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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>731603</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>95627</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-362</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <OnlyInHouseLobbyingInd>1</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>50000</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WORKS WITH IMPACT ASSOCIATION MANAGEMENT WHO PERFORMS MANAGEMENT DUTIES SUCH AS MEMBERSHIP MANAGEMENT, PLANNING AND EXECUTING BUDGETS AND FINANCIAL OPERATIONS, AND SUPERVISING EXEMPT OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>FULL MEMBERSHIP: TO QUALIFY FOR FULL MEMBERSHIP, AN ORGANIZATION MUST HAVE A SUBSTANTIAL PORTION OF ITS BUSINESS IN THE TRAVEL HEALTHCARE INDUSTRY. FULL MEMBERS MUST BE JOINT COMMISSION CERTIFIED AND INSURED. THEY ALSO MUST BE IN GOOD STANDING WITHIN THE INDUSTRY. ASSOCIATE MEMBERSHIP: ASSOCIATE MEMBERSHIP INCLUDES ORGANIZATIONS THAT SERVE AS SUPPLIERS OR PROVIDERS OF SERVICES OR PRODUCTS UTILIZED BY TRAVEL HEALTHCARE ORGANIZATIONS. THESE MEMBERS DO NOT HAVE THE RIGHT TO VOTE OR HOLD OFFICE. THE BOARD REVIEWS EVERY MEMBERSHIP APPLICATION AND VOTES FOR APPROVAL BASED ON INDUSTRY KNOWLEDGE AND RESEARCH OF MEMBERSHIP CANDIDATES. ONLY FULL MEMBERS CAN VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS SHALL BE ELECTED BY WRITTEN OR ELECTRONIC BALLOT VOTE OF THE ACTIVE MEMBERS OF THIS ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ARTICLES OF INCORPORATION AND THESE BYLAWS MAY BE AMENDED, REPEALED, OR ALTERED, IN WHOLE OR IN PART (A) BY A MAJORITY [OR TWO-THIRDS] VOTE AT ANY MEETING OF THE BOARD OF DIRECTORS, PROVIDED THAT A COPY OF ANY AMENDMENT PROPOSED FOR CONSIDERATION SHALL BE SENT VIA ELECTRONIC MAIL, FACSIMILE OR POSTAL MAIL TO THE LAST RECORDED ADDRESS OF EACH BOARD MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PREPARED FORM 990 IS REVIEWED BY THE ORGANIZATION'S PRESIDENT, OTHER KNOWLEDGEABLE AND APPROPRIATE MEMBERS OF THE BOARD, AND THE TEAM AT IMPACT BEFORE THE RETURN IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD ESTABLISHED A COMMITTEE THAT WAS IN CHARGE OF THE SELECTION AND COMPENSATION DETERMINATION FOR HIRING THE EXECUTIVE DIRECTOR FOR NATHO. THE COMMITTEE USED RESEARCH AND ADVICE FROM THEIR ASSOCIATION MANAGEMENT TEAM IN DETERMINING COMPENSATION. THE HIRING AND COMPENSATION RECOMMENDATIONS WERE PUT TO A VOTE OF THE FULL BOARD BEFORE FINALIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT HAVE A CONFLICT OF INTEREST POLICY,</ExplanationTxt>
      </SupplementalInformationDetail>
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</Return>