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        <ManagementAndGeneralAmt>8289</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>967726</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>474250</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>423903</ManagementAndGeneralAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>19443</EOYAmt>
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        <EOYAmt>8766049</EOYAmt>
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        <EOYAmt>189816</EOYAmt>
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        <EOYAmt>475835</EOYAmt>
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        <EOYAmt>665651</EOYAmt>
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        <EOYAmt>7866051</EOYAmt>
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        <EOYAmt>234347</EOYAmt>
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        <EOYAmt>8100398</EOYAmt>
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        <EOYAmt>8766049</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-1044643</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>338738</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-304814</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <SubstantiallyAllDuesNondedInd>0</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>1</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
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        <OtherCostOrOtherBasisAmt>752400</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>729673</DepreciationAmt>
        <BookValueAmt>22727</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>22727</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2738977</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>338738</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-304814</OtherRevenueAmt>
      <RevenueNotReportedAmt>33924</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2705053</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2705053</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3749696</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3749696</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3749696</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPAIRMENT LOSS -304,814.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AMSN CONTRACTS WITH SMITHBUCKLIN AS ITS ASSOCIATION MANAGEMENT COMPANY (AMC).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AMSN IS A MEMBERSHIP BASED ORGANIZATION WITH 11,930 MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS APPROVE ALL BYLAW CHANGES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS REVIEW THE FORM 990, AND HAVE AN OPPORTUNITY TO ASK QUESTIONS AND PROVIDE COMMENT, AND APPROVE PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REVIEWS BOARD MEMBERS ANNUALLY TO ENSURE THERE IS NO CONFLICT OF INTEREST</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>DEI PROGRAM DEVELOPMENT: PROGRAM SERVICE EXPENSES 152,317. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 152,317. LEGISLATIVE PROGRAM: PROGRAM SERVICE EXPENSES 123,522. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123,522. OTHER EDUCATIONAL EXPENSES: PROGRAM SERVICE EXPENSES 97,678. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 97,678. INTERNET AND WEBSITE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 92,862. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,862. COMPENTENCIES DEVELOPMENT: PROGRAM SERVICE EXPENSES 79,839. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,839. BOARD OF DIRECTORS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 71,049. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,049. BANK CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 52,653. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,653. PROFESSIONAL RELATIONS: PROGRAM SERVICE EXPENSES 51,920. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,920. FULFILLMENT/INFORMATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,496. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,496. AWARDS: PROGRAM SERVICE EXPENSES 9,479. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,479. RESEARCH: PROGRAM SERVICE EXPENSES 300. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 300.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPAIRMENT LOSS -304,814.</ExplanationTxt>
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        <USAddress>
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          <CityNm>PITMAN</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08071</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>CERTIFICATION OF MEDICAL-SURGICAL NURSES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NJ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(6)</ExemptCodeSectionTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
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        <MethodOfAmountDeterminationTxt>ACCRUAL</MethodOfAmountDeterminationTxt>
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