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      <Desc>COALITION MEMBERSHIPNATIONAL ALLIANCE OF HEALTHCARE PURCHASER COALITIONS ("NATIONAL ALLIANCE") AND ITS COALITION MEMBERS ARE DEDICATED TO DRIVING IMPROVEMENT IN HEALTH, EQUITY AND VALUE THROUGH THE COLLECTIVE ACTION OF PUBLIC AND PRIVATE PLAN SPONSOR PURCHASERS. THE NATIONAL ALLIANCE HAS A MEMBERSHIP OF APPROXIMATELY 45 REGIONAL COALITIONS ACROSS THE UNITED STATES REPRESENTING OVER 45 MILLION AMERICANS. THE NATIONAL ALLIANCE ALSO CONVENES A NATIONAL HEALTH LEADERSHIP COUNCIL MADE UP OF STAKEHOLDER LEADERS COMING TOGETHER TO DISCUSS AND COLLABORATE ON KEY AND EMERGING INDUSTRY ISSUES AT A NATIONAL AND REGIONAL LEVEL AS WELL AS AFFILIATE MEMBERS WHO PARTICIPATE IN ACTIVITIES TO EDUCATE ON EMERGING PRACTICES AND INNOVATIONS IN THE MARKETPLACE. THE NATIONAL ALLIANCE PROVIDES EXPERTISE, RESOURCES, AND A NATIONAL VOICE TO ITS MEMBER COALITIONS ACROSS THE COUNTRY.</Desc>
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        <Desc>EDUCATION AND TRAININGNATIONAL ALLIANCE HOLDS TWO MAJOR EVENTS EACH YEAR, THE ANNUAL FORUM AND THE LEADERSHIP SUMMITS WHICH HIGHLIGHT EFFORTS OF LEADING EMPLOYERS, THE NATIONAL ALLIANCE AND ITS MEMBER COALITIONS AS WELL AS EMERGING ISSUES AND INNOVATIONS ACROSS THE INDUSTRY. IN ADDITON, THE NATIONAL ALLIANCE MEETS REGULARLY WITH ITS MEMBER COALITIONS TO DISCUSS ISSUES RELATED TO HEALTHCARE DELIVERY AND PAYMENT REFORM, TOTAL PERSON AND COMMUNITY HEALTH AS WELL AS HEALTH POLICY. THE NATIONAL ALLIANCE PROVIDES AND SPONSORS MULTIPLE FORUMS FOR ENGAGEMENT AT BOTH A NATIONAL AND REGIONAL LEVEL ON KEY ISSUES AND EMERGING TRENDS FOR CONSIDERATION BY PLAN SPONSORS AND COALITIONS.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20222</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KARLENE LUCAS</PersonNm>
        <TitleTxt>DIRECTOR OF EDUCATION AND EVENTS</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>110972</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8401</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINA BELL</PersonNm>
        <TitleTxt>DIRECTOR OF HEALTHCARE ADV</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>149300</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11050</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>711268</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>67645</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RESERVOIR COUMMUNICATIONS GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>607 14TH STREET NW</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>387500</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>PROJECT MANAGEMENT</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>2281182</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2281182</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION AND TRAINING</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>727129</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>727129</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>581583</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>581583</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PRODUCT AND SERVICES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>195768</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>195768</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HONORARIA</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>4895</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4895</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>3790557</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>34368</TotalRevenueColumnAmt>
        <ExclusionAmt>34368</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3824925</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3790557</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>34368</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>491750</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>453833</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>865155</TotalAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>17015</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>56264</TotalAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>86368</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>2553</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>43498</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>897600</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>5697</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>91438</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>23334</TotalAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>59256</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>156883</TotalAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>485274</TotalAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>38707</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>14340</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>ONLINE ACCESS</Desc>
        <TotalAmt>75652</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>35185</TotalAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3899802</TotalAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1406742</BOYAmt>
        <EOYAmt>1214793</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>232918</BOYAmt>
        <EOYAmt>266430</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>53159</BOYAmt>
        <EOYAmt>26202</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>144009</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>88778</BOYAmt>
        <EOYAmt>56496</EOYAmt>
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        <BOYAmt>205107</BOYAmt>
        <EOYAmt>141983</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1986704</BOYAmt>
        <EOYAmt>1705904</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>42715</BOYAmt>
        <EOYAmt>276447</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>623815</BOYAmt>
        <EOYAmt>253163</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>160703</BOYAmt>
        <EOYAmt>91700</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>827233</BOYAmt>
        <EOYAmt>621310</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>947308</BOYAmt>
        <EOYAmt>970861</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>212163</BOYAmt>
        <EOYAmt>113733</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1159471</BOYAmt>
        <EOYAmt>1084594</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1986704</BOYAmt>
        <EOYAmt>1705904</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-74877</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>137584</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>86965</DepreciationAmt>
        <BookValueAmt>50619</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>6425</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>548</DepreciationAmt>
        <BookValueAmt>5877</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>56496</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET</Desc>
        <BookValueAmt>81494</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSIT</Desc>
        <BookValueAmt>5525</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM CCHI</Desc>
        <BookValueAmt>54964</BookValueAmt>
      </OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATION, CURRENT PORTION</Desc>
        <Amt>72756</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATION, NET OF CURRENT PORTION</Desc>
        <Amt>18944</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>91700</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ADOPTED THE ACCOUNTING STANDARD, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES". THIS STANDARD CLARIFIES THE ACCOUNTING AND REPORTING FOR UNCERTAINTIES IN INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN FILINGS WITH TAXING JURISDICTIONS, USING MINIMUM RECOGNITION AND MEASUREMENT THRESHOLDS. MANAGEMENT HAS REVIEWED TAX POSITIONS TAKEN IN FILINGS WITH FEDERAL AND STATE JURISDICTIONS AND BELIEVES THOSE POSITIONS WOULD BE SUSTAINED SHOULD THE FILINGS BE EXAMINED BY RELEVANT TAXING AUTHORITY. THESE TAX FILINGS ARE SUBJECT TO EXAMINATION, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALABAMA EMPLOYER HEALTH CONSORTIUM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 VESTAVIA PKWY SUITE 2300</AddressLine1Txt>
          <CityNm>VESTAVIA HILLS</CityNm>
          <StateAbbreviationCd>AL</StateAbbreviationCd>
          <ZIPCd>35216</ZIPCd>
        </USAddress>
        <RecipientEIN>830666770</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FLORIDA ALLIANCE FOR HEALTHCARE VALUE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4700 MILLENIA BLVD 175</AddressLine1Txt>
          <CityNm>ORLANDO</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32839</ZIPCd>
        </USAddress>
        <RecipientEIN>592500692</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>53500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREATER CINCINNATI EMPLOYER GROUP ON HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6333 MIAMI CT</AddressLine1Txt>
          <CityNm>LOVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45140</ZIPCd>
        </USAddress>
        <RecipientEIN>990566215</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>26500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREATER PHILADELPHIA BUSINESS COALITION ON HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>123 SOUTH BROAD STREET SUITE 1235</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19109</ZIPCd>
        </USAddress>
        <RecipientEIN>463018521</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>33500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTHCARE TN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4728 SPOTTSWOOD AVE 376</AddressLine1Txt>
          <CityNm>MEMPHIS</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38117</ZIPCd>
        </USAddress>
        <RecipientEIN>621709733</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOUSTON BUSINESS COALITION ON HEALTH-EXP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9550 SPRING GREEN BLVD</AddressLine1Txt>
          <CityNm>KATY</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77494</ZIPCd>
        </USAddress>
        <RecipientEIN>760058682</RecipientEIN>
        <IRCSectionDesc>501(C)(4)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LEHIGH VALLEY BUSINESS COALITION ON HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>60 W BROAD ST STE 306</AddressLine1Txt>
          <CityNm>BETHLEHEM</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18018</ZIPCd>
        </USAddress>
        <RecipientEIN>232155696</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>13500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MID ATLANTIC BUSINESS GROUP ON HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1726 REITERSTOWN RD</AddressLine1Txt>
          <CityNm>PIKESVILLE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21208</ZIPCd>
        </USAddress>
        <RecipientEIN>521324879</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MIDWEST BUSINESS GROUP ON HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>211 S CLARK ST 2749</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60604</ZIPCd>
        </USAddress>
        <RecipientEIN>363059249</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEVADA BUSINESS GROUP ON HEALTH EXP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>59 DAMONTE RANCH PKWY STE B 481</AddressLine1Txt>
          <CityNm>RENO</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89521</ZIPCd>
        </USAddress>
        <RecipientEIN>880348643</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>43500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW MEXICO COALITION FOR HEALTHCARE VALUE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 20146</AddressLine1Txt>
          <CityNm>ALBUQUERQUE</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87154</ZIPCd>
        </USAddress>
        <RecipientEIN>473664000</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH CAROLINA BUSINESS GROUP ON HLTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10130 MALLARD CREEK RD SUITE 300</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28262</ZIPCd>
        </USAddress>
        <RecipientEIN>452752656</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>53500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE ALLIANCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>502 WICK ST</AddressLine1Txt>
          <CityNm>CORINTH</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>38834</ZIPCd>
        </USAddress>
        <RecipientEIN>391675538</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>13500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WASHINGTON HEALTH ALLIANCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1809 7TH AVE 1609</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98101</ZIPCd>
        </USAddress>
        <RecipientEIN>470948895</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>33500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BHC BUSINESS HEALTH COALITION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8888 LADUE RD STE 250</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63124</ZIPCd>
        </USAddress>
        <RecipientEIN>431296542</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20250</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTHCARE PURCHASER ALLIANCE OF MAINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>366 US ROUTE ONE SUITE 3</AddressLine1Txt>
          <CityNm>FALMOUTH</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04105</ZIPCd>
        </USAddress>
        <RecipientEIN>043845053</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PITTSBURGH BUSINESS GROUP</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>322 N SHORE DR STE 204</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15212</ZIPCd>
        </USAddress>
        <RecipientEIN>241420994</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>POST AWARD ADMINISTRATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 645</AddressLine1Txt>
          <CityNm>STILLWATER</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74076</ZIPCd>
        </USAddress>
        <RecipientEIN>731383996</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>13500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PASS-THROUGH SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
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        <PersonNm>SHAWN GREMMINGER</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINA BELL</PersonNm>
        <TitleTxt>DIRECTOR OF HEALTHCARE ADV</TitleTxt>
        <BaseCompensationFilingOrgAmt>149300</BaseCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIA CORNEJO</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP SHALL BE LIMITED TO STATE, LOCAL AND REGIONAL COALITIONS WHOSE PRIMARY PURPOSE IS IMPROVING HEALTH AND HEALTH CARE SERVICES THROUGH ADVANCING VALUE BASED PURCHASING. COALITIONS MAY BE ORGANIZED AS NOT-FOR-PROFIT CORPORATIONS AND MAY BE EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO SECTION 501 (A) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. A MAJORITY OF THE DECISION MAKING BODY OF EACH MEMBER MUST BE MADE UP OF REPRESENTATIVES OF HEALTH CARE PURCHASERS WHO ARE NOT PROVIDERS OF HEALTH CARE/EMPLOYEE BENEFIT SERVICES OR PRODUCTS OR PROVIDERS OF SERVICES TO HEALTH CARE PROVIDERS. THE BOARD OF GOVERNORS OF THE CORPORATION SHALL HAVE THE RIGHT, AT ITS SOLE DISCRETION, TO PERMIT ENTITIES NOT MEETING THE ABOVE REQUIREMENTS TO PARTICIPATE AS PART OF AN AFFILIATE ORGANIZATION. SUCH PROPOSED AFFILIATE ORGANIZATIONS SHALL SUPPORT THE MEMBERSHIP'S MISSION TO ADVANCE VALUE BASED PURCHASING AND SHALL INCLUDE PURCHASER REPRESENTATION (UNDER THE AFOREMENTIONED DEFINITION OF PURCHASER) ON THEIR GOVERNING BOARDS. SUCH PROPOSED AFFILIATE ORGANIZATIONS SHALL AGREE THAT ACCESS TO AND PARTICIPATION IN THE CORPORATION'S MEETINGS, ACTIVITIES, AND SERVICES SHALL BE LIMITED TO THOSE STIPULATED BY THE BOARD OF GOVERNORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NOMINATING COMMITTEE SHALL, IN ITS ANNUAL CALL FOR NOMINATIONS, DISTRIBUTE TO ALL MEMBERS A LIST OF COALITION LEADERS ELIGIBLE TO SERVE, A LIST OF BOARD RESPONSIBILITIES, AND THE INDIVIDUAL SKILL SETS AND COALITION TYPES NEEDED TO ADD DIVERSITY TO THE BOARD. MEMBERS WHO RESPOND WITH A FORMAL STATEMENT OF INTEREST IN SERVING SHALL BE ENCOURAGED TO IDENTIFY HOW THEIR QUALIFICATIONS AND EXPERIENCE MATCH BOARD SKILLS AND DIVERSIFICATION NEEDS. ALL MEMBERS NOMINATED SHALL BE PLACED ON A BALLOT AND A VOTE OF THE FULL MEMBERSHIP SHALL BE CONDUCTED. IN THE EVENT OF A TIE, THE NOMINATING COMMITTEE SHALL CHOOSE A NOMINEE WHO WILL BEST REPRESENT THE COALITION MOVEMENT, TAKING INTO CONSIDERATION SUCH FACTORS AS SIZE, MEMBERSHIP, AND NATURE OF COALITION ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW CONDUCTED BY THE FINANCE COMMITTEE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES AND BOARD MEMBERS HAVE AN OBLIGATION TO CONDUCT BUSINESS WITHIN GUIDELINES THAT PROHIBIT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THIS POLICY ESTABLISHES ONLY THE FRAMEWORK WITHIN WHICH NAHPC WISHES THE BUSINESS TO OPERATE. THE PURPOSE OF THESE GUIDELINES IS TO PROVIDE GENERAL DIRECTION SO THAT EMPLOYEES CAN SEEK FURTHER CLARIFICATION ON ISSUES RELATED TO THE SUBJECT OF ACCEPTABLE STANDARDS OF OPERATION. AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST OCCURS WHEN AN EMPLOYEE OR BOARD MEMBER IS IN A POSITION TO INFLUENCE A DECISION THAT MAY RESULT IN A PERSONAL GAIN FOR THAT EMPLOYEE OR BOARD MEMBER OR FOR A RELATIVE AS A RESULT OF NAHPC'S BUSINESS DEALINGS. FOR THE PURPOSES OF THIS POLICY, A RELATIVE IS ANY PERSON WHO IS RELATED BY BLOOD OR MARRIAGE, OR WHOSE RELATIONSHIP WITH THE EMPLOYEE OR BOARD MEMBERS IS SIMILAR TO THAT OF PERSONS WHO ARE RELATED BY BLOOD OR MARRIAGE. NO "PRESUMPTION OF GUILT" IS CREATED BY THE MERE EXISTENCE OF A RELATIONSHIP WITH OUTSIDE FIRMS. HOWEVER, IF EMPLOYEES OR BOARD MEMBERS HAVE ANY INFLUENCE ON TRANSACTIONS INVOLVING PURCHASES, CONTRACTS, OR LEASES, IT IS IMPERATIVE THAT THEY DISCLOSE TO AN OFFICER OF NAHPC AS SOON AS POSSIBLE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO THAT SAFEGUARDS CAN BE ESTABLISHED TO PROTECT ALL PARTIES. PERSONAL GAIN MAY RESULT NOT ONLY IN CASES WHERE AN EMPLOYEE, BOARD MEMBER OR RELATIVE HAS A SIGNIFICANT OWNERSHIP IN A FIRM WITH WHICH NAHPC DOES BUSINESS, BUT ALSO WHEN AN EMPLOYEE, BOARD MEMBER OR RELATIVE RECEIVES ANY KICKBACK, BRIBE, SUBSTANTIAL GIFT, OR SPECIAL CONSIDERATION AS A RESULT OF ANY TRANSACTION OR BUSINESS DEALINGS INVOLVING NAHPC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPARABLE COMPENSATION APPROVED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDING COPIES ON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS 897,600.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WAS NO CHANGE TO THE PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1015 18TH STREET NW SUITE 705</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20036</ZIPCd>
        </USAddress>
        <EIN>760801205</EIN>
        <PrimaryActivitiesTxt>COMMUNITY HEALTH REFORM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NAHPC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
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      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
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          <BusinessNameLine1Txt>COMMUNITY COALITIONS HEALTH INSTITUTE</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
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</Return>