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      <MissionDesc>THE MULTIPLE SCLEROSIS ASSOCIATION OF AMERICA, INC. (THE ASSOCIATION) IS A LEADING RESOURCE FOR THE ENTIRE MS COMMUNITY, IMPROVING LIVES TODAY THROUGH VITAL SERVICES AND SUPPORT.</MissionDesc>
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      <Desc>1- PATIENT SERVICES: MSAA'S MRI ACCESS PROGRAM PROVIDES ASSISTANCE FOR MS PATIENTS OR INDIVIDUALS WHO HAVE A SUSPECTED MS DIAGNOSIS OR WHO HAVE AN MS DIAGNOSIS AND NEED MRI SCANS FOR THE PURPOSE OF PROVIDING A DIAGNOSIS OR TRACKING PROGRESSION. MSAA'S MRI, COOLING AND EQUIPMENT PROGRAM SERVES INDIVIDUALS WHOSE INCOME IS BELOW 300% OF THE FEDERAL POVERTY GUIDELINES AND ARE OTHERWISE UNABLE TO AFFORD MRI'S, COOLING VESTS AND SAFETY EQUIPMENT ITEMS. DURING FY23, MSAA APPROVED MORE THAN 1,000 ELIGIBLE INDIVIDUALS FOR MRI SCANS WITH A VALUE IN EXCESS OF $518,000. (CONTINUE IN SCHEDULE O)MSAA'S EQUIPMENT DISTRIBUTION PROGRAM HELPS INDIVIDUALS WITH MS OBTAIN EQUIPMENT ITEMS THAT THEY NEED IN ORDER TO BEST MANAGE THEIR MS. MSAA'S COOLING PROGRAM PROVIDES COOLING APPAREL THAT HELPS TO ALLEVIATE HEAT SENSITIVITY ISSUES FOR MS PATIENTS THROUGHOUT THE COUNTRY. DURING FY23 MSAA DELIVERED NEARLY 2,200 PIECES OF SAFETY, MOBILITY, AND COOLING PRODUCTS TO INDIVIDUALS AFFECTED BY MS WITH A VALUE IN EXCESS OF $263,000. DURING FY21 MSAA EXPANDED THE HOURS OF ITS NATIONAL TOLL-FREE HELPLINE AND MADE SEVERAL REVISIONS TO OUR CORE SIGNATURE SERVICES IN RESPONSE TO THE CORONAVIRUS PANDEMIC AND ITS IMPACT ON THE MS COMMUNITY. (MSAA'S EXTENDED HELPLINE HOURS CONTINUED THROUGHOUT FY22 AND HAVE REMAINED IN FY23.) ALL THREE PROGRAMS NOW OFFER ONLINE APPLICATIONS WHICH CAN BE FOUND ON MYMSAA.ORG. PROGRAM APPLICATIONS ARE ALSO AVAILABLE AS PDF DOWNLOADS IN BOTH ENGLISH AND SPANISH FROM THE WEBSITE. THROUGHOUT THE FISCAL YEAR, MSAA HOSTED WELL-ATTENDED VIRTUAL EDUCATIONAL PROGRAMS TO ADDRESS VITAL TOPICS TO THE MS COMMUNITY INCLUDING WEBINARS ON HEALTH DISPARITIES AMONG THE AFRICAN AMERICAN AND HISPANIC AMERICAN POPULATIONS, MS RESEARCH, NUTRITION, AND WELLNESS, AS WELL AS OTHER IMPORTANT TOPICS.</Desc>
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        <Desc>2- PUBLIC EDUCATION, INFORMATION &amp; REFERRAL: THE MSAA'S NATIONAL EDUCATIONAL PROGRAMS DELIVER HIGH-QUALITY, INFORMATIVE PROGRAMMING TO MS PATIENTS, CARE PARTNERS AND HEALTHCARE PROFESSIONALS NATIONWIDE. THESE PROGRAMS COVER A VARIETY OF TOPICS ALL AIMED AT IMPROVING HEALTH OUTCOMES FOR MS PATIENTS. MSAA PARTNERS WITH A NATIONAL NETWORK OF HEALTHCARE PROFESSIONALS TO PRESENT PROGRAMS OF SCIENTIFIC AND EDUCATIONAL VALUE. THESE IN-PERSON AND VIRTUAL EDUCATIONAL PROGRAMS COVER A WIDE BREADTH OF TOPICS, RANGING FROM ADVANCES IN DISEASE RESEARCH AND SYMPTOM MANAGEMENT, TO NUTRITION AND WELLNESS ACTIVITIES AS WELL AS PROGRAMS TAILORED TO MEN/WOMEN LIVING WITH MS AND PROGRAMS CURATED FOR UNDERSERVED POPULATIONS. (CONTINUE IN SCHEDULE O) MSAA ALSO REGULARLY OFFERS VIRTUAL AND DIGITAL-PROGRAMMING FOCUSED ON SCIENTIFIC UPDATES IN DISEASE MANAGEMENT AND BEST PRACTICES IN TREATMENT PROTOCOL FOR HEALTH CARE PROFESSIONALS THAT TREAT THOSE LIVING WITH MS, SUCH AS NEUROLOGISTS AND NURSES. IN 2019, MSAA ALSO CONVENED THE MS AFRICAN-AMERICAN ADVISORY BOARD, AND A HISPANIC/LATINX ADVISORY BOARD COMPRISED OF MS HEALTHCARE PROFESSIONALS, PATIENTS AND CARE PARTNERS, TO DEVELOP A FIVE YEAR PLAN OF INITIATIVES TO SERVE THE AFRICAN-AMERICAN AND HISPANIC/LATINX MS PATIENT COMMUNITIES. ADDITIONALLY, MSAA CONVENED A SERIES OF ROUND TABLE DISCUSSIONS WITH LEADING MS NEUROLOGISTS AND PAYERS TO EXPLORE HOW THE HEALTHCARE SYSTEM COULD BETTER SERVE THE MS COMMUNITY AND IDENTIFY COMMON INTERESTS. THE FINDINGS FROM BOTH OF THESE INITIATIVES ARE BEING DEVELOPED AS WHITE PAPERS AND WILL BE BROADLY DISSEMINATED WITHIN THE MS COMMUNITY.THROUGH PUBLICATIONS, VIDEOS, PODCASTS, THE ASSOCIATION'S WEBSITE, A HELPLINE, AND EDUCATIONAL PROGRAMS, THE ASSOCIATION PROVIDES THE MS COMMUNITY AND THE GENERAL PUBLIC WITH VITAL INFORMATION ABOUT THE DISEASE, THE MANAGEMENT OF SYMPTOMS AND BREAKTHROUGHS IN RESEARCH. THE ASSOCIATION PUBLISHES A NATIONAL MAGAZINE THE MOTIVATOR DISTRIBUTED BIANNUALLY WITH A CIRCULATION OF APPROXIMATELY 95,000. THE MAGAZINE IS ALSO AVAILABLE AS A DIGITAL EDITION. INDIVIDUAL CLIENT NEEDS ARE MET THROUGH THE ASSOCIATION'S NATIONAL TOLL-FREE HELPLINE. OUR TRAINED SOCIAL WORKERS RESPONDED TO MORE THAN 19,000 CLIENT INQUIRIES IN FY23 AND PROVIDED THESE CLIENTS WITH CONTACTS TO APPROPRIATE SERVICES THROUGHOUT THE NATION. MSAA'S WEBSITE HAD MORE THAN 680,000 SESSIONS DURING THE YEAR ENDED JUNE 30, 2023. THE ASSOCIATION OFFERS A MOBILE PHONE APPLICATION TO ASSIST ITS CLIENTS IN MONITORING, TRACKING AND MANAGING THEIR MS AS WELL AS SHARINGE DATA WITH THEIR PHYSICIAN. THE ASSOCIATION EMPLOYS VARIOUS DIGITAL TACTICS TO COMMUNICATE WITH ITS CONSTITUENTS. THE ASSOCIATION IS ACTIVE ON 6 DIFFERENT SOCIAL MEDIA PLATFORMS. THE ASSOCIATION ALSO HOSTS A BLOG, OFFERS AN ONLINE PEER-TO-PEER COMMUNITY AND ANSWERS QUESTIONS THROUGH ITS MS QUESTIONS EMAIL OPTION AND WEBSITE CHAT FEATURE. THE ASSOCIATION RECEIVED A GOOGLE GRANT VALUED AT $130,000 IN FY'23. THIS ALLOWED THE ASSOCIATION TO PROMOTE THE ORGANIZATION'S PROGRAMS AND SERVICES VIA KEYWORDS THROUGH GOOGLE'S SEARCH ENGINE IN AN EFFORT TO ASSIST INDIVIDUALS SEARCHING FOR INFORMATION ONLINE RELATED TO MS.</Desc>
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        <Desc>MSAA RECEIVED THE FOLLOWING AWARDS DURING FY23: APEX AWARD FOR EXCELLENCE FOR THE WINTER/SPRING 2022 EDITION OF THE MOTIVATOR MAGAZINE FEATURING THE COVER STORY, THE THERAPEUTIC VALUE OF THE ARTS; SILVER DIGITAL HEALTH AWARD FOR MSAA'S COVID-19 VACCINES AND MS VIDEO SERIES; MERIT DIGITAL HEALTH AWARD FOR MSAA'S ULTIMATE MS TREATMENT GUIDE; MERIT DIGITAL HEALTH AWARD FOR MSAA'S ART SHOWCASE. IN ADDITION, THERE WERE 413,000 CUMULATIVE VIEWS OF MSAA'S 140 ON-DEMAND VIDEO PROGRAMS, 61,000+ TOTAL CUMULATIVE DOWNLOADS OF MSAA'S MOBILE APP, MY MS MANAGER, 4,200 TOTAL DOWNLOADS OF EPISODES OF MSAA'S PODCAST AND MORE THAN 8,300 CUMULATIVE MEMBERS OF MY MSAA COMMUNITY, MSAA'S ONLINE PEER TO PEER FORUM.</Desc>
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        <Desc>IN 2022, MSAA RELEASED THE ULTIMATE MS TREATMENT GUIDE, A FIRST OF ITS KIND REFERENCE TOOL THAT AIDES THOSE LIVING WITH MS, THEIR LOVED ONES, AND COMMUNITY NEUROLOGISTS IN BETTER UNDERSTANDING THE WIDE ARRAY OF DISEASE MODIFYING THERAPIES AVAILABLE TO THE MS COMMUNITY. THE ULTIMATE MS TREATMENT GUIDE IS FULLY INTERACTIVE AND ALLOWS USERS TO FILTER AVAILABLE THERAPY OPTIONS BY TYPE OF MS, HOW IT'S TAKEN, AND BY DATE APPROVED BY THE FDA. THE ULTIMATE MS TREATMENT GUIDE ALSO INCLUDES IN-DEPTH TESTIMONIALS FROM LEADING MS SPECIALISTS AND PATIENT ADVOCATES ON EACH OF ITS PAGES, AS WELL AS A COMPARISON TOOL, ALLOWING A USER TO DIRECTLY COMPARE UP TO THREE MS THERAPIES AT ONE TIME.</Desc>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARRY A SINGER MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC K BOSSARD</PersonNm>
        <TitleTxt>VICE CHAIRPERSON</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WENDY B SCOTT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL LUBBEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARTHA BAIRD SENTURIA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL SCHOENHAUT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELLY WATERS</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW WOO MD PHD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIAN GAMBOA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER SHIRLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AUDREY ALLSOPP</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANN BAIRD BISHOP</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GINA R MURDOCH</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>297133</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37741</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREA GRIFFIN</PersonNm>
        <TitleTxt>VP OF COMMUNICATIONS &amp; MARKETING</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>146390</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15403</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMANDA MONTAGUE</PersonNm>
        <TitleTxt>CHIEF MISSION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>178178</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18597</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA MOONEY</PersonNm>
        <TitleTxt>VP OF DEVELOPMENT (ENDED 06/30)</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>149643</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22870</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KYLE PINION</PersonNm>
        <TitleTxt>VP OF MISSION DELIVERY (ENDED 12/22)</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>114400</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11967</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>885744</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>106578</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RKD GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>35 PARKWOOD DRIVE SUITE 160</AddressLine1Txt>
            <CityNm>HOPKINTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01748</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIRECT MAIL</ServicesDesc>
        <CompensationAmt>1276040</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IMPACT EDUCATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>589 SKIPPACK PIKE SUITE 200</AddressLine1Txt>
            <CityNm>BLUE BELL</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19422</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DEVELOPMENT OF WEB BASED PROGRAMS FOR H</ServicesDesc>
        <CompensationAmt>290375</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SEQSTER PDM INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7310 MIRAMAR RD</AddressLine1Txt>
            <CityNm>SAN DIEGO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92126</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE DEVELOPMENT</ServicesDesc>
        <CompensationAmt>200916</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ADSTRA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>750 COLLEGE RD EAST SUITE 201</AddressLine1Txt>
            <CityNm>PRINCETON</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08540</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIRECT MAIL</ServicesDesc>
        <CompensationAmt>187802</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLEGIANCE GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3064 49TH STREET S</AddressLine1Txt>
            <CityNm>FARGO</CityNm>
            <StateAbbreviationCd>ND</StateAbbreviationCd>
            <ZIPCd>58104</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIGITAL FUNDRAISING</ServicesDesc>
        <CompensationAmt>172266</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>43526</FederatedCampaignsAmt>
      <FundraisingAmt>632407</FundraisingAmt>
      <AllOtherContributionsAmt>7363424</AllOtherContributionsAmt>
      <NoncashContributionsAmt>43606</NoncashContributionsAmt>
      <TotalContributionsAmt>8039357</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>104564</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>104564</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>104564</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>141631</TotalRevenueColumnAmt>
        <ExclusionAmt>141631</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>5092858</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>5170456</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-77598</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-77598</TotalRevenueColumnAmt>
        <ExclusionAmt>-77598</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>337442</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>632407</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>346428</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-8986</TotalRevenueColumnAmt>
        <ExclusionAmt>-8986</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>ADVERTISING</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>64261</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>64261</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>64261</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8263229</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>104564</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>64261</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>55047</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>781650</TotalAmt>
        <ProgramServicesAmt>781650</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>936835</TotalAmt>
        <ProgramServicesAmt>594111</ProgramServicesAmt>
        <ManagementAndGeneralAmt>219646</ManagementAndGeneralAmt>
        <FundraisingAmt>123078</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1432622</TotalAmt>
        <ProgramServicesAmt>797979</ProgramServicesAmt>
        <ManagementAndGeneralAmt>529119</ManagementAndGeneralAmt>
        <FundraisingAmt>105524</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>39418</TotalAmt>
        <ProgramServicesAmt>21666</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14968</ManagementAndGeneralAmt>
        <FundraisingAmt>2784</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>301633</TotalAmt>
        <ProgramServicesAmt>170450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117469</ManagementAndGeneralAmt>
        <FundraisingAmt>13714</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>188812</TotalAmt>
        <ProgramServicesAmt>112892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57295</ManagementAndGeneralAmt>
        <FundraisingAmt>18625</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>72632</TotalAmt>
        <ProgramServicesAmt>70686</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1354</ManagementAndGeneralAmt>
        <FundraisingAmt>592</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>37247</TotalAmt>
        <ProgramServicesAmt>24668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8752</ManagementAndGeneralAmt>
        <FundraisingAmt>3827</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>57133</TotalAmt>
        <FundraisingAmt>57133</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>31179</TotalAmt>
        <ProgramServicesAmt>20649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7326</ManagementAndGeneralAmt>
        <FundraisingAmt>3204</FundraisingAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>398651</TotalAmt>
        <ProgramServicesAmt>210860</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13269</ManagementAndGeneralAmt>
        <FundraisingAmt>174522</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>947</TotalAmt>
        <ProgramServicesAmt>627</ProgramServicesAmt>
        <ManagementAndGeneralAmt>223</ManagementAndGeneralAmt>
        <FundraisingAmt>97</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>51267</TotalAmt>
        <ProgramServicesAmt>34379</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11750</ManagementAndGeneralAmt>
        <FundraisingAmt>5138</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>129204</TotalAmt>
        <ProgramServicesAmt>89917</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27334</ManagementAndGeneralAmt>
        <FundraisingAmt>11953</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>19430</TotalAmt>
        <ProgramServicesAmt>11143</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6200</ManagementAndGeneralAmt>
        <FundraisingAmt>2087</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>154849</TotalAmt>
        <ProgramServicesAmt>133023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15186</ManagementAndGeneralAmt>
        <FundraisingAmt>6640</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>36781</TotalAmt>
        <ProgramServicesAmt>24359</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8643</ManagementAndGeneralAmt>
        <FundraisingAmt>3779</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>75775</TotalAmt>
        <ProgramServicesAmt>46267</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23026</ManagementAndGeneralAmt>
        <FundraisingAmt>6482</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>28195</TotalAmt>
        <ProgramServicesAmt>18673</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6625</ManagementAndGeneralAmt>
        <FundraisingAmt>2897</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PRINTING</Desc>
        <TotalAmt>1057416</TotalAmt>
        <ProgramServicesAmt>245083</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39326</ManagementAndGeneralAmt>
        <FundraisingAmt>773007</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT ASSISTANCE</Desc>
        <TotalAmt>975590</TotalAmt>
        <ProgramServicesAmt>975590</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>POSTAGE</Desc>
        <TotalAmt>846668</TotalAmt>
        <ProgramServicesAmt>205005</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31474</ManagementAndGeneralAmt>
        <FundraisingAmt>610189</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DIRECT MAIL COST</Desc>
        <TotalAmt>506988</TotalAmt>
        <ProgramServicesAmt>116754</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18892</ManagementAndGeneralAmt>
        <FundraisingAmt>371342</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>210862</TotalAmt>
        <ProgramServicesAmt>107476</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25402</ManagementAndGeneralAmt>
        <FundraisingAmt>77984</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>8371784</TotalAmt>
        <ProgramServicesAmt>4813907</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1183279</ManagementAndGeneralAmt>
        <FundraisingAmt>2374598</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <JointCostsInd>X</JointCostsInd>
      <TotalJointCostsGrp>
        <TotalAmt>2406686</TotalAmt>
        <ProgramServicesAmt>554234</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89680</ManagementAndGeneralAmt>
        <FundraisingAmt>1762772</FundraisingAmt>
      </TotalJointCostsGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>61298</BOYAmt>
        <EOYAmt>47861</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2194813</BOYAmt>
        <EOYAmt>1345671</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>103361</BOYAmt>
        <EOYAmt>164892</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>202759</BOYAmt>
        <EOYAmt>167215</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1566408</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>493173</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1145235</BOYAmt>
        <EOYAmt>1073235</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>4248564</BOYAmt>
        <EOYAmt>5525200</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>7956030</BOYAmt>
        <EOYAmt>8324074</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>577861</BOYAmt>
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      <LicensedStatesCd>AR</LicensedStatesCd>
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      <LicensedStatesCd>MA</LicensedStatesCd>
      <LicensedStatesCd>MD</LicensedStatesCd>
      <LicensedStatesCd>ME</LicensedStatesCd>
      <LicensedStatesCd>MI</LicensedStatesCd>
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      <LicensedStatesCd>MS</LicensedStatesCd>
      <LicensedStatesCd>NC</LicensedStatesCd>
      <LicensedStatesCd>NH</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NM</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
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      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <CarsAndOtherVehiclesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>26</ContributionCnt>
        <NoncashContributionsRptF990Amt>43606</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>PROCEEDS FROM AUCTION</MethodOfDeterminingRevenuesTxt>
      </CarsAndOtherVehiclesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ONCE THE ASSOCIATION'S INDEPENDENT AUDITING FIRM COMPLETES THE FEDERAL FORM 990, THE ACCOUNTING DEPARTMENT VERIFIES THE ACCURACY OF THE NUMBERS. THE FEDERAL FORM 990 IS THEN SENT TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENTS. THE BOARD OF DIRECTORS HAS DESIGNATED THE AUDIT COMMITTEE TO HAVE THE FINAL APPROVAL BEFORE THE FEDERAL FORM 990 IS ELECTRONICALLY FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS ADMINISTERED BY THE BOARD OF DIRECTORS. ON AN ANNUAL BASIS, BOARD OF DIRECTORS, OFFICERS AND SENIOR STAFF DESIGNATED BY THE PRESIDENT AND CEO MUST CERTIFY THAT THEY ARE IN COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ANNUALLY, ALL OTHER EMPLOYEES RECEIVE A COPY OF THE POLICY FOR THEIR REVIEW. IF AN INCIDENT ARISES ABOUT A CONFLICT, IT WILL BE REFERRED TO THE BOARD OF DIRECTORS TO DETERMINE IF A CONFLICT HAS OCCURRED. ALL EMPLOYEES ARE ENCOURAGED TO BRING TO THE ATTENTION OF THE PRESIDENT AND CEO IF ANY ISSUE OF A CONFLICT OF INTEREST HAS OCCURRED. WHEN A COVERED PERSON BECOMES AWARE OF A PROPOSED OR EXISTING COVERED TRANSACTION, HE OR SHE SHALL HAVE A DUTY TO TAKE THE FOLLOWING ACTIONS: (1) IMMEDIATELY DISCLOSE THE EXISTENCE AND CIRCUMSTANCES OF SUCH COVERED TRANSACTION TO THE CHAIRPERSON OR, IN THE CASE OF AN EMPLOYEE, TO THE PRESIDENT AND CEO. (2) REFRAIN FROM USING HIS OR HER PERSONAL INFLUENCE TO ENCOURAGE THE ASSOCIATION TO ENTER INTO THE COVERED TRANSACTION AND (3) PHYSICALLY RECUSE HIMSELF OR HERSELF FROM PARTICIPATION IN ANY DISCUSSIONS REGARDING THE COVERED TRANSACTION WITH DIRECTORS, OFFICERS AND/OR EMPLOYEES OF THE ASSOCIATION AND AT MEETINGS OF THE BOARD OF DIRECTORS, EXCEPT TO RESPOND TO REQUESTS FOR INFORMATION ABOUT THE COVERED TRANSACTION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL COMPENSATION IS REVIEWED BASED ON SEVERAL FACTORS INCLUDING: JOB PERFORMANCE, INFLATION, BUDGETARY CONSIDERATIONS AND SURVEY OF THE MARKET. THE PRESIDENT AND CEO'S COMPENSATION IS BASED UPON SIMULAR CRITERIA AND IN ADDITION AN OUTSIDE CONSULTANT WAS ENGAGED DURING THE FISCAL YEAR TO ASSURE PROPER ALIGNMENT WITH THE MARKET. FINAL APPROVAL RESTS WITH THE BOARD OF DIRECTORS AND COMPENSATION COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, FEDERAL FORM 1023, AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FEDERAL FORM 990 IS POSTED ON THE ASSOCIATION'S WEBSITE. THE ANNUAL SUMMARY OF THE ASSOCIATION'S PROGRAMS AND FINANCES ARE PUBLISHED IN AN ANNUAL REPORT WHICH IS DISTRIBUTED TO MAJOR DONORS, CORPORATE SPONSORS, FOUNDATIONS, AND THE GENERAL PUBLIC AND IS ALSO POSTED ON OUR WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
