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      <FootnoteTextInd>X</FootnoteTextInd>
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        <ExplanationTxt>THE ORGANIZATION IS ORGANIZED AS A MASSACHUSETTS NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE IRS AS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3). THE ACTION FUND WAS CREATED AS AN ORGANIZATION DESCRIBED UNDER IRS SECTION 501(C)(4) (SOCIAL WELFARE ORGANIZATION) IN ORDER TO ASSIST WITH THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT (ACA). THE ORGANIZATION IS ALSO EXEMPT FROM MASSACHUSETTS STATE TAXES. HOWEVER, THE ORGANIZATION REMAINS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON AND NOT IN FURTHERANCE OF THE PURPOSE FOR WHICH IT WAS GRANTED EXEMPTION. THE ORGANIZATION REGULARLY REVIEWS AND EVALUATES ITS TAX POSITIONS TAKEN IN ITS FILED RETURNS AND RECOGNIZES THE BENEFIT FROM A TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE POSITION WOULD BE SUSTAINED UPON AUDIT BASED SOLELY ON THE TECHNICAL MERITS OF THE TAX POSITION. THE ORGANIZATION FILES FEDERAL AND MASSACHUSETTS TAX RETURNS. THE STATUTE OF LIMITATIONS FOR THESE JURISDICTIONS IS GENERALLY THREE YEARS. THE ORGANIZATION HAS NO RETURNS UNDER EXAMINATION AS OF DECEMBER 31, 2019.</ExplanationTxt>
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        </RecipientBusinessName>
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          <CityNm>WASHINGTON</CityNm>
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          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30303</ZIPCd>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTH ACTION NEW MEXICO</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87109</ZIPCd>
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        <PurposeOfGrantTxt>HEALTH CARE PROGRAM SERVICES</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JANNUS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1607 W JEFFERSON ST</AddressLine1Txt>
          <CityNm>BOISE</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83702</ZIPCd>
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        <PurposeOfGrantTxt>HEALTH CARE PROGRAM SERVICES</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KANSAS ASSOFOR THE MEDICALLY UNDERSERVED</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>TOPEKA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
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      <RecipientTable>
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          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
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          <BusinessNameLine1Txt>MONTANA BUDGET &amp; POLICY CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <StateAbbreviationCd>MT</StateAbbreviationCd>
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      <RecipientTable>
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        </RecipientBusinessName>
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          <CityNm>HELENA</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MOVING NC FORWARD</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>434 FAYETTEVILLE STREET - STE 2020</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27601</ZIPCd>
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        <IRCSectionDesc>501(C)(4)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>HEALTH CARE PROGRAM SERVICES</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEBRASKA APPLESEED CENTER FOR LAW</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68508</ZIPCd>
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        <PurposeOfGrantTxt>HEALTH CARE PROGRAM SERVICES</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>NORTH CAROLINA CHILD</BusinessNameLine1Txt>
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          <AddressLine1Txt>3109 POPLARWOOD COURT SUITE 300</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
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        <PurposeOfGrantTxt>HEALTH CARE PROGRAM SERVICES</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH CAROLINA JUSTICE CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>224 S DAWSON STREET</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
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          <BusinessNameLine1Txt>OKLAHOMA POLICY INSTITUTE</BusinessNameLine1Txt>
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          <CityNm>TULSA</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
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          <BusinessNameLine1Txt>PENNSYLVANIA HEALTH ACCESS NET</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>1501 CHERRY STREET</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19102</ZIPCd>
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        <PurposeOfGrantTxt>HEALTH CARE PROGRAM SERVICES</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNESSEE JUSTICE CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>211 SEVENTH AVE NORTHSTE 100</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37219</ZIPCd>
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        <PurposeOfGrantTxt>HEALTH CARE PROGRAM SERVICES</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UTAH HEALTH POLICY PROJECT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>508 EAST SOUTH TEMPLE SUITE 45</AddressLine1Txt>
          <CityNm>SALT LAKE CITY</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84102</ZIPCd>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>HEALTH CARE PROGRAM SERVICES</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEST VIRGINIANS FOR AFFORDABLEHEALTH CARE</BusinessNameLine1Txt>
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          <AddressLine1Txt>600 LEON SULLIVAN WAY NO 215</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>25301</ZIPCd>
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        <ExplanationTxt>THE ORGANIZATION MONITORS EACH GRANT RECIPIENT AND HAS DEVELOPED BEST PRACTICES THAT INCORPORATE POLICIES, SYSTEMS, AND PROCEDURES FOR PRE-GRANT INQUIRY AND GRANT MONITORING REPORTING SIMILAR TO THE EXPENDITURE RESPONSIBILITY REQUIREMENTS FOR PRIVATE FOUNDATIONS. PROCEDURES VARYING DEPENDING ON THE PURPOSE, SIZE OF GRANT, AND TYPE OF GRANTEE, BUT GOOD DOCUMENTATION IS REQUIRED IN ANY CASE. FOR PRE-GRANT DUE DILIGENCE, THE ORGANIZATION HAS A POLICY SPECIFYING THE TYPES OF GRANTS AND AMOUNTS GIVEN, TYPES OF ORGANIZATIONS THAT QUALIFY, PURPOSES AND ACTIVITIES THAT QUALIFY, TIMELINES, THE APPLICATION AND APPROVAL PROCESS, RESPONSIBLE AND AUTHORIZED PERSONNEL, AND FILE MANAGEMENT AND RETENTION. ONCE A GRANT IS APPROVED, THE ORGANIZATION EXECUTES A GRANT AGREEMENT THAT DESCRIBES THE TERMS OF THE GRANT AND WHAT IS EXPECTED OF THE GRANTEE. IT MAY INCLUDE: O GRANTEE'S RESPONSIBILITIES O GRANTEE'S REPORTING REQUIREMENTS O GRANTOR'S RESPONSIBILITIES O AMOUNT OF THE GRANT AND PAYMENT SCHEDULE, INCLUDING PURPOSE OF GRANT AND DURATION O DESCRIPTION OF THE PROJECT THAT IS BEING FUNDED (SOMETIMES REFERENCES GRANT APPLICATION) O SPECIFICATIONS OF PROHIBITED USES OF THE GRANT FUNDS</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY REQUIRING ALL DIRECTORS AND OFFICERS TO SIGN A CONFLICT OF INTEREST AND DISCLOSURE FORM ANNUALLY AND TO AFFIRMATIVELY DISCLOSE POTENTIAL CONFLICTS AS THEY ARISE.</ExplanationTxt>
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        <ExplanationTxt>ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 72,121. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,121. PROGRAM CONSULTING: PROGRAM SERVICE EXPENSES 30,325. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,325. STRATEGIC CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 30,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,000.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 12, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.</ExplanationTxt>
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          <AddressLine1Txt>ONE FEDERAL STREET</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02110</ZIPCd>
        </USAddress>
        <EIN>043355127</EIN>
        <PrimaryActivitiesTxt>TO HELP SHAPE HEALTH REFORM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>SECTION 170(B)(L)(A)</PublicCharityStatusTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY CATALYST INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>55540</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>