<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2025v4.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-04-29T10:07:31-05:00</ReturnTs>
    <TaxPeriodEndDt>2025-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>202153727</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>SB &amp; COMPANY LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>10200 GRAND CENTRAL AVE SUITE 250</AddressLine1Txt>
        <CityNm>OWINGS MILLS</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21117</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2025-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>237124261</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>AMERICAN KIDNEY FUND INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>AMER</BusinessNameControlTxt>
      <PhoneNum>3018813052</PhoneNum>
      <USAddress>
        <AddressLine1Txt>11921 ROCKVILLE PIKE 300</AddressLine1Txt>
        <CityNm>ROCKVILLE</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>20852</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>LAVARNE A BURTON</PersonNm>
      <PersonTitleTxt>PRESIDENT &amp; CHIEF EXECUTIVE OF</PersonTitleTxt>
      <PhoneNum>3018813052</PhoneNum>
      <SignatureDt>2026-04-01</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>TOBI HOLLANDER</PreparerPersonNm>
      <PTIN>P03218061</PTIN>
      <PhoneNum>4105840060</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2025</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="11">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>LAVARNE A BURTON</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>11921 ROCKVILLE PIKE 300</AddressLine1Txt>
        <CityNm>ROCKVILLE</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>20852</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>334302124</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.KIDNEYFUND.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1971</FormationYr>
      <LegalDomicileStateCd>DC</LegalDomicileStateCd>
      <ActivityOrMissionDesc>WE HELP PEOPLE FIGHT KIDNEY DISEASE AND LIVE HEALTHIER LIVES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>22</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>22</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>131</TotalEmployeeCnt>
      <TotalVolunteersCnt>500</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>295834492</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>315819478</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>0</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>0</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>8726665</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>8434441</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>413355</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>390131</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>304974512</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>324644050</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>256814302</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>263928593</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>17420943</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>19836888</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>541574</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>490681</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>9164987</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>18835025</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>18462552</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>293611844</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>302718714</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>11362668</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>21925336</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>175543171</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>199248874</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>10628918</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>10565279</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>164914253</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>188683595</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE MISSION OF THE AMERICAN KIDNEY FUND IS TO FIGHT KIDNEY DISEASE AND HELP PEOPLE LIVE HEALTHIER LIVES. FOUNDED IN 1971, AKF FIGHTS KIDNEY DISEASE ON ALL FRONTS WITH A COMPREHENSIVE SCOPE OF PROGRAMS THAT SUPPORT PEOPLE ACROSS THE SPECTRUM FROM DISEASE AWARENESS AND PREVENTION THROUGH POST-TRANSPLANT LIVING.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>268855777</ExpenseAmt>
      <GrantAmt>263568593</GrantAmt>
      <Desc>PATIENT ASSISTANCE: IN 2025, WE HELPED MORE THAN 73,500 LOW-INCOME PEOPLE WITH KIDNEY FAILURE IN ALL 50 STATES GAIN ACCESS TO LIFESAVING HEALTHCARE, INCLUDING DIALYSIS AND TRANSPLANT, BY PROVIDING NEED-BASED GRANTS TO PAY FOR HEALTH INSURANCE PREMIUMS, TRANSPORTATION TO TREATMENT, PRESCRIPTION MEDICATIONS AND NUTRITIONAL PRODUCTS, AND EMERGENCY ASSISTANCE IN THE WAKE OF NATURAL DISASTERS. WITH AKF'S SUPPORT FOR HEALTH COVERAGE THEY OTHERWISE COULD NOT AFFORD, NEARLY 1,700 DIALYSIS PATIENTS HAD LIFESAVING KIDNEY TRANSPLANTS AND POST-TRANSPLANT CARE, REPRESENTING NEARLY 6% OF ALL U.S. KIDNEY TRANSPLANTS PERFORMED IN 2025. WE PROVIDED 76 DIALYSIS AND POST-TRANSPLANT PATIENTS WITH DISASTER RELIEF ASSISTANCE IN THE WAKE OF FLOODS, AND WILDFIRES. WITH THE EXCEPTION OF DISASTER RELIEF, OUR GRANT PROGRAMS ARE NEEDS-BASED AND PATIENTS MUST COMPLETE A GRANT APPLICATION TO RECEIVE ASSISTANCE. ON AVERAGE, OUR GRANT RECIPIENTS HAVE TOTAL HOUSEHOLD INCOMES LESS THAN $31,000 PER YEAR.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>19551570</ExpenseAmt>
        <Desc>PUBLIC EDUCATION, AWARENESS AND PREVENTION ACTIVITIES:AWARENESS AND PREVENTION35.5 MILLION AMERICANS 1 IN 7 ADULTS HAVE CHRONIC KIDNEY DISEASE (CKD), AND MOST DON'T REALIZE THEY HAVE IT. AKF'S EDUCATION PROGRAMS HELP INDIVIDUALS IDENTIFY THEIR RISKS FOR CKD AND MANAGE CKD, KIDNEY FAILURE AND CO-MORBIDITIES. A HALLMARK OF OUR AWARENESS-BUILDING WORK WAS OUR SIXTH ANNUAL KIDNEY ACTION WEEK, HELD FROM MARCH 3-7, 2025. THE VIRTUAL EDUCATIONAL EVENT WAS STREAMED THROUGH A DIGITAL CONFERENCE PLATFORM AND SIMULCASTED THROUGH AKF'S FACEBOOK AND YOUTUBE SOCIAL CHANNELS. APPROXIMATELY 3,000 PEOPLE PREREGISTERED FOR THE EVENT, WITH MORE THAN 150,000 PEOPLE VIEWING THE COMBINED LIVE AND ARCHIVED SESSIONS THROUGHOUT THE YEAR. WE PROVIDED PREVENTION AND AWARENESS MESSAGING THROUGHOUT THE YEAR ON OUR SOCIAL MEDIA CHANNELS, WHICH GREW TO 245,000 FOLLOWERS IN 2025.PUBLIC EDUCATIONWE CONTINUALLY ENHANCE OUR EDUCATION CONTENT AND OFFERINGS. OUR WEBSITE HAD MORE THAN 12 MILLION VIEWS IN 2025 FROM PEOPLE LOOKING FOR KIDNEY HEALTH INFORMATION. AS PART OF OUR WEB STRATEGY, WE CONTINUED TO ENRICH OUR AWARD-WINNING KIDNEY KITCHEN WEBSITE, A COMPREHENSIVE RESOURCE FOR PLANNING A KIDNEY-FRIENDLY DIET. KIDNEY KITCHEN CONTENT HAD NEARLY 2 MILLION VIEWS IN 2025. OUR BLOG, KIDNEY TODAY, HAD MORE THAN 700,000 VIEWS OF ARTICLES HIGHLIGHTING STORIES OF PATIENT EXPERIENCE, INNOVATION AND ADVOCACY. WE LAUNCHED OUR FIRST PODCAST, THE KIDNEY COLLECTIVE, WITH UNSCRIPTED CONVERSATIONS GIVING A GLIMPSE INTO THE PATIENT AND CAREGIVER EXPERIENCE; THE PODCAST HAD MORE THAN 53,000 VIEWS ON YOUTUBE. WE CONTINUED OUR MAJOR NATIONAL AWARENESS CAMPAIGN FOCUSED ON REDUCING HEALTH DISPARITIES IN KIDNEY DISEASE, AND WE HELD THE SECOND ANNUAL NATIONWIDE AMKD AWARENESS DAY TO BRING ATTENTION TO A GENETIC VARIANT THAT CAN MAKE PEOPLE OF WEST AND CENTRAL AFRICAN ANCESTRY MORE SUSCEPTIBLE TO MORE SEVERE, RAPIDLY PROGRESSING KIDNEY DISEASE. WE CONTINUED TO RUN EDUCATION CAMPAIGNS AND PROGRAMS WHICH FOCUS ON MANAGING VARIOUS ASPECTS OF KIDNEY DISEASE AND ITS CO-MORBIDITIES. THESE INCLUDED THE KNOW YOUR KIDNEYS, KNOW YOUR CAUSE, KNOW YOUR PLAN PROGRAM; THE KIDNEY HEALTH FOR ALL HEALTH EQUITY PROGRAM; AND THE LAUNCH OF OUR STEP FORWARD EDUCATION MODULES. WE ALSO CONTINUED TO PROVIDE OUR KIDNEY HEALTH COACH PEER-TO-PEER COMMUNITY OUTREACH PROGRAM, WHICH NOW INCLUDES MORE THAN 8,000 COACHES NATIONWIDE WHO IN 2025 EDUCATED MORE THAN 27,000 PEOPLE IN LOCAL COMMUNITIES ABOUT KIDNEY DISEASE. FOR CHILDREN, LIVING WITH KIDNEY DISEASE IS EXTREMELY CHALLENGING. AKF OFFERS A FREE, NATIONWIDE ONLINE VIRTUAL CAMP PROGRAM FOR PEDIATRIC KIDNEY PATIENTS. THE CAMPERS PARTICIPATE MONTHLY IN MODERATED ACTIVITIES AND DISCUSSIONS THAT ALLOW THEM TO CONNECT WITH OTHER CHILDREN AROUND THE COUNTRY WHO ARE EXPERIENCING THE SAME CHALLENGES. IN 2025, NEARLY 150 CHILDREN PARTICIPATED IN AKF'S VIRTUAL CAMP, CAMP CONNECTIONS, WHICH ALSO HOSTED A SPECIAL PROGRAM FOR CHILDREN LIVING WITH CYSTINOSIS, A RARE KIDNEY DISEASE. AKF IS A STRONG AND INDEPENDENT VOICE ADVOCATING FOR POLICIES THAT IMPROVE ACCESS TO HEALTH CARE AND STRENGTHEN THE QUALITY OF CARE FOR INDIVIDUALS WITH KIDNEY DISEASE. WE WORK WITH CONGRESS, THE ADMINISTRATION, FEDERAL AGENCIES, AND STATE GOVERNMENTS TO ADVANCE LEGISLATION AND REGULATORY POLICIES IMPORTANT TO KIDNEY PATIENTS AND THEIR FAMILIES. ENGAGING PATIENTS AND CAREGIVERS AROUND ADVOCACY ISSUES IS CENTRAL TO THIS WORK. IN 2025, WE GREW OUR ADVOCACY NETWORK TO OVER 48,000 PATIENTS AND FAMILY MEMBERS AND PROVIDED OPPORTUNITIES FOR ENGAGEMENT, INCLUDING TWO IN-PERSON CONGRESSIONAL FLY-INS, INCLUDING ONE FOCUSED ON RARE KIDNEY DISEASES. IN NOVEMBER 2025 WE HELD OUR THIRD PATIENT ACCESS INITIATIVE SUMMIT, WHERE WE FOCUSED ON ISSUES SUCH AS ACCESS TO INNOVATION, USE OF AI TECHNOLOGY IN TREATING KIDNEY DISEASE, AS WELL AS EXPLORING WAYS TO CREATE INCENTIVES FOR SCREENING AND TREATMENT TO AVOID OR DELAY KIDNEY FAILURE. WE PUBLISHED OUR FIFTH ANNUAL "STATE OF THE STATES: LIVING DONOR PROTECTION REPORT CARD," WHICH HOLDS EACH STATE ACCOUNTABLE FOR THE LAWS IT HAS IN PLACE TO MAKE IT EASIER FOR PEOPLE TO BE LIVING KIDNEY DONORS. SINCE AKF BEGAN SPEARHEADING THE LIVING DONOR PROTECTION ADVOCACY WORK IN 2018, 41 STATES HAVE ENACTED LAWS THAT REMOVE ROADBLOCKS TO LIVING ORGAN DONATION. PROFESSIONAL EDUCATIONAKF DEVELOPS COURSES THAT ARE PROVIDED ONLINE AND MEET THE CONTINUING EDUCATION REQUIREMENTS FOR PROFESSIONALS WHO TREAT KIDNEY PATIENTS. IN 2025, THERE WERE MORE THAN 380,000 AKF COURSES COMPLETED BY PHYSICIANS, NURSES, SOCIAL WORKERS, DIALYSIS TECHNICIANS, DIETITIANS, HEALTH EDUCATORS AND OTHER RENAL CARE PROFESSIONALS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>472855</ExpenseAmt>
        <GrantAmt>360000</GrantAmt>
        <Desc>RESEARCH: ESTABLISHED IN 1988, AKF'S CLINICAL SCIENTIST IN NEPHROLOGY PROGRAM HAS PROVIDED RESEARCH FUNDING TO MANY OF NEPHROLOGY'S BRIGHTEST SCHOLARS. MANY FORMER CSN FELLOWS HAVE GONE ON TO DISTINGUISHED CAREERS IN THE FIELD, CONDUCTING GROUNDBREAKING RESEARCH THAT ADVANCES KNOWLEDGE AND TREATMENT OF KIDNEY DISEASE. IN 2025, AKF SELECTED TWO NEW FELLOWS: DR. MOMEN ABBASI, FROM THE UNIVERSITY OF CHICAGO, WILL BE LOOKING TO FIND ANY VARIANCES IN KIDNEY MRIS OF PATIENTS WITH VARYING LEVELS OF CKD TO LOOK FOR SUBTYPES OR IMAGING MARKERS; AND DR. API CHEWCHARAT, FROM BRIGHAM AND WOMEN'S HOSPITAL IN BOSTON, WHO WILL BE LOOKING FOR CIRCULATING INFLAMMATION BIOMARKERS IN PATIENTS AFTER STEM-CELL TRANSPLANTS.AKF TOOK MAJOR STEPS IN ADDRESSING THE PROBLEM OF UNKNOWN CAUSES OF KIDNEY DISEASE (UCKD) BY CONTINUING THE IMPLEMENTATION OF ASPECTS OF AKF'S UCKD ROADMAP. THESE INCLUDED THE LAUNCH OF OUR PARTNERSHIP WITH THE MAVEN PROJECT TO BRING RESOURCES AND EDUCATION TO PRIMARY CARE PROFESSIONALS IN RURAL SETTINGS NATIONWIDE, HOSTING OUR THIRD RARE DISEASE FLY-IN, AND HOSTING OUR THIRD, IN-PERSON UCKD SUMMIT ON SEPTEMBER 12, 2025, BRINGING TOGETHER PATIENTS, FAMILY MEMBERS, AND RENAL PROFESSIONALS.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>288880202</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039600001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039600001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039600001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>1</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc1041200001">1</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc1041200001">1</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc1041200001">0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">1</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc1042900001">0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">0</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>9</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>131</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>22</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>22</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>AL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>AK</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>AR</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>AZ</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CO</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>CT</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>DC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>DE</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>FL</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>GA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>HI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>ID</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>IN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>IA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KS</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>LA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>ME</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MO</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MS</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>ND</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NE</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NH</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NJ</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NV</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NM</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OH</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OK</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OR</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>RI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>SC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>SD</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>TN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>TX</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>UT</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>VA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>VT</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WV</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WY</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>THE ORGANIZATION</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>3018813052</PhoneNum>
        <USAddress>
          <AddressLine1Txt>11921 ROCKVILLE PIKE 300</AddressLine1Txt>
          <CityNm>ROCKVILLE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20852</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>BAMBI W GADDIST DRPH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN KREX ESQ</PersonNm>
        <TitleTxt>MEMBER-AT-LARGE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLOTTE JONES-BURTON MD</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELENA M PAUL ESQ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCES E ASHE-GOINS RN BSN MPH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GAIL S WICK MHSA BSN RN CNNE</PersonNm>
        <TitleTxt>NON-VOTING MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMIE A GREEN MD</PersonNm>
        <TitleTxt>CHAIR, MEDICAL AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY S PEARSON CFA</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY D KLEPNER</PersonNm>
        <TitleTxt>NON-VOTING MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN D RING CPA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN P BUTLER</PersonNm>
        <TitleTxt>MEMBER-AT-LARGE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATIE B SPILLANE CPA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH R BRIDGES MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA A WILLIAMS MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYDIA H LANDESBERG</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA A GRASSO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELANIE J TURIEO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OLIVER T BROOKS MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAMELA W MCNAMARA</PersonNm>
        <TitleTxt>CHAIR-ELECT</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK O GEE PHD JLC</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PRISCILLA VANDERVEER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAYNARD E WASHINGTON PHD MPH RESI</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SILAS P NORMAN MD MPH</PersonNm>
        <TitleTxt>IMMEDIATE PAST CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM J SCHUYLER</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAVARNE BURTON</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>998628</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>67493</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TARA BUNCH</PersonNm>
        <TitleTxt>EVP, AND COO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>589010</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48940</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOLLY BODE</PersonNm>
        <TitleTxt>VP OF GOVERNMENT AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>428349</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41704</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE PUZZO</PersonNm>
        <TitleTxt>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>526393</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40404</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARSHALL STRISIK</PersonNm>
        <TitleTxt>VP AND GENERAL COUNSEL</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>524020</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56241</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL SPIGLER</PersonNm>
        <TitleTxt>VP OF PATIENT SVCS/KIDNEY</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>496738</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>54733</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMARA RUGGIERO</PersonNm>
        <TitleTxt>VP OF COMMUNICATIONS AND MARKETING</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>410014</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29995</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3973152</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>339510</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>52</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INTERACTIVE STRATEGIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1133 CONNECTICUT AVE SUITE 600</AddressLine1Txt>
            <CityNm>WASHINGTON DC</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIGITAL FUNDRAISING STRATEGY</ServicesDesc>
        <CompensationAmt>647510</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COLORNET PRINTING AND GRAPHICS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>22570 GLENN DR</AddressLine1Txt>
            <CityNm>STERLING</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>20164</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PRINT MATERIALS AND COLLATERAL FOR EVENT</ServicesDesc>
        <CompensationAmt>539965</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CORCENTRIC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 LAKE DRIVE EAST STE 200</AddressLine1Txt>
            <CityNm>CHERRY HILL</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08002</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GRANT PAYMENT VENDOR</ServicesDesc>
        <CompensationAmt>521018</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE CAUSEWAY AGENCY LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1127 HIGH RIDGE ROAD SUITE 336</AddressLine1Txt>
            <CityNm>STAMFORD</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06905</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CREATIVE DESIGN AND MEDIA PLANNING</ServicesDesc>
        <CompensationAmt>366667</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ORASES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5728 INDUSTRY LANE</AddressLine1Txt>
            <CityNm>FREDERICK</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21704</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE DEVELOPMENT/HOSTING</ServicesDesc>
        <CompensationAmt>358208</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>27</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>213571</FederatedCampaignsAmt>
      <FundraisingAmt>1154818</FundraisingAmt>
      <AllOtherContributionsAmt>314451089</AllOtherContributionsAmt>
      <NoncashContributionsAmt>7896434</NoncashContributionsAmt>
      <TotalContributionsAmt>315819478</TotalContributionsAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>7044359</TotalRevenueColumnAmt>
        <ExclusionAmt>7044359</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>94627</TotalRevenueColumnAmt>
        <ExclusionAmt>94627</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>10757712</SecuritiesAmt>
        <OtherAmt>290444</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>9342152</SecuritiesAmt>
        <OtherAmt>315922</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1415560</SecuritiesAmt>
        <OtherAmt>-25478</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1390082</TotalRevenueColumnAmt>
        <ExclusionAmt>1390082</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>1154818</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>ADVERTISING IN NEWSLETTERS</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>295504</TotalRevenueColumnAmt>
        <ExclusionAmt>295504</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>295504</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>324644050</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>8824572</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>263928593</TotalAmt>
        <ProgramServicesAmt>263928593</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1820506</TotalAmt>
        <ProgramServicesAmt>770156</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1050350</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>14480250</TotalAmt>
        <ProgramServicesAmt>9801151</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2171683</ManagementAndGeneralAmt>
        <FundraisingAmt>2507416</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>804586</TotalAmt>
        <ProgramServicesAmt>494887</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174189</ManagementAndGeneralAmt>
        <FundraisingAmt>135510</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1717946</TotalAmt>
        <ProgramServicesAmt>1111339</ProgramServicesAmt>
        <ManagementAndGeneralAmt>341184</ManagementAndGeneralAmt>
        <FundraisingAmt>265423</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1013600</TotalAmt>
        <ProgramServicesAmt>655698</ProgramServicesAmt>
        <ManagementAndGeneralAmt>201301</ManagementAndGeneralAmt>
        <FundraisingAmt>156601</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>340256</TotalAmt>
        <ProgramServicesAmt>237295</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50766</ManagementAndGeneralAmt>
        <FundraisingAmt>52195</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>69001</TotalAmt>
        <ProgramServicesAmt>48121</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10295</ManagementAndGeneralAmt>
        <FundraisingAmt>10585</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>663156</TotalAmt>
        <ProgramServicesAmt>663156</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>490681</TotalAmt>
        <FundraisingAmt>490681</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>127931</TotalAmt>
        <ManagementAndGeneralAmt>127931</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4921479</TotalAmt>
        <ProgramServicesAmt>3881403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59737</ManagementAndGeneralAmt>
        <FundraisingAmt>980339</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>2627919</TotalAmt>
        <ProgramServicesAmt>1530588</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3342</ManagementAndGeneralAmt>
        <FundraisingAmt>1093989</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>4596274</TotalAmt>
        <ProgramServicesAmt>2027341</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42421</ManagementAndGeneralAmt>
        <FundraisingAmt>2526512</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1743239</TotalAmt>
        <ProgramServicesAmt>1292051</ProgramServicesAmt>
        <ManagementAndGeneralAmt>197154</ManagementAndGeneralAmt>
        <FundraisingAmt>254034</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>818349</TotalAmt>
        <ProgramServicesAmt>570766</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122059</ManagementAndGeneralAmt>
        <FundraisingAmt>125524</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>733670</TotalAmt>
        <ProgramServicesAmt>587421</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24845</ManagementAndGeneralAmt>
        <FundraisingAmt>121404</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>387534</TotalAmt>
        <ProgramServicesAmt>319582</ProgramServicesAmt>
        <ManagementAndGeneralAmt>307</ManagementAndGeneralAmt>
        <FundraisingAmt>67645</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>418198</TotalAmt>
        <ProgramServicesAmt>291677</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62375</ManagementAndGeneralAmt>
        <FundraisingAmt>64146</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>143273</TotalAmt>
        <ProgramServicesAmt>99917</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21376</ManagementAndGeneralAmt>
        <FundraisingAmt>21980</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>FAIRS AND EXHIBITS</Desc>
        <TotalAmt>298023</TotalAmt>
        <ProgramServicesAmt>290865</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3529</ManagementAndGeneralAmt>
        <FundraisingAmt>3629</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAILING LIST RENTAL</Desc>
        <TotalAmt>238535</TotalAmt>
        <ProgramServicesAmt>72434</ProgramServicesAmt>
        <FundraisingAmt>166101</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>177584</TotalAmt>
        <ProgramServicesAmt>149720</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5092</ManagementAndGeneralAmt>
        <FundraisingAmt>22772</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DATA PROCESSING</Desc>
        <TotalAmt>158131</TotalAmt>
        <ProgramServicesAmt>56041</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3589</ManagementAndGeneralAmt>
        <FundraisingAmt>98501</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>302718714</TotalAmt>
        <ProgramServicesAmt>288880202</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4673525</ManagementAndGeneralAmt>
        <FundraisingAmt>9164987</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <JointCostsInd>X</JointCostsInd>
      <TotalJointCostsGrp>
        <TotalAmt>3814341</TotalAmt>
        <ProgramServicesAmt>1158416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>2655925</FundraisingAmt>
      </TotalJointCostsGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>130678655</BOYAmt>
        <EOYAmt>138941294</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>3101779</BOYAmt>
        <EOYAmt>3301047</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>819821</BOYAmt>
        <EOYAmt>777967</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>5424460</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4503454</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>775339</BOYAmt>
        <EOYAmt>921006</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>32852720</BOYAmt>
        <EOYAmt>48481022</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>7314857</BOYAmt>
        <EOYAmt>6826538</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>175543171</BOYAmt>
        <EOYAmt>199248874</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3285491</BOYAmt>
        <EOYAmt>3621871</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>7343427</BOYAmt>
        <EOYAmt>6943408</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>10628918</BOYAmt>
        <EOYAmt>10565279</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>158480350</BOYAmt>
        <EOYAmt>183009555</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>6433903</BOYAmt>
        <EOYAmt>5674040</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>164914253</BOYAmt>
        <EOYAmt>188683595</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>175543171</BOYAmt>
        <EOYAmt>199248874</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>21925336</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>2377764</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>-533758</DonatedServicesAndUseFcltsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>47630148</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>50131495</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47342289</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>50765323</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>52020521</CurrentTaxYearAmt>
        <TotalAmt>247889776</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>47630148</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>50131495</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47342289</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>50765323</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>52020521</CurrentTaxYearAmt>
        <TotalAmt>247889776</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>114120446</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>133769330</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>428255</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>488087</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3213526</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6387530</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7138986</CurrentTaxYearAmt>
        <TotalAmt>17656384</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>265546160</TotalSupportAmt>
      <PublicSupportCY170Pct>0.50380</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.52130</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/21 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/21 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/22 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/22 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/23 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/23 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/24 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/24 AMOUNT: 84795000. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/25 AMOUNT: XXX-XX-XXXX. DESCRIPTION: UNRESTRICTED CHARITABLE CONTRIBUTIONS DATE: 12/31/25 AMOUNT: XXX-XX-XXXX.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>28500</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>291647</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>320147</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>302141061</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>302461208</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>6000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>349695</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>341196</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>335243</CurrentYearMinus1Amt>
        <CurrentYearAmt>320147</CurrentYearAmt>
        <TotalAmt>1346281</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus3Amt>33529</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>34733</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>46740</CurrentYearMinus1Amt>
        <CurrentYearAmt>28500</CurrentYearAmt>
        <TotalAmt>143502</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>191050</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>2200</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>193250</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>191353</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>2197</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2500</OtherExpendituresAmt>
        <EndYearBalanceAmt>191050</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>189687</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1666</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>191353</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>189113</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3074</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2500</OtherExpendituresAmt>
        <EndYearBalanceAmt>189687</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>187968</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>4007</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2862</OtherExpendituresAmt>
        <EndYearBalanceAmt>189113</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>260073</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>260073</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5164387</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4243381</DepreciationAmt>
        <BookValueAmt>921006</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>921006</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ANNUITIES PAYABLE</Desc>
        <Amt>192234</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>AMOUNTS HELD FOR OTHERS</Desc>
        <Amt>1057368</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>5693806</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6943408</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>333604782</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2377764</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>7362676</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>9740440</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>323864342</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>127931</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>651777</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>779708</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>324644050</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>309835440</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>7896434</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>7896434</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>301939006</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>127931</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>651777</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>779708</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>302718714</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEREST EARNED FROM ENDOWMENTS ARE TO SUPPORT RESEARCH AND PATIENT SERVICES PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AKF IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, AKF QUALIFIES UNDER SECTION 509(A)(2) AS A PUBLICLY SUPPORTED ORGANIZATION. INCOME, WHICH IS NOT RELATED TO EXEMPT PURPOSES, LESS APPLICABLE DEDUCTIONS, MAY BE SUBJECT TO FEDERAL AND STATE CORPORATE INCOME TAXES (UNRELATED BUSINESS INCOME). ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE CONSISTENT GUIDANCE FOR THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBE A THRESHOLD OF "MORE LIKELY THAN NOT" FOR RECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AKF PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2025 AND 2024, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE ACCOMPANYING FINANCIAL STATEMENTS OR WHICH MAY HAVE ANY EFFECT ON ITS TAX-EXEMPT STATUS. AS OF DECEMBER 31, 2025, THE STATUTE OF LIMITATIONS FOR FISCAL YEARS 2022 THROUGH 2025 REMAINS OPEN WITH THE U.S. FEDERAL JURISDICTION FOR WHICH AKF FILES TAX RETURNS. IT IS AKF'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, IN INCOME TAX EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES NETTED WITH CAR CONTRIBUTION PROGRAM ON FINANCIAL STATEMENTS 98,671. NONDIRECT FUNDRAISING EXPENSES 553,106.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES NETTED WITH CAR CONTRIBUTION PROGRAM ON FINANCIAL STATEMENTS 98,671. NONDIRECT FUNDRAISING EXPENSES 553,106.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>ROBBINSKERSTEN DIRECT</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>201 SUMMER STREET</AddressLine1Txt>
          <CityNm>HOLLISTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01746</ZIPCd>
        </USAddress>
        <ActivityTxt>DIRECT MAIL COUNSEL</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>4087725</GrossReceiptsAmt>
        <RetainedByContractorAmt>250631</RetainedByContractorAmt>
        <NetToOrganizationAmt>3837094</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>INTERACTIVE STRATEGIES</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>133 CONNECTICUT AVENUE</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20036</ZIPCd>
        </USAddress>
        <ActivityTxt>DIGITAL FUNDRAISING</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>2050000</GrossReceiptsAmt>
        <RetainedByContractorAmt>168960</RetainedByContractorAmt>
        <NetToOrganizationAmt>1881040</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>CHARITABLE ADULT RIDES &amp; SERVICES INC</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>4669 MURPHY CANYON ROAD SUITE 200</AddressLine1Txt>
          <CityNm>SAN DIEGO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92123</ZIPCd>
        </USAddress>
        <ActivityTxt>VEHICLE ADMINISTER</ActivityTxt>
        <FundraiserControlOfFundsInd>1</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>191294</GrossReceiptsAmt>
        <RetainedByContractorAmt>71270</RetainedByContractorAmt>
        <NetToOrganizationAmt>120024</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>6329019</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>490861</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>5838158</TotalNetToOrganizationAmt>
      <LicensedStatesCd>AL</LicensedStatesCd>
      <LicensedStatesCd>AK</LicensedStatesCd>
      <LicensedStatesCd>AZ</LicensedStatesCd>
      <LicensedStatesCd>AR</LicensedStatesCd>
      <LicensedStatesCd>CA</LicensedStatesCd>
      <LicensedStatesCd>CO</LicensedStatesCd>
      <LicensedStatesCd>CT</LicensedStatesCd>
      <LicensedStatesCd>DC</LicensedStatesCd>
      <LicensedStatesCd>DE</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <LicensedStatesCd>GA</LicensedStatesCd>
      <LicensedStatesCd>HI</LicensedStatesCd>
      <LicensedStatesCd>ID</LicensedStatesCd>
      <LicensedStatesCd>IN</LicensedStatesCd>
      <LicensedStatesCd>IA</LicensedStatesCd>
      <LicensedStatesCd>KS</LicensedStatesCd>
      <LicensedStatesCd>KY</LicensedStatesCd>
      <LicensedStatesCd>LA</LicensedStatesCd>
      <LicensedStatesCd>ME</LicensedStatesCd>
      <LicensedStatesCd>MD</LicensedStatesCd>
      <LicensedStatesCd>MA</LicensedStatesCd>
      <LicensedStatesCd>MI</LicensedStatesCd>
      <LicensedStatesCd>MN</LicensedStatesCd>
      <LicensedStatesCd>MS</LicensedStatesCd>
      <LicensedStatesCd>MO</LicensedStatesCd>
      <LicensedStatesCd>MT</LicensedStatesCd>
      <LicensedStatesCd>NE</LicensedStatesCd>
      <LicensedStatesCd>NV</LicensedStatesCd>
      <LicensedStatesCd>NH</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NM</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
      <LicensedStatesCd>NC</LicensedStatesCd>
      <LicensedStatesCd>ND</LicensedStatesCd>
      <LicensedStatesCd>OH</LicensedStatesCd>
      <LicensedStatesCd>OK</LicensedStatesCd>
      <LicensedStatesCd>OR</LicensedStatesCd>
      <LicensedStatesCd>PA</LicensedStatesCd>
      <LicensedStatesCd>RI</LicensedStatesCd>
      <LicensedStatesCd>SC</LicensedStatesCd>
      <LicensedStatesCd>SD</LicensedStatesCd>
      <LicensedStatesCd>TN</LicensedStatesCd>
      <LicensedStatesCd>TX</LicensedStatesCd>
      <LicensedStatesCd>UT</LicensedStatesCd>
      <LicensedStatesCd>VT</LicensedStatesCd>
      <LicensedStatesCd>VA</LicensedStatesCd>
      <LicensedStatesCd>WA</LicensedStatesCd>
      <LicensedStatesCd>WI</LicensedStatesCd>
      <LicensedStatesCd>WV</LicensedStatesCd>
      <LicensedStatesCd>WY</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>THE HOPE AFFAIR</Event1Nm>
        <GrossReceiptsEvent1Amt>586272</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>586272</CharitableContriEvent1Amt>
        <Event2Nm>NY GOLF EVENT</Event2Nm>
        <GrossReceiptsEvent2Amt>263829</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>263829</CharitableContriEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>304717</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>304717</CharitableContriOtherEventsAmt>
        <GrossReceiptsTotalAmt>1154818</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>1154818</CharitableContributionsTotAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>KIDNEY PATIENT ASSISTANCE GRANTS</GrantTypeTxt>
        <RecipientCnt>73545</RecipientCnt>
        <CashGrantAmt>263568593</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EDUCATIONAL STIPENDS</GrantTypeTxt>
        <RecipientCnt>4</RecipientCnt>
        <CashGrantAmt>360000</CashGrantAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>1)AMERICAN KIDNEY FUND, INC. (AKF) PROVIDES GRANTS THAT HELP KIDNEY PATIENTS WHO DEMONSTRATE FINANCIAL NEED. PATIENTS OR CAREGIVERS MAY APPLY ON THEIR OWN BEHALF. PATIENTS AND CAREGIVERS APPLY ONLINE. PATIENTS DEMONSTRATE NEED BY WORKING WITH THEIR SOCIAL WORKER AND RENAL PROFESSIONALS TO COMPLETE AN APPLICATION FOR FINANCIAL AID. GRANTS FROM AKF ARE USED FOR TRANSPORTATION, MEDICATION, HEALTH INSURANCE OR NUTRITIONAL PRODUCTS RELATED TO PATIENTS' KIDNEY DISEASE. AKF REQUIRES PROOF THE PATIENT HAS A CURRENT HEALTH INSURANCE PLAN IN PLACE. 2) AKF GRANTS THE CLINICAL SCIENTIST IN NEPHROLOGY FELLOWSHIP YEARLY. THE MAXIMUM DURATION OF EACH FELLOWSHIP IS TWO YEARS. THE LEVEL OF FUNDING IS UP TO $90,000 PER YEAR AND SHALL BE USED PRINCIPALLY TO SUPPORT THE CANDIDATE AND HIS/HER CAREER DEVELOPMENT. THIS SUM IS EXPECTED TO COVER THE INDIVIDUAL FELLOW'S SALARY (WHICH WILL FOLLOW NIH GUIDELINES ACCORDING TO THE POST-GRADUATE YEAR PLUS COMPARABLE FRINGE BENEFITS AT THE INSTITUTION, NOT TO EXCEED $50,000) AS WELL AS TRAINING-RELATED EXPENSES. AKF MAKES PAYMENTS TO THE EDUCATIONAL INSTITUTIONS WHERE THE CANDIDATE IS COMPLETING HIS/HER STUDIES AND AKF RECEIVES REPORTS ON THE CANDIDATE'S STUDIES DURING HIS/HER SUPPORTED PERIOD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <FirstClassOrCharterTravelInd>X</FirstClassOrCharterTravelInd>
      <WrittenPolicyRefTAndEExpnssInd>0</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAVARNE BURTON</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>804357</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>193800</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>471</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>48000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19493</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1066121</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TARA BUNCH</PersonNm>
        <TitleTxt>EVP, AND COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>494972</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>92625</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1413</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24440</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>637950</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARSHALL STRISIK</PersonNm>
        <TitleTxt>VP AND GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>449332</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>73275</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1413</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31741</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>580261</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE PUZZO</PersonNm>
        <TitleTxt>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>448034</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>77700</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>659</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15904</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>566797</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL SPIGLER</PersonNm>
        <TitleTxt>VP OF PATIENT SVCS/KIDNEY</TitleTxt>
        <BaseCompensationFilingOrgAmt>429161</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>67200</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>377</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30233</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>551471</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOLLY BODE</PersonNm>
        <TitleTxt>VP OF GOVERNMENT AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>369190</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>58500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>659</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17204</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>470053</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMARA RUGGIERO</PersonNm>
        <TitleTxt>VP OF COMMUNICATIONS AND MARKETING</TitleTxt>
        <BaseCompensationFilingOrgAmt>353668</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>55700</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>646</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22995</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>440009</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO FLEW FIRST-CLASS TO A CONFERENCE IN 2025. THE BOARD CHAIR APPROVED THE EXPENDITURE TO ALLOW FOR HEALTH AND SAFETY ACCOMODATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <CarsAndOtherVehiclesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>293</ContributionCnt>
        <NoncashContributionsRptF990Amt>191294</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST &amp; SELLING PRICE</MethodOfDeterminingRevenuesTxt>
      </CarsAndOtherVehiclesGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>15</ContributionCnt>
        <NoncashContributionsRptF990Amt>236636</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>AVERAGE SELL PRICE</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 32B:</FormAndLineReferenceDesc>
        <ExplanationTxt>AKF HAS A CONTRACT WITH AUTOMOTIVE RECOVERY SERVICES (THE CAR PROGRAM, LLC AND CHARITABLE ADULT RIDES &amp; SERVICES DBA CARS, INC.). CARS, INC. PROVIDES THE ADMINISTRATIVE SERVICES ASSOCIATED WITH VEHICLE PICK UP REQUESTS, COORDINATES TOWING AND DISPOSAL OF VEHICLES. THE PROGRAM IS RUN THROUGHOUT THE YEAR. CARS, INC. MAINTAINS A WEBSITE THAT LISTS AKF AS ONE OF MANY CHARITIES ELIGIBLE FOR CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AMERICAN KIDNEY FUND'S MANAGEMENT PREPARES THE INFORMATION FOR THE 990, ENSURING ALL COMMUNICATIONS AND PROGRAMMATIC STAFF ARE INCLUDED IN THE PREPARATION AND THE REVIEW OF THE 990. THE AKF TRUSTEES HAVE TASKED THE AKF AMERICAN KIDNEY FUND, INC. 23-7124261 AUDIT AND COMPLIANCE COMMITTEE WITH THE DETAILED REVIEW OF THE FORM 990 PRIOR TO ITS FILING. THE AUDIT AND COMPLIANCE COMMITTEE REVIEWED 990 IS THEN PROVIDED TO THE FULL BOARD FOR FINAL REVIEW BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AKF TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY AT THE AKF SPRING BOARD MEETING. THE CONFLICT OF INTEREST FORM REQUIRES THE TRUSTEE TO ACKNOWLEDGE READING AND UNDERSTANDING AKF'S CONFLICT OF INTEREST STATEMENT AND MUST AFFIRMATIVELY NOTE ON FOUR SPECIFIC QUESTIONS REGARDING POTENTIAL CONFLICTS OF INTEREST. IF NONE EXIST, THE FORM MUST STILL BE COMPLETED AND NOTES MADE THAT NO CONFLICTS OF INTEREST EXIST. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) COUNTER-SIGN THE FORM AND THE DIRECTOR OF STRATEGIC OPERATIONS TABULATES THE FORMS AND IF ANY CONFLICTS OF INTEREST ARE NOTED ON THE FORMS, FURTHER ACTIONS WOULD BE TAKEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AKF TRUSTEES HAVE A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT TRUSTEES THAT ARE TASKED WITH REVIEW OF PERFORMANCE, EXECUTIVE COMPENSATION, AND INCENTIVE PLANS OF THE PRESIDENT AND CEO. ON A BI-ANNUAL BASIS, AKF HIRES AN INDEPENDENT SALARY CONSULTING FIRM TO CONDUCT A SURVEY OF THE NON-PROFIT COMMUNITY TO ENSURE AKF'S COMPENSATION AND BENEFITS FOR THE EXECUTIVE LEVEL (PRESIDENT AND CEO ALONG WITH THE VICE PRESIDENTS) ARE WITHIN INDUSTRY NORMS AND BEST PRACTICES. AKF COMPLETED ITS LATEST INDEPENDENT REVIEW OF EXECUTIVE COMPENSATION AND BENEFITS WITH A REPORT DATED DECEMBER, 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AKF MAKES AVAILABLE ITS AUDITED FINANCIAL STATEMENTS, FORM 990, FINANCIAL INTEREST DISCLOSURE FORM AND ANNUAL REPORTS ON ITS WEBSITE UNDER THE "ABOUT US" TAB.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES SINCE PRIOR YEAR</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AMERICAN KIDNEY FUND SERVICE ORGANIZATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11921 ROCKVILLE PIKE SUITE 300</AddressLine1Txt>
          <CityNm>ROCKVILLE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20852</ZIPCd>
        </USAddress>
        <EIN>300013495</EIN>
        <PrimaryActivitiesTxt>SUPPORT AMERICAN KIDNEY FUND, INC.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AMERICAN KIDNEY FUND INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</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>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
