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      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TALLEY MANAGEMENT GROUP INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>19 MANTUA ROAD</AddressLine1Txt>
            <CityNm>MOUNT ROYAL</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08061</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>671238</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEHLMAN CASTAGNETTI ROSEN &amp; THOMAS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1341 G STREET NW</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GOVERNMENT POLICY SERVICES</ServicesDesc>
        <CompensationAmt>265730</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>300863</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>300863</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FALL MEETING</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>132375</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>132375</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WEBINARS AND WORKSHOPS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>10581</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10581</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>443819</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>970424</TotalRevenueColumnAmt>
        <ExclusionAmt>970424</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>SPONSORSHIPS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>83221</TotalRevenueColumnAmt>
        <ExclusionAmt>83221</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>83221</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>1497464</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>443819</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1053645</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>33468</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>300111</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>5799</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>21351</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>109221</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>388883</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>79143</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>20011</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>55162</TotalAmt>
      </InformationTechnologyGrp>
      <TravelGrp>
        <TotalAmt>51812</TotalAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>362840</TotalAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3894</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>2838</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>27303</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MERCHANT PROCESSING FEE</Desc>
        <TotalAmt>15674</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ADMINISTRATIVE EXPENSE</Desc>
        <TotalAmt>7291</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMMITTEE EXPENSES</Desc>
        <TotalAmt>5436</TotalAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>523</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1490760</TotalAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>121203</BOYAmt>
        <EOYAmt>331785</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>556916</BOYAmt>
        <EOYAmt>971250</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>208300</BOYAmt>
        <EOYAmt>620</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>27484</BOYAmt>
        <EOYAmt>68978</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>16110660</BOYAmt>
        <EOYAmt>17030111</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>3317730</BOYAmt>
        <EOYAmt>4026409</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>3893</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>81182</BOYAmt>
        <EOYAmt>48463</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>20427368</BOYAmt>
        <EOYAmt>22477616</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>316954</BOYAmt>
        <EOYAmt>217059</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>203338</BOYAmt>
        <EOYAmt>2875</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>520292</BOYAmt>
        <EOYAmt>219934</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>19907076</BOYAmt>
        <EOYAmt>22257682</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>19907076</BOYAmt>
        <EOYAmt>22257682</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>20427368</BOYAmt>
        <EOYAmt>22477616</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>6704</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1635222</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>708680</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondedInd>0</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>1</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>300863</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>109221</NonDeductibleLbbyngPltclCYAmt>
      <NonDedLbbyngPltclCyovAmt>515963</NonDedLbbyngPltclCyovAmt>
      <NonDeductibleLbbyngPltclTotAmt>625184</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>105302</AggregateReportedDuesNtcAmt>
      <CarriedOverAmt>519882</CarriedOverAmt>
      <TaxableAmt>0</TaxableAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <CloselyHeldEquityInterestsGrp>
        <BookValueAmt>4026409</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </CloselyHeldEquityInterestsGrp>
      <TotalBookValueSecuritiesAmt>4026409</TotalBookValueSecuritiesAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>KIDNEY COLLABORATIVE INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>&gt;35% OWNED BY EXECUTIVE DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>48712</TransactionAmt>
        <TransactionDesc>EXECUTIVE DIRECTOR SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6, VOLUNTEERS:</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS APPLY AND ARE SELECTED TO PARTICIPATE. ONCE SELECTED THEY ATTEND AN ORIENTATION. IF THEY ATTEND THE ORIENTATION, THEY ARE ALLOWED TO PARTICIPATE AS A VOLUNTEER. THOSE ALLOWED TO PARTICIPATE AND ATTEND THE COMMITTEE/TASK FORCE MEETINGS ARE COUNTED IN OUR VOLUNTEER NUMBER. WE ALSO INCLUDE THE ELECTED BOD MEMBERS IN OUR COUNT. COMMITTEE MEMBERS SERVE AN AVERAGE OF 2-3 HOURS A MONTH. BOD MEMBERS SERVE 4-6 HOURS A MONTH, AND ATTEND 3 IN-PERSON BOD MEETINGS, EACH LAST 3-7 DAYS. VOLUNTEERS PROVIDE THEIR EXPERT INDUSTRY KNOWLEDGE AND SKILLSETS TO HELP GUIDE THE ORGANIZATION OR COMPLETE TASKS THAT GIVE BACK TO THE MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION ENGAGED TALLEY MANAGEMENT GROUP, INC TO MANAGE ITS AFFAIRS. IN ADDITION, THE ASSOCIATION HAS ENGAGED KIDNEY COLLABORATIVE TO PROVIDE EXECUTIVE DIRECTOR SERVICES THROUGH JULY OF 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS BOTH INDIVIDUAL AND CORPORATE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH ACTIVE MEMBER, WHO IS A MEMBER IN GOOD STANDING, SHALL BE ENTITLED TO ONE (1) VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE ACTIVE MEMBERS. THE PRIMARY REPRESENTATIVE OF THE ACTIVE MEMBER IS ENTITLED TO CAST THE VOTE ON BEHALF OF SUCH ACTIVE MEMBER. EXCEPT AS OTHERWISE REQUIRED BY THE ACT, ACTIONS OF THE ACTIVE MEMBERS SHALL REQUIRE THE AFFIRMATIVE VOTE OF A MAJORITY OF A QUORUM OF THE ACTIVE MEMBERS PRESENT AT A MEETING. AN ACTIVE MEMBER IS ENTITLED TO VOTE IN PERSON OR BY PROXY EXECUTED IN WRITING BY THE ACTIVE MEMBER OR BY THAT ACTIVE MEMBER'S PRIMARY REPRESENTATIVE. NO PROXY SHALL BE VALID AFTER ELEVEN (11) MONTHS FROM THE DATE OF ITS EXECUTION, UNLESS OTHERWISE PROVIDED IN THE PROXY. THE ELECTIONS OF DIRECTORS OR OFFICERS BY THE ACTIVE MEMBERS MAY BE CONDUCTED BY MAIL, ELECTRONIC MAIL, OR OTHER ELECTRONIC MEANS OR ANY COMBINATION THEREOF PROVIDED THAT THE NUMBER OF ACTIVE MEMBERS' CASTING VOTES WOULD CONSTITUTE A QUORUM IF SUCH ACTION HAD BEEN TAKEN AT A MEETING. THE ASSOCIATION SHALL HAVE FIFTEEN (15) DIRECTORS, FIVE (5) OF WHOM SHALL BE OFFICERS OF THE ASSOCIATION. ONLY THE PRIMARY REPRESENTATIVES OF ACTIVE MEMBER COMPANIES ARE ELIGIBLE FOR BOARD POSITIONS. EACH CANDIDATE FOR DIRECTOR SHALL HAVE BEEN THE PRIMARY REPRESENTATIVE OF AN ACTIVE MEMBER OF THE ASSOCIATION, PROVIDED SUCH ACTIVE MEMBER SHALL HAVE BEEN IN GOOD STANDING FOR A MINIMUM OF ONE (1) YEAR. CANDIDATES FOR ONE OF THE FIVE (5) OFFICER POSITIONS SHALL HAVE SERVED ON AN ASSOCIATION COMMITTEE FOR A MINIMUM OF ONE (1) YEAR WITHIN THE LAST TWO (2) YEARS. CANDIDATES FOR PRESIDENT-ELECT MUST HAVE SERVED ON THE BOARD FOR AT LEAST ONE (1) YEAR. DIRECTORS ARE LIMITED TO THREE CONSECUTIVE TERMS OF OFFICE. DIRECTORS WHO SERVE THREE CONSECUTIVE TERMS MUST WAIT A MINIMUM OF ONE YEAR BEFORE SEEKING RE-ELECTION TO OFFICE. HOWEVER, A PERSON MAY SERVE AS PRESIDENT-ELECT, PRESIDENT AND PAST-PRESIDENT IN ADDITION TO THREE CONSECUTIVE TERMS OF OFFICE ON THE BOARD OF DIRECTORS. A PERSON MAY NOT HOLD MORE THAN ONE BOARD OF DIRECTORS POSITION AT ANY GIVEN TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 PROVIDED TO THE EXECUTIVE DIRECTOR WHO REVIEWS ALONG WITH THE PRESIDENT AND TREASURER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE BOARD ARE REQUIRED TO SIGN A DOCUMENT STATING THAT THEY HAVE NO CONFLICT OF INTEREST BETWEEN THEM, THE ASSOCIATION AND ANY OUTSIDE PARTIES THAT WOULD DIMINISH THEIR CAPACITY TO SERVE. THIS IS DONE ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE EXECUTIVE DIRECTOR AND THE PRESIDENT, REVIEW AND APPROVAL WAS DONE BY INDEPENDENT PERSONS, THE USE OF COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION WERE USED TO ESTABLISH COMPENSATION. THE EXECUTIVE DIRECTOR WAS HIRED IN DECEMBER 2023. WHILE THE COMPENSATION DETERMINATION HAPPENED IN LATE 2023, HE DID NOT HAVE ANY REPORTABLE COMPENSATION UNTIL 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY MEMBER OF THE GENERAL PUBLIC MAY APPEAR AT THE MANAGEMENT OFFICES OF THE ASSOCIATION AND REQUEST TO INSPECT THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR FEES 48,712. EDUCATION DIRECTOR FEES 76,230. ADVOCACY CONSULTING 163,831. OTHER PROFESSIONAL FEES 89,360. CERTIFICATION 10,750.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAAP ADJUSTMENT EARNINGS IN SUBSIDIARY 708,680.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RENAL RESEARCH CONSORTIUM LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>19 MANTUA ROAD</AddressLine1Txt>
          <CityNm>MOUNT ROYAL</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08061</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>RESEARCH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RENAL HEALTHCARE ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NATIONAL RENAL ADMINISTRATORS ASSOCIATION POLITICAL ACTION COMMITTEE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>19 MANTUA ROAD</AddressLine1Txt>
          <CityNm>MOUNT ROYAL</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08061</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>POLITICAL ACTIVITIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RENAL HEALTHCARE ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RENAL SERVICES EXCHANGE INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6100 OAK TREE BLVD SUITE 200</AddressLine1Txt>
          <CityNm>INDEPENDENCE</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44131</ZIPCd>
        </USAddress>
        <EIN>743096306</EIN>
        <PrimaryActivitiesTxt>COOPERATIVE PURCHASING AND HEALTHCARE INITIATIVE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RENAL HEALTCHARE ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>724796</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>5950114</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>1</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>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>RENAL SERVICES EXCHANGE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>F</TransactionTypeTxt>
        <InvolvedAmt>450000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH RECEIVED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>