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        <PersonNm>VIVIAN B PENDER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH CERTA</PersonNm>
        <TitleTxt>TRUSTEE (FROM 6/2019)</TitleTxt>
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        <PersonNm>CHERYL D WILLS</PersonNm>
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        <PersonNm>JENNY BOYER</PersonNm>
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        <PersonNm>MELINDA L YOUNG</PersonNm>
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        <PersonNm>ANNETTE M MATTHEWS</PersonNm>
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        <PersonNm>PAUL O'LEARY</PersonNm>
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        <PersonNm>JOSEPH C NAPOLI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RANA ELMAGHRABY</PersonNm>
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        <PersonNm>ANN MARIE T SULLIVAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SAUL LEVIN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID KEEN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL GILLISON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>COLLEEN COYLE</PersonNm>
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        <PersonNm>YOSHIE DAVISON</PersonNm>
        <TitleTxt>CHIEF OF STAFF</TitleTxt>
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        <PersonNm>JON FANNING</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG OBEY</PersonNm>
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        <PersonNm>KRISTIN KROEGER PTAKOWSKI</PersonNm>
        <TitleTxt>CHIEF, POLICY, PROGRAMS</TitleTxt>
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        <PersonNm>JOHN MCDUFFIE</PersonNm>
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        <PersonNm>TRISTAN GORRINDO</PersonNm>
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        <PersonNm>IRVIN MUSZYNSKI</PersonNm>
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        <PersonNm>RANNA PAREKH</PersonNm>
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        <PersonNm>PHILIP WANG</PersonNm>
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        <PersonNm>ASHLEY MILD</PersonNm>
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            <CityNm>DALLAS</CityNm>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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            <StateAbbreviationCd>CA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
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        <Desc>INCOME TAXES</Desc>
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        <EOYAmt>136011332</EOYAmt>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <OtherSecuritiesGrp>
        <Desc>TRUMBULL PROPERTY GROWTH AND INCOME FUND</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>PARAMETRIC DEFENSIVE EQUITY FUND</Desc>
        <BookValueAmt>4071431</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <TotalBookValueSecuritiesAmt>22772241</TotalBookValueSecuritiesAmt>
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        <BookValueAmt>5750340</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>1217176</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>LEASE CONTRACT COSTS</Desc>
        <BookValueAmt>749621</BookValueAmt>
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        <Desc>DEFERRED EXECUTIVE COMPENSATION PLAN</Desc>
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        <Desc>ACCRUED PENSION LIABILITY</Desc>
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        <Desc>DEFERRED RENT</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>287339</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018, THE ASSOCIATION HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10, INCOME TAXES, THAT PROVIDES GUIDANCE FOR REPORTING UNCERTAINTY IN INCOME TAXES AND HAS DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD REPORTED AS AN EXPENSE ON THE 598,103. FINANCIAL STATEMENTS AND NETTED AGAINST REVENUE ON THE FORM 990, PART VIII, LINE 10B.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>COST OF GOODS SOLD REPORTED AS AN EXPENSE ON THE 598,103. FINANCIAL STATEMENTS AND NETTED AGAINST REVENUE ON THE FORM 990, PART VIII, LINE 10B.</ExplanationTxt>
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      <AccountActivitiesOutsideUSGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III ACCOUNTING METHOD:</FormAndLineReferenceDesc>
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        <CashGrantAmt>9278</CashGrantAmt>
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      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NAMI INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <CityNm>ARLINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22203</ZIPCd>
        </USAddress>
        <RecipientEIN>431201653</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>204276</CashGrantAmt>
        <PurposeOfGrantTxt>SUBGRANT AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NASMHPD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3141 FAIRVIEW PARK DR SUITE 650</AddressLine1Txt>
          <CityNm>FALLS CHURCH</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22042</ZIPCd>
        </USAddress>
        <RecipientEIN>520784740</RecipientEIN>
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        <CashGrantAmt>50663</CashGrantAmt>
        <PurposeOfGrantTxt>SUBGRANT AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL ASSOCIATION OF STATE MENTAL HEALTH PROGRAM DIRECTORS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>66 CANAL CENTER PLAZA 302</AddressLine1Txt>
          <CityNm>ALEXANDRIA</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22314</ZIPCd>
        </USAddress>
        <RecipientEIN>520784740</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>94256</CashGrantAmt>
        <PurposeOfGrantTxt>SUBGRANT AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCA)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1100 13TH STREET NW THIRD FLOOR</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <RecipientEIN>521191985</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>608838</CashGrantAmt>
        <PurposeOfGrantTxt>SUBGRANT AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEBRASKA PSYCHIATRIC SOCIETY</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68114</ZIPCd>
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        <RecipientEIN>470600275</RecipientEIN>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW YORK STATE PSYCHIATRIC ASSOCIATION- AREA 2</BusinessNameLine1Txt>
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          <CityNm>GARDEN CITY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11530</ZIPCd>
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        <RecipientEIN>232999702</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>33428</CashGrantAmt>
        <PurposeOfGrantTxt>BLOCK GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
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          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
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        <PurposeOfGrantTxt>INNOVATION GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
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          <CityNm>SAN FRANCISCO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94102</ZIPCd>
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        <RecipientEIN>946079052</RecipientEIN>
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        <CashGrantAmt>22778</CashGrantAmt>
        <PurposeOfGrantTxt>INFRASTRUCTURE GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RHODE ISLAND PSYCHIATRIC SOCIETY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>405 PROMENADE STREET SUITE A</AddressLine1Txt>
          <CityNm>PROVIDENCE</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02908</ZIPCd>
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        <RecipientEIN>222525531</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>12778</CashGrantAmt>
        <PurposeOfGrantTxt>CALF GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TEXAS SOCIETY OF PSYCHIATRIC PHYSICIANS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78701</ZIPCd>
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        <PurposeOfGrantTxt>CALF GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
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          <CityNm>ARLINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
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      <RecipientTable>
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          <AddressLine2Txt>CONTRACT ACCOUNTING</AddressLine2Txt>
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      <RecipientTable>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE USE OF GRANT FUNDS IS CLOSELY REVIEWED AND MONITORED BY THE RESPONSIBLE PROGRAM MANAGER. THIS INCLUDES, BUT IS NOT LIMITED TO, THE REVIEW OF MONTHLY SOURCES AND USES OF GRANT FUNDS AND THE REVIEW OF GRANT REQUIREMENTS.</ExplanationTxt>
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    </IRS990ScheduleI>
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        <DeferredCompensationFlngOrgAmt>14350</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1280</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>234363</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRISTAN GORRINDO</PersonNm>
        <TitleTxt>DIRECTOR, EDUCATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>295421</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>14500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>240</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10065</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>339626</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IRVIN MUSZYNSKI</PersonNm>
        <TitleTxt>DIR., PARITY ENFORCE. (UNTIL 12/2019</TitleTxt>
        <BaseCompensationFilingOrgAmt>224231</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2770</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16179</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2490</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>256170</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANNA PAREKH</PersonNm>
        <TitleTxt>DIRECTOR, DDHE (UNTIL 6/2019)</TitleTxt>
        <BaseCompensationFilingOrgAmt>174076</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>276</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12299</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4974</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191625</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PHILIP WANG</PersonNm>
        <TitleTxt>DIRECTOR, RESEARCH (UNTIL 6/2019)</TitleTxt>
        <BaseCompensationFilingOrgAmt>352815</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>794</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>19400</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>384413</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ASHLEY MILD</PersonNm>
        <TitleTxt>DIRECTOR, GOVERNMENT RELATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>181333</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10601</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>143</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12800</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8872</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>213749</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN OFFICERS MAY UPGRADE AIR CLASS TO BUSINESS FOR FLIGHTS IN EXCESS OF FIVE HOURS. FIRST CLASS MAY BE USED IF IT IS THE ONLY CLASS AVAILABLE OVER COACH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>CLASSES OF MEMBERSHIP INCLUDE: MEDICAL STUDENTS, RESIDENT-FELLOW MEMBERS, ASSOCIATE MEMBERS, GENERAL MEMBERS, FELLOWS, DISTINGUISHED LIFE MEMBERS, HONORARY MEMBERS, LIFE STATUS AND INTERNATIONAL STATUS MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING CLASSES OF MEMBERS MAY PARTICIPATE IN THE ELECTION OF BOARD MEMBERS: RESIDENT-FELLOW MEMBERS, GENERAL MEMBERS, FELLOWS, DISTINGUISHED LIFE MEMBERS, HONORARY MEMBERS, AND LIFE STATUS MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSEMBLY MUST VOTE TO APPROVE POSITION STATEMENTS AND BYLAWS BEFORE A FINAL VOTE BY THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN WAS PREPARED BY THE OUTSIDE ACCOUNTANTS AND REVIEWED BY THE ORGANIZATION'S SENIOR MANAGEMENT. A FINAL COPY OF THE 990 WAS SENT TO THE BOARD OF DIRECTORS BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS ARE REQUIRED TO DISCLOSE INTERESTS AND AFFILIATIONS UPON APPOINTMENT AND THEN ANNUALLY OR AT ANY TIME THERE IS A CHANGE TO THEIR DISCLOSURE. ORAL DISCLOSURE OF INTERESTS AND AFFILIATIONS IS REQUIRED AT THE BEGINNING OF EACH MEETING. IF A POTENTIAL CONFLICT ARISES, THE CONFLICT OF INTEREST COMMITTEE REVIEWS AND REPORTS TO THE BOARD OF TRUSTEES WITH RECOMMENDED ACTION. STAFF MEMBERS ARE ALSO REQUIRED TO DISCLOSE POTENTIAL CONFLICTS ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL STAFF ARE SUBJECT TO A MARKET-BASED COMPENSATION SYSTEM. A COMPREHENSIVE REVIEW WAS PERFORMED BY AN INDEPENDENT CONSULTANT TO ESTABLISH GRADES AND RANGES FOR ALL COMPENSATED STAFF POSITIONS. WITHIN THE DEFINED RANGES, APPROPRIATE ANNUAL INCREASES ARE APPROVED BY THE BOARD AS PART OF THE BUDGET PROCESS. IN OCTOBER 2013, THE ASSOCIATION HIRED A NEW CHIEF EXECUTIVE OFFICER TO FILL THE POSITION VACATED BY THE MEDICAL DIRECTOR/CEO THROUGH RETIREMENT. AN INDEPENDENT CONSULTANT FIRM WAS EMPLOYED BY THE ASSOCIATION'S BOARD TO DETERMINE THE APPROPRIATE SALARY AND COMPENSATION PACKAGE FOR THE NEW CEO. THE BOARD ANNUALLY REVIEWS HIS PERFORMANCE, WHICH HAPPENED MOST RECENTLY IN AUGUST 2019. THE CEO SETS COMPENSATION FOR ALL OTHER EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>MINIMUM PENSION LIABILITY ADJUSTMENT -109,091.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE APA BOARD PRESIDENT, IMMEDIATE PAST PRESIDENT, PRESIDENT ELECT, SPEAKER, AND SPEAKER-ELECT RECEIVE COMPENSATION FOR THEIR BOARD DUTIES. OTHER BOARD MEMBERS MAY RECEIVE HONORARIA AND OTHER PAYMENTS FOR SERVICES UNRELATED TO THEIR BOARD DUTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>APA WHARF HOLDINGS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>800 MAINE AVENUE SW SUITE 900</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20024</ZIPCd>
        </USAddress>
        <EIN>814198120</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
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      <IdRelatedTaxExemptOrgGrp>
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        <USAddress>
          <AddressLine1Txt>800 MAINE AVENUE SW SUITE 900</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20024</ZIPCd>
        </USAddress>
        <EIN>130433740</EIN>
        <PrimaryActivitiesTxt>FINANCIAL SUPPORT TO PSYCHIATRY PROFESSION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(1)</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>APA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <StateAbbreviationCd>DC</StateAbbreviationCd>
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        <EIN>020548679</EIN>
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        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>APA</BusinessNameLine1Txt>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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      <TransactionsRelatedOrgGrp>
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        <MethodOfAmountDeterminationTxt>ACTUA AMOUNTS</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>83413</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL AMOUNTS</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>