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            <AddressLine1Txt>1717 WOODCLIFF COURT NE</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30329</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIRECTOR OF EDUCATION</ServicesDesc>
        <CompensationAmt>122350</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>369230</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>369230</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FALL MEETING</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>301345</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>301345</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SPRING MEETING</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>10650</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10650</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WEBINARS &amp; WORKSHOPS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3005</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3005</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>684230</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>972726</TotalRevenueColumnAmt>
        <ExclusionAmt>972726</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>369178</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>113619</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>255559</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>255559</TotalRevenueColumnAmt>
        <ExclusionAmt>255559</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>AMC REIMB FROM SUB.</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>110700</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>110700</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>SPONSORSHIP</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>10000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>10000</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>120700</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2033215</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>684230</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1348985</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>23435</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>1291</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>369000</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>14718</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>6515</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>262734</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>80799</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>194418</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>44193</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>11821</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>101044</TotalAmt>
      </InformationTechnologyGrp>
      <TravelGrp>
        <TotalAmt>97949</TotalAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>148361</TotalAmt>
      </ConferencesMeetingsGrp>
      <InsuranceGrp>
        <TotalAmt>2066</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FOOD &amp; BEVERAGE</Desc>
        <TotalAmt>124915</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FALL EVENTS</Desc>
        <TotalAmt>69397</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EDUCATION COUNCIL</Desc>
        <TotalAmt>34896</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TRADE SHOW EXPENSES</Desc>
        <TotalAmt>20450</TotalAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>90877</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1698879</TotalAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>52624</BOYAmt>
        <EOYAmt>194702</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>56601</BOYAmt>
        <EOYAmt>49153</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>155</BOYAmt>
        <EOYAmt>14495</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>40895</BOYAmt>
        <EOYAmt>60512</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>5459014</BOYAmt>
        <EOYAmt>7182590</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>3836953</BOYAmt>
        <EOYAmt>2902668</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>9446242</BOYAmt>
        <EOYAmt>10404120</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>37185</BOYAmt>
        <EOYAmt>40273</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>217385</BOYAmt>
        <EOYAmt>247005</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>6243</BOYAmt>
        <EOYAmt>127299</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>260813</BOYAmt>
        <EOYAmt>414577</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>9185429</BOYAmt>
        <EOYAmt>9989543</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9185429</BOYAmt>
        <EOYAmt>9989543</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9446242</BOYAmt>
        <EOYAmt>10404120</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>334336</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-345104</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>22244</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>792638</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondedInd>0</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>1</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>369230</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>210187</NonDeductibleLbbyngPltclCYAmt>
      <NonDeductibleLbbyngPltclTotAmt>210187</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>55385</AggregateReportedDuesNtcAmt>
      <CarriedOverAmt>154802</CarriedOverAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <CloselyHeldEquityInterestsGrp>
        <BookValueAmt>2902668</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </CloselyHeldEquityInterestsGrp>
      <TotalBookValueSecuritiesAmt>2902668</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO SUBSIDIARY</Desc>
        <Amt>127299</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>127299</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>KIDNEY COLLABORATIVE</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>MARC CHOW IS THE 100% OWNER OF KIDNEY COLLABORATIVE.</RelationshipDescriptionTxt>
        <TransactionAmt>242444</TransactionAmt>
        <TransactionDesc>NATIONAL RENAL ADMINISTRATORS ASSOCIATION (NRAA) CONTRACTS WITH KIDNEY COLLABORATIVE FOR EXECUTIVE DIRECTOR SERVICES. MARC CHOW, 100% OWNER OF KIDNEY COLLABORATIVE, ACTS AS EXECUTIVE DIRECTOR FOR NRAA.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6, VOLUNTEERS:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE 15 BOARD OF DIRECTORS, WHO VOLUNTEER THEIR TIME FOR THE NRAA. THE HOURS SERVED VARY PER INDIVIDUAL AS THE EXECUTIVE COMMITTEE HAS MORE RESPONSIBILITIES THAN A BOARD DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS ENGAGED FERNLEY &amp; FERNLEY, INC TO MANAGE ITS AFFAIRS. IN ADDITION, THE ASSOCIATION HAS ENGAGED KIDNEY COLLABORATIVE TO PROVIDE EXECUTIVE DIRECTOR SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS BOTH INDIVIDUAL AND CORPORATE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH ACTIVE MEMBER, WHO IS A MEMBER IN GOOD STANDING, SHALL BE ENTITLED TO ONE (1) VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE ACTIVE MEMBERS. THE PRIMARY REPRESENTATIVE OF THE ACTIVE MEMBER IS ENTITLED TO CAST THE VOTE ON BEHALF OF SUCH ACTIVE MEMBER. EXCEPT AS OTHERWISE REQUIRED BY THE ACT, ACTIONS OF THE ACTIVE MEMBERS SHALL REQUIRE THE AFFIRMATIVE VOTE OF A MAJORITY OF A QUORUM OF THE ACTIVE MEMBERS PRESENT AT A MEETING. AN ACTIVE MEMBER IS ENTITLED TO VOTE IN PERSON OR BY PROXY EXECUTED IN WRITING BY THE ACTIVE MEMBER OR BY THAT ACTIVE MEMBER'S PRIMARY REPRESENTATIVE. NO PROXY SHALL BE VALID AFTER ELEVEN (11) MONTHS FROM THE DATE OF ITS EXECUTION, UNLESS OTHERWISE PROVIDED IN THE PROXY. THE ELECTIONS OF DIRECTORS OR OFFICERS BY THE ACTIVE MEMBERS MAY BE CONDUCTED BY MAIL, ELECTRONIC MAIL, OR OTHER ELECTRONIC MEANS OR ANY COMBINATION THEREOF PROVIDED THAT THE NUMBER OF ACTIVE MEMBERS' CASTING VOTES WOULD CONSTITUTE A QUORUM IF SUCH ACTION HAD BEEN TAKEN AT A MEETING. THE ASSOCIATION SHALL HAVE FIFTEEN (15) DIRECTORS, FIVE (5) OF WHOM SHALL BE OFFICERS OF THE ASSOCIATION. ONLY THE PRIMARY REPRESENTATIVES OF ACTIVE MEMBER COMPANIES ARE ELIGIBLE FOR BOARD POSITIONS. EACH CANDIDATE FOR DIRECTOR SHALL HAVE BEEN THE PRIMARY REPRESENTATIVE OF AN ACTIVE MEMBER OF THE ASSOCIATION, PROVIDED SUCH ACTIVE MEMBER SHALL HAVE BEEN IN GOOD STANDING FOR A MINIMUM OF ONE (1) YEAR. CANDIDATES FOR ONE OF THE FIVE (5) OFFICER POSITIONS SHALL HAVE SERVED ON AN ASSOCIATION COMMITTEE FOR A MINIMUM OF ONE (1) YEAR WITHIN THE LAST TWO (2) YEARS. CANDIDATES FOR PRESIDENT-ELECT MUST HAVE SERVED ON THE BOARD FOR AT LEAST ONE (1) YEAR. DIRECTORS ARE LIMITED TO THREE CONSECUTIVE TERMS OF OFFICE. DIRECTORS WHO SERVE THREE CONSECUTIVE TERMS MUST WAIT A MINIMUM OF ONE YEAR BEFORE SEEKING RE-ELECTION TO OFFICE. HOWEVER, A PERSON MAY SERVE AS PRESIDENT-ELECT, PRESIDENT AND PAST-PRESIDENT IN ADDITION TO THREE CONSECUTIVE TERMS OF OFFICE ON THE BOARD OF DIRECTORS. A PERSON MAY NOT HOLD MORE THAN ONE BOARD OF DIRECTORS POSITION AT ANY GIVEN TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ELECTRONIC DRAFT OF THE FORM 990 WAS SUPPLIED TO EACH CURRENT BOARD MEMBER. THE MEMBERS WERE REQUESTED TO REVIEW THE RETURN AND THAT ANY COMMENTS OR QUESTION BE ADDRESSED TO THE PREPARER. THE BOARD MEMBERS WERE ASKED TO SIGN A STATEMENT THAT THEY REVIEWED THE RETURN AND AGREED WITH THE RETURN AS PREPARED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE BOARD ARE REQUIRED TO SIGN A DOCUMENT STATING THAT THEY HAVE NO CONFLICTS OF INTEREST BETWEEN THEM, THE ASSOCIATION AND ANY OUTSIDE PARTIES THAT WOULD DIMINISH THEIR CAPACITY TO SERVE. THIS IS DONE ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY MEMBER OF THE GENERAL PUBLIC MAY APPEAR AT THE MANAGEMENT OFFICES OF THE ASSOCIATION AND REQUEST TO INSPECT THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR FEES 56,018. EDUCATION DIRECTOR FEES 118,400. BOARD PRESIDENT STIPEND 20,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENT YEAR EARNINGS OF SUBSIDIARY - RSE 794,327. CURRENT YEAR EARNINGS OF SUBSIDIARY - PAC -1,689.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NATIONAL RENAL ADMINISTRATORS ASSOCIATION POLITICAL ACTION COMMITTEE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 N 20TH STREET 4TH FLOOR</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>191031443</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>POLITICAL AND LOBBYING ACTIVITIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NATIONAL RENAL ADMINISTRATORS ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RENAL SERVICES EXCHANGE INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6100 OAK TREE BLVD SUITE 200</AddressLine1Txt>
          <CityNm>INDEPENDENCE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44131</ZIPCd>
        </USAddress>
        <EIN>743096306</EIN>
        <PrimaryActivitiesTxt>COOPERATIVE PURCHASING AND HEALTHCARE INITIATIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NATIONAL RENAL ADMINISTRATORS ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>1898219</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>4633976</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>1</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RENAL SERVICES EXCHANGE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>F</TransactionTypeTxt>
        <InvolvedAmt>800000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH RECEIVED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RENAL SERVICES EXCHANGE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>110700</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH RECEIVED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>