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      <Form990PartVIISectionAGrp>
        <PersonNm>David Forstein DO</PersonNm>
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        <PersonNm>Rosemary Gibson</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Jeffrey Gold MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Steve Goldstein</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Paul Grundy MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Thomas Hansen MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Diane Hartmann MD</PersonNm>
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        <PersonNm>Helen Haskell</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>James Hebert MD</PersonNm>
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        <PersonNm>Carmen Hooker Odom</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Dinchen Jardine MD LCDR</PersonNm>
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        <PersonNm>Lynne Kirk MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Lorrie Langdale MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Jo Ellen Linder MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Kenneth Ludmerer MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>William McDade MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>John McWhorter III</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Travis Meyer MD</PersonNm>
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        <PersonNm>Karen Nichols DO</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>William Pinsky MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Gary Slick DO</PersonNm>
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        <PersonNm>Claudia Wyatt-Johnson</PersonNm>
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        <PersonNm>Edwin Zalneraitis MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <PersonNm>Thomas Nasca</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
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        <PersonNm>John Ogunkeye</PersonNm>
        <TitleTxt>CFO/Assistant Treasurer</TitleTxt>
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        <PersonNm>Ingrid Philibert</PersonNm>
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        <PersonNm>John Potts</PersonNm>
        <TitleTxt>SR VP - Surgical Accreditation</TitleTxt>
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        <PersonNm>Kevin Weiss</PersonNm>
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        <PersonNm>Louis Ling</PersonNm>
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        <PersonNm>Mary Lieh-Lai</PersonNm>
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        <PersonNm>Rebecca Miller-Huyler</PersonNm>
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        <PersonNm>Timothy Brigham</PersonNm>
        <TitleTxt>SR VP - Education</TitleTxt>
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        <PersonNm>Eric Holmboe</PersonNm>
        <TitleTxt>SR VP - Milestones Dev &amp; Eval</TitleTxt>
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        <PersonNm>Susan Day</PersonNm>
        <TitleTxt>SR VP - International Medical Affairs</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lorenzo Pence</PersonNm>
        <TitleTxt>SR VP - Osteopathic Accreditation</TitleTxt>
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        <PersonNm>Paige Amidon Litman</PersonNm>
        <TitleTxt>SR VP - Communications</TitleTxt>
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        <PersonNm>Richard Murphy</PersonNm>
        <TitleTxt>VP - Human Resources</TitleTxt>
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        <PersonNm>Stanley Hamstra</PersonNm>
        <TitleTxt>VP - Milestones Research and Eval</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Carl Patow</PersonNm>
        <TitleTxt>Regional VP, CLER Site Visit Program</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Casey Baretta</PersonNm>
        <TitleTxt>Regional VP, CLER Site Visit Program</TitleTxt>
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        <ReportableCompFromOrgAmt>338876</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50595</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robin Newton</PersonNm>
        <TitleTxt>Regional VP, CLER Site Visit Program</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>338378</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50595</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robin Dibner</PersonNm>
        <TitleTxt>CLER Program Field Representative</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>240528</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31722</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>8537707</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>854478</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>73</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Douglas Carlson LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>330 N Wabash Suite 3300</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60611</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Legal</ServicesDesc>
        <CompensationAmt>484382</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Futures Strategy Group</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>61 Edgewood Lane</AddressLine1Txt>
            <CityNm>Glastonbury</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06033</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Consulting</ServicesDesc>
        <CompensationAmt>175291</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FURRY DOG DEVELOPMENT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1845 S MICHIGAN AVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60642</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT Consulting</ServicesDesc>
        <CompensationAmt>154332</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BEACON HILL STAFFING GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 846193</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02108</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Staffing Help</ServicesDesc>
        <CompensationAmt>152990</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Bluebolt LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>415 N Lasalle STE 205</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60654</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT Consulting</ServicesDesc>
        <CompensationAmt>137325</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>ACCREDITATION FEES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>47957600</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>47957600</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>WORKSHOP REGISTER</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>3573735</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3573735</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>APPLICATION FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2796200</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2796200</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>JOURNAL</Desc>
        <BusinessCd>511120</BusinessCd>
        <TotalRevenueColumnAmt>74186</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>52346</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>21840</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CANCELLATION FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>16250</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16250</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>54417971</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2385692</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>76912</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2308780</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>436310</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>436310</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>436310</TotalRevenueColumnAmt>
        <ExclusionAmt>436310</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>81267151</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>76500890</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>4766261</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>4766261</TotalRevenueColumnAmt>
        <ExclusionAmt>4766261</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>870432</TotalRevenueColumnAmt>
        <ExclusionAmt>870432</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>INCOME TAX REFUND</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>24760</TotalRevenueColumnAmt>
        <ExclusionAmt>24760</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>895192</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>62901426</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>98752</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>8406543</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>609151</TotalAmt>
        <ProgramServicesAmt>609151</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>10000</TotalAmt>
        <ProgramServicesAmt>10000</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>8307167</TotalAmt>
        <ProgramServicesAmt>8307167</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>15481320</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1815476</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1415852</ProgramServicesAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4339702</TotalAmt>
        <ProgramServicesAmt>1215667</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3124035</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>1392041</ProgramServicesAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>721209</TotalAmt>
        <ProgramServicesAmt>721209</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>66237</TotalAmt>
        <ManagementAndGeneralAmt>66237</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>135837</TotalAmt>
        <ManagementAndGeneralAmt>135837</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2691428</TotalAmt>
        <ProgramServicesAmt>1964921</ProgramServicesAmt>
        <ManagementAndGeneralAmt>726507</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>50997</TotalAmt>
        <ProgramServicesAmt>50997</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>700670</TotalAmt>
        <ProgramServicesAmt>70067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>630603</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1939404</TotalAmt>
        <ProgramServicesAmt>1396371</ProgramServicesAmt>
        <ManagementAndGeneralAmt>543033</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>2033143</ProgramServicesAmt>
        <ManagementAndGeneralAmt>913441</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>5677645</TotalAmt>
        <ProgramServicesAmt>5677645</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>4730789</TotalAmt>
        <ProgramServicesAmt>4021171</ProgramServicesAmt>
        <ManagementAndGeneralAmt>709618</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1754776</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1075508</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ManagementAndGeneralAmt>236506</ManagementAndGeneralAmt>
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        <Desc>MISCELLANEOUS</Desc>
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        <ProgramServicesAmt>388769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20462</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>JOURNAL</Desc>
        <TotalAmt>230250</TotalAmt>
        <ProgramServicesAmt>230250</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>UBI TAX</Desc>
        <TotalAmt>14742</TotalAmt>
        <ManagementAndGeneralAmt>14742</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>56752522</TotalAmt>
        <ProgramServicesAmt>46740517</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10012005</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>920</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>8293034</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1278302</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>554740</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>23955265</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>19189521</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4740522</BOYAmt>
        <EOYAmt>4765744</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>45485566</EOYAmt>
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        <EOYAmt>5326137</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>65704443</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>4657788</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>4679175</EOYAmt>
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        <EOYAmt>1823684</EOYAmt>
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        <EOYAmt>15988073</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>25515995</BOYAmt>
        <EOYAmt>27148720</EOYAmt>
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        <EOYAmt>38480079</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>75644</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>38555723</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>65704443</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>6148904</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-8148992</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus2YearsAmt>43824692</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>52410278</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>54417971</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>52410278</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>54417971</CurrentTaxYearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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        <CurrentTaxYearMinus1YearAmt>225008</CurrentTaxYearMinus1YearAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus1YearAmt>1886441</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2822002</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>113615</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>150542</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>895192</CurrentTaxYearAmt>
        <TotalAmt>1443348</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>43177643</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>45568054</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>54447261</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>58135165</CurrentTaxYearAmt>
        <TotalAmt>239887580</TotalAmt>
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      <PublicSupportCY509Pct>0.95040</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.95690</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.03920</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.03640</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>1089697</DepreciationAmt>
        <BookValueAmt>213102</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>2530731</DepreciationAmt>
        <BookValueAmt>1229177</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <DepreciationAmt>15569093</DepreciationAmt>
        <BookValueAmt>3323465</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>4765744</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Private Partnership</Desc>
        <BookValueAmt>5287230</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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        <PersonNm>Richard Murphy</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stanley Hamstra</PersonNm>
        <TitleTxt>VP - Milestones Research and Eval</TitleTxt>
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        <PersonNm>Carl Patow</PersonNm>
        <TitleTxt>Regional VP, CLER Site Visit Program</TitleTxt>
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        <PersonNm>Robin Dibner</PersonNm>
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        <FormAndLineReferenceDesc>Part 1, Line 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>Professional club dues provided exclusively for business purposes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part 1, Lines 4-B</FormAndLineReferenceDesc>
        <ExplanationTxt>There is participation in a 457(F) plan. The organization provides additional deferred compensation under a set formula. THOMAS NASCA RECEIVED A PAYMENT OF $73,821 DURING THE YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part 1, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES MAY RECEiVE A PERFORMANCE BASED BONUS AT THE DISCRETION OF MANAGEMENT.</ExplanationTxt>
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      <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 11</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 2,237,722. AMA PENSION PLAN CHANGES 186,620.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </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>3021521</TotalIncomeAmt>
        <EndOfYearAssetsAmt>3727534</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Accreditation Council for Graduate Medical Education</BusinessNameLine1Txt>
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</Return>