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      <TotalReportableCompFromOrg>171451</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>0</TotalOtherCompensation>
      <NumberIndividualsGT100K>1</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Mary Fifield Associates</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>6 Beaufort Rd Suite 5</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>02130</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Marketing</DescriptionOfServices>
        <Compensation>149188</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>McDonald Lamond Canzoneri</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>153 Cordaville Rd Suite 320</AddressLine1>
            <City>SOUTHBOROUGH</City>
            <State>MA</State>
            <ZIPCode>01772</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Legal Services</DescriptionOfServices>
        <Compensation>809012</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>The Segal Company</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>116 Huntington Avenue</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>02116</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Benefits Consulting</DescriptionOfServices>
        <Compensation>105427</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>3</NumberOfContractorsGT100K>
      <MembershipDues>16367280</MembershipDues>
      <TotalContributions>16367280</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NURSING PROGRAMS</Description>
        <TotalRevenueColumn>4317</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4317</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MISC PROGRAMS</Description>
        <TotalRevenueColumn>1294</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1294</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MASS NURSE PUBLICATION</Description>
        <BusinessCode>541800</BusinessCode>
        <TotalRevenueColumn>2686</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>2686</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>8297</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>60001</TotalRevenueColumn>
        <ExclusionAmount>60001</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossAmountSalesAssets>
        <Securities>107433</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>108312</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-879</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-879</TotalRevenueColumn>
        <ExclusionAmount>-879</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>ROYALTY</Description>
        <TotalRevenueColumn>75480</TotalRevenueColumn>
        <ExclusionAmount>75480</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>LABELS</Description>
        <TotalRevenueColumn>120</TotalRevenueColumn>
        <ExclusionAmount>120</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>LEASE TERMINATION GAIN</Description>
        <TotalRevenueColumn>16841</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>16841</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>4550</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4550</RelatedOrExemptFunctionIncome>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>96991</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>16531690</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>27002</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>2686</UnrelatedBusinessRevenue>
        <ExclusionAmount>134722</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>171451</Total>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>7248677</Total>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>388379</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1502526</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>583698</Total>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>743963</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>64000</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>11425</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>366131</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>195424</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>1144660</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>245396</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>354334</Total>
      </Occupancy>
      <Travel>
        <Total>411867</Total>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>394096</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>62117</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>593495</Total>
      </DepreciationDepletion>
      <Insurance>
        <Total>77074</Total>
      </Insurance>
      <OtherExpenses>
        <Description>NATIONAL DUES EXPENSE</Description>
        <Total>1329094</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ECONOMIC &amp; GENERAL WELFARE</Description>
        <Total>452003</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PUBLIC RELATIONS</Description>
        <Total>438770</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>NATIONAL EXPENSES</Description>
        <Total>311871</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>244591</Total>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>17335042</Total>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>5624054</BOY>
        <EOY>4999669</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
        <BOY>128510</BOY>
        <EOY>12751</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>276621</BOY>
        <EOY>320069</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>6616068</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>4343105</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2717933</BOY>
        <EOY>2272963</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>1716549</BOY>
        <EOY>1870561</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>22578</BOY>
        <EOY>25277</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>10486245</BOY>
        <EOY>9501290</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1098875</BOY>
        <EOY>1311931</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>917486</BOY>
        <EOY>511085</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>186611</BOY>
        <EOY>146460</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>2202972</BOY>
        <EOY>1969476</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>7247678</BOY>
        <EOY>6280589</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1035595</BOY>
        <EOY>1251225</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>8283273</BOY>
        <EOY>7531814</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>10486245</BOY>
        <EOY>9501290</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingOther note="MODIFIED CASH">X</MethodOfAccountingOther>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
    </IRS990>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <SubstantiallyAllDuesNondeduct>true</SubstantiallyAllDuesNondeduct>
      <OnlyInHouseLobbying>true</OnlyInHouseLobbying>
      <AgreeToCarryoverPriorYear>false</AgreeToCarryoverPriorYear>
      <Form990ScheduleCPartIV>
        <Identifier>Political activities</Identifier>
        <ReturnReference>Schedule C page 1 Part I-A Line 1</ReturnReference>
        <Explanation>No Political Activities</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>321000</OtherCostOrOtherBasis>
        <BookValue>321000</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>2710807</OtherCostOrOtherBasis>
        <Depreciation>1485492</Depreciation>
        <BookValue>1225315</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>2933873</OtherCostOrOtherBasis>
        <Depreciation>2249174</Depreciation>
        <BookValue>684699</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>650388</OtherCostOrOtherBasis>
        <Depreciation>608439</Depreciation>
        <BookValue>41949</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>2272963</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ROYALTY</Description>
        <Amount>83315</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED GAIN ON LEASE TERMINA</Description>
        <Amount>21024</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED LEASE OBLIGATION</Description>
        <Amount>4192</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>37929</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>146460</TotalOfAmounts>
      <TotalRevenue>16531690</TotalRevenue>
      <TotalExpenses>17335042</TotalExpenses>
      <ExcessOrDeficitForYear>-803352</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>91895</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>91895</TotalAdjustments>
      <ExcessOrDeficitPerFS>-711457</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>16623585</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>91895</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>91895</RevenueNotRptdF990>
      <RevenueSubtotal>16531690</RevenueSubtotal>
      <TotalRevenuePerForm990>16531690</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>17335042</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>17335042</ExpensesSubtotal>
      <TotalExpensesPerForm990>17335042</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <Form990ScheduleJPartII>
        <NamePerson>JULIE PINKHAM</NamePerson>
        <BaseCompensationFilingOrg>147451</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>24000</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>171451</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Election of governing members</Identifier>
        <ReturnReference>Page 6 Part VI Section A Line 7a 7b</ReturnReference>
        <Explanation>The members vote for their Board of Directors and make governing decisions at their annual Board meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Officer Compensation</Identifier>
        <ReturnReference>Page 6 Part VI Section B Line 15b</ReturnReference>
        <Explanation>The Board of Directors determines the compensation for their organization's President, directors and management. This process includes review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Responsible for 990 review</Identifier>
        <ReturnReference>Page 6 Part VI Section B Line 11</ReturnReference>
        <Explanation>The Board of Directors has delegated the responsibility for reviewing, approving and signing the Form 990 to the President. The Form 990 is made available to any director upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Availability of 990 to public</Identifier>
        <ReturnReference>Page 6 Part VI Section C Line 19</ReturnReference>
        <Explanation>The organizational governing documents, financial statements and Form 990 are available upon request to the general public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members</Identifier>
        <ReturnReference>Page 6 Part VI Section A Line 6</ReturnReference>
        <Explanation>The MNA is directed and run by the membership with an elected board of directors and a grassroots organizational structure. With regional councils in five different regions of the state, members have an opportunity to become involved in the MNA on local issues and concerns. The MNA also provides members with an opportunity to influence nursing and other healthcare issues on a national level.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>