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      <FeesForServicesLegalGrp>
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      <FeesForServicesAccountingGrp>
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      <OfficeExpensesGrp>
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      <InformationTechnologyGrp>
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        <Desc>COMMITTEE AND OTHER EXP</Desc>
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        <EOYAmt>3165884</EOYAmt>
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        <EOYAmt>9316533</EOYAmt>
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        <EOYAmt>98225</EOYAmt>
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        <EOYAmt>39076</EOYAmt>
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        <BOYAmt>133757</BOYAmt>
        <EOYAmt>219703</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>9096830</EOYAmt>
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        <EOYAmt>9096830</EOYAmt>
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        <BOYAmt>7716095</BOYAmt>
        <EOYAmt>9316533</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-585173</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>805510</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>1294155</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <CloselyHeldEquityInterestsGrp>
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        <MethodValuationCd>C</MethodValuationCd>
      </CloselyHeldEquityInterestsGrp>
      <OtherSecuritiesGrp>
        <Desc>ISHARES IBOXX $</Desc>
        <BookValueAmt>1134997</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>SPDR NUVEEN BARCLAYS</Desc>
        <BookValueAmt>563584</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO SUBSIDIARY AND AFFILIATE</Desc>
        <Amt>39076</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>39076</TotalLiabilityAmt>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>RENAL SUPPORT NETWORK</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>1311 N MARYLAND AVENUE</AddressLine1>
          <City>GLENDALE</City>
          <State>CA</State>
          <ZIPCode>91207</ZIPCode>
        </USAddress>
        <RecipientEIN>954672679</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6150</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT FOR HOPELINE - TOLL-FREE TELEPHONE CALL-IN LINE FOR PATIENTS WITH CHRONIC KIDNEY DISEASE.</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS ENGAGED FERNLEY &amp; FERNLEY, INC. TO MANAGE ITS AFFAIRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSSOCIATION HAS BOTH INDIVIDUAL AND CORPORATE MEMBERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>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. DIRECTORS SHALL BE ELECTED BY THE ACTIVE MEMBERS OF THE ASSOCIATION, SHALL SERVE TWO (2) YEAR TERMS AND SHALL HOLD OFFICE UNTIL THE NEXT APPLICABLE ELECTION AND UNTIL HIS/HER SUCCESSOR HAS BEEN ELECTED. EIGHT (8) DIRECTORS SHALL BE ELECTED IN EVEN NUMBERED YEARS AND SEVEN (7) DIRECTORS SHALL BE ELECTED IN ODD NUMBERED YEARS.</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 BY THE PREPARER AND THAT ANY COMMENTS OR QUESTIONS 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 B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ONLY COMPENSATION TO OFFICERS IS AN ANNUAL STIPEND TO REIMBURSE THE PRESIDENT OF THE ORGANIZATION FOR COSTS EXPENDED.</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 XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EQUITY IN EARNINGS OF FOR PROFIT SUBSIDUARY 1,294,155.</ExplanationTxt>
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          <City>PHILADLEPHIA</City>
          <State>PA</State>
          <ZIPCode>19103</ZIPCode>
        </USAddress>
        <EIN>743096306</EIN>
        <PrimaryActivitiesTxt>COOPERATIVE PURCHASING GROUP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAME</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>1</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>1</TransferFromOtherOrgInd>
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          <BusinessNameLine1>NRAA-GPO INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>125000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>REIMBURSEMENT OF EXPENSES</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1>NRAA-GPO INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>DIVIDEND TO PARENT</MethodOfAmountDeterminationTxt>
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