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      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>624944</MembershipDuesAmt>
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      <TotalContributionsAmt>637999</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>ANNUAL EVENT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2971446</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2971446</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CERTIFICATION</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>311385</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>311385</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ACCREDITATION</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>211353</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>211353</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HOTEL COMMISSION</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>80366</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>80366</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FELLOWS ACADEMY</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>13685</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13685</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>3588235</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>49309</TotalRevenueColumnAmt>
        <ExclusionAmt>49309</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>381718</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>316274</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>65444</UnrelatedBusinessRevenueAmt>
      </RoyaltiesRevenueGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3727603</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3699614</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>27989</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>27989</TotalRevenueColumnAmt>
        <ExclusionAmt>27989</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3913</TotalRevenueColumnAmt>
        <ExclusionAmt>3913</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>3913</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4689163</TotalRevenueColumnAmt>
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        <ExclusionAmt>81211</ExclusionAmt>
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        <ProgramServicesAmt>10000</ProgramServicesAmt>
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        <Desc>PRINTING AND PRODUCTION</Desc>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
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      <OtherExpensesGrp>
        <Desc>OTHER TAXES</Desc>
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        <ManagementAndGeneralAmt>5933</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5155</ProgramServicesAmt>
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        <ProgramServicesAmt>3635364</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>161465</EOYAmt>
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        <EOYAmt>64549</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>135208</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>113066</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>43866</BOYAmt>
        <EOYAmt>22142</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1852988</EOYAmt>
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        <EOYAmt>3153065</EOYAmt>
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        <EOYAmt>235119</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>558642</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>793761</EOYAmt>
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        <EOYAmt>2040148</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>200000</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3193383</BOYAmt>
        <EOYAmt>3153065</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-318932</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>505623</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>570282</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>634901</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>637999</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus1YearAmt>3723250</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3588235</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>3314817</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>4358151</CurrentTaxYearMinus1YearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearAmt>19252</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>1160</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8040</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>4882874</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportCY509Pct>0.91470</PublicSupportCY509Pct>
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      <InvestmentIncomePYPct>0.06990</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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        <ContributionsAmt>10000</ContributionsAmt>
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        <EndYearBalanceAmt>259443</EndYearBalanceAmt>
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        <EndYearBalanceAmt>241315</EndYearBalanceAmt>
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        <EndYearBalanceAmt>223484</EndYearBalanceAmt>
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        <EndYearBalanceAmt>217810</EndYearBalanceAmt>
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        <EndYearBalanceAmt>216542</EndYearBalanceAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueSubtotalAmt>4689163</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5008095</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPORT FOR KEYNOTE LECTURES OF THE SOCIETY FOR SIMULATION IN HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE SOCIETY HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2) OF THE IRC. THE SOCIETY IS SUBJECT TO INCOME TAXES ON ITS UNRELATED BUSINESS INCOME. THE SOCIETY'S ESTIMATED INCOME TAX WAS $4,440 AND $6,703 FOR THE YEARS ENDED JUNE 30, 2018 AND 2017, RESPECTIVELY. THE SOCIETY HAS ADOPTED THE REQUIREMENTS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE SOCIETY DETERMINED THAT IT IS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS FOR THE YEARS ENDED JUNE 30, 2018 AND 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT SERVICES RECLASSED TO EXPENSES FOR 990 -11,978.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT SERVICES RECLASSED TO EXPENSES FOR 990 -11,978.</ExplanationTxt>
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        <PurposeOfGrantTxt>2018 NOVICE RESEARCH GRANT AWARD</PurposeOfGrantTxt>
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      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY KEEPS SUCCINCT DOCUMENTATION OF EACH GRANT APPLICATION REVIEW AND GRANT COMMITTEE FINAL DECISIONS. THE AMOUNT AWARDED ALONG WITH REQUIRED REPORTING PROCEDURES IS COMMUNICATED TO AWARD WINNERS VIA NOTIFICATION CORRESPONDENCE. THOSE APPLICANTS NOT SELECTED RECEIVE DETAILED FEEDBACK ON THE REASONS THE PROJECT WAS NOT SELECTED. WHEN SELECTING GRANTS AWARD WINNERS, THE SOCIETY SEEKS METHODOLOGICALLY SOUND SIMULATION-BASED RESEARCH PROJECTS USING QUANTITATIVE, QUALITATIVE OR HYBRID APPROACHES. STUDIES THAT ARE BOTH INNOVATIVE AND HAVE STRONG POTENTIAL FOR A POSITIVE IMPACT ON THE SIMULATION FIELD ARE ENCOURAGED. THE POTENTIAL IMPACT ON THE APPLICANT'S CAREER IS ALSO CONSIDERED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CAROLINAS HEALTHCARE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>208 EAST BLVD</AddressLine1Txt>
          <CityNm>CHARLOTTE</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28203</ZIPCd>
        </USAddress>
        <RecipientEIN>272851541</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>2017 NOVICE RESEARCH GRANT AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INDIANA UNIVERSITY RESEARCH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>DEPT 78867 PO BOX 78000</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48278</ZIPCd>
        </USAddress>
        <RecipientEIN>351990726</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>IMPLEMENTATION OF MENTAL SKILLS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE GENEVA FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>917 PACIFIC AVE SUITE 600</AddressLine1Txt>
          <CityNm>TACOMA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98402</ZIPCd>
        </USAddress>
        <RecipientEIN>911593913</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>2018 NOVICE RESEARCH GRANT AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 9</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12201</ZIPCd>
        </USAddress>
        <RecipientEIN>141368361</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>2018 NOVICE RESEARCH GRANT AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>4</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY KEEPS SUCCINCT DOCUMENTATION OF EACH GRANT APPLICATION REVIEW AND GRANT COMMITTEE FINAL DECISIONS. THE AMOUNT AWARDED ALONG WITH REQUIRED REPORTING PROCEDURES IS COMMUNICATED TO AWARD WINNERS VIA NOTIFICATION CORRESPONDENCE. THOSE APPLICANTS NOT SELECTED RECEIVE DETAILED FEEDBACK ON THE REASONS THE PROJECT WAS NOT SELECTED. WHEN SELECTING GRANTS AWARD WINNERS, THE SOCIETY SEEKS METHODOLOGICALLY SOUND SIMULATION-BASED RESEARCH PROJECTS USING QUANTITATIVE, QUALITATIVE OR HYBRID APPROACHES. STUDIES THAT ARE BOTH INNOVATIVE AND HAVE STRONG POTENTIAL FOR A POSITIVE IMPACT ON THE SIMULATION FIELD ARE ENCOURAGED. THE POTENTIAL IMPACT ON THE APPLICANT'S CAREER IS ALSO CONSIDERED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>TATE AND TRYON PERFORMS ACCOUNTING, BOOKKEEPING, AND PAYROLL FUNCTIONS AS REQUESTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTIVE MEMBERS SHALL HAVE THE RIGHT TO VOTE ON ALL MATTERS SUBMITTED TO MEMBERSHIP CONCERNING THE SOCIETY EXCEPT THOSE SPECIFICALLY DELEGATED TO THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE, OR THE OFFICERS AS STATED IN THE BY-LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>NOMINATION COMMITTEE PREPARES A LIST OF CANDIDATES FOR CONSIDERATION. A CANDIDATE MUST BE AN ACTIVE MEMBER FOR AT LEAST TWO YEARS. ALL ACTIVE MEMBERS OF THE SOCIETY ARE ELIGIBLE TO VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTIVE MEMBERS SHALL HAVE THE RIGHT TO VOTE ON ALL MATTERS SUBMITTED TO MEMBERSHIP CONCERNING THE SOCIETY EXCEPT THOSE SPECIFICALLY DELEGATED TO THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE, OR THE OFFICERS AS STATED IN THE BY-LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE AND AUDIT COMMITTEE REVIEW FORM 990. AFTER REVIEW, THE TREASURER PROVIDES THE FORM TO THE EXECUTIVE COMMITTEE WHO, WITH OR WITHOUT THE FULL BOARD, AS NECESSARY, APPROVES THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITTEN REPORTS OF CONFLICTS OF INTEREST ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND PRESIDENT. ANY ACTUAL OR PERCEIVED CONFLICTS ARE ADDRESSED AND DISCUSSED DURING THE BOARD MEETINGS AS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ASSOCIATION COMPENSATION SURVEYS ARE REVIEWED BY THE EXECUTIVE COMMITTEE AND SALARY RANGES ARE DETERMINED FOR THE NEW POSITION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>