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        <RelatedOrExemptFunctionIncome>12921739</RelatedOrExemptFunctionIncome>
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        <RelatedOrExemptFunctionIncome>1479192</RelatedOrExemptFunctionIncome>
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        <RelatedOrExemptFunctionIncome>718484</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>26187</ExclusionAmount>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>26187</ExclusionAmount>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>43550</ProgramServices>
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      <GrantsToDomesticIndividuals>
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        <ProgramServices>5000</ProgramServices>
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        <ProgramServices>304058</ProgramServices>
        <ManagementAndGeneral>1417013</ManagementAndGeneral>
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        <ManagementAndGeneral>1741554</ManagementAndGeneral>
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        <ProgramServices>3891897</ProgramServices>
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        <ProgramServices>283513</ProgramServices>
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        <ProgramServices>474688</ProgramServices>
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        <ProgramServices>3796014</ProgramServices>
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        <ManagementAndGeneral>585</ManagementAndGeneral>
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        <ProgramServices>120505</ProgramServices>
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      <Occupancy>
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        <ManagementAndGeneral>232449</ManagementAndGeneral>
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        <ProgramServices>164163</ProgramServices>
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        <ProgramServices>552318</ProgramServices>
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        <ManagementAndGeneral>14368</ManagementAndGeneral>
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        <ManagementAndGeneral>79051</ManagementAndGeneral>
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        <ProgramServices>5563122</ProgramServices>
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        <ProgramServices>1606549</ProgramServices>
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      <OtherExpenses>
        <Description>DUES AND SUBSCRIPTIONS</Description>
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        <ProgramServices>376197</ProgramServices>
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        <ManagementAndGeneral>658547</ManagementAndGeneral>
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        <ReturnReference>PART X, LINE 2:</ReturnReference>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT, THE CHIEF ADMINISTRATIVE OFFICER, AND THE BOARD DESIGNATED FINANCIAL REVIEW DIVISION CHIEF.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>IT IS THE POLICY OF THE CORPORATION THAT ALL OFFICERS, DIRECTORS, COMMITTEE MEMBERS AND EMPLOYEES OF THE CORPORATION SHALL AVOID ANY CONFLICT BETWEEN THEIR OWN RESPECTIVE INDIVIDUAL INTEREST AND THE INTERESTS OF THE CORPORATION. A PERSON WHO HAS AN INTEREST IN A CONTRACT IS REQUIRED TO PRESENT TO THE BOARD OR COMMITTEE PROMPTLY, WITH FULL DISCLOSURE, THEIR INTEREST AND AWAIT THE DETERMINATION OF THE BOARD OR COMMITTEE. THE POLICY IS REVIEWED ANNUALLY.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>COMPENSATION IS DETERMINED BY UTILIZING MULTIPLE RESOURSES INCLUDING PUBLISHED SURVEYS, SUCH AS THE ASSOCIATION OF ADMINISTRATORS IN ACADEMIC PEDIATRICS, MEDICAL GROUP MANAGEMENT ASSOCIATION, EXECUTIVE SEARCH FIRMS AND OTHER RESOURCES. IN GENERAL, COMPENSATION IS TARGETED AT THE 50TH PERCENTILE FOR THE MIDWEST REGION IN PUBLISHED SURVEYS. OTHER APPROPRIATE SURVEYS AND BENCHMARK DATA ARE USED FOR OTHER STAFF.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>UPON REQUEST THE 990 WILL BE MADE AVAILABLE TO INTERESTED PERSONS.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>PART XII, LINE 2C</ReturnReference>
        <Explanation>THERE WERE NO CHANGES TO OVERSIGHT AND SELECTION PROCESS DURING THE YEAR.</Explanation>
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