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      <Form990PartVIISectionAGrp>
        <PersonNm>JORDAN COHEN MD</PersonNm>
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        <PersonNm>DAVID ENTWISTLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>TED EPPERLY MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>NORMAN FERRARI MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>DAVID FORSTEIN DO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>ROSEMARY GIBSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>PAUL GRUNDY MD</PersonNm>
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        <PersonNm>THOMAS HANSEN MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>DIANE HARTMANN MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>HELEN HASKELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>DINCHEN JARDINE MD LCDR</PersonNm>
        <TitleTxt>DIRECTOR (JAN-SEP 2017)</TitleTxt>
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        <PersonNm>ROBERT JUHASZ DO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>LYNNE KIRK MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>JEFFREY KIRSCH MD</PersonNm>
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        <PersonNm>SANDEEP KRISHNAN MD</PersonNm>
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        <PersonNm>FRANK LEWIS MD</PersonNm>
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        <PersonNm>LORRIE LANGDALE MD</PersonNm>
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        <PersonNm>JO ELLEN LINDER MD</PersonNm>
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        <PersonNm>KENNETH LUDMERER MD</PersonNm>
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        <PersonNm>EDITH MITCHELL MD</PersonNm>
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        <PersonNm>RICHARD PASCUCCI DO</PersonNm>
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        <PersonNm>JOHN MCWHORTER III</PersonNm>
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        <PersonNm>KAREN NICHOLS DO</PersonNm>
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        <PersonNm>GARY SLICK DO</PersonNm>
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        <PersonNm>EDWIN ZALNERAITIS MD</PersonNm>
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        <PersonNm>BETSY LEE</PersonNm>
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        <PersonNm>THOMAS NASCA</PersonNm>
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        <PersonNm>JOHN POTTS</PersonNm>
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        <PersonNm>TIMOTHY BRIGHAM</PersonNm>
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        <PersonNm>KEVIN WEISS</PersonNm>
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        <PersonNm>MARY LIEH-LAI</PersonNm>
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        <PersonNm>LOUIS LING</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>61 EDGEWOOD LANE</AddressLine1Txt>
            <CityNm>GLASTONBURY</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06033</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DOUGLAS CARLSON LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
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            <AddressLine1Txt>330 NORTH WABASH SUITE 3300</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60611</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BEACON HILL STAFFING GROUP LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
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            <AddressLine1Txt>PO BOX 846193</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022846193</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COVINGTON &amp; BURLING LLP</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>850 TENTH STREET NW ONE CITYCENT</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FURRY DOG DEVELOPMENT</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>870 S PARK TER</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60605</ZIPCd>
          </USAddress>
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        <ServicesDesc>CONSULTING</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>ACCREDITATION FEES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>49564567</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>49564567</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>APPLICATION FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4982400</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4982400</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCES AND WORKSHOPS</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>3943451</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3943451</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>JOURNAL</Desc>
        <BusinessCd>511120</BusinessCd>
        <TotalRevenueColumnAmt>44570</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31100</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>13470</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>58534988</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>1594257</TotalRevenueColumnAmt>
        <ExclusionAmt>1594257</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1318969</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1318969</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1318969</TotalRevenueColumnAmt>
        <ExclusionAmt>1318969</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>24700000</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>23845704</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>854296</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>854296</TotalRevenueColumnAmt>
        <ExclusionAmt>854296</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>278986</TotalRevenueColumnAmt>
        <ExclusionAmt>278986</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>278986</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>62581496</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>13470</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4046508</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1399710</TotalAmt>
        <ProgramServicesAmt>1399710</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>13500</TotalAmt>
        <ProgramServicesAmt>13500</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>6542926</TotalAmt>
        <ProgramServicesAmt>4923112</ProgramServicesAmt>
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        <ProgramServicesAmt>39669</ProgramServicesAmt>
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        <ProgramServicesAmt>101146</ProgramServicesAmt>
        <ManagementAndGeneralAmt>910310</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>1370473</ProgramServicesAmt>
        <ManagementAndGeneralAmt>532962</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>2599715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4130272</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>5478440</TotalAmt>
        <ProgramServicesAmt>5204518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>273922</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>3480512</TotalAmt>
        <ProgramServicesAmt>3306486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174026</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3230734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>519222</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>280880</ManagementAndGeneralAmt>
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        <Desc>JOURNAL</Desc>
        <TotalAmt>261984</TotalAmt>
        <ProgramServicesAmt>261984</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>195996</TotalAmt>
        <ProgramServicesAmt>167266</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28730</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>UBI TAX</Desc>
        <TotalAmt>12859</TotalAmt>
        <ManagementAndGeneralAmt>12859</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>62942276</TotalAmt>
        <ProgramServicesAmt>48375926</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14566350</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>2940441</EOYAmt>
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        <EOYAmt>3688499</EOYAmt>
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        <EOYAmt>1722603</EOYAmt>
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        <EOYAmt>2805</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>602796</BOYAmt>
        <EOYAmt>1429665</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>42554363</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>25409443</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>18124513</BOYAmt>
        <EOYAmt>17144920</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>46759468</BOYAmt>
        <EOYAmt>53763129</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>5343884</BOYAmt>
        <EOYAmt>6029093</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>48669</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>80118112</BOYAmt>
        <EOYAmt>86769824</EOYAmt>
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        <EOYAmt>6128009</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>4386370</EOYAmt>
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        <EOYAmt>1588400</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>20331544</BOYAmt>
        <EOYAmt>25950892</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>33796033</BOYAmt>
        <EOYAmt>38053671</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <BOYAmt>46249293</BOYAmt>
        <EOYAmt>48649084</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>72786</BOYAmt>
        <EOYAmt>67069</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>46322079</BOYAmt>
        <EOYAmt>48716153</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>80118112</BOYAmt>
        <EOYAmt>86769824</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-360780</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>4422949</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-1668095</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>43824692</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>52410278</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>54417971</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>56941798</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>58534988</CurrentTaxYearAmt>
        <TotalAmt>266129727</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>43824692</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>52410278</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>54417971</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>56941798</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>58534988</CurrentTaxYearAmt>
        <TotalAmt>266129727</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus4YearsAmt>1890819</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1211705</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>592740</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>328100</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>319342</CurrentTaxYearAmt>
        <TotalAmt>4342706</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>1890819</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1211705</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>592740</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>328100</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>319342</CurrentTaxYearAmt>
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      <PublicSupportTotal509Amt>261787021</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>1886441</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2822002</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2197437</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2913226</CurrentTaxYearAmt>
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      <OtherIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>150542</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>895192</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>424631</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>278986</CurrentTaxYearAmt>
        <TotalAmt>1933292</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>45568054</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>54447261</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>58135165</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>59563866</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>61727200</CurrentTaxYearAmt>
        <TotalAmt>279441546</TotalAmt>
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      <PublicSupportCY509Pct>0.93680</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.94930</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.04070</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.03890</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>11451431</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2236971</DepreciationAmt>
        <BookValueAmt>9214460</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>7418261</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3914764</DepreciationAmt>
        <BookValueAmt>3503497</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>23684671</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>19257708</DepreciationAmt>
        <BookValueAmt>4426963</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>17144920</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>PRIVATE PARTNERSHIP</Desc>
        <BookValueAmt>6029093</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>6029093</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>HEALTH CARE BENEFIT OBLIGATION</Desc>
        <Amt>9796441</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT</Desc>
        <Amt>16154451</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>25950892</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>4422949</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-1668095</OtherRevenueAmt>
      <RevenueNotReportedAmt>2754854</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>60745274</RevenueSubtotalAmt>
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      <OtherRevenuesNotIncludedAmt>1592567</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1836222</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>62581496</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>61106054</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>61106054</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>243655</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>1592567</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1836222</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>62942276</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACGME IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). ACGME-I IS CONSIDERED A DISREGARDED ENTITY FOR TAX REPORTING PURPOSES. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE COUNCIL AND RECOGNIZE A TAX LIABILITY IF THE COUNCIL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE COUNCIL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACGME-I IS RESPONSIBLE FOR CERTAIN FOREIGN TAXES IN QATAR AND SINGAPORE. MANAGEMENT BELIEVES THAT ACGME-I IS NO LONGER SUBJECT TO SINGAPORE INCOME TAX EXAMINATION FOR YEARS PRIOR TO 2013 AND QATAR INCOME EXAMINATIONS FOR YEARS PRIOR TO 2012.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>POSTRETIREMENT HEALTHCARE BENEFIT CHANGES OTHER THAN NET PERIODIC COSTS -1,855,083. AMA PENSION PLAN CHANGES 186,988.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL INCOME 1,318,969. INVESTMENT INCOME DEFERRED COMP 260,739. INCOME TAXES 12,859.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL INCOME 1,318,969. INCOME TAXES 12,859. INVESTMENT INCOME DEFERRED COMP 260,739.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
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        <RegionTxt>EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA,</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICE</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>ACCREDITATION OF POST GRADUATE MEDICAL EDUCATION PROGRAMS OF CLINICAL EDUCATION</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1273525</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>MIDDLE EAST AND NORTH AFRICA - ALGERIA, BAHRAIN, DJIBOUTI, EGYPT,</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICE</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>ACCREDITATION OF POST GRADUATE MEDICAL EDUCATION PROGRAMS OF CLINICAL EDUCATION</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1532189</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA &amp; BARBUDA, ARUBA, BAHAMAS,</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>INVESTMENTS</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>N/A</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>1248322</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA &amp; BARBUDA, ARUBA, BAHAMAS,</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICES</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>ACCREDITATION OF POST GRADUATE MEDICAL EDUCATION PROGRAMS OF CLINICAL EDUCATION</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>8340</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>0</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <SubtotalSpentAmt>4062376</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>4062376</TotalSpentAmt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>1</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL ACADEMY OF SCIENCES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 5TH ST NW</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20001</ZIPCd>
        </USAddress>
        <RecipientEIN>530196932</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>365000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>WELL-BEING GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN BOARD OF SURGERY INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1617 JFK BLVD SUITE 860</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>191031847</ZIPCd>
        </USAddress>
        <RecipientEIN>231352007</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>200000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SURGERY FIRST TRIAL</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN OSTEPOATHIC ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>142 E ONTARIO ST</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60611</ZIPCd>
        </USAddress>
        <RecipientEIN>362170786</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>111477</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>TO SUPPORT THE MISSION OF AOA</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIV OF CHICAGO MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5841 S MARYLAND AVE RM J-141 MC1052</AddressLine1Txt>
          <AddressLine2Txt>MC1052</AddressLine2Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60637</ZIPCd>
        </USAddress>
        <RecipientEIN>363488183</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>PURSUING EXCELLENCE AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE REGENTS OF THE UNIV OF CA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1855 FOLSOM STREET SUITE 425</AddressLine1Txt>
          <CityNm>SAN FRANCISCO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94143</ZIPCd>
        </USAddress>
        <RecipientEIN>946036493</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>PURSUING EXCELLENCE AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OUR LADY OF THE LAKE HOSPITAL INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7556 HENESSEY BLVD</AddressLine1Txt>
          <CityNm>BATON ROUGE</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70808</ZIPCd>
        </USAddress>
        <RecipientEIN>720423651</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>PURSUING EXCELLENCE AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAINE MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PHILANTHROPY DEPT - MMC</AddressLine1Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>04102</ZIPCd>
        </USAddress>
        <RecipientEIN>010238552</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>PURSUING EXCELLENCE AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLEVELAND CLINIC EDUCATIONAL FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9500 EUCLID AVE JJN5</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44195</ZIPCd>
        </USAddress>
        <RecipientEIN>340714553</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>PURSUING EXCELLENCE AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1500 FORST GLEN ROAD</AddressLine1Txt>
          <CityNm>SILVER SPRING</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20910</ZIPCd>
        </USAddress>
        <RecipientEIN>521640403</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>PURSUING EXCELLENCE AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF ROCHESTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>BROOKS LANDING BUSINESS CENTER</AddressLine1Txt>
          <CityNm>ROCHESTER</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>146113847</ZIPCd>
        </USAddress>
        <RecipientEIN>160743209</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>74633</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>PURSUING EXCELLENCE AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE UNIVERSITY OF TEXAS AT AUSTIN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>101 E 27TH ST STOP A9000</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>787121532</ZIPCd>
        </USAddress>
        <RecipientEIN>746000203</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>70600</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>PURSUING EXCELLENCE AWARD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIV OF CA SAN DIEGO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3855 HEALTH SCI DRIVE MC 0987</AddressLine1Txt>
          <CityNm>SAN DIEGO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>92093</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIV HOSPITALS CLEVELAND MED CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>UH GRANTS DEPT 781686 PO BOX 78000</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>482781686</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KAISER PERMANENTE SOUTHERN CA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 741134</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>900741134</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JOHN HOPKINS ALL CHILDRENS HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>601 5TH ST SOUTH SUITE 608</AddressLine1Txt>
          <CityNm>ST PETERSBURG</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33701</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLEVELAND CLINIC FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9500 EUCLID AVE JJN5</AddressLine1Txt>
          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>44195</ZIPCd>
        </USAddress>
        <RecipientEIN>340714553</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIV OF MD SCHOOL OF MED</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 41428</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>212036428</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UC REGENTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>UCLA DEPT OF ORTHOPAEDIC SURGERY</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>900956902</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WHITE RIVERJUNCTION VAMC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>VETS EDU RESEARCH ASSOC NORTHERN NE</AddressLine1Txt>
          <AddressLine2Txt>PO BOX 4655</AddressLine2Txt>
          <CityNm>WHITE RIVERJUNCTION</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05001</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIV OF WASHINGTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>DEPT OF SURGERY BOX 354808</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98105</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIV OF CONNECTICUT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PEDIATRIC RESIDENCY AT CT CHILDRENS</AddressLine1Txt>
          <AddressLine2Txt>MED CENTER</AddressLine2Txt>
          <CityNm>HARTFORD</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06106</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW YORK UNIV SCHOOL OF MED</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>240 EAST 38TH ST 15TH FL</AddressLine1Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10016</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OREGON HEALTH AND SCIENCE UNV DEPT OF MED</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>MAIL CODE CDW-EM 3181 SW SAM</AddressLine1Txt>
          <AddressLine2Txt>JACKSON PARK RD</AddressLine2Txt>
          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>97329</ZIPCd>
        </USAddress>
        <RecipientEIN>931176109</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIV OF VT MED CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>111 COLCHESTER AVE</AddressLine1Txt>
          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>VT</StateAbbreviationCd>
          <ZIPCd>05401</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COHEN CHILDRENS MED CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>LONG ISLAND JEWISH MEDICAL CENTER</AddressLine1Txt>
          <CityNm>MT LAURAL</CityNm>
          <StateAbbreviationCd>NJ</StateAbbreviationCd>
          <ZIPCd>08054</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MOREHOUSE SCHOOL OF MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>720 WEST VIEW DRIVE SW</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30310</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDRENS HOSPITAL OF PHILADELPHIA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3401 CIVIC CENTER BLVD</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>191044399</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>4000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIV OF NC HOSPITALS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>126 MACNIDER HALL</AddressLine1Txt>
          <CityNm>CHAPEL HILL</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>275997005</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRUSTEES OF COLUMBIA UNIV IN THE CITY OF NY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>SPONSORED PROJECTS FINANCE PO BOX</AddressLine1Txt>
          <AddressLine2Txt>29789</AddressLine2Txt>
          <CityNm>NEW YORK</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>100879789</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SCRIPPS MERCY HOSPITAL CHULA VISTA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>480 FOURTH AVE SUITE 403</AddressLine1Txt>
          <CityNm>CHULA VISTA</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>91910</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY AT BUFFALO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>462 GRIDER ST</AddressLine1Txt>
          <CityNm>BUFFALO</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>14215</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIV OF TX HEALTH SCIENCE CENTER SAN ANTONIO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7703 FLOYD CURL DRIVE MAIL CODE</AddressLine1Txt>
          <AddressLine2Txt>7792</AddressLine2Txt>
          <CityNm>SAN ANTONIO</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>782293900</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIV OF COLORADO DENVER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>GRANTS AND CONTRACTS PO BOX 910238</AddressLine1Txt>
          <CityNm>DENVER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>802910238</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIV OF MICHIGAN HOSPITALS &amp; HEALTH CENTERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 223131</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>152512131</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIV OF MASSACHUSETTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>OFFICE OF THE BURSAR 55 LAKE AVE</AddressLine1Txt>
          <AddressLine2Txt>NORTH</AddressLine2Txt>
          <CityNm>WORCESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>016550002</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UT SOUTHWESTERN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5323 HARRY HINES BLVD STE HP8110</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>753909047</ZIPCd>
        </USAddress>
        <RecipientEIN>756002868</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EMORY UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1760 HAYGOOD DRIVE RM W403</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30322</ZIPCd>
        </USAddress>
        <RecipientEIN>580566256</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UPMC MEDICAL EDUCATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 ROSS ST 154-0455</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>152620001</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REGENTS OF THE UNIV OF MINNESOTA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>DEPT OF PSYCHIATRY NW 5957 PO BOX</AddressLine1Txt>
          <AddressLine2Txt>1450</AddressLine2Txt>
          <CityNm>MINNEAPOLIS</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55485</ZIPCd>
        </USAddress>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>2000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>BACK TO BEDSIDE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>40</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>DAVID C LEACH AWARD</GrantTypeTxt>
        <RecipientCnt>3</RecipientCnt>
        <CashGrantAmt>7500</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>GME PROGRAM INSTITUTIONAL COORDINATOR EXCELLENCE AWARD</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>1000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>GME PROGRAM COORDINATOR EXCELLENCE AWARD</GrantTypeTxt>
        <RecipientCnt>5</RecipientCnt>
        <CashGrantAmt>5000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACGME SPECIFIES THAT GRANT FUNDS ARE TO BE USED FOR DIRECT EXPENSES RELATED TO RESEARCH OR THE GRANT'S SPECIFIC PURPOSE. RECIPIENTS MUST REPORT BACK TO ACGME REGULARLY REGARDING PROGRESS OF EACH PROJECT THAT GRANT FUNDS ARE AWARDED TO.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS NASCA</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>933919</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>734561</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>126178</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>42063</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1861021</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN OGUNKEYE</PersonNm>
        <TitleTxt>CFO/ASSISTANT TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>460418</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>329007</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>49566</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29056</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>892347</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN POTTS</PersonNm>
        <TitleTxt>SR VP - SURGICAL ACCREDITATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>623930</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>46996</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>30291</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29012</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>754529</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY BRIGHAM</PersonNm>
        <TitleTxt>SR VP - EDUCATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>395272</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>261552</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>36812</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21540</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>739476</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN WEISS</PersonNm>
        <TitleTxt>SR VP - INSTITUTIONAL ACCREDITATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>585042</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>49107</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>32743</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12783</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>703975</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY LIEH-LAI</PersonNm>
        <TitleTxt>SR VP - MEDICAL ACCREDITATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>561339</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>42733</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25341</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11270</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>664983</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOUIS LING</PersonNm>
        <TitleTxt>SR VP - HOSPITAL ACCREDITATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>478811</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>42733</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25341</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24300</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29095</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>600280</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL CLUB DUES PROVIDED THE CEO WERE EXCLUSIVELY FOR BUSINESS PURPOSES AND ARE NOT CONSIDERED TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1, LINE 4-B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS PARTICIPATION IN A 457(F) PLAN. THE ORGANIZATION PROVIDES ADDITIONAL DEFERRED COMPENSATION UNDER A SET FORMULA. THERE WERE NO DISTRIBUTIONS OUT OF THE PLAN DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES MAY RECEIVE A PERFORMANCE BASED BONUS AT THE DISCRETION OF MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE ACGME SHALL BE THE AACOM, ABMS, AHA, AMA, AOA, AAMC, AND CMSS. THE ACGME SHALL HAVE ONE CLASS OF MEMBERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE CERTAIN MATTERS THAT REQUIRE VOTES OF THE DIRECTORS AND MEMBERS. THEY ARE AS FOLLOWS: DISSOLUTION, SALE OR TRANSFER OF ALL ASSETS, MERGER, ADDITION OF A MEMBER, REMOVAL OF A MEMBER, AMENDMENT OF CERTAIN ARTICLES OF BY LAWS, ANY SINGLE CAPITAL EXPENSE THAT EXCEEDS 20% OF THE RESERVE FUND, AGGREGATE CAPITAL EXPENSES THAT WOULD EXCEED 30% OF THE RESERVE FUND IN A GIVEN YEAR, AND ANY ACTIONS THAT WOULD CAUSE THE DEBT TO EQUITY RATIO TO EXCEED 1.0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WILL BE POSTED FOR BOARD MEMBERS TO ACCESS IT BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNANCE COMMITTEE OF THE ACGME BOARD DIRECTORS OVERSEES IMPLEMENTATION OF THE ACGME'S POLICY ON CONFLICTS AND DUALITIES OF INTEREST. THEY REVIEW ALL DISCLOSED CONFLICTS AND DUALITIES FOR APPROPRIATE RESPONSE, IF ANY; AND DELIBERATE ON BREACHES OF THE POLICY TO MAKE RECOMMENDATIONS TO THE ACGME BOARD FOR ACTION OR SANCTIONS. ACGME BOARD MEMBERS, REVIEW COMMITTEE MEMBERS AND ACGME STAFF ARE REQUESTED TO COMPLETE AN ONLINE WEB BASED ACGME DISCLOSURE FORM AND MUST BE UPDATED ON AN ANNUAL BASIS. REPORTS ARE GENERATED AND USED AS A TOOL TO IDENTITY ANY CONFLICT AND DUALITIES IN ADDITION TO SELF-DISCLOSURE. SHOULD A CONFLICT OR DUALITY ARISE OR BE IDENTIFIED, THE INDIVIDUAL(S) MUST RECUSE THEMSELVES FROM ALL DELIBERATIONS. ADDITIONAL PENALTIES EXIST FOR COVERED INDIVIDUALS WHO KNOWINGLY AND DELIBERATELY CONCEAL A CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPENSATION COMMITTEE EXISTS CONSISTING OF THE PUBLIC MEMBERS OF THE BOARD OF DIRECTORS AND ANY OTHER DIRECTOR WITH NO AFFILIATION TO AN INSTITUTION SPONSORING A GRADUATE MEDICAL EDUCATION PROGRAM. THE COMPENSATION COMMITTEE REVIEWS INDEPENDENT COMPARISONS OF LIKE POSITIONS FOR THE CEO AND CFO WITHIN THE INDUSTRY AND IN THE GEOGRAPHIC AREA. THESE COMPARISONS ARE REPORTED EVERY TWO YEARS. ADDITIONALLY, AN INDEPENDENT HUMAN RESOURCES CONSULTING FIRM AND INDEPENDENT COMPENSATION LEGAL COUNSEL REVIEW THE PROCESS TO ENSURE COMPLIANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE ON ITS OWN WEBSITE. THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>POST-RETIREMENT HEALTH CARE BENEFIT CHANGES OTHER THAN NET PERIODIC COSTS -1,855,083. AMA PENSION PLAN CHANGES 186,988.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ACGME INTERNATIONAL LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>401 N MICHIGAN SUITE 2000</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60611</ZIPCd>
        </USAddress>
        <EIN>370269723</EIN>
        <PrimaryActivitiesTxt>IMPROVE HEALTH CARE BY ASSESSING AND ADVANCING THE QUALITY OF RESIDENT PHYSI</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <TotalIncomeAmt>2578458</TotalIncomeAmt>
        <EndOfYearAssetsAmt>4335137</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>