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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL PETTIT MSL CPH</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA PIVES MS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOEY SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTA WASOWSKI MSW MPH</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHERINE WELLS MPH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MONA ZUFFANTE PHD MPH CPH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LORI FREEMAN MBA</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEROME CHESTER MS MBA</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BHARTESH TRIPATHI</PersonNm>
        <TitleTxt>CONTROLLER</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEE LYNN</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NICOLE SILVERMAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIANE CASALOTTI CHIEF GOV'T</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER PAQUET</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>MATHEMATICA INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1100 FIRST ST NE STE 1200</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20002</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BIG CITIES HEALTH COALITION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <CityNm>TAKOMA PARK</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20913</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SEAMLESS EVENT SOLUTIONS</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>738 SE WASHINGTON ST</AddressLine1Txt>
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            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97214</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AUDIO VISUAL EVENT CONTRACTOR</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIVERSITY OF WASHINGTON</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1410 NE CAMPUS PARKWAY</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GEORGE WASHINGTON UNIVERSITY</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>21211 I STREET NW</AddressLine1Txt>
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            <StateAbbreviationCd>DC</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>900245</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1437296</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1437296</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
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      <ProgramServiceRevenueGrp>
        <Desc>PROJECT FEES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>87500</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>10155</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>62846</ExclusionAmt>
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        <ExclusionAmt>59049</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>31834</ExclusionAmt>
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      <TotalRevenueGrp>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>100195</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>768584</ProgramServicesAmt>
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        <ProgramServicesAmt>1692807</ProgramServicesAmt>
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        <ProgramServicesAmt>2823264</ProgramServicesAmt>
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        <ProgramServicesAmt>2771688</ProgramServicesAmt>
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        <ProgramServicesAmt>157121</ProgramServicesAmt>
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        <ProgramServicesAmt>4312123</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1243434</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>TAXES</Desc>
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        <ManagementAndGeneralAmt>11500</ManagementAndGeneralAmt>
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        <EOYAmt>320046</EOYAmt>
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        <EOYAmt>1442360</EOYAmt>
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        <EOYAmt>617806</EOYAmt>
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        <EOYAmt>71617</EOYAmt>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus1YearAmt>95959767</CurrentTaxYearMinus1YearAmt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>OF THE FIVE CLASSES OF MEMBERSHIPS, ONLY THE ACTIVE MEMBERS ARE ENTITLED TO VOTE. THE ACTIVE MEMBERS OF NACCHO ARE LOCAL PUBLIC HEALTH DEPARTMENTS, INCLUDING OFFICES OF STATE AND TERRITORIAL HEALTH DEPARTMENTS WHICH ARE PROVIDING PUBLIC HEALTH SERVICES LOCALLY OR REGIONALLY, AND TRIBAL HEALTH DEPARTMENTS, WHICH HAVE PAID THE ANNUAL SERVICE FEE ESTABLISHED BY THE BOARD OF DIRECTORS AND WHICH MEET ANY OTHER CRITERIA ESTABLISHED FOR THIS CLASS BY THE BOARD OF DIRECTORS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REGIONAL, AT LARGE, AND TRIBAL MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED BY ALL ACTIVE MEMBERS BY A PLURALITY OF VOTES CAST IN THE ANNUAL ELECTION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT FEDERAL FORM 990 IS PREPARED BY NACCHO'S AUDIT FIRM BASED ON INFORMATION SUPPLIED BY NACCHO. NACCHO'S CHIEF FINANCIAL OFFICER REVIEWS THE DRAFT FEDERAL FORM 990 AGAINST THE INFORMATION SUPPLIED BY NACCHO AND THE PRIOR YEAR FEDERAL FORM 990. ANY ISSUES IDENTIFIED ARE DISCUSSED AND RESOLVED WITH THE AUDIT FIRM. NACCHO'S CHIEF FINANCIAL OFFICER REVIEWS THE DRAFT FEDERAL FORM 990 WITH NACCHO'S EXECUTIVE DIRECTOR. ANY ISSUES IDENTIFIED ARE DISCUSSED AND RESOLVED. IF NECESSARY, NACCHO'S AUDIT FIRM IS BROUGHT INTO THE DISCUSSION. NACCHO'S BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE REVIEWS THE DRAFT FEDERAL FORM 990. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO CONDUCT THE AFFAIRS OF NACCHO BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS SCHEDULED TO MEET 4 TIMES EACH YEAR AND THE EXECUTIVE COMMITTEE IS SCHEDULED TO MEET 11 TIMES EACH YEAR. ANY ISSUES IDENTIFIED ARE DISCUSSED. UNRESOLVED ISSUES ARE SENT TO NACCHO STAFF TO ANSWER AND REPORT BACK TO THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE.</ExplanationTxt>
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        <ExplanationTxt>THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY THE BOARD'S EXECUTIVE COMMITTEE ACTING AS THE COMPENSATION COMMITTEE. THE DETERMINATION IS BASED ON A REVIEW OF DATA FROM COMPARABLE ORGANIZATIONS BY THE EXECUTIVE COMMITTEE. A CONTRACT IS FORMALIZED WITH THE EXECUTIVE DIRECTOR. ANY SUBSEQUENT CHANGE TO THIS DETERMINATION IS DONE BY NEGOTIATION BETWEEN THE EXECUTIVE DIRECTOR AND NACCHO'S EXECUTIVE COMMITTEE. THE LAST COMPENSATION REVIEW FOR THE EXECUTIVE DIRECTOR WAS PERFORMED IN JULY OF 2021. FOR OTHER KEY EMPLOYEES THE EXECUTIVE COMMITTEE MAY REVIEW DATA FOR SIMILARLY QUALIFIED PERSON(S) IN COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS THROUGH THE USE OF SURVEYS PRODUCED BY VARIOUS ORGANIZATIONS. THE EXECUTIVE DIRECTOR, WITH CONSULTATION FROM THE PRESIDENT AND EXECUTIVE COMMITTEE WHEN REQUESTED, SETS THE SALARY RANGES FOR THE OTHER KEY EMPLOYEES. THE LAST COMPENSATION REVIEW FOR THESE INDIVIDUALS WAS PERFORMED IN JULY OF 2021.</ExplanationTxt>
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        <ExplanationTxt>NACCHO'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT NACCHO'S OFFICE UPON REQUEST. NACCHO'S FEDERAL FORM 990 IS AVAILABLE VIA THE INTERNET AT WWW.GUIDESTAR.ORG.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>BUSINESS CONSULTING: PROGRAM SERVICE EXPENSES 21,017,973. MANAGEMENT AND GENERAL EXPENSES 375,741. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,393,714. HR TEMPORARY SERVICES: PROGRAM SERVICE EXPENSES 433,630. MANAGEMENT AND GENERAL EXPENSES 382,257. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 815,887. RECRUITING FEES: PROGRAM SERVICE EXPENSES 5,194. MANAGEMENT AND GENERAL EXPENSES 28,088. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,282.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE FOUNDATION FOR THE PUBLIC'S HEALTH</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1201 EYE STREET NW 4TH FLOOR</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <EIN>472127796</EIN>
        <PrimaryActivitiesTxt>SUPPORT LOCAL HEALTH DEPARTMENTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NACCHO</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>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>