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      <Form990PartVIISectionAGrp>
        <PersonNm>KATY WELKIE</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK WIETECHA</PersonNm>
        <TitleTxt>CEO EMERITUS</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>321068</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>963203</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>352009</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW COOK</PersonNm>
        <TitleTxt>CEO (BEG 10/16/23)</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>44773</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>134320</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48534</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMY KNIGHT</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>15.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>632589</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>355833</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>254390</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE HOGERTY</PersonNm>
        <TitleTxt>CFAO</TitleTxt>
        <AverageHoursPerWeekRt>26.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>14.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>234035</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>131646</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49905</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOREY MACK</PersonNm>
        <TitleTxt>CHIEF QUALITY &amp; SOLUTIONS OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>359480</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>49020</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31473</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORI HOTZEL</PersonNm>
        <TitleTxt>CTO</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>15.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>183842</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>103413</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50894</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KASSANDRA K JENSEN</PersonNm>
        <TitleTxt>CHIEF LEARNING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>37.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>258540</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>25569</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50432</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEAH EVANGELISTA</PersonNm>
        <TitleTxt>CHIEF PUBLIC AFFAIRS OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>107804</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>323413</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48515</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AIMEE OSSMAN</PersonNm>
        <TitleTxt>VP, POLICY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>7300</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>236053</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40431</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KORY K KITTLE</PersonNm>
        <TitleTxt>VP, ANALYTICS</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>198785</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>27107</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45776</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW A HALL</PersonNm>
        <TitleTxt>PRINCIPAL, BIOSTATISTICIAN</TitleTxt>
        <AverageHoursPerWeekRt>37.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>203103</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>20086</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52644</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TROY RICHARDSON</PersonNm>
        <TitleTxt>VP, ANALYTICS &amp; DATA STRATEGY</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>188967</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>25768</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52768</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2740286</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2395431</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1077771</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>77</IndivRcvdGreaterThan100KCnt>
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      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OPMENTORS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>666 DUNDEE RD STE 401</AddressLine1Txt>
            <CityNm>NORTHBROOK</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60062</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE IMPLEMENTATION</ServicesDesc>
        <CompensationAmt>310094</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DELOITTE &amp; TOUCHE LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 RENAISSANCE CENTER STE 3900</AddressLine1Txt>
            <CityNm>DETROIT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48243</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE ADVOCACY COLLECTIVE</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9878 W BELLEVIEW AVE 5127</AddressLine1Txt>
            <CityNm>DENVER</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80123</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BEEKEEPER GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1101 14TH STREET NW STE 200</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADVOCACY CONSULTING</ServicesDesc>
        <CompensationAmt>133655</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUSCH BLACKWELL LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4801 MAIN STREET STE 1000</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64112</ZIPCd>
          </USAddress>
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      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>1007984</AllOtherContributionsAmt>
      <TotalContributionsAmt>1007984</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>32635563</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32635563</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>7331980</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7331980</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>181216</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>181216</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PUBLICATIONS</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>54531</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>54531</UnrelatedBusinessRevenueAmt>
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        <ExclusionAmt>3724460</ExclusionAmt>
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        <ExclusionAmt>15013</ExclusionAmt>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>282645</TotalRevenueColumnAmt>
        <ExclusionAmt>282645</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>463249</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
        <SecuritiesAmt>463249</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>463249</TotalRevenueColumnAmt>
        <ExclusionAmt>463249</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>16879</TotalRevenueColumnAmt>
        <ExclusionAmt>16879</ExclusionAmt>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>40148759</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>54531</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4502246</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>50460</ProgramServicesAmt>
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        <ProgramServicesAmt>908829</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1079079</ManagementAndGeneralAmt>
        <FundraisingAmt>40570</FundraisingAmt>
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        <ProgramServicesAmt>7282404</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8646611</ManagementAndGeneralAmt>
        <FundraisingAmt>325082</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>518180</ProgramServicesAmt>
        <ManagementAndGeneralAmt>519201</ManagementAndGeneralAmt>
        <FundraisingAmt>21171</FundraisingAmt>
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        <ProgramServicesAmt>1029730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1697623</ManagementAndGeneralAmt>
        <FundraisingAmt>55660</FundraisingAmt>
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        <ProgramServicesAmt>585420</ProgramServicesAmt>
        <ManagementAndGeneralAmt>549158</ManagementAndGeneralAmt>
        <FundraisingAmt>23155</FundraisingAmt>
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        <ProgramServicesAmt>35477</ProgramServicesAmt>
        <ManagementAndGeneralAmt>193957</ManagementAndGeneralAmt>
        <FundraisingAmt>4682</FundraisingAmt>
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        <ManagementAndGeneralAmt>76098</ManagementAndGeneralAmt>
        <FundraisingAmt>1553</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>102564</ManagementAndGeneralAmt>
        <FundraisingAmt>2093</FundraisingAmt>
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        <ProgramServicesAmt>2664981</ProgramServicesAmt>
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        <FundraisingAmt>82427</FundraisingAmt>
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        <ProgramServicesAmt>554226</ProgramServicesAmt>
        <FundraisingAmt>11311</FundraisingAmt>
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        <ProgramServicesAmt>51925</ProgramServicesAmt>
        <ManagementAndGeneralAmt>344324</ManagementAndGeneralAmt>
        <FundraisingAmt>8087</FundraisingAmt>
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        <ProgramServicesAmt>365355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2864821</ManagementAndGeneralAmt>
        <FundraisingAmt>65922</FundraisingAmt>
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        <ProgramServicesAmt>1167540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>150531</ManagementAndGeneralAmt>
        <FundraisingAmt>26899</FundraisingAmt>
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        <ProgramServicesAmt>228008</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195022</ManagementAndGeneralAmt>
        <FundraisingAmt>8633</FundraisingAmt>
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        <ProgramServicesAmt>2970723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>428742</ManagementAndGeneralAmt>
        <FundraisingAmt>69377</FundraisingAmt>
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        <ManagementAndGeneralAmt>2840</ManagementAndGeneralAmt>
        <FundraisingAmt>58</FundraisingAmt>
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        <ProgramServicesAmt>1199071</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162536</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>967216</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69632</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>137022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117760</ManagementAndGeneralAmt>
        <FundraisingAmt>5200</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>TAXES</Desc>
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        <ManagementAndGeneralAmt>157745</ManagementAndGeneralAmt>
        <FundraisingAmt>3219</FundraisingAmt>
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        <ProgramServicesAmt>11693198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-15888632</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>32448876</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3045228</ManagementAndGeneralAmt>
        <FundraisingAmt>711031</FundraisingAmt>
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        <EOYAmt>13660296</EOYAmt>
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        <BOYAmt>49877420</BOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>926485</BOYAmt>
        <EOYAmt>1189229</EOYAmt>
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        <EOYAmt>1780245</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>9262122</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5074412</BOYAmt>
        <EOYAmt>3658751</EOYAmt>
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        <EOYAmt>121459540</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>20000</BOYAmt>
        <EOYAmt>20000</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>739500</BOYAmt>
        <EOYAmt>637500</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>7193275</BOYAmt>
        <EOYAmt>7154449</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>132174283</BOYAmt>
        <EOYAmt>149560010</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <BonusRelatedOrganizationsAmt>16560</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>653</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>369</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17061</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>9597</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15512</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8724</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>216415</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>121734</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KASSANDRA K JENSEN</PersonNm>
        <TitleTxt>CHIEF LEARNING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>214855</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>21249</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>42770</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>4230</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>915</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>90</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23915</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2364</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21978</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2175</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>304433</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>30108</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AIMEE OSSMAN</PersonNm>
        <TitleTxt>VP, POLICY</TitleTxt>
        <BaseCompensationFilingOrgAmt>6176</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>199725</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1110</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>35890</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>438</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>597</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>19307</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>616</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>19911</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>8513</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>275271</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW A HALL</PersonNm>
        <TitleTxt>PRINCIPAL, BIOSTATISTICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>173614</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>17170</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>29120</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>2880</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>369</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>36</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18796</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1860</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29108</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2880</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>251007</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>24826</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KORY K KITTLE</PersonNm>
        <TitleTxt>VP, ANALYTICS</TitleTxt>
        <BaseCompensationFilingOrgAmt>167146</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>22793</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30976</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>4224</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>663</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>90</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18870</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2573</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21412</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2921</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>239067</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>32601</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TROY RICHARDSON</PersonNm>
        <TitleTxt>VP, ANALYTICS &amp; DATA STRATEGY</TitleTxt>
        <BaseCompensationFilingOrgAmt>163208</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>22256</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>25520</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>3480</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>239</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>32</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18137</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2473</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28299</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3859</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>235403</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>32100</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW COOK</PersonNm>
        <TitleTxt>CEO (BEG 10/16/23)</TitleTxt>
        <BaseCompensationFilingOrgAmt>44652</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>133957</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>121</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>363</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10875</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>32625</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1258</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3776</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>56906</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>170721</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAD A CHANGE IN CEO EFFECTIVE OCTOBER 16, 2023. THE HIRING PANEL FOR THE CEO WAS MADE UP OF THREE BOARD MEMBERS INCLUDING THE CURRENT CHAIRMAN AND PAST CHAIRMAN. THE PROCESS INVOLVED A NATIONAL SEARCH FIRM THAT WAS CLOSELY MONITORED BY THE ENTIRE BOARD OF TRUSTEES. THE CEO'S COMPENSATION WAS BASED ON MARKET COMPARABLES OF SIMILAR SIZED ORGANIZATIONS AND RESPONSIBILITIES. THE COMPENSATION IS INCLUDED IN A WRITTEN EMPLOYMENT AGREEMENT. IN ADDITION, THE GOVERNANCE COMMITTEE ALSO ACTS AS THE COMPENSATION COMMITTEE AND REVIEWS ALL COMPENSATION RELATED MATTERS. SALARY INCREASES FOR THE CEO ARE RECOMMENDED BY THE GOVERNANCE COMMITTEE TO THE FULL BOARD FOR APPROVAL IN EXECUTIVE SESSION WITHOUT THE CEO PRESENT. THE CEO UTILITZES THE MARKET STUDY TO DETERMINE AND APPROVE COMPENSATION FOR THE PRESIDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING LISTED EMPLOYEES PARTICIPATED IN A 457(F) PLAN DURING THE YEAR: - MATTHEW COOK (NO DISTRIBUTION IN 2023, $43,500 WAS CONTRIBUTED TO THE PLAN) - MARK WIETECHA (NO DISTRIBUTION IN 2023, $279,864 WAS CONTRIBUTED TO THE PLAN) - AMY KNIGHT (NO DISTRIBUTION IN 2023, $188,640 WAS CONTRIBUTED TO THE PLAN)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MARK WIETECHA'S COMPENSATION AGREEMENT ALLOWED FOR AN ANNUAL BONUS WITH THE ACTUAL AMOUNT APPROVED BY THE BOARD. AMY KNIGHT'S COMPENSATION AGREEMENT ALLOWED FOR AN ANNUAL BONUS, WITH THE ACTUAL AMOUNT REVIEWED BY THE COMPENSATION COMMITTEE FOR REASONABLENESS AND APPROVED BY MARK WIETECHA. IN ADDITION, AMY KNIGHT RECEIVED A STAY BONUS THAT WAS PAID DECEMBER 31, 2023 AS NEGOTIATED IN AN AMENDMENT TO HER WRITTEN EMPLOYMENT AGREEMENT. SHE ALSO NEGOTIATED A REIMBURSEMENT FOR LEGAL FEES AS PART OF THE AMENDMENT TO HER WRITTEN EMPLOYMENT AGREEMENT. THE EMPLOYMENT AGREEMENT OF MATT COOK, THE INCOMING CEO, ALLOWED FOR AN ANNUAL BONUS AND WAS PRO-RATED FOR 2023 FROM OCTOBER 16, 2023 TO DECEMBER 31, 2023. AS PART OF THE NEGOTIATED EMPLOYMENT AGREEMENT, RELOCATION EXPENSES WERE ALSO INCLUDED AS WELL AS A SIGNING BONUS WHICH WAS APPROVED BY THE HIRING PANEL AND THE ENTIRE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS, INC. (NACHRI) ACTS AS THE "COMMON PAYMASTER" FOR ITS RELATED ENTITIES. NACHRI ISSUES ALL W-2S FOR ALL EMPLOYEES OF THIS GROUP. THE W-2S ARE REPORTED ONLY ON THE NACHRI RETURN, WHILE COMPENSATION ALLOCATED BY TIME-SPENT IS REPORTED ON THE RETURNS OF THESE ENTITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS DEBORAH FELDMAN AND TIMOTHY ROBINSON WORK AT DAYTON CHILDREN'S HOSPITAL AND NATIONWIDE CHILDREN'S HOSPITAL, RESPECTIVELY; THESE TWO HOSPITALS HAVE PARTNERSHIPS AND BUSINESS RELATIONSHIPS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP IS COMPOSED OF TWO CATEGORIES, VOTING AND NONVOTING, AND MAY BE GRANTED UPON APPLICATION TO THE BOARD OF TRUSTEES, WHICH SHALL ESTABLISH MEMBERSHIP CRITERIA, GRANT OR DENY MEMBERSHIP AND ASSIGN APPLICANTS TO MEMBERSHIP CATEGORIES AT ITS PLEASURE. THE SOLE VOTING MEMBER IS THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, INC., A RELATED, NON-PROFIT ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>NACHRI'S BOARD OF TRUSTEES CONSISTS OF THOSE PERSONS WHO SERVE AS TRUSTEES OF NACHRI'S SOLE MEMBER, THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (NACH), A RELATED 501(C)(6) ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP MAY APPROVE VARIOUS DECISIONS OF THE GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>INITIAL COMPILATION OF INFORMATION IS COMPLETED BY FINANCE STAFF FOR TRANSMISSION TO AN OUTSIDE FIRM FOR TAX RETURN PREPARATION. THE DRAFT RETURN IS REVIEWED BY FINANCE STAFF AND THE CFAO. THE DRAFT RETURN IS PROVIDED TO THE BOARD OF TRUSTEES; ANY BOARD COMMENTS OR QUESTIONS ARE CLEARED PRIOR TO FILING THE FINAL RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES MUST FILL OUT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. AT THE START OF ALL BOARD AND COMMITTEE MEETINGS, THE PARTICIPATING MEMBERS ARE ASKED TO DECLARE ANY CONFLICT OF INTEREST ACCORDINGLY. PERIODICALLY, ALL STAFF MUST FILL OUT A CONFLICT OF INTEREST FORM AND MUST ADHERE TO THE ASSOCIATION'S CONFLICT OF INTEREST POLICY. ANY CONFLICTS OF INTEREST ARE RESOLVED AS APPROPRIATE. THE HUMAN RESOURCE DEPARTMENT ENCOURAGES STAFF TO BRING ANY SITUATIONS TO THEIR ATTENTION AND MAKE PROMPT AND FULL DISCLOSURE OF ANY POTENTIAL SITUATIONS THAT MAY INVOLVE A CONFLICT OF INTEREST. THE POLICY IS INCLUDED IN OUR EMPLOYEE MANUAL AND WHISTLEBLOWER POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NEW CEO WAS HIRED EFFECTIVE OCTOBER 16, 2023. THE HIRING PANEL WAS MADE UP OF THREE BOARD MEMBERS INCLUDING THE CURRENT CHAIRMAN AND PAST CHAIRMAN. THE PROCESS INVOLVED A NATIONAL SEARCH FIRM THAT WAS CLOSELY MONITORED BY THE ENTIRE BOARD OF TRUSTEES. THE CEO'S COMPENSATION WAS BASED ON MARKET COMPARABLES OF SIMILAR SIZED ORGANIZATIONS AND RESPONSIBILITIES. THE COMPENSATION IS INCLUDED IN A WRITTEN EMPLOYMENT AGREEMENT. IN ADDITION, THE GOVERNANCE COMMITTEE ALSO ACTS AS THE COMPENSATION COMMITTEE AND REVIEWS ALL COMPENSATION RELATED MATTERS. FOR ALL OTHER STAFF, THE ASSOCIATION PERIODICALLY ENGAGES AN OUTSIDE CONSULTANT FOR COMPENSATION STUDIES TO REVIEW ALL JOB DESCRIPTIONS AND SALARIES. THIS CONSULTANT HAS EXPERTISE IN THE NON-PROFIT AND HEALTH FIELDS AND IS VERY FAMILIAR WITH THE COMPENSATION PRACTICES. THE CONSULTANT REVIEWS THE COMPENSATION OF OTHER NATIONAL ASSOCIATIONS AND PEER GROUPS. THE LAST FORMAL EVALUATION OF SALARIES OCCURRED DURING 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT GENERALLY MADE AVAILABLE TO THE PUBLIC. AUDITED FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS: PROGRAM SERVICE EXPENSES 2,664,981. MANAGEMENT AND GENERAL EXPENSES 1,373,930. FUNDRAISING EXPENSES 82,427. TOTAL EXPENSES 4,121,338.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>600 13TH STREET NW SUITE 500</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <EIN>582176067</EIN>
        <PrimaryActivitiesTxt>ASSIST CHILDREN'S HOSPITALS IN COMMON BUSINESS INTEREST AND ECONOMIC WELFARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>GA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(6)</ExemptCodeSectionTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHILD HEALTH PATIENT SAFETY ORGANIZATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>16011 COLLEGE BLVD SUITE 250</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66219</ZIPCd>
        </USAddress>
        <EIN>270386722</EIN>
        <PrimaryActivitiesTxt>IMPROVE SAFETY OF CHILDREN'S HOSPITALS BY SHARING DATA &amp; EXPERIENCES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KS</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(2)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHILD HEALTH CORPORATION OF AMERICA</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>16011 COLLEGE BLVD</AddressLine1Txt>
          <CityNm>LENEXA</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66219</ZIPCd>
        </USAddress>
        <EIN>521421302</EIN>
        <PrimaryActivitiesTxt>HOSPITAL BUSINESS ALLIANCE TO BETTER SERVE CHILDREN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <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>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>2048126</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>2508183</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>682709</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHILD HEALTH PATIENT SAFETY ORGANIZATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
        <InvolvedAmt>164854</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHILD HEALTH PATIENT SAFETY ORGANIZATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>473169</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>