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      <Form990PartVIISectionAGrp>
        <PersonNm>TINA SANDRI</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <PersonNm>BARRY CARR</PersonNm>
        <TitleTxt>AT-LARGE REPRESENTATIVE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <PersonNm>ALEX TERENTEV AT-LARGE</PersonNm>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BILL WEISBERG</PersonNm>
        <TitleTxt>AT-LARGE REPRESENTATIVE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <PersonNm>JAY MOSKOWITZ REGIONAL</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <PersonNm>MARK PARKINSON</PersonNm>
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        <OfficerInd>X</OfficerInd>
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        <PersonNm>CLIFTON PORTER</PersonNm>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEONA TAYLOR</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>377450</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL BASSETT</PersonNm>
        <TitleTxt>VP, GOVERNMENT RELATIONS</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>636534</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>72472</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER SHIMER</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>92253</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAE ANNE DAVIS</PersonNm>
        <TitleTxt>CHIEF STRATEGIC OFFICER</TitleTxt>
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        <ReportableCompFromOrgAmt>532532</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>86732</OtherCompensationAmt>
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        <PersonNm>LASHUAN BETHEA</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR, NCAL</TitleTxt>
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        <ReportableCompFromOrgAmt>543847</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID GIFFORD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
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        <PersonNm>HOLLY HARMON</PersonNm>
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        <PersonNm>RACHEL REEVES</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARTIN ALLEN</PersonNm>
        <TitleTxt>SVP, REIMB. POLICY - UNTIL 7/2025</TitleTxt>
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        <PersonNm>PAULA WARREN</PersonNm>
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        <PersonNm>JOHN KANE</PersonNm>
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        <PersonNm>JENNIFER HAHS</PersonNm>
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        <PersonNm>CHRISTOPHER DONNELLAN</PersonNm>
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        <PersonNm>SHARON PURVIS</PersonNm>
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        <PersonNm>NISHA HAMMEL VP REIMBURSEMENT</PersonNm>
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        <PersonNm>DAVID KYLLO</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>PLUS COMMUNIC LLC</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
            <AddressLine1Txt>8300 BOONE BOULEVARD SUITE 500</AddressLine1Txt>
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        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DIRECT SUPPLY</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>7301 W CHAMPIONS WAY</AddressLine1Txt>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>ACUMEN</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>500 AIRPORT BLVD SUITE 100</AddressLine1Txt>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>FREEMAN</BusinessNameLine1Txt>
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          <USAddress>
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      <TotalContributionsAmt>461575</TotalContributionsAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>1783838</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>2049919</RelatedOrExemptFuncIncomeAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4021210</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>4021210</UnrelatedBusinessRevenueAmt>
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        <Desc>COMMISSIONS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>94068</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>94068</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueTotalAmt>4115278</OtherRevenueTotalAmt>
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        <UnrelatedBusinessRevenueAmt>4692604</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>841495</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1265833</TotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>9258668</TotalAmt>
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        <TotalAmt>12859737</TotalAmt>
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        <TotalAmt>1064093</TotalAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1649001</TotalAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1239881</TotalAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>799721</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>92593</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>1935601</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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      <FeesForServicesOtherGrp>
        <TotalAmt>5503985</TotalAmt>
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      <AdvertisingGrp>
        <TotalAmt>817454</TotalAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>762325</TotalAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>1014985</TotalAmt>
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      <RoyaltiesGrp>
        <TotalAmt>792476</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>55282</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>1838363</TotalAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>6184240</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>127669</TotalAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>1092861</TotalAmt>
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      <InsuranceGrp>
        <TotalAmt>226890</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>INCOME TAX</Desc>
        <TotalAmt>130431</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>900137</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PLAQUES AND AWARDS</Desc>
        <TotalAmt>131810</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>51590</TotalAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>39700</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>49932637</TotalAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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        <EOYAmt>1926076</EOYAmt>
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        <EOYAmt>33305468</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039500001">
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      <VolunteerHoursCnt>200</VolunteerHoursCnt>
      <InternalFundsContributedAmt>100000</InternalFundsContributedAmt>
      <TotalExemptFunctionExpendAmt>100000</TotalExemptFunctionExpendAmt>
      <Form1120POLFiledInd>1</Form1120POLFiledInd>
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        <OrganizationBusinessName>
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        <USAddress>
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          <CityNm>WASHINGTON</CityNm>
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        <OrganizationBusinessName>
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          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
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      <Section527PoliticalOrgGrp>
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        <FormAndLineReferenceDesc>PART I-A, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION WORKS WITH CONGRESSIONAL AND ADMINISTRATION STAFF ON LEGISLATION AND RULE-MAKING TO SUPPORT THE NEEDS AND BUSINESS INTERESTS OF THE NON-PROFIT AND FOR-PROFIT NURSING, ASSISTED LIVING, DEVELOPMENTALLY-DISABLED, AND SUB-ACUTE CARE PROVIDERS THAT THE ASSOCIATION REPRESENTS.</ExplanationTxt>
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        <Desc>PAYROLL LIABILITIES</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RecipientTable>
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      <RecipientTable>
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      <RecipientTable>
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          <AddressLine1Txt>1 N CAPITOL AVENUE SUITE 100</AddressLine1Txt>
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          <StateAbbreviationCd>IN</StateAbbreviationCd>
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      <RecipientTable>
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        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>KANSAS HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1100 SW GAGE BLVD</AddressLine1Txt>
          <CityNm>TOPEKA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66604</ZIPCd>
        </USAddress>
        <RecipientEIN>480688453</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KENTUCKY ASSOCIATION OF HEALTH CARE FACILITIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9403 MILL BROOK ROAD</AddressLine1Txt>
          <CityNm>LOUISVILLE</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>402235039</ZIPCd>
        </USAddress>
        <RecipientEIN>610728963</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAINE HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>317 STATE STREET</AddressLine1Txt>
          <CityNm>AUGUSTA</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>043307037</ZIPCd>
        </USAddress>
        <RecipientEIN>010283794</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MASSACHUSETTS SENIOR CARE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1657</AddressLine1Txt>
          <CityNm>EASTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>023341657</ZIPCd>
        </USAddress>
        <RecipientEIN>042372909</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MISSISSIPPI HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>303 BRAME ROAD</AddressLine1Txt>
          <CityNm>RIDGELAND</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>391579423</ZIPCd>
        </USAddress>
        <RecipientEIN>640478814</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW HAMPSHIRE HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5 SHEEP DAVIS ROAD SUITE B</AddressLine1Txt>
          <CityNm>PEMBROKE</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>032753706</ZIPCd>
        </USAddress>
        <RecipientEIN>020402602</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW MEXICO HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4600 A MONTGOMERY BOULEVARD NE</AddressLine1Txt>
          <AddressLine2Txt>SUITE 205A</AddressLine2Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>871091284</ZIPCd>
        </USAddress>
        <RecipientEIN>850299106</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW YORK STATE HEALTH FACILITIES ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>33 ELK STREET SUITE 300</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>122071062</ZIPCd>
        </USAddress>
        <RecipientEIN>160970663</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH CAROLINA HEALTH CARE FACILITIES ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5109 BUR OAK CIRCLE</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>276123101</ZIPCd>
        </USAddress>
        <RecipientEIN>560746687</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH DAKOTA LTC ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1900 NORTH 11TH STREET</AddressLine1Txt>
          <CityNm>BISMARCK</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>585011914</ZIPCd>
        </USAddress>
        <RecipientEIN>450347194</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
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        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9200 WORTHINGTON ROAD SUITE 110</AddressLine1Txt>
          <CityNm>WESTERVILLE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43082</ZIPCd>
        </USAddress>
        <RecipientEIN>316056295</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RHODE ISLAND HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>57 KILVERT STREET SUITE 200</AddressLine1Txt>
          <CityNm>WARWICK</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>028861054</ZIPCd>
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        <RecipientEIN>050347684</RecipientEIN>
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        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SOUTH DAKOTA HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>804 N WESTERN AVENUE</AddressLine1Txt>
          <CityNm>SIOUX FALLS</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>571042032</ZIPCd>
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        <RecipientEIN>460272951</RecipientEIN>
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        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VERMONT HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 397</AddressLine1Txt>
          <CityNm>SOUTH BARRE</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>056700397</ZIPCd>
        </USAddress>
        <RecipientEIN>030225588</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VIRGINIA HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2112 W LABURNUM AVENUE SUITE 206</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>232274358</ZIPCd>
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        <RecipientEIN>546052951</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEST VIRGINIA HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>105 CAPITOL STREET SUITE 200</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25301</ZIPCd>
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        <RecipientEIN>550569085</RecipientEIN>
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        <USAddress>
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          <CityNm>MADISON</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53714</ZIPCd>
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        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
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        <PurposeOfGrantTxt>STATE FUNDING SUPPORT PROGRAM</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VISION CENTRE LEADERSHIP DEVELOPMENT FOR AGING SERVICES</BusinessNameLine1Txt>
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          <CityNm>CLEMMON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27012</ZIPCd>
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        <RecipientEIN>881187241</RecipientEIN>
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      <RecipientTable>
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          <StateAbbreviationCd>DC</StateAbbreviationCd>
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          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
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        <RecipientEIN>521160561</RecipientEIN>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>31500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17571</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>592918</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID GIFFORD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>435133</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>54227</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>411</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>42000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36850</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>568621</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOLLY HARMON</PersonNm>
        <TitleTxt>SVP, QUALITY &amp; REGULATORY</TitleTxt>
        <BaseCompensationFilingOrgAmt>408607</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>61445</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>93</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>33250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>42961</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>546356</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER HAHS</PersonNm>
        <TitleTxt>VP, GOVERNMENT AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>352648</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>83293</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>62</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>31500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>43588</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>511091</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RACHEL REEVES</PersonNm>
        <TitleTxt>SVP, PUBLIC AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>365042</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>51753</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>56</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>31500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19938</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>468289</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEONA TAYLOR</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>328395</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>48644</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>411</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>38660</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>40110</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>456220</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER DONNELLAN</PersonNm>
        <TitleTxt>SENIOR DIR., GOVERNMENT RELATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>277672</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>72997</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>791</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>36277</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>53863</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>441600</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHARON PURVIS</PersonNm>
        <TitleTxt>VP, VENDOR RELATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>337180</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10921</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>268</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>39309</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20079</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>407757</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NISHA HAMMEL VP REIMBURSEMENT</PersonNm>
        <TitleTxt>POLICY &amp; POPULATION HEALTH</TitleTxt>
        <BaseCompensationFilingOrgAmt>280053</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>28877</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>93</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26779</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>49418</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>385220</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID KYLLO</PersonNm>
        <TitleTxt>VP, INSURANCE AND MEMBER SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>281719</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>28456</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>791</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>41542</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22353</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>374861</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAULA WARREN</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>269394</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>37255</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>268</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>32035</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20573</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>359525</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARTIN ALLEN</PersonNm>
        <TitleTxt>SVP, REIMB. POLICY - UNTIL 7/2025</TitleTxt>
        <BaseCompensationFilingOrgAmt>172131</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8240</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6459</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19306</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19311</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>225447</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN KANE</PersonNm>
        <TitleTxt>SVP, REIMB. POLICY - AS OF 6/2025</TitleTxt>
        <BaseCompensationFilingOrgAmt>172884</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>27438</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>35</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6344</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7708</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214409</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP TO THE CAPITOL HILL CLUB, NATIONAL DEMOCRATIC CLUB AND TED'S CLUB IS MAINTAINED FOR A FEW EMPLOYEES. THE CLUBS ARE USED TO HOST LARGE AND INDIVIDUAL MEETINGS WITH MEMBERS, CONGRESSIONAL LEADERS/STAFF AND LOBBYISTS. THESE AMOUNTS ARE NOT INCLUDED AS W-2 WAGES OF THE AFFECTED EMPLOYEES AS THE COSTS REPRESENT REASONABLE BUSINESS EXPENSES OF THE ASSOCIATION. TRAVEL FOR COMPANION IS PER THE EMPLOYMENT AGREEMENT AND IS INCLUDED IN W-2 WAGES AS TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>A 457F PLAN WAS ESTABLISHED IN 2024 FOR THE PRESIDENT &amp; CEO. A $250,000 CONTRIBUTION WAS MADE IN 2025 ON HIS BEHALF.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP IN AHCA MAY BE GRANTED TO ANY ONE ORGANIZED GROUP OF CARE FACILITIES WITHIN THE CONFINES OF A STATE, DISTRICT, TERRITORY, OR POSSESSION OF THE UNITED STATES OF AMERICA IN WHICH A PROGRAM OF INSPECTION, LICENSING, CERTIFICATION, OR APPROVAL BY ONE OR MORE DEPARTMENTS OF THE GOVERNMENT IS CONDUCTED ("AFFILIATE ASSOCIATIONS"). EACH AFFILIATE ASSOCIATION SHALL REQUIRE ALL OF ITS MEMBER FACILITIES TO BE MEMBER FACILITIES OF AHCA. "MEMBER FACILITY" SHALL MEAN A FACILITY THAT IS SUBJECT TO A PROGRAM OF INSPECTION, LICENSING, CERTIFICATION, OR APPROVAL BY ONE OR MORE DEPARTMENTS OF THE GOVERNMENT, AND FOR WHICH DUES/DUES ASSESSMENT ARE RECEIVED BY AN AFFILIATE ASSOCIATION. ASSOCIATE BUSINESS MEMBERSHIP MAY BE GRANTED TO INDIVIDUALS, CORPORATIONS, PARTNERSHIPS, LIMITED LIABILITY COMPANIES, AND OTHER ENTITIES THAT (I) SUPPLY PRODUCTS OR SERVICES TO LONG TERM CARE PROVIDERS AND (II) WILL IN GOOD FAITH PROMOTE THE OBJECTIVES OF AHCA AS SET FORTH IN THE CONSTITUTION BUT DO NOT PROVIDE PRODUCTS OR SERVICES THAT COMPETE WITH THOSE OFFERED BY AHCA. HONORARY MEMBERSHIP MAY BE CONFERRED BY THE COUNCIL OF STATES ON THOSE INDIVIDUALS WHO HAVE RENDERED DISTINGUISHED SERVICE TO THE HEALTH CARE FIELD OR TO AHCA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COUNCIL OF STATES CONSISTS OF ONE MEMBER FROM EACH AFFILIATE ASSOCIATION. SUCH MEMBER MUST REPRESENT AN AHCA MEMBER FACILITY IN GOOD STANDING OR REPRESENT AN AFFILIATE ASSOCIATION IN GOOD STANDING. THE COUNCIL OF STATES HAS AUTHORITY TO ELECT A CHAIR, A VICE CHAIR, SECRETARY/TREASURER, SEVEN (7) AT-LARGE REPRESENTATIVES, NOT FOR PROFIT MEMBER, INDEPENDENT OWNER MEMBER, MULTIFACILITY MEMBER, AND REGIONAL MULTIFACILITY MEMBER TO THE BOARD OF GOVERNORS. EACH MEMBER OF THE COUNCIL OF STATES SHALL HAVE ONE VOTE WITH THE EXCEPTION OF THE CHAIR, OR IN THEIR ABSENCE, THE PRESIDING OFFICER, WHO SHALL VOTE ONLY IN THE EVENT OF A TIE. THE REPRESENTATIVE FOR NCAL IS SELECTED BY NCAL. NCAL CONSISTS OF THE AFFILIATE ASSOCIATIONS THAT REPRESENT ASSISTED LIVING/RESIDENTIAL CARE FACILITIES AND THEIR APPROPRIATE MEMBER FACILITIES. NO MORE THAN ONE AFFILIATE ASSOCIATION FROM EACH STATE MAY BE A PART OF THE AHCA/NCAL FEDERATION. THE REPRESENTATIVE FOR ASHCAE IS SELECTED BY ASHCAE. ASHCAE CONSISTS OF TWO CATEGORIES: ACTIVE ASSOCIATION CHIEF EXECUTIVES OF AHCA AFFILIATES (VOTING) AND HONORARY (NON-VOTING) MEMBERS. HONORARY MEMBERSHIP SHALL BE GRANTED AT THE DISCRETION OF THE VOTING ASHCAE MEMBERSHIP. THE NON-VOTING REPRESENTATIVE FOR THE ASSOCIATE BUSINESS MEMBERS IS SELECTED BY THE ASSOCIATE BUSINESS MEMBERS. ASSOCIATE BUSINESS MEMBERS ARE INDIVIDUALS, CORPORATIONS, PARTNERSHIPS, LIMITED LIABILITY COMPANIES, AND OTHER ENTITIES THAT (I) SUPPLY PRODUCTS OR SERVICES TO LONG TERM CARE PROVIDERS AND (II) WILL IN GOOD FAITH PROMOTE THE OBJECTIVES OF AHCA AS SET FORTH IN THE CONSTITUTION BUT DO NOT PROVIDE PRODUCTS OR SERVICES THAT COMPETE WITH THOSE OFFERED BY AHCA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DUES RATES, DUES ASSESSMENTS, AND BY-LAWS CHANGES ARE SUBJECT TO APPROVAL BY THE COUNCIL OF STATES. DISSOLUTION OF THE ORGANIZATION MUST BE APPROVED BY TWO-THIRDS OF THE AFFILIATE ASSOCIATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 MAJOR 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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. THE AHCA/NCAL ANTITRUST POLICY AND THE AHCA/NCAL CONFLICT OF INTEREST AND CONFIDENTIALITY POLICY ARE INCLUDED WITH THE AGENDA FOR EACH BOARD, COMMITTEE, TASKFORCE, OR WORKGROUP MEETING. THE POLICIES ARE REVIEWED AT THE BEGINNING OF EACH MEETING TO ENSURE THAT ANY NEW POTENTIAL ISSUES ARE ADDRESSED BEFORE ASSOCIATION BUSINESS IS COMMENCED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CURRENT CEO/PRESIDENT WAS HIRED IN OCTOBER 2024 THROUGH A SEARCH PROCESS CONDUCTED BY AN OUTSIDE RECRUITING FIRM. THE COMPENSATION AWARDED TO THE CEO/PRESIDENT WAS DETERMINED AS PART OF THAT PROCESS AND APPROVED BY THE BOARD OF GOVERNORS. THE COMPENSATION AMOUNT IS COMMUNICATED TO THE HR DEPARTMENT BY THE BOARD CHAIR, IN WRITING. THE CEO APPROVES THE HIRING AND REPLACEMENT OF OTHER ASSOCIATION OFFICERS AND KEY EMPLOYEES. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED USING DATA FROM TWO DIFFERENT COMPENSATION SURVEYS SPECIFIC TO ASSOCIATIONS. PROPOSED COST OF LIVING INCREASES ARE BASED ON EXPECTED INCREASES FOR COMPARABLE ASSOCIATIONS. THE BOARD APPROVES ANY COST OF LIVING INCREASE AS PART OF THE ANNUAL BUDGET APPROVAL PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT NORMALLY MADE AVAILABLE TO GENERAL PUBLIC, BUT FURNISHED ON REQUEST. ALSO, THE BY-LAWS ARE ACCESSIBLE IN A MEMBERS-ONLY SECTION OF THE WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING 2,706,034. CONTRACT MGMT AND SUPPORT 1,493,260. DATA ACQUISITION SERV. 736,042. STAFF RECRUITING 29,748. VIDEO PRODUCTION 230,929. PAYROLL PROCESSING 145,132. SPEAKER FEES/HONORARIA 109,813. GRAPHIC DESIGN 37,632. EDITORIAL SERVICES 15,395.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>AHCANCAL SOLUTIONS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>122 C STREET NW SUITE 400</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20001</ZIPCd>
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        <EIN>471554374</EIN>
        <PrimaryActivitiesTxt>BUSINESS SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <TotalIncomeAmt>4090227</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1569205</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>AMERICAN HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
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        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>AMERICAN HEALTH CARE ASSOCIATION</BusinessNameLine1Txt>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>