<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2020v4.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2022-04-14T09:11:50-05:00</ReturnTs>
    <TaxPeriodEndDt>2021-05-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>420714325</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>RSM US LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>30 S Wacker Drive Ste 3300</AddressLine1Txt>
        <CityNm>Chicago</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>60606</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2020-06-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>362318336</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Healthcare Financial Management</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>Association</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>HEAL</BusinessNameControlTxt>
      <PhoneNum>7085319600</PhoneNum>
      <USAddress>
        <AddressLine1Txt>3 Westbrook Corporate Center No 6</AddressLine1Txt>
        <CityNm>Westchester</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>60154</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Joseph Fifer</PersonNm>
      <PersonTitleTxt>President &amp; CEO</PersonTitleTxt>
      <PhoneNum>7085319600</PhoneNum>
      <SignatureDt>2022-04-13</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>Joseph</PersonFirstNm>
        <PersonLastNm>Fifer</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Rebekuh Eley</PreparerPersonNm>
      <PTIN>P01247672</PTIN>
      <PhoneNum>3126343400</PhoneNum>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>2</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2020</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="5">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>Joseph Fifer</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>3 Westbrook Corporate Center No 600</AddressLine1Txt>
        <CityNm>Westchester</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>60154</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>21177415</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <GroupExemptionNum>1995</GroupExemptionNum>
      <Organization501cInd organization501cTypeTxt="6">X</Organization501cInd>
      <WebsiteAddressTxt>www.hfma.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1957</FormationYr>
      <LegalDomicileStateCd>IL</LegalDomicileStateCd>
      <ActivityOrMissionDesc>Leading the financial management of health care.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>14</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>13</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>92</TotalEmployeeCnt>
      <TotalVolunteersCnt>1500</TotalVolunteersCnt>
      <TotalGrossUBIAmt>2254870</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>641746</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>0</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>0</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>17678682</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>17322382</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>336028</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1346079</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>3566447</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>2508954</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>21581157</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>21177415</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>15128418</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>13251733</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>7704243</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>6163093</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>22832661</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>19414826</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-1251504</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>1762589</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>18930478</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>20881092</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>16888298</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>16013736</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>2042180</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>4867356</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>Leading the financial management of health care</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <Desc>Membership - Healthcare Financial Management Association's (HFMA) goal is to improve the financial management of US healthcare institutions and related healthcare organizations through fostering knowledge and proficiency, providing a forum for exchange of ideas and best practices, strengthening cooperation among those in the profession, and establishing and promulgating principles of practice and standards of performance. Through 64 chapters and 11 regions, HFMA's 72,000 members have opportunities for education, sharing of common experiences, and keeping up to date on legislative and regulatory changes. These venues also provide for networking exchanges that build relationships that further professional careers and create personal, long-lasting friendships that span the US geography.</Desc>
      <ProgSrvcAccomActy2Grp>
        <Desc>HFMA publishes monthly magazines and e-newsletters that are shared not only with the 72,000-member base but with other industry professionals, circulation for some periodicals reaching 40,000. The publications contain articles and information related to recent governmental rule changes and those under consideration, current events, real life best practice examples and hot topics facing the industry. E-newsletters are circulated to registered members.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <Desc>Certification and Education - The Healthcare Financial Management Association (HFMA) helps its members-both individuals and organizations-achieve optimal performance by providing the practical tools and solutions, education, industry analyses, and strategic guidance needed to address the many challenges that exist within the US healthcare system. HFMA advances the profession and industry by providing relevant education and professional development opportunities, offering specialized certifications in revenue cycle, accounting and finance, business intelligence, managed care, and physician practice management. HFMA also provides educational content via webinars, virtual experiences and custom content.</Desc>
      </ProgSrvcAccomActy3Grp>
      <DescribedInSection501c3Ind>0</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>0</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">1</TransactionWithControlEntInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>50</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>92</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>1</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>14</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>13</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>1</LocalChaptersInd>
      <PoliciesReferenceChaptersInd>1</PoliciesReferenceChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>0</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>Steve S Saldivar</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>7085319600</PhoneNum>
        <USAddress>
          <AddressLine1Txt>3 Westbrook Corporate Center No 600</AddressLine1Txt>
          <CityNm>Westchester</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60154</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <InfoInScheduleOPartVIIInd>X</InfoInScheduleOPartVIIInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph J Fifer</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>761662</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>326427</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>107837</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael M Allen</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.40</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tammie L Galindez</PersonNm>
        <TitleTxt>Chair-Elect</TitleTxt>
        <AverageHoursPerWeekRt>3.60</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.40</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Aaron Crane</PersonNm>
        <TitleTxt>National Secretary</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dennis E Dahlen</PersonNm>
        <TitleTxt>National Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Abby Birch</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Colleen M Blye</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James L Heffernan</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cindy Price</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffery T O'Malley</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maureen A Clancy</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Margaret L Schuler</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mimi Taylor</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Matthew E Cox</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rick L Gundling</PersonNm>
        <TitleTxt>SVP Healthcare Financial Practices</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>237337</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>101716</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>72171</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Brenkus</PersonNm>
        <TitleTxt>SVP People &amp; Culture (Until 12/20)</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>221900</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>95100</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30693</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joyce Zimowski</PersonNm>
        <TitleTxt>SVP/CFO</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>214774</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>92046</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21632</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Mirabelli</PersonNm>
        <TitleTxt>SVP Content Strategy and Delivery</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>196083</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>84035</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32273</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Casey</PersonNm>
        <TitleTxt>SVP Business Development</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>185367</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>79443</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>62679</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Garth Jordan</PersonNm>
        <TitleTxt>SVP Corporate Strategy (Until 08/20)</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>216943</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>92975</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68751</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Suchita Nagale</PersonNm>
        <TitleTxt>VP, IT (Until 09/20)</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>146457</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>62768</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36159</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Lucas</PersonNm>
        <TitleTxt>Director, Channel Assets</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>224933</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>96400</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17393</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Vincent Lynn</PersonNm>
        <TitleTxt>Enterprise Account Executive</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>215145</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>92205</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27994</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Todd Nelson</PersonNm>
        <TitleTxt>Director, Partner Relationship</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>163366</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>70014</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30726</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Charles Alsdurf</PersonNm>
        <TitleTxt>Director, HFP</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>143499</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>61500</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27207</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Schellenbeg</PersonNm>
        <TitleTxt>Account Excecutive</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>128492</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>55068</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27203</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3055958</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1309697</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>562718</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>40</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>The Cicero Group LP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>35 N Rio Grande</AddressLine1Txt>
            <CityNm>Salt Lake City</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting Services</ServicesDesc>
        <CompensationAmt>385000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Taylor Corporation</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>625 N Washington St</AddressLine1Txt>
            <CityNm>Alexandria</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22314</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Telemarketing Services</ServicesDesc>
        <CompensationAmt>383469</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CVent Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1765 Greensboro Station Place</AddressLine1Txt>
            <CityNm>Tysons Corner</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT Services</ServicesDesc>
        <CompensationAmt>321515</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Meridian Technology Solutions</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2210 Midwest Road</AddressLine1Txt>
            <CityNm>Oak Brook</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60523</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT Services</ServicesDesc>
        <CompensationAmt>297555</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLD Associates Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1171 S Prairie Ave</AddressLine1Txt>
            <CityNm>Lake Forest</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60045</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Advertising/Sales</ServicesDesc>
        <CompensationAmt>282272</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>17</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>Membership Dues</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>9567166</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9567166</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Publications</Desc>
        <BusinessCd>511120</BusinessCd>
        <TotalRevenueColumnAmt>2323221</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>68351</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>2254870</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Benchmarking and Metrics</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>1902484</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1902484</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Sponsorships</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>1882638</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1882638</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Peer Review</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1125325</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1125325</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>521548</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>252560</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>268988</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>17322382</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>331708</TotalRevenueColumnAmt>
        <ExclusionAmt>331708</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1014371</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1014371</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1014371</TotalRevenueColumnAmt>
        <ExclusionAmt>1014371</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>Reimbursement of Shared Services</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2077954</TotalRevenueColumnAmt>
        <ExclusionAmt>2077954</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Employee Retention Credit</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>431000</TotalRevenueColumnAmt>
        <ExclusionAmt>431000</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2508954</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>21177415</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14798524</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>2254870</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4124021</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1645832</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9936029</TotalAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>255260</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>784970</TotalAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>629642</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>35000</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>76757</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>17822</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1622815</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>505588</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>672189</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>549121</TotalAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>663452</TotalAmt>
      </OccupancyGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>462500</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>142085</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Membership Model</Desc>
        <TotalAmt>862663</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UBI Taxes</Desc>
        <TotalAmt>218750</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bad Debt Expense</Desc>
        <TotalAmt>195876</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Subscriptions</Desc>
        <TotalAmt>111715</TotalAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>26760</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>19414826</TotalAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1964427</BOYAmt>
        <EOYAmt>2253351</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>555924</BOYAmt>
        <EOYAmt>227191</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1688528</BOYAmt>
        <EOYAmt>1805381</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>468025</BOYAmt>
        <EOYAmt>841709</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>5713006</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4571877</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1603628</BOYAmt>
        <EOYAmt>1141129</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>11283491</BOYAmt>
        <EOYAmt>13320006</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1366455</BOYAmt>
        <EOYAmt>1292325</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>18930478</BOYAmt>
        <EOYAmt>20881092</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>6915458</BOYAmt>
        <EOYAmt>4102219</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>8327955</BOYAmt>
        <EOYAmt>8604653</EOYAmt>
      </DeferredRevenueGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>1901680</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1644885</BOYAmt>
        <EOYAmt>1405184</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>16888298</BOYAmt>
        <EOYAmt>16013736</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2042180</BOYAmt>
        <EOYAmt>4867356</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2042180</BOYAmt>
        <EOYAmt>4867356</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>18930478</BOYAmt>
        <EOYAmt>20881092</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1762589</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1062587</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>372501</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>331759</DepreciationAmt>
        <BookValueAmt>40742</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5340505</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4240118</DepreciationAmt>
        <BookValueAmt>1100387</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1141129</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Investments Held for Deferred Compensation</Desc>
        <BookValueAmt>1245830</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Investment in Subsidiary</Desc>
        <BookValueAmt>46495</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1292325</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Compensation Liability</Desc>
        <Amt>1245830</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Lease Obligation</Desc>
        <Amt>159354</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1405184</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HFMA is exempt from federal income taxes under Section 501(c)(6) of the Internal Revenue Code. HFMA is subject to taxes on unrelated business income, which is generally HFMA's advertising revenue. Income tax expense associated with unrelated business income is reflected within the taxes expense line item on the consolidated statements of activities. The Association follows the provisions of the Accounting for Uncertainty in Income Taxes section of the Income Taxes Topic of the Codification, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under this guidance, the Association may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Association and various positions related to the potential sources of unrelated business income (UBI). The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. This guidance on accounting for uncertainty in income taxes also addresses de-recognition, classification, interest and penalties on income taxes and accounting in interim periods. As of May 31, 2021 and 2020, the Association has no liability for unrecognized tax benefits. HFMA files Form 990 in the U.S. federal jurisdiction.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <FirstClassOrCharterTravelInd>X</FirstClassOrCharterTravelInd>
      <TravelForCompanionsInd>X</TravelForCompanionsInd>
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph J Fifer</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>406073</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>174031</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>355589</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>152396</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>58495</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>25069</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16991</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7282</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>837148</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>358778</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>337461</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>144626</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rick L Gundling</PersonNm>
        <TitleTxt>SVP Healthcare Financial Practices</TitleTxt>
        <BaseCompensationFilingOrgAmt>213470</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>91487</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>23867</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>10229</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>33376</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>14304</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17144</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7347</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>287857</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>123367</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>21769</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>9330</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Garth Jordan</PersonNm>
        <TitleTxt>SVP Corporate Strategy (Until 08/20)</TitleTxt>
        <BaseCompensationFilingOrgAmt>164274</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>70403</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>52669</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>22572</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>36788</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15766</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11338</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>4859</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>265069</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>113600</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>26808</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>11489</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Susan Brenkus</PersonNm>
        <TitleTxt>SVP People &amp; Culture (Until 12/20)</TitleTxt>
        <BaseCompensationFilingOrgAmt>200347</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>85863</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>21553</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>9237</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9285</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3979</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12200</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5229</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>243385</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>104308</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>18910</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>8104</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Lucas</PersonNm>
        <TitleTxt>Director, Channel Assets</TitleTxt>
        <BaseCompensationFilingOrgAmt>224464</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>96199</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>469</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>201</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4837</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2073</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7338</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3145</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>237108</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>101618</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Vincent Lynn</PersonNm>
        <TitleTxt>Enterprise Account Executive</TitleTxt>
        <BaseCompensationFilingOrgAmt>215058</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>92168</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>87</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>37</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2698</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1156</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16898</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7242</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>234741</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>100603</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joyce Zimowski</PersonNm>
        <TitleTxt>SVP/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>188898</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>80956</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25876</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>11090</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9185</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3936</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5958</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2553</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>229917</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>98535</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Casey</PersonNm>
        <TitleTxt>SVP Business Development</TitleTxt>
        <BaseCompensationFilingOrgAmt>166276</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>71261</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>19091</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>8182</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26864</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11513</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17011</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7291</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>229242</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>98247</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>18227</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>7812</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Mirabelli</PersonNm>
        <TitleTxt>SVP Content Strategy and Delivery</TitleTxt>
        <BaseCompensationFilingOrgAmt>177066</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>75885</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>19017</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>8150</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7450</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3193</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15141</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6489</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>218674</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>93717</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Todd Nelson</PersonNm>
        <TitleTxt>Director, Partner Relationship</TitleTxt>
        <BaseCompensationFilingOrgAmt>149453</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>64051</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>13913</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>5963</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7268</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3115</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14240</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6103</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>184874</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>79232</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>13430</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>5756</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Suchita Nagale</PersonNm>
        <TitleTxt>VP, IT (Until 09/20)</TitleTxt>
        <BaseCompensationFilingOrgAmt>143191</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>61368</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3266</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1400</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25043</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10733</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>268</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>115</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>171768</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>73616</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>2877</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>1233</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Charles Alsdurf</PersonNm>
        <TitleTxt>Director, HFP</TitleTxt>
        <BaseCompensationFilingOrgAmt>143310</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>61419</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>189</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>81</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6885</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2951</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12160</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5211</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>162544</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>69662</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Schellenbeg</PersonNm>
        <TitleTxt>Account Excecutive</TitleTxt>
        <BaseCompensationFilingOrgAmt>127679</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>54720</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>813</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>348</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3220</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1380</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15822</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6781</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>147534</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>63229</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>HFMA allows for first class travel as business expenses for the CEO and Board Chair to attend meetings related to HFMA business. The business expenses were treated as nontaxable to the individuals. Companion travel is allowed for the spouse or significant other of the CEO or Board Chair twice per year (Board Retreat and Annual Conference). This is not treated as taxable to the individual. HFMA paid for health club fees on behalf of the CEO, which is included in taxable compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals received contributions to their supplemental non-qualified retirement plan in 2020: William Casey $26,589 Joseph Fifer $65,901 Rick L. Gundling $33,765 Garth Jordan $38,496 Suchita Nagale $25,645 The following individuals received payouts from their supplemental non-qualified retirement plan in 2020: Susan Brenkus $27,015 William Casey $26,039 Joseph Fifer $197,803 Rick L. Gundling $31,099 Todd Nelson $19,186 Garth Jordan $38,297 Suchita Nagale $4,110 Joyce Zimowski $29,382 (paid for amounts contributed in 2020) Mary Mirabelli $60,641 ($24,007 is related to amounts paid for contributions in 2020)</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has three classes of members: Regular member, National Life member, and a Student member. Each Regular member and National Life member shall be entitled to one vote on each matter submitted to a vote of the members. Student members shall have no voting rights.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>A majority of the qualified members voting at each annual meeting shall elect the officers and directors of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to voting for officers and directors, and approving amendments to the bylaws, as provided under the HFMA bylaws, qualified HFMA members, by virtue of Illinois law, would be required to approve any decision by the board of directors to engage in the following corporate transactions: merger or consolidation; dissolution; the sale, lease, exchange of assets other than in the usual course of business; and amendment of the articles of incorporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors has delegated responsibility for governance's review of the Form 990 to the Secretary/Treasurer who serves as a member of the Board of Directors, as a member of the Executive Committee and Chair of the Audit and Finance Committee. Members of the Board of Directors are provided with copies of the returns prior to the returns being filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>HFMA has a formal Board policy which directs the review and affirmation of the organization's Conflict of Interest policy and related guidelines. The policy is provided to new board members every three years.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>HFMA uses an annual formal process for determining the annual compensation for the President/CEO and business executives. This process includes: use of independent outside business consultants; review and approval by a governing body or compensation committee; use and reference of compensation data for comparison of similar qualified professionals in functionally comparable positions at similarly situated organizations; contemporaneous documentation and record keeping with respect to deliberations and decision regarding the compensation arrangement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization disclosed its IRS Form 990 tax documents and audited financial statements on its official HFMA website - www.HFMA.org. Copies of IRS Form 990 are supplied to outside inquiries upon request. The organization also makes its Constitution, Bylaws, Code of Ethics and Mission statements available on its official website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A:</FormAndLineReferenceDesc>
        <ExplanationTxt>Reportable compensation in columns (D) and (E) is paid from a common paymaster, Healthcare Financial Management Association (EIN: 36-2318336). The compensation attributed to services for the filing organization is allocated to column (D).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association Educational Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3 Westbrook Corp Center Suite 600</AddressLine1Txt>
          <CityNm>Westchester</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60154</ZIPCd>
        </USAddress>
        <EIN>362544491</EIN>
        <PrimaryActivitiesTxt>Foster/Increase financial management knowledge through education</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HFMA Learning Solutions Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3 Westbrook Corporate Center Suite</AddressLine1Txt>
          <CityNm>Westchester</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60154</ZIPCd>
        </USAddress>
        <EIN>364239827</EIN>
        <PrimaryActivitiesTxt>Education media</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>236033</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association Educational Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>1515511</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association Educational Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>2077954</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Healthcare Financial Management Association Education Foundation is a related organization which is included in another group exemption with subordinate organizations. The Foundation is affiliated with HFMA through common membership of their respective Boards of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
