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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>385532</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>3000</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HILTON SAN DIEGO BAYFRONT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 PARK BLVD</AddressLine1Txt>
            <CityNm>SAN DIEGO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ANNUAL MEETING HOTEL/VENUE</ServicesDesc>
        <CompensationAmt>468149</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PSAV</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>23918 NETWORK PL</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AUDIO VISUAL</ServicesDesc>
        <CompensationAmt>208465</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WOLTERS KLUWER HEALTH INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>16705 COLLECTION CENTER DR</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL JOURNAL PUBLISHER</ServicesDesc>
        <CompensationAmt>181750</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UVA PHYSICIANS GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4105 LEWIS CLARK DRIVE</AddressLine1Txt>
            <CityNm>CHARLOTTESVILLE</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22911</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EXECUTIVE DIRECTOR'S COMPENSATION</ServicesDesc>
        <CompensationAmt>165539</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>559500</MembershipDuesAmt>
      <AllOtherContributionsAmt>728068</AllOtherContributionsAmt>
      <TotalContributionsAmt>1287568</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>ANNUAL MEETING</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>936922</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>936922</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EDITORIAL SERVICES</Desc>
        <BusinessCd>511120</BusinessCd>
        <TotalRevenueColumnAmt>566519</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>566519</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COMPETENCY EXAM FEES</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>99475</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>99475</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1602916</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>169280</TotalRevenueColumnAmt>
        <ExclusionAmt>169280</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>4322</TotalRevenueColumnAmt>
        <ExclusionAmt>4322</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>5494570</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>5384864</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>109706</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>109706</TotalRevenueColumnAmt>
        <ExclusionAmt>109706</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>74004</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>15940</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>58064</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>58064</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>7516</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7516</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>7516</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3239372</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1668496</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>283308</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>385532</TotalAmt>
        <ProgramServicesAmt>171545</ProgramServicesAmt>
        <ManagementAndGeneralAmt>164578</ManagementAndGeneralAmt>
        <FundraisingAmt>49409</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>253114</TotalAmt>
        <ProgramServicesAmt>152045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37569</ManagementAndGeneralAmt>
        <FundraisingAmt>63500</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>7518</TotalAmt>
        <ProgramServicesAmt>4015</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2315</ManagementAndGeneralAmt>
        <FundraisingAmt>1188</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>36188</TotalAmt>
        <ProgramServicesAmt>19325</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11146</ManagementAndGeneralAmt>
        <FundraisingAmt>5717</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>34632</TotalAmt>
        <ProgramServicesAmt>18494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10667</ManagementAndGeneralAmt>
        <FundraisingAmt>5471</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>48000</TotalAmt>
        <ManagementAndGeneralAmt>43200</ManagementAndGeneralAmt>
        <FundraisingAmt>4800</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>24720</TotalAmt>
        <ManagementAndGeneralAmt>22248</ManagementAndGeneralAmt>
        <FundraisingAmt>2472</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>55342</TotalAmt>
        <ManagementAndGeneralAmt>49808</ManagementAndGeneralAmt>
        <FundraisingAmt>5534</FundraisingAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>19065</TotalAmt>
        <ProgramServicesAmt>752</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18034</ManagementAndGeneralAmt>
        <FundraisingAmt>279</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>158763</TotalAmt>
        <ProgramServicesAmt>122190</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36573</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>45549</TotalAmt>
        <ProgramServicesAmt>10878</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28328</ManagementAndGeneralAmt>
        <FundraisingAmt>6343</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>15114</TotalAmt>
        <ManagementAndGeneralAmt>15114</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>74672</TotalAmt>
        <ProgramServicesAmt>50030</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24642</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>45458</TotalAmt>
        <ProgramServicesAmt>31777</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13681</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>3519</TotalAmt>
        <ProgramServicesAmt>2639</ProgramServicesAmt>
        <ManagementAndGeneralAmt>880</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>14295</TotalAmt>
        <ProgramServicesAmt>9578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4717</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>7797</TotalAmt>
        <ProgramServicesAmt>5458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2339</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>ANNUAL MEETING</Desc>
        <TotalAmt>872764</TotalAmt>
        <ProgramServicesAmt>872764</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDIA OUTLETS</Desc>
        <TotalAmt>303658</TotalAmt>
        <ProgramServicesAmt>288475</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12146</ManagementAndGeneralAmt>
        <FundraisingAmt>3037</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER PROGRAM SVC EXP</Desc>
        <TotalAmt>67624</TotalAmt>
        <ProgramServicesAmt>67624</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2473324</TotalAmt>
        <ProgramServicesAmt>1827589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>497985</ManagementAndGeneralAmt>
        <FundraisingAmt>147750</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>730131</BOYAmt>
        <EOYAmt>1296429</EOYAmt>
      </CashNonInterestBearingGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>3763</BOYAmt>
        <EOYAmt>7148</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <LandBldgEquipCostOrOtherBssAmt>392940</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>383630</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>23605</BOYAmt>
        <EOYAmt>9310</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>5190621</BOYAmt>
        <EOYAmt>4811340</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>5948120</BOYAmt>
        <EOYAmt>6124227</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>46230</BOYAmt>
        <EOYAmt>40396</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>454490</BOYAmt>
        <EOYAmt>398685</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>500720</BOYAmt>
        <EOYAmt>439081</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>5031551</BOYAmt>
        <EOYAmt>5217636</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>192289</BOYAmt>
        <EOYAmt>243950</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>223560</BOYAmt>
        <EOYAmt>223560</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5447400</BOYAmt>
        <EOYAmt>5685146</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5948120</BOYAmt>
        <EOYAmt>6124227</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>766048</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-528302</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1612859</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1164981</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1111013</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1061431</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1287568</CurrentTaxYearAmt>
        <TotalAmt>6237852</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>1384293</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1284749</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1264196</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1288125</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1684436</CurrentTaxYearAmt>
        <TotalAmt>6905799</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>2997152</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2449730</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2375209</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2349556</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2972004</CurrentTaxYearAmt>
        <TotalAmt>13143651</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>15850</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>15850</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus3YearsAmt>260639</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>271480</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>238996</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>424862</CurrentTaxYearAmt>
        <TotalAmt>1195977</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>15850</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>260639</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>271480</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>238996</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>424862</CurrentTaxYearAmt>
        <TotalAmt>1211827</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>11931824</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>205373</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>138323</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>121216</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>158810</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>173602</CurrentTaxYearAmt>
        <TotalAmt>797324</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>205373</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>138323</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>121216</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>158810</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>173602</CurrentTaxYearAmt>
        <TotalAmt>797324</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>3202525</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2588053</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2496425</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2508366</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3145606</CurrentTaxYearAmt>
        <TotalAmt>13940975</TotalAmt>
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      <PublicSupportCY509Pct>0.85590</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.88680</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.05720</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.05450</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>439093</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-16564</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>6099</OtherExpendituresAmt>
        <EndYearBalanceAmt>416430</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>379858</BeginningYearBalanceAmt>
        <ContributionsAmt>4000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>61280</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>3123</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>2922</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>439093</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
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        <ContributionsAmt>5376</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>23960</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>6705</OtherExpendituresAmt>
        <EndYearBalanceAmt>379858</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>364056</BeginningYearBalanceAmt>
        <ContributionsAmt>2705</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-3996</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>5538</OtherExpendituresAmt>
        <EndYearBalanceAmt>357227</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>349752</BeginningYearBalanceAmt>
        <ContributionsAmt>2999</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>15882</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>4577</OtherExpendituresAmt>
        <EndYearBalanceAmt>364056</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.19820</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.53680</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.26500</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>392940</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>383630</DepreciationAmt>
        <BookValueAmt>9310</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9310</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2727010</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-528302</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>15940</OtherRevenueAmt>
      <RevenueNotReportedAmt>-512362</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3239372</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3239372</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2489264</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>15940</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>15940</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2473324</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2473324</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY HAS A POLICY OF APPROPRIATING FOR DISTRIBUTION FROM THE DONOR-RESTRICTED ENDOWMENT ONLY THE AMOUNT NECESSARY TO FUND THE UTIAN LECTURESHIP AND THE ANNUAL INVESTMENT MANAGEMENT FEE. THIS AMOUNT TYPICALLY RANGES FROM $4,000 TO $6,000 PER YEAR. IN ESTABLISHING THIS POLICY, THE SOCIETY CONSIDERED THE LONG-TERM EXPECTED RETURN ON ITS ENDOWMENT. THE SPENDING POLICY FOR THE BOARD-DESIGNATED ENDOWMENT IS DETERMINED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY RECOGNIZES AND DISCLOSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH GAAP. AS OF AND DURING THE YEAR ENDED DECEMBER 31, 2018, THE SOCIETY DID NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD 15,940.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD 15,940.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        <PersonNm>JOANN PINKERTON MD NCMP</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <PersonNm>CAROLYN DEVELEN</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY HAS MEMBERS. INDIVIDUALS ELIGIBLE FOR MEMBERSHIP SHALL SUPPORT THE PURPOSES AND OBJECTIVES OF THE SOCIETY. THE MEMBERSHIP OF THE SOCIETY SHALL CONSIST OF ACTIVE, HONORARY, LIFE, AND ASSOCIATE MEMBERS. MEMBERSHIP SHALL BE ACCEPTED IRRESPECTIVE OF SEX, RACE, LANGUAGE, RELIGION, OR POLITICAL PERSUASION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTIVE MEMBERS THAT ARE PHYSICIANS AND OTHER LICENSED HEALTHCARE PROFESSIONALS, SCIENTISTS HOLDING AN ADVANCED DEGREE IN ONE OF THE BIOLOGICAL OR SOCIAL SCIENCES, AND OTHERS WITH PROFESSIONAL OR SCIENTIFIC INTERESTS IN MENOPAUSE WHO SUBSCRIBE TO THE PRINCIPLES OF PROFESSIONAL ETHICS IN THEIR RESPECTIVE DISCIPLINES. ACTIVE MEMBERS HAVE THE RIGHT TO VOTE AND HOLD OFFICE. MEMBERS MAY VOTE FOR OR AGAINST A SLATE OF OFFICERS WHO ARE NOMINATED BY THE NOMINATING COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>A CHANGE TO THE ORGANIZATION'S BYLAWS REQUIRES APPROVAL BY THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE FINANCE COMMITTEE, WHICH THEN PRESENTS IT TO THE EXECUTIVE COMMITTEE FOR THEIR APPROVAL. THE EXECUTIVE COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE FULL BOARD. THE EXECUTIVE COMMITTEE VOTES TO APPROVE THE 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS AND UPDATES THE DISCLOSURES QUARTERLY TO ENSURE THAT THEY ARE IN COMPLIANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT/COMPENSATION COMMITTEES WERE ESTABLISHED TO REVIEW THE RENEWAL OF THE EMPLOYMENT CONTRACTS OF SENIOR EXECUTIVES. ALL MEMBERS OF THE COMMITTEE WERE INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES OF NAMS. THE BOARD FORMALLY APPROVED THE RECOMMENDATIONS OF THE CONTRACT COMMITTEE. EMPLOYMENT AGREEMENTS WERE PREPARED BY THE GENERAL COUNSEL OF NAMS AND APPROPRIATELY EXECUTED. COMPENSATION LEVELS ARE DETERMINED BY THE COMPENSATION COMMITTEE AND REVIEW OF FORM 990'S OF OTHER ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY MAKES ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
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</Return>