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      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON GIBSON</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32894</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE LYNCH</PersonNm>
        <TitleTxt>VP FOR MEDICARE &amp; MLTSS</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ENRIQUE MARTINEZ-VIDAL</PersonNm>
        <TitleTxt>VP FOR QUALITY &amp; OPERATIONS</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44188</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>272745</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SPRING STREET EXCHANGE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 579</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROJECT CONSULTANT</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCCABE MESSAGE PARTNERS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1156 15TH ST NW SUITE 850</AddressLine1Txt>
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            <StateAbbreviationCd>DC</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PUBLIC RELATIONS</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCDERMOTT CONSULTING LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LOBBYIST AND PROJECT CONSULTANT</ServicesDesc>
        <CompensationAmt>220859</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CAPITAL HILTON</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONFERENCE VENUE</ServicesDesc>
        <CompensationAmt>217344</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DELTASIGMA LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>87122</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PREFERRED VENDOR PROGRAM MANAGEMENT</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>757000</AllOtherContributionsAmt>
      <TotalContributionsAmt>757000</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4357296</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4357296</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONF. &amp; REGISTRATIONS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>644000</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>156000</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONSULTING FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>995</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>995</UnrelatedBusinessRevenueAmt>
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      <TotalProgramServiceRevenueAmt>5158291</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>101651</TotalRevenueColumnAmt>
        <ExclusionAmt>101651</ExclusionAmt>
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      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>1600495</TotalRevenueColumnAmt>
        <ExclusionAmt>1600495</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>10636376</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>10715937</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>-79561</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-79561</TotalRevenueColumnAmt>
        <ExclusionAmt>-79561</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>325</TotalRevenueColumnAmt>
        <ExclusionAmt>325</ExclusionAmt>
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      <OtherRevenueTotalAmt>325</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>7538201</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5001296</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>995</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1778910</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>893630</TotalAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>2236211</TotalAmt>
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      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
        <TotalAmt>166097</TotalAmt>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>332482</TotalAmt>
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        <TotalAmt>1445834</TotalAmt>
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      <OfficeExpensesGrp>
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      <InformationTechnologyGrp>
        <TotalAmt>119575</TotalAmt>
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      <OccupancyGrp>
        <TotalAmt>331459</TotalAmt>
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      <TravelGrp>
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      <ConferencesMeetingsGrp>
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      <OtherExpensesGrp>
        <Desc>SUBSCRIPTIONS/PUBS.</Desc>
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      <OtherExpensesGrp>
        <Desc>MERCHANT FEES</Desc>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <EOYAmt>250535</EOYAmt>
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        <EOYAmt>370917</EOYAmt>
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        <EOYAmt>819000</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>7097268</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <USAddress>
          <AddressLine1Txt>1155 15TH ST NW STE 600</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
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      <AggregateReportedDuesNtcAmt>305011</AggregateReportedDuesNtcAmt>
      <TaxableAmt>-138519</TaxableAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I-C, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES REPORTED IN PART I-C, LINE 5 ARE INDIRECT EXPENSES FOR ADMINISTRATIVE FUNCTIONS PAID BY THE FILING ORGANIZATION AND ARE NOT CONSIDERED POLITICAL EXPENDITURES PURSUANT TO REG. SECTIONS 1.527-2(C)(2) AND 1.527-6(B).</ExplanationTxt>
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        <DepreciationAmt>13020</DepreciationAmt>
        <BookValueAmt>7124</BookValueAmt>
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        <DepreciationAmt>86040</DepreciationAmt>
        <BookValueAmt>6826</BookValueAmt>
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        <BookValueAmt>78</BookValueAmt>
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      <OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SUBLEASE DEPOSITS</Desc>
        <Amt>789</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
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      <RevenueNotReportedAmt>462737</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>7511000</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>27201</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>27201</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>7538201</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7307897</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>3524</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>3524</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7304373</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>27201</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>27201</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7331574</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES OF ACAP PAC, INCLUDED IN THE CONSOLIDATED AUDIT 3,524. REPORT BUT EXCLUDED FOR ACAP FORM 990 REPORTING.</ExplanationTxt>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF MEDICAID DIRECTORS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7220 EARHART BLVD 2ND FLOOR</AddressLine1Txt>
          <CityNm>NEW ORLEANS</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70125</ZIPCd>
        </USAddress>
        <RecipientEIN>273258188</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>10000</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSOR NAMD FALL CONFERENCE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACAP DOES NOT MONITOR THE USE OF GRANTS AFTER DISBURSEMENT.</ExplanationTxt>
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    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARGARET MURRAY</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEATHER FOSTER</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE LYNCH</PersonNm>
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        <PersonNm>SHARON GIBSON</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS PAYS FOR UNIVERSITY CLUB OF WASHINGTON DC MEMBERSHIP FEES FOR THE CEO, MARGARET MURRAY.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ACAP HAS 61 MEMBERS WHO ARE COMMUNITY HEALTH CARE PLANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ACAP'S MEMBERSHIP COUNCIL IS REPRESENTED BY A CEO/EXECUTIVE OF EACH MEMBER PLAN. THE MEMBERSHIP COUNCIL ELECTS THE BOARD OF DIRECTORS EVERY TWO YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MAJOR DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY ACAP'S BOARD OF DIRECTORS. EXAMPLES OF MAJOR DECISIONS WOULD INCLUDE CHANGES TO THE BY-LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAX RETURN WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY SENIOR MANAGEMENT AND THE FINANCE COMMITTEE. ONE WEEK PRIOR TO SUBMISSION THE FORM 990 DRAFT WAS SENT TO THE BOARD OF DIRECTORS. IF THE BOARD OF DIRECTORS HAS ANY QUESTIONS OR CONCERNS, THEY CAN ADDRESS THEM TO MANAGEMENT OR THE FINANCE COMMITTEE. IF ANY CHANGES ARE MADE AFTER THE BOARD REVIEW, ACAP WILL RESEND THE FINAL RETURN TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY THE BOARD, MEMBERSHIP COUNCIL, AND KEY EMPLOYEES ARE ISSUED THE CONFLICT OF INTEREST POLICY AND REQUIRED TO SIGN A STATEMENT ACKNOWLEDGING RECEIPT OF THIS POLICY. THE BOARD WOULD BE NOTIFIED IF THERE IS A CONFLICT OF INTEREST AND APPROPRIATE ACTION WOULD BE TAKEN.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ANNUAL REVIEW PERIOD FOR THE CEO IS CURRENTLY IN THE LAST QUARTER OF THE YEAR, WITH SALARY CHANGES EFFECTIVE IN JANUARY. THE COMPENSATION COMMITTEE (MADE UP OF MEMBERS OF THE BOARD OF DIRECTORS) HAS OVERSIGHT OVER THE CEO'S COMPENSATION. THE CEO'S CONTRACT IS WRITTEN BY EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE REVIEWS THE CEO'S ACHIEVEMENTS AND SALARY ANNUALLY. THE LAST REVIEW TOOK PLACE IN DECEMBER 2023. COMPARABLE DATA IS USED IN DETERMINING COMPENSATION. THE DELIBERATION AND DECISION WERE DOCUMENTED IN A MEMO TO THE BOARD OF DIRECTORS FROM THE CHAIRPERSON. THE SALARY OF OTHER KEY EMPLOYEES IS DETERMINED BY THE CEO. A WRITTEN STATEMENT OF GOALS IS REQUIRED. THE ANNUAL EVALUATION ANALYZES THESE GOALS VERSUS ACHIEVEMENTS FOR THE YEAR. THE CEO USES THIS DATA TO DETERMINE THE COMPENSATION FOR THE NEXT YEAR. AN INDEPENDENT CONSULTANT CONDUCTED A COMPENSATION SURVEY FOR ALL STAFF, EXCLUDING THE CEO, IN 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM CONSULTANTS 1,118,709. OPERATIONAL CONSULTANTS 327,125.</ExplanationTxt>
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    </IRS990ScheduleO>
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      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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</Return>