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      <OtherExpensesGrp>
        <Desc>EMERGENCE EXPENSES</Desc>
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        <ProgramServicesAmt>22364</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>SUBSCRIPTION SOFTWARE &amp; OTHE</Desc>
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      <TotalFunctionalExpensesGrp>
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        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>321561</EOYAmt>
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        <EOYAmt>1048110</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>41189</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>2815600</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>2164363</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>4023</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1680816</BOYAmt>
        <EOYAmt>2430706</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrgDoesNotFollowFASB117Ind>X</OrgDoesNotFollowFASB117Ind>
      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>646484</BOYAmt>
        <EOYAmt>384894</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>646484</BOYAmt>
        <EOYAmt>384894</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2327300</BOYAmt>
        <EOYAmt>2815600</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-166862</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-94728</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>4260103</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1154724</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1288075</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1447050</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1579082</CurrentTaxYearAmt>
        <TotalAmt>9729034</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>277574</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>223034</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>570332</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1139502</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1649848</CurrentTaxYearAmt>
        <TotalAmt>3860290</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>4537677</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1377758</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1858407</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2586552</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3228930</CurrentTaxYearAmt>
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      </Total509Grp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>13589324</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>110</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>178</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>212</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2440</CurrentTaxYearAmt>
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      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>110</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>178</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>212</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2440</CurrentTaxYearAmt>
        <TotalAmt>3463</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>1377868</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1858585</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2586764</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3231370</CurrentTaxYearAmt>
        <TotalAmt>13592787</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99970</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99990</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleJ documentId="990J">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROLE FISHER</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Unrelated organization compensation (Part II - officer info)</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESIDENT OF THE ORGANIZATION RECEIVED COMPENSATION FROM HEALTHSPERIEN LLC BASED ON THE TERMS OUTLINED IN THE MASTER SERVICE AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="990L">
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        <NameOfInterested>
          <PersonNm>HEALTHSPERIEN LLC</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CONTRACTUAL RELATIONSHIP MSA</RelationshipDescriptionTxt>
        <TransactionAmt>1582471</TransactionAmt>
        <TransactionDesc>MASTER SERVICE AGREEMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Management duties delegation Part VI line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS MANAGED BY HEALTHSPERIEN LLC UNDER THE MASTER SERVICEAGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWED ELECTRONICALLY AND AT GENERAL BOARD MEETING BY MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>INDEPENDER HR PROFESSIONALS REVIEWED THE COMPENSATION PACKAGE OF THEORGANIZATIONS TOP MANAGEMENT AND CONCLUDED THAT SALARIES WERE WITHIN ARANGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS LISTED ON LINE 19 ARE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>