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      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>510070</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>545327</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>666221</CurrentYearMinus1Amt>
        <CurrentYearAmt>665170</CurrentYearAmt>
        <TotalAmt>2386788</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>3580182</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>120345</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>115419</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>116362</CurrentYearMinus1Amt>
        <CurrentYearAmt>87336</CurrentYearAmt>
        <TotalAmt>439462</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>127518</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>136322</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>166555</CurrentYearMinus1Amt>
        <CurrentYearAmt>166293</CurrentYearAmt>
        <TotalAmt>596688</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>895032</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus3Amt>36118</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>31797</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>32318</CurrentYearMinus1Amt>
        <CurrentYearAmt>18289</CurrentYearAmt>
        <TotalAmt>118522</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>7807469</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-244740</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>136660</OtherRevenueAmt>
      <RevenueNotReportedAmt>-108080</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>7915549</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>7915549</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10477104</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>136660</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>136660</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>10340444</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>10340444</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF SALES REPORTED AS A REDUCTION OF REVENUE ON THE FORM 990 136,660.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF SALES REPORTED AS A REDUCTION OF REVENUE ON THE FORM 990 136,660.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOSPICE MEDICAL DIRECTOR CERTIFICATION BOARD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8735 W HIGGINS RD</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60631</ZIPCd>
        </USAddress>
        <CashGrantAmt>100000</CashGrantAmt>
        <PurposeOfGrantTxt>GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF NORTH CAROLINA HOSPITALS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>101 MANNING DRIVE</AddressLine1Txt>
          <CityNm>CHAPEL HILL</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27514</ZIPCd>
        </USAddress>
        <CashGrantAmt>40000</CashGrantAmt>
        <PurposeOfGrantTxt>HO CHIANG GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>INTERNATIONAL SCHOLARS</GrantTypeTxt>
        <RecipientCnt>12</RecipientCnt>
        <CashGrantAmt>19291</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HEARST LEADERSHIP AWARDS</GrantTypeTxt>
        <RecipientCnt>6</RecipientCnt>
        <CashGrantAmt>15000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES A SIGNED GRANT AGREEMENT FROM AWARDEES AND A FINAL REPORT FOLLOWING THE ACADEMIC YEAR IN WHICH THE FUNDS ARE USED CONFIRMING HOW THE FUNDS WERE SPENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CONTRACTS WITH A MANAGEMENT COMPANY, ASSOCIATION MANAGEMENT CENTER (AMC), TO PROVIDE OFFICE FACILITIES, MANAGEMENT, ACCOUNTING, STAFFING AND SUPPORT SERVICES. THE ORGANIZATION'S MANAGEMENT FEE IS COMPARED TO DATA FROM THE AMERICAN SOCIETY OF ASSOCIATION EXECUTIVES (ASAE) BENCHMARKING SERIES PUBLICATION - OPERTAING RATIO REPORT. THE FEES ARE APPROVED DURING THE ANNUAL BUDGETING PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP IS AVAILABLE WITH SPECIFIED MEMBER BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS ELECT GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY DECISIONS SUBJECT TO MEMBER APPROVAL AS STATED IN BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 MADE AVAILABLE TO FINANCE COMMITTEE AND BOARD OF DIRECTORS PRIOR TO FILING AS DIRECTED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>UPDATES REQUESTED PRIOR TO EVERY BOARD MEETING. AGENDA OF EVERY MEETING INCLUDES PRESENTATION OF DISCLOSURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS NO EMPLOYEES. IT OUTSOURCES STAFF FUNCTIONS TO AN ASSOCIATION MANAGEMENT COMPANY. THE MANAGEMENT COMPANY COMPETITIVELY COMPENSATES THE STAFF THAT PROVIDES THE SERVICE. THE MANAGEMENT COMPANY EVALUATES COMPENSATION BASED UPON SURVEYS AND REVIEWS OF INDUSTRY BENCHMARK DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. THE FORM 990 IS ALSO AVAILABLE ON GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING: PROGRAM SERVICE EXPENSES 3,170,208. MANAGEMENT AND GENERAL EXPENSES 39,175. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,209,383.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
