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      <Desc>RESEARCH AND CLINICAL CARETHE SPINA BIFIDA ASSOCIATION (SBA) LEADS NATIONAL EFFORTS TO IMPROVE HEALTHCARE AND QUALITY OF LIFE FOR INDIVIDUALS WITH SPINA BIFIDA THROUGH RESEARCH, ADVOCACY, AND CLINICAL SUPPORT. WITH SUPPORT FROM THE CDC, SBA COORDINATES THE SPINA BIFIDA COLLABORATIVE CARE NETWORK (SBCCN) TO CONNECT CLINICS, RESEARCHERS, AND FAMILIES WITH BEST PRACTICES. SBA DEVELOPED AND MAINTAINS THE GUIDELINES FOR THE CARE OF PEOPLE WITH SPINA BIFIDA, A COMPREHENSIVE, EVIDENCE-BASED FRAMEWORK FOR MULTIDISCIPLINARY CARE. SBA ALSO COLLABORATES WITH THE NATIONAL SPINA BIFIDA PATIENT REGISTRY (NSBPR), CONTRIBUTING TO CLINICAL RESEARCH AND DATA-DRIVEN QUALITY IMPROVEMENT ACROSS 20 CLINICS AND NEARLY 12,000 PATIENTS.IN RESPONSE TO CRITICAL HEALTH NEEDS, SBA CO-DEVELOPED THE UMPIRE PROTOCOL FOR EARLY KIDNEY PROTECTION AND THE LIFESPAN BOWEL MANAGEMENT PROTOCOL TO GUIDE LIFELONG BOWEL CARE. SBA'S RESEARCH AGENDA, SHAPED BY OVER 1,600 COMMUNITY MEMBERS, TARGETS SIX KEY AREAS INCLUDING INCONTINENCE, MENTAL HEALTH, AND SELF-MANAGEMENT. ONGOING ADVOCACY INITIATIVES ADDRESS ACCESS TO ESSENTIAL MEDICAL SUPPLIES AND SERVICES, INCLUDING CATHETERS AND TRANS ANAL IRRIGATION. SBA ALSO IS THE LYNCHPIN FOR RESEARCH EFFORTS IN THE CLINICAL COMMUNITY. SBA SUPPORTS RESEARCH RECRUITMENT, IDENTIFIES EVIDENCE GAPS, AND ADVOCATES FOR ACCESS TO CRITICAL MEDICAL SUPPLIES AND SERVICES.SBA ALSO LEADS THE ANNUAL CLINICAL CARE MEETING AND IS ADVANCING ADULT CARE BY BUILDING PROVIDER NETWORKS AND SPECIALTY-SPECIFIC TRAINING MODELS TO ENSURE CONTINUITY OF CARE INTO ADULTHOOD.</Desc>
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        <Desc>CHAPTER DEVELOPMENT AND OTHERTHE ASSOCIATION PROMOTES THE GROWTH AND DEVELOPMENT OF ITS 14 CHAPTERS THROUGH TECHNICAL ASSISTANCE IN CAPACITY BUILDING, COMMUNICATIONS, PROGRAMMATIC RESOURCES AND GRANTS.</Desc>
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        <CurrentYearMinus3Amt>62913</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>66323</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>77172</CurrentYearMinus1Amt>
        <CurrentYearAmt>63054</CurrentYearAmt>
        <TotalAmt>269462</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>404193</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus3Amt>5775</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>30659</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>45686</CurrentYearMinus1Amt>
        <CurrentYearAmt>45414</CurrentYearAmt>
        <TotalAmt>127534</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>343638</BeginningYearBalanceAmt>
        <ContributionsAmt>213000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>16473</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>170320</OtherExpendituresAmt>
        <EndYearBalanceAmt>402791</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>239909</BeginningYearBalanceAmt>
        <ContributionsAmt>242096</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>8771</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>147138</OtherExpendituresAmt>
        <EndYearBalanceAmt>343638</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>241479</BeginningYearBalanceAmt>
        <ContributionsAmt>60080</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-4119</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>57531</OtherExpendituresAmt>
        <EndYearBalanceAmt>239909</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>274846</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3232</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>36599</OtherExpendituresAmt>
        <EndYearBalanceAmt>241479</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>312034</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3339</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>40527</OtherExpendituresAmt>
        <EndYearBalanceAmt>274846</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>0.14896</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.85104</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>132484</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>132484</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>57100</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>55815</DepreciationAmt>
        <BookValueAmt>1285</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>43744</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>43744</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1285</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>20428</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>20428</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>1973493</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>31370</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>31370</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1942123</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>707</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>707</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1942830</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2044347</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2044347</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>707</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>707</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2045054</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERMANENT ENDOWMENT FUNDS ARE USED TO FUND SCHOLARSHIPS WITH PEOPLE WITH SPINA BIFIDA, FUND GRANTS TO PROMOTE THE PREVENTION AND SCIENTIFIC UNDERSTANDING OF SPINA BIFIDA, AND TO IMPROVE THE LIVES OF THOSE LIVING WITH SPINA BIFIDA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ACCOUNTING STANDARDS REQUIRE AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION. MANAGEMENT EVALUATED THE ASSOCIATION'S TAX POSITION AND CONCLUDED THERE ARE NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THE GUIDANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <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>SARA STRUWE</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>139468</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24250</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>163718</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH CHAPTER OF THE ASSOCATION WHICH MEETS THE AFFILIATION STANDARDS OF THE ASSOCIATION AND IS IN GOOD STANDING AT THE TIME OF EACH RELEVENT MEETING IS REFERRED TO AS A MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>DELEGATES ARE APPOINTED BY EACH CHAPTER. THESE DELEGATES APPROVE THE SLATE OF BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY CHANGES IN THE ASSOCIATION'S BYLAWS AND ARTICLES OF INCORPORATION ARE REQUIRED TO BE APPROVED BY A MAJORITY OF THE CHAPTER DELEGATES PRESENT AT THE ANNUAL BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT VERSION OF THE FEDERAL FORM 990 IS REVIEWED BY THE PRESIDENT AND CEO AS WELL AS THE CHIEF FINANCIAL OFFICER. IT IS THEN GIVEN TO THE AUDIT COMMITTEE FOR REVIEW, DISCUSSION, AND APPROVAL. A COPY OF THE DRAFT FEDERAL FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL WRITTEN CONFIRMATION IS REQUIRED FROM ALL BOARD MEMBERS WHO IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST. THE CONFIRMATION FORM STATES THAT BOARD MEMBERS FOR WHOM THERE IS A CONFLICT ON A GIVEN ISSUES WILL NOT BE INVOLVED IN ANY DISCUSSIONS NOR VOTES ON AREAS OF CONFLICT. THE ANNUAL CONFLICT OF INTEREST (COI) STATEMENTS ARE REVIEWED BY THE BOARD CHAIR AND THE CEO AND, IF ANY COI ITEMS ARE IDENTIFIED, THEY WILL BE BROUGHT TO THE BOARD FOR REVIEW. IN ADDITION, BOARD MEMBERS ARE EXPECTED TO IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST THAT MAY ARISE THROUGHOUT THE YEAR AND AFTER THE COI STATEMENTS ARE SIGNED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A FORMAL REVIEW OF THE CHIEF EXECUTIVE OFFICER'S (CEO) COMPENSATION BY THE BOARD OF DIRECTORS. A FORMAL REVIEW IS MADE BY THE CEO FOR ALL OTHER EMPLOYEES. THE BOARD OF DIRECTORS EMPLOYS A COMBINATION OF PERFORMANCE EVALUATION AND REVIEW OF BOTH LOCAL AND NATIONAL COMPENSATION SURVEYS TO ESTABLISH THE COMPENSATION OF THE CEO. SIMILARLY, THE CEO EMPLOYS PERFORMANCE REVIEWS AND DOCUMENTATION ON REGIONAL COMPENSATION STUDIES TO REVIEW ALL STAFF INCLUDING THE CONTROLLER. ALL STAFF PERFORMANCE REVIEWS AND COMPENSATION CHANGES ARE PRESENTED TO THE CEO PRIOR TO FINALIZING FOR WRITTEN APPROVAL. THE COMPENSATION STUDY LAST TOOK PLACE DURING DECEMBER 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON THEIR WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS: PROGRAM SERVICE EXPENSES 276,505. MANAGEMENT AND GENERAL EXPENSES 9,761. FUNDRAISING EXPENSES 35,387. TOTAL EXPENSES 321,653.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS NOT CHANGED THE OVERSIGHT OR SELECTION PROCESS OF THE AUDIT COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 5 &amp; PART V, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS CONTRACTED WITH A PROFESSIONAL EMPLOYER ORGANIZATION, COADVANTAGE, TO SERVE AS THE EMPLOYER OF RECORD FOR THE ASSOCIATION'S EMPLOYEES. AS SUCH COADVANTAGE IS RESPONSIBLE FOR TAX FILINGS RELATED TO EMPLOYEES. COADVANTAGE ISSUED 15 W-2 FORMS IN 2023 FOR THE ASSOCIATION EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
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  </ReturnData>
</Return>