<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-04-01T16:44:15-05:00</ReturnTs>
    <TaxPeriodEndDt>2023-05-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>420714325</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>RSM US LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>30 South Wacker Dr Suite 3300</AddressLine1Txt>
        <CityNm>Chicago</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>606063392</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-06-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>362318336</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Healthcare Financial Management</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>Association</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>HEAL</BusinessNameControlTxt>
      <PhoneNum>7085319600</PhoneNum>
      <USAddress>
        <AddressLine1Txt>2001 Butterfield Rd 1500</AddressLine1Txt>
        <CityNm>Downers Grove</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>60515</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>C Ann Jordan</PersonNm>
      <PersonTitleTxt>President &amp; CEO</PersonTitleTxt>
      <PhoneNum>7085319600</PhoneNum>
      <SignatureDt>2024-03-25</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>C</PersonFirstNm>
        <PersonLastNm>Ann Jordan</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>Rebekuh Eley</PreparerPersonNm>
      <PTIN>P01247672</PTIN>
      <PhoneNum>3126343400</PhoneNum>
      <PreparationDt>2024-03-25</PreparationDt>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>2</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="5">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>C Ann Jordan</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>2001 Butterfield Rd 1500</AddressLine1Txt>
        <CityNm>Downers Grove</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>60515</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>23281002</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <GroupExemptionNum>1995</GroupExemptionNum>
      <Organization501cInd organization501cTypeTxt="6">X</Organization501cInd>
      <WebsiteAddressTxt>www.hfma.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1957</FormationYr>
      <LegalDomicileStateCd>IL</LegalDomicileStateCd>
      <ActivityOrMissionDesc>Leading the financial management of health care.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>13</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>12</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>85</TotalEmployeeCnt>
      <TotalVolunteersCnt>775</TotalVolunteersCnt>
      <TotalGrossUBIAmt>1817897</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>131371</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>1901680</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>0</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>19188187</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>18830520</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>372546</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>342995</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>4541843</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>4107487</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>26004256</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>23281002</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>14246957</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>15462466</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>7516274</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>8186053</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>21763231</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>23648519</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>4241025</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-367517</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>21103876</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>23035589</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>13038348</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>15729792</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>8065528</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>7305797</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>Leading the financial management of health care.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <Desc>Membership - Healthcare Financial Management Association's (HFMA) goal is to improve the financial management of US healthcare institutions and related healthcare organizations through fostering knowledge and proficiency, providing a forum for exchange of ideas and best practices, strengthening cooperation among those in the profession, and establishing and promulgating principles of practice and standards of performance. Through 63 chapters and 11 regions, HFMA's 102,000 members have opportunities for education, sharing of common experiences, and keeping up to date on legislative and regulatory changes. These venues also provide for networking exchanges that build relationships that further professional careers and create personal, long-lasting friendships that span the US geography.</Desc>
      <ProgSrvcAccomActy2Grp>
        <Desc>HFMA publishes monthly magazines and e-newsletters that are shared not only with the 102,000-member base but with other industry professionals, circulation for some periodicals reaching 40,000. The publications contain articles and information related to recent governmental rule changes and those under consideration, current events, real life best practice examples and hot topics facing the industry. E-newsletters are circulated to registered members.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <Desc>Certification and Education - The Healthcare Financial Management Association (HFMA) helps its members-both individuals and organizations-achieve optimal performance by providing the practical tools and solutions, education, industry analyses, and strategic guidance needed to address the many challenges that exist within the US healthcare system. HFMA advances the profession and industry by providing relevant education and professional development opportunities, offering specialized certifications in revenue cycle, accounting and finance, business intelligence, managed care, and physician practice management. HFMA also provides educational content via webinars, virtual experiences and custom content.</Desc>
      </ProgSrvcAccomActy3Grp>
      <DescribedInSection501c3Ind>0</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>0</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">1</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">1</TransactionWithControlEntInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>67</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>85</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>1</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>13</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>12</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>1</LocalChaptersInd>
      <PoliciesReferenceChaptersInd>1</PoliciesReferenceChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>0</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>Steve S Saldivar</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>7085319600</PhoneNum>
        <USAddress>
          <AddressLine1Txt>2001 Butterfield Rd 1500</AddressLine1Txt>
          <CityNm>Downers Grove</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60515</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <InfoInScheduleOPartVIIInd>X</InfoInScheduleOPartVIIInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph J Fifer</PersonNm>
        <TitleTxt>President &amp; CEO until 5/31/23</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>979554</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>419809</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>117678</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Aaron R Crane</PersonNm>
        <TitleTxt>Chairman</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.40</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dennis E Dahlen</PersonNm>
        <TitleTxt>Chair-Elect</TitleTxt>
        <AverageHoursPerWeekRt>3.60</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.40</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Marc B Scher</PersonNm>
        <TitleTxt>Secretary/Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Carladenise Armbrister Edwards</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Abby Birch</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Colleen M Blye</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maureen A Clancy</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Matthew E Cox</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David W Johnson</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey T O'Malley</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Margaret L Schuler</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Marcus Whitney</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.30</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.30</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Gundling</PersonNm>
        <TitleTxt>SVP, Healthcare Financial Practices</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>326679</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>140005</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>86070</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Casey SVP Member</PersonNm>
        <TitleTxt>Experience and Business Development</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>284934</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>122114</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>73013</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Mirabelli</PersonNm>
        <TitleTxt>SVP, Content Strategy and Delivery</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>281137</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>120487</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44726</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joyce Zimowski</PersonNm>
        <TitleTxt>SVP/CFO until 12/6/22</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>274078</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>117462</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31732</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lisa Richards</PersonNm>
        <TitleTxt>VP, People and Culture</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>186539</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>79945</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>60566</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Lucas</PersonNm>
        <TitleTxt>Director, Channel Assets</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>315712</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>135305</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22252</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Vincent Lynn</PersonNm>
        <TitleTxt>Enterprise Account Executive</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>286276</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>122690</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33350</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Todd Nelson</PersonNm>
        <TitleTxt>Director, Partner Relationships</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>187434</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>80329</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37196</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Schellenberg</PersonNm>
        <TitleTxt>Account Executive</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>160832</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>68928</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32796</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rita Walker</PersonNm>
        <TitleTxt>Director, Channel Assets</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>13.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>151946</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>65119</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41769</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3435121</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1472193</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>581148</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>34</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>XIT Solutions Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>18W140 Butterfield Road</AddressLine1Txt>
            <CityNm>Oak Brook Terrace</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60181</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT Services</ServicesDesc>
        <CompensationAmt>738585</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Meridian Technology Solutions</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2210 Midwest Road</AddressLine1Txt>
            <CityNm>Oak Brook</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60523</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT Services</ServicesDesc>
        <CompensationAmt>672311</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Powercast Media LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5527 N Camino Real</AddressLine1Txt>
            <CityNm>Tucson</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85718</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Advertising/Sales</ServicesDesc>
        <CompensationAmt>544798</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AdCellerant LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>900 Bannock Street</AddressLine1Txt>
            <CityNm>Denver</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80204</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Digital Marketing Services</ServicesDesc>
        <CompensationAmt>467930</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLD Associates Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1171 S Prairie Avenue</AddressLine1Txt>
            <CityNm>Lake Forest</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60045</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Advertising/Sales</ServicesDesc>
        <CompensationAmt>431930</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>22</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>Membership Dues</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>11924046</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11924046</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Publications</Desc>
        <BusinessCd>513120</BusinessCd>
        <TotalRevenueColumnAmt>1824095</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6198</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1817897</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Sponsorships</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>1807572</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1807572</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Benchmarking &amp; Metrics</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>1653755</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1653755</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Peer Review</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>995000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>995000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>626052</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>327023</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>299029</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>18830520</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>308639</TotalRevenueColumnAmt>
        <ExclusionAmt>308639</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>34356</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>34356</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>34356</TotalRevenueColumnAmt>
        <ExclusionAmt>34356</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>Reimbursed Shared Services</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4107487</TotalRevenueColumnAmt>
        <ExclusionAmt>4107487</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>4107487</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>23281002</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16713594</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1817897</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4749511</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2169532</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>11089254</TotalAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>691881</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>820112</TotalAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>691687</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>103785</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>85674</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>18225</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2281011</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>567634</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>926014</TotalAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>325610</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>849912</TotalAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>219029</TotalAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>445897</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>232399</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Membership Model</Desc>
        <TotalAmt>958568</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment</Desc>
        <TotalAmt>755836</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Subscriptions</Desc>
        <TotalAmt>201120</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UBI Taxes</Desc>
        <TotalAmt>41213</TotalAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>174126</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>23648519</TotalAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1569977</BOYAmt>
        <EOYAmt>2202077</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>236586</BOYAmt>
        <EOYAmt>254207</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1786794</BOYAmt>
        <EOYAmt>2658509</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1613002</BOYAmt>
        <EOYAmt>1274135</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>4072839</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2235879</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1551082</BOYAmt>
        <EOYAmt>1836960</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>12894417</BOYAmt>
        <EOYAmt>12827594</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1452018</BOYAmt>
        <EOYAmt>1982107</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>21103876</BOYAmt>
        <EOYAmt>23035589</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2984454</BOYAmt>
        <EOYAmt>2454351</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>8817565</BOYAmt>
        <EOYAmt>9164715</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1236329</BOYAmt>
        <EOYAmt>4110726</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>13038348</BOYAmt>
        <EOYAmt>15729792</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8065528</BOYAmt>
        <EOYAmt>7305797</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8065528</BOYAmt>
        <EOYAmt>7305797</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>21103876</BOYAmt>
        <EOYAmt>23035589</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-367517</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-392214</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>526928</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>44447</DepreciationAmt>
        <BookValueAmt>482481</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3523941</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2191432</DepreciationAmt>
        <BookValueAmt>1332509</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>21970</OtherCostOrOtherBasisAmt>
        <BookValueAmt>21970</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1836960</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Operating Lease ROU Asset</Desc>
        <BookValueAmt>1289343</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Investments Held for Deferred Compensation</Desc>
        <BookValueAmt>692764</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1982107</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliates</Desc>
        <Amt>2000963</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating Lease Liability</Desc>
        <Amt>1416999</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Compensation Liability</Desc>
        <Amt>692764</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>4110726</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HFMA is exempt from federal income taxes under Section 501(c)(6) of the Internal Revenue Code. HFMA is subject to taxes on unrelated business income, which is generally HFMA's advertising revenue. Income tax expense associated with unrelated business income is reflected within the taxes expense line item on the consolidated statements of activities. The Association follows the provisions of the Accounting for Uncertainty in Income Taxes section of the Income Taxes Topic of the Codification, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under this guidance, the Association may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Association and various positions related to the potential sources of unrelated business income (UBI). The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. This guidance on accounting for uncertainty in income taxes also addresses de-recognition, classification, interest and penalties on income taxes and accounting in interim periods. As of May 31, 2023 and 2022, the Association has no liability for unrecognized tax benefits. HFMA files Form 990 in the U.S. federal jurisdiction.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <FirstClassOrCharterTravelInd>X</FirstClassOrCharterTravelInd>
      <TravelForCompanionsInd>X</TravelForCompanionsInd>
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph J Fifer</PersonNm>
        <TitleTxt>President &amp; CEO until 5/31/23</TitleTxt>
        <BaseCompensationFilingOrgAmt>868467</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>372200</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>108121</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>46338</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2966</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1271</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>65976</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>28275</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16399</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7028</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1061929</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>455112</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>48248</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>20678</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Gundling</PersonNm>
        <TitleTxt>SVP, Healthcare Financial Practices</TitleTxt>
        <BaseCompensationFilingOrgAmt>286997</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>122999</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35857</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>15367</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3825</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1639</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>40331</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>17285</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19918</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8536</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>386928</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>165826</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>32812</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>14062</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Casey SVP Member</PersonNm>
        <TitleTxt>Experience and Business Development</TitleTxt>
        <BaseCompensationFilingOrgAmt>252757</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>108324</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30245</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>12962</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1932</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>828</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>36357</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15582</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14752</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6322</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>336043</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>144018</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>26143</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>11204</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Lucas</PersonNm>
        <TitleTxt>Director, Channel Assets</TitleTxt>
        <BaseCompensationFilingOrgAmt>314809</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>134918</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>903</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>387</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8016</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3435</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7561</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3240</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>331289</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>141980</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Mirabelli</PersonNm>
        <TitleTxt>SVP, Content Strategy and Delivery</TitleTxt>
        <BaseCompensationFilingOrgAmt>244771</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>104902</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30659</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>13139</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5707</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2446</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14945</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6405</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16363</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7013</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>312445</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>133905</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>21706</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>9302</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Vincent Lynn</PersonNm>
        <TitleTxt>Enterprise Account Executive</TitleTxt>
        <BaseCompensationFilingOrgAmt>286178</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>122648</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>98</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>42</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4387</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1880</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18958</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>8125</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>309621</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>132695</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joyce Zimowski</PersonNm>
        <TitleTxt>SVP/CFO until 12/6/22</TitleTxt>
        <BaseCompensationFilingOrgAmt>237323</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>101710</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>31523</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>13510</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5232</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>2242</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14945</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6405</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7267</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3115</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>296290</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>126982</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>20458</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>8768</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lisa Richards</PersonNm>
        <TitleTxt>VP, People and Culture</TitleTxt>
        <BaseCompensationFilingOrgAmt>163021</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>69866</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>22961</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>9840</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>557</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>239</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>28298</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>12128</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14098</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6042</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>228935</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>98115</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Todd Nelson</PersonNm>
        <TitleTxt>Director, Partner Relationships</TitleTxt>
        <BaseCompensationFilingOrgAmt>169521</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>72652</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>17430</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>7470</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>483</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>207</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11517</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4936</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14520</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6223</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>213471</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>91488</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Schellenberg</PersonNm>
        <TitleTxt>Account Executive</TitleTxt>
        <BaseCompensationFilingOrgAmt>159947</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>68549</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>885</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>379</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5130</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>2199</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17827</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7640</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>183789</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>78767</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rita Walker</PersonNm>
        <TitleTxt>Director, Channel Assets</TitleTxt>
        <BaseCompensationFilingOrgAmt>151747</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>65034</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>199</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>85</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7009</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3004</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22229</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>9527</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>181184</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>77650</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>HFMA allows for first class travel as business expenses for the CEO and Board Chair to attend meetings related to HFMA business. The business expenses were treated as nontaxable to the individuals. Companion travel is allowed for the spouse or significant other of the CEO or Board Chair twice per year (Board Retreat and Annual Conference). This is not treated as taxable to the individual. HFMA paid for health club fees on behalf of the CEO, which is included in taxable compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals received contributions to their supplemental non-qualified retirement plan in 2022: William Casey $30,589 Joseph Fifer $72,901 Rick L. Gundling $36,265 Lisa Richards $23,222 The following individuals received payouts from their supplemental non-qualified retirement plan in 2022: William Casey $37,347 Joseph Fifer $68,926 Rick L. Gundling $46,874 Joyce Zimowski $29,225 Mary Mirabelli $31,008</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has three classes of members: Regular member, National Life member, and a Student member. Each Regular member and National Life member shall be entitled to one vote on each matter submitted to a vote of the members. Student members shall have no voting rights.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>A majority of the qualified members voting at each annual meeting shall elect the officers and directors of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to voting for officers and directors, and approving amendments to the bylaws, as provided under the HFMA bylaws, qualified HFMA members, by virtue of Illinois law, would be required to approve any decision by the board of directors to engage in the following corporate transactions: merger or consolidation; dissolution; the sale, lease, exchange of assets other than in the usual course of business; and amendment of the articles of incorporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors has delegated responsibility for governance's review of the Form 990 to the Secretary/Treasurer who serves as a member of the Board of Directors, as a member of the Executive Committee and Chair of the Audit and Finance Committee. Members of the Board of Directors are provided with copies of the returns prior to the returns being filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>HFMA has a formal Board policy which directs the review and affirmation of the organization's Conflict of Interest policy and related guidelines. The policy is provided to board members annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>HFMA uses an annual formal process for determining the annual compensation for the President/CEO and business executives. This process includes: use of independent outside business consultants; review and approval by a governing body or compensation committee; use and reference of compensation data for comparison of similar qualified professionals in functionally comparable positions at similarly situated organizations; contemporaneous documentation and record keeping with respect to deliberations and decision regarding the compensation arrangement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization disclosed its IRS Form 990 tax documents and audited financial statements on its official HFMA website - www.HFMA.org. Copies of IRS Form 990 are supplied to outside inquiries upon request. The organization also makes its Constitution, Bylaws, Code of Ethics and Mission statements available on its official website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A:</FormAndLineReferenceDesc>
        <ExplanationTxt>Reportable compensation in columns (D) and (E) is paid from a common paymaster, Healthcare Financial Management Association (EIN: 36-2318336). The compensation attributed to services for the filing organization is allocated to column (D).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association Educational Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2001 Butterfield Rd Suite 1500</AddressLine1Txt>
          <CityNm>Downers Grove</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60515</ZIPCd>
        </USAddress>
        <EIN>362544491</EIN>
        <PrimaryActivitiesTxt>Foster/Increase financial management knowledge through education</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>HFMA Learning Solutions Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2001 Butterfield Rd Suite 1500</AddressLine1Txt>
          <CityNm>Downers Grove</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60515</ZIPCd>
        </USAddress>
        <EIN>364239827</EIN>
        <PrimaryActivitiesTxt>Education media</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>236033</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>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>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association Educational Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>7249796</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association Educational Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>4107487</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Healthcare Financial Management Association Learning Solutions Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>1000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Healthcare Financial Management Association Education Foundation is a related organization which is included in another group exemption with subordinate organizations. The Foundation is affiliated with HFMA through common membership of their respective Boards of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
