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          <AddressLine1Txt>6103 S 178TH ST</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68135</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>700</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>LAUREN LIPPINCOTT</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>2611 HWY 14</AddressLine1Txt>
          <CityNm>CENTRAL CITY</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68826</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>1000</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>MACHAELA CAVANAUGH</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>824 N 74TH AVE</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68114</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>600</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>MEGAN HUNT</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>6012 CHARLES ST</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68132</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>100</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>MERV RIEPE</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>6232 S 79TH CIRCLE</AddressLine1Txt>
          <CityNm>RALSTON</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68127</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>500</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>MIKE HILGERS</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>570 FALLBROOK BLVD STE 109</AddressLine1Txt>
          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68521</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>1000</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>MIKE JACOBSON</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>18326 S CHARLES AVE</AddressLine1Txt>
          <CityNm>NORTH PLATTE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>69101</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>100</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>MIKE MOSER</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>2514 13TH ST</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>686014914</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>100</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>MYRON DORN</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>15717 E ASPEN RD</AddressLine1Txt>
          <CityNm>ADAMS</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68301</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>2000</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>RAY AGUILAR</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>55A KUESTER LK</AddressLine1Txt>
          <CityNm>GRAND ISLAND</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>688018609</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>100</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>RICHARD HOLDCROFT</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>13701 S 37TH CIR</AddressLine1Txt>
          <CityNm>BELLEVUE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68123</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>100</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>RITA SANDERS</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>507 MARTIN DR</AddressLine1Txt>
          <CityNm>BELLEVUE</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>680054730</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>500</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>ROBERT CLEMENTS</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>424 N 4TH ST</AddressLine1Txt>
          <CityNm>ELMWOOD</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68349</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>2000</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>ROBERT DOVER</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 W NORFOLK AVE</AddressLine1Txt>
          <CityNm>NORFOLK</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>687015058</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>1000</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>STEVE ERDMAN</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>8527 L62A</AddressLine1Txt>
          <CityNm>BAYARD</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>693341405</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>1000</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>STEVE HALLORAN</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>1522 ARAPAHOE AVE</AddressLine1Txt>
          <CityNm>HASTINGS</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>689012880</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>1000</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>SUZANNE GEIST</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>9030 SANDHILLS CT</AddressLine1Txt>
          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>685269249</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>100</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>TERESA IBACH</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>44670 RD 767</AddressLine1Txt>
          <AddressLine2Txt>PO BOX 131</AddressLine2Txt>
          <CityNm>SUMNER</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68878</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>1100</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>TERREK MCKINNEY</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>5319 N 30TH</AddressLine1Txt>
          <AddressLine2Txt>410</AddressLine2Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68111</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>100</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>TOM BRANDT</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>58125 HWY 4</AddressLine1Txt>
          <CityNm>PLYMOTH</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68424</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>1000</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>TOM BREWER</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>550 WEST 10TH STREET</AddressLine1Txt>
          <CityNm>GORDON</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>69343</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>1000</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>TONY VARGAS</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>713 CANIGLIA PLZ</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>681083753</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>500</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>TRACY HIGHTOWER-HENNE</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>10110 NICHOLAS ST</AddressLine1Txt>
          <AddressLine2Txt>STE 102</AddressLine2Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>681142185</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>100</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>WENDY DEBOER</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>14510 READ STREET</AddressLine1Txt>
          <CityNm>BENNINGTON</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68007</ZIPCd>
        </USAddress>
        <PaidInternalFundsAmt>100</PaidInternalFundsAmt>
      </Section527PoliticalOrgGrp>
      <SubstantiallyAllDuesNondedInd>false</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>false</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>true</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>1396595</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>127264</NonDeductibleLbbyngPltclCYAmt>
      <NonDedLbbyngPltclCyovAmt>-987130</NonDedLbbyngPltclCyovAmt>
      <NonDeductibleLbbyngPltclTotAmt>-859866</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>275548</AggregateReportedDuesNtcAmt>
      <TaxableAmt>-1135414</TaxableAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART I-A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NEBRASKA HEALTH CARE ASSOCIATION ADMINISTERS A SEGREGATED ACCOUNT FOR POLITICAL ACTION COMMITTEE CONTRIBUTIONS AND DISBURSEMENTS. THIS FUND, KNOWN AS THE CARE PAC, IS USED ENTIRELY FOR THE RECEIPT AND DISBURSEMENT OF THE POLITICAL CONTRIBUTIONS AND MINIMAL ANCILLARY EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART I-C, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>BRAD VON GILLERN 700 0 18370 HONEYSUCKLE DRIVE, ELKHORN, NE 68022 BRIAN HARDIN 500 0 2770 CLUBHOUSE DRIVE, GERING, NE 69341 CAROLYN BOSN 450 0 6433 COUNTRYVIEW RD, LINCOLN, NE 68516-9292 CHRISTIAN MIRCH 100 0 11235 DAVENPORT ST, OMAHA, NE 68514-2690 CHRISTY ARMENDARIZ 1,000 0 16212 W MAPLE RD, OMAHA, NE 68116-2101 DANIELLE CONRAD 250 0 3818 DUDLEY STREET, LINCOLN, NE 68503 DAVE MURMAN 500 0 31260 ROAD A, GLENVIL, NE 68941 DENNIS FUJAN 100 0 3060 COUNTRY ROAD O, PRAGUE, NE 68050-6391 DENNY VAGGALIS 100 0 6037 MINTER LN, LINCOLN, NE 68516-5532 ELIOT BOSTAR 500 0 3800 S 42ND ST, LINCOLN, NE 68506-4209 ETHAN CLARK 100 0 PO BOX 346, ORD, NE 68862-0346 GEORGE DUNGAN 600 0 5643 WALKER AVENUE, LINCOLN, NE 68507 JACOB WOLFF 100 0 19114 T ST, OMAHA, NE 68135-4115 JANA HUGHES 600 0 1825 DEER RUN DR., SEWARD, NE 68434 JEN DAY 1,000 0 15708 REDWOOD ST, OMAHA, NE 68136-3167 JIM PILLEN 15,000 0 4438 OLD MILL CT., COLUMBUS, NE 68601 JOHN ARCH 5,000 0 8614 S 100TH ST., LAVISTA, NE 68128 JOHN CAVANAUGH 100 0 916 S 58TH ST, OMAHA, NE 68106-1212 JOHN FREDRICKSON 600 0 7602 PACIFIC STREET, OMAHA, NE 68114 JULIE SLAMA 500 0 73424 645A AVENUE, PERU, NE 68421 KATHLEEN KAUTH 700 0 6103 S. 178TH ST., OMAHA, NE 68135 LAUREN LIPPINCOTT 1,000 0 2611 HWY 14, CENTRAL CITY, NE 68826 MACHAELA CAVANAUGH 600 0 824 N 74TH AVE., OMAHA, NE 68114 MEGAN HUNT 100 0 6012 CHARLES ST, OMAHA, NE 68132 MERV RIEPE 500 0 6232 S 79TH CIRCLE, RALSTON, NE 68127 MIKE HILGERS 1,000 0 570 FALLBROOK BLVD STE 109, LINCOLN, NE 68521 MIKE JACOBSON 100 0 18326 S CHARLES AVE, NORTH PLATTE, NE 69101 MIKE MOSER 100 0 2514 13TH ST, COLUMBUS, NE 68601-4914 MYRON DORN 2,000 0 15717 E ASPEN RD, ADAMS, NE 68301 RAY AGUILAR 100 0 55A KUESTER LK, GRAND ISLAND, NE 68801-8609 RICHARD HOLDCROFT 100 0 13701 S 37TH CIR, BELLEVUE, NE 68123 RITA SANDERS 500 0 507 MARTIN DR., BELLEVUE, NE 68005-4730 ROBERT CLEMENTS 2,000 0 424 N 4TH ST, ELMWOOD, NE 68349 ROBERT DOVER 1,000 0 1000 W NORFOLK AVE, NORFOLK, NE 68701-5058 STEVE ERDMAN 1,000 0 8527 L62A, BAYARD, NE 69334-1405 STEVE HALLORAN 1,000 0 1522 ARAPAHOE AVE, HASTINGS, NE 68901-2880 SUZANNE GEIST 100 0 9030 SANDHILLS CT, LINCOLN, NE 68526-9249 TERESA IBACH 1,100 0 44670 RD 767, SUMNER, NE 68878 TERREK MCKINNEY 100 0 5319 N 30TH, OMAHA, NE 68111 TOM BRANDT 1,000 0 58125 HWY 4, PLYMOTH, NE 68424 TOM BREWER 1,000 0 550 WEST 10TH STREET, GORDON, NE 69343 TONY VARGAS 500 0 713 CANIGLIA PLZ, OMAHA, NE 68108-3753 TRACY HIGHTOWER-HENNE 100 0 10110 NICHOLAS ST, OMAHA, NE 68114-2185 WENDY DEBOER 100 0 14510 READ STREET, BENNINGTON, NE 68007</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS PRESENTLY NOT BEEN ABLE TO ATTAIN IDENTIFICATION NUMBERS FOR EACH RELEVANT POLITICAL CAMPAIGN. THEREFORE, THE OMITTANCE OF COLUMN (C) ON PART 1-C IS REFLECTIVE OF A LACK OF INFORMATION PROVIDED BY THE POLITICAL ORGANIZATIONS RATHER THAN AN INCOMPLETE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc4">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>132500</OtherCostOrOtherBasisAmt>
        <BookValueAmt>132500</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1673460</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>455220</DepreciationAmt>
        <BookValueAmt>1218240</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>192670</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>166632</DepreciationAmt>
        <BookValueAmt>26038</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1376778</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>7202</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7202</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3010514</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>86269</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>86269</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2924245</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>9334</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>-40191</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-30857</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2893388</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2653569</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>2653569</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>9334</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>-40191</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>-30857</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2622712</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION IS A TRADE ASSOCIATION PROMOTING THE COMMON GOOD OF ITS MEMBERS AND HAS BEEN GRANTED EXEMPTION FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE. AS SUCH, INCOME EARNED IN THE PERFORMANCE OF ITS EXEMPT PURPOSE IS NOT SUBJECT TO INCOME TAXES. HOWEVER, INCOME EARNED FROM ACTIVITIES OUTSIDE OF ITS EXEMPT PURPOSE MAY BE SUBJECT TO UNRELATED BUSINESS INCOME TAXES AND MAY BE TAXED AT NORMAL CORPORATE RATES. THE ASSOCIATION CURRENTLY RECEIVES REVENUES FROM ADVERTISING, LEASING OF DEBT-FINANCED BUILDING SPACE AND MANAGEMENT FEES WHICH MAY, AFTER DEDUCTING CERTAIN ALLOCABLE EXPENSES, BE SUBJECT TO UNRELATED BUSINESS INCOME TAXES. THERE HAS BEEN NO ACCRUAL RECORDED FOR THESE TAXES FOR DECEMBER 31, 2023 AND 2022, DUE TO SUCH AMOUNTS BEING IMMATERIAL TO THE FINANCIAL STATEMENTS. THE ASSOCIATION HAS MADE QUARTERLY SAFE ESTIMATES FOR THE YEAR ENDING DECEMBER 31, 2023 AND 2022. DURING 2023 AND 2022, THE ASSOCIATION INCURRED UNRELATED BUSINESS INCOME TAX EXPENSES OF 1,982 AND 10,429, RESPECTIVELY, FOR THE TAX RETURN OF THE PRECEDING YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>GROSS RENT INCOME/EXPENSES -40,191</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>GROSS RENT INCOME/EXPENSES -40,191</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc5">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JALENE CARPENTER</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>200283</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6120</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>206403</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NEBRASKA HEALTH CARE ASSOCIATION IS A NON-PROFIT TRADE ASSOCIATION WHICH REPRESENTS THE PROPRIETARY, NON-PROPRIETARY, AND GOVERNMENTAL LONG TERM CARE FACILITIES IN THE STATE OF NEBRASKA AND BUSINESSES IN THE FIELD OF LONG TERM CARE. THE NEBRASKA HEALTH CARE ASSOCIATION IS AN AFFILIATE OF THE AMERICAN HEALTH CARE ASSOCIATION (THE AHCA). THE AHCA IS THE LARGEST ORGANIZATION OF LONG TERM CARE FACILITIES IN THE WORLD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION IS A MEMBER ORGANIZATION. MEMBERSHIP IS OPEN TO ALL SKILLED NURSING FACILITIES, NURSING FACILITIES, AND INTERMEDIATE CARE FACILITIES, WHICH ARE LICENSED BY THE STATE OF NEBRASKA. EACH MEMBER SHALL BE ENTITLED TO ONE VOTE IN MEETINGS OF THE MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP OF THE ASSOCIATION ELECTS INDIVIDUALS TO SERVE ON THE BOARD OF DIRECTORS FROM ITS BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 10B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP OF THE NEBRASKA HEALTH CARE ASSOCIATION IS ORGANIZED INTO SIX GEOGRAPHICALLY DETERMINED DISTRICTS. THE BYLAWS OF THE ASSOCIATION SPECIFY THE ORGANIZATION, EXPECTATIONS FOR MEETINGS, FUNDS, RIGHTS, AND PURPOSES OF THOSE DISTRICTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 WILL BE REVIEWED BY THE BOARD PRIOR TO BEING SIGNED AND FILED BY THE PRESIDENT &amp; CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY BOARD MEMBERS MUST SUBMIT SIGNED FORMS SPECIFYING ANY POTENTIAL CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>PRESIDENT'S SALARY IS REVIEWED BY THE EXECUTIVE COMMITTEE IN A PRIVATE SESSION USING ASHCAE SALARY SURVEY AND A STATE OF NEBRASKA SALARY SURVEY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PERTINENT, PUBLIC GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>GROSS RENT INCOME/EXPENSES 40,191 GROSS RENT INCOME/EXPENSES -40,191</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
