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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>295652</CashGrantAmt>
        <PurposeOfGrantTxt>PUBLIC HEALTH PROGRAM SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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        </RecipientBusinessName>
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          <AddressLine1Txt>401 WEST 15TH STREET</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>130150</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATING EXPENSE SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TEXAS MEDICAL ASSOCIATION LIBRARY</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>401 WEST 15TH STREET</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>OPERATING EXPENSE SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TEXAS HEALTH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8501 N MOPAC EXPWY STE 170</AddressLine1Txt>
          <CityNm>AUSTIN</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78759</ZIPCd>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TMA PRACTICEEDGE LLC</BusinessNameLine1Txt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>LOUISIANA STATE MEDICAL SOCIETY EDUCATIONAL AND RESEARCH FOUNDATION</BusinessNameLine1Txt>
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      <RecipientTable>
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        <GrantTypeTxt>AWARD FOR EXCELLENCE IN ACADEMIC MEDICINE</GrantTypeTxt>
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        <GrantTypeTxt>MEDIA AWARD JUDGE STIPEND</GrantTypeTxt>
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    </IRS990ScheduleI>
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        <PersonNm>BRIDGET MCPHILLIPS</PersonNm>
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        <PersonNm>STEVEN T LEVINE</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN G BATORY</PersonNm>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <PersonNm>JOHN E DORMAN</PersonNm>
        <RelationshipWithOrgTxt>CHIEF OPERATING OFFICER OF ORGANIZATION</RelationshipWithOrgTxt>
        <LoanPurposeTxt>EXECUTIVE RETENTION LOAN FOR CLUB INITIATION FEE TO BE USED FOR BUSINESS</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>59538</OriginalPrincipalAmt>
        <BalanceDueAmt>23966</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
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        <WrittenAgreementInd>1</WrittenAgreementInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>TEXAS MEDICAL ASSOCIATION IS A PROFESSIONAL ASSOCIATION REPRESENTING TEXAS PHYSICIANS AND MEDICAL STUDENTS. AT 12/31/16, THE ASSOCIATION HAD 50,007 MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES SHALL BE COMPOSED OF NINE AT-LARGE MEMBERS AND ONE YOUNG PHYSICIAN ELECTED BY THE HOUSE OF DELEGATES, ONE RESIDENT MEMBER, ONE STUDENT MEMBER, AND, AS EX OFFICIO MEMBERS: THE PRESIDENT, PRESIDENT-ELECT, IMMEDIATE PAST PRESIDENT, SECRETARY/TREASURER, SPEAKER OF THE HOUSE OF DELEGATES, AND VICE SPEAKER OF THE HOUSE OF DELEGATES. THE HOUSE OF DELEGATES, THE LEGISLATIVE AND POLICY-MAKING BODY OF THE ASSOCIATION, SHALL ELECT THE OFFICERS EXCEPT AS OTHERWISE PROVIDED IN THE BYLAWS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PREPARED BY THE ASSOCIATE VICE PRESIDENT OF THE ASSOCIATION ACCOUNTING DEPARTMENT. PRIOR TO FILING, THE RETURN IS THOROUGHLY REVIEWED BY THE EXECUTIVE VICE PRESIDENT AND THE CHIEF OPERATING OFFICER. THE RETURN IS MADE AVAILABLE TO ALL OFFICERS AND TRUSTEES UPON COMPLETION.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>DISCLOSURE OF AFFILIATIONS QUESTIONNAIRE IS SUBMITTED BY ALL OFFICERS AND TRUSTEES ANNUALLY. THE CONFLICT OF INTEREST POLICY IS REVIEWED AT THE BEGINNING OF ALL BOARD MEETINGS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>INDEPENDENT COMPENSATION CONSULTANT DEVELOPS COMPENSATION STRATEGY BY EVALUATING MARKET TRENDS AND ORGANIZATIONAL GOALS/PHILOSOPHY WHILE ENSURING ONGOING COMPETITIVENESS AND COMPLIANCE. THIS RECOMMENDATION IS PRESENTED TO THE ASSOCIATION'S COMPENSATION COMMITTEE FOR REVIEW. FINAL PLAN IS THEN SUBMITTED TO BOARD OF TRUSTEES FOR APPROVAL.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO TEXAS MEDICAL ASSOCIATION MEMBERS UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES APPROVES SELECTION OF INDEPENDENT AUDITOR. THE ANNUAL AUDIT REPORT IS FORMALLY PRESENTED TO THE BOARD BY THE AUDIT FIRM PARTNER RESPONSIBLE FOR THE ENGAGEMENT. THE BOARD MEETS WITH THE AUDITOR IN EXECUTIVE SESSION TO DISCUSS ANY QUESTIONS AND CONCERNS IN ABSENCE OF ASSOCIATION STAFF.</ExplanationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>TEXAS MEDICAL ASSN SPECIAL FUNDS FNDTN</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>N</TransactionTypeTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE PHYSICIANS FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>38635</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>