO. THE COMMITTEEE DETERMINED THE COMPENSATION INCREASE AND BONUS AMOUNT AWARDED ON THE CEO'S FIRST ANNIVERSARY DATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR ALL OTHER STAFF, THE ASSOCIATION PERIODICALLY ENGAGES AN OUTSIDE CONSULTANT FOR COMPENSATION STUDIES TO REVIEW ALL JOB DESCRIPTIONS AND SALARIES. THIS CONSULTANT HAS EXPERTISE IN THE NON-PROFIT AND HEALTH FIELDS AND IS VERY FAMILIAR WITH THE COMPENSATION PRACTICES. THE CONSULTANT REVIEWS THE COMPENSATION OF OTHER NATIONAL ASSOCIATIONS AND PEER GROUPS. THE LAST FORMAL EVALUATION OF SALARIES OCCURRED DURING 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT GENERALLY MADE AVAILABLE TO THE PUBLIC. AUDITED FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="25022866" softwareVersionNum="2025v4.2">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 13TH STREET NW SUITE 500</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
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        <EIN>582176067</EIN>
        <PrimaryActivitiesTxt>ASSIST CHILDREN'S HOSPITALS IN COMMON BUSINESS INTEREST AND ECONOMIC WELFARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(6)</ExemptCodeSectionTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>CHILD HEALTH PATIENT SAFETY ORGANIZATION INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>16011 COLLEGE BLVD SUITE 250</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66219</ZIPCd>
        </USAddress>
        <EIN>270386722</EIN>
        <PrimaryActivitiesTxt>IMPROVE SAFETY OF CHILDREN'S HOSPITALS BY SHARING DATA &amp; EXPERIENCES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPEAK OUR MINDS ENDING THE YOUTH MENTAL HEALTH CRISIS</BusinessNameLine1Txt>
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          <AddressLine1Txt>3885 S JERSEY ST</AddressLine1Txt>
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          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80237</ZIPCd>
        </USAddress>
        <EIN>931552973</EIN>
        <PrimaryActivitiesTxt>RAISE AWARENESS, PROMOTE EDUCATION &amp; RESOURCES, &amp; SUPPORT YOUTH MENTAL HEATH ADVOCACY EFFORTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS POLITICAL ACTION COMMITTEE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 13TH STREET NW SUITE 500</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <EIN>333069607</EIN>
        <PrimaryActivitiesTxt>TO SUPPORT &amp; ENCOURAGE ELECTION TO FEDERAL OFFICES OF PERSONS WHO SUPPORT NEEDS OF BUSINESS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
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        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHILD HEALTH CORPORATION OF AMERICA</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>16011 COLLEGE BLVD</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
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        </USAddress>
        <EIN>521421302</EIN>
        <PrimaryActivitiesTxt>HOSPITAL BUSINESS ALLIANCE TO BETTER SERVE CHILDREN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORPORATION</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</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>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>2012981</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>670994</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>4895334</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHILD HEALTH PATIENT SAFETY ORGANIZATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>725750</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHILD HEALTH PATIENT SAFETY ORGANIZATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>619140</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SPEAK OUR MINDS ENDING THE YOUTH MENTAL HEALTH CRISIS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SPEAK OUR MINDS ENDING THE YOUTH MENTAL HEALTH CRISIS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>215928</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>