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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRIANNE HOWERTON DO</PersonNm>
        <TitleTxt>POSTDOC. TRAINEE - AS OF 07/24</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARA A LOHBAUER DO</PersonNm>
        <TitleTxt>POSTDOC. TRAINEE ADV. - UNTIL 07/24</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1800</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH J WOLFF DO NEW PHYS</PersonNm>
        <TitleTxt>IN PRACTICE - UNTIL 07/24</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1650</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHAWN HAMM DO</PersonNm>
        <TitleTxt>NEW PHYS. IN PRACTICE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1200</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PALMER FORD OMS IV</PersonNm>
        <TitleTxt>STUDENT MEMBER - AS OF 07/24</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAELIN SMITH OMS III</PersonNm>
        <TitleTxt>STUDENT MEMBER - UNTIL 07/24</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEVANSHI PATEL OMS IV</PersonNm>
        <TitleTxt>STUDENT ADVISOR - UNTIL 07/24</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY D DAVIS DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2550</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN V DE REGNIER DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2400</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT S DOLANSKY DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2550</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT W HOSTOFFER JR DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER J HAULER DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID E GARZA DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EMILY K HURST DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER Y KENDALL DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2550</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY J KOWALSKI DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES M LALLY DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>3.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GERALDINE T O'SHEA DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2100</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SONIA RIVERA-MARTINEZ DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIEANNE P SEES DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHANNON C SCOTT DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD R THACKER DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK M TURSI DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1950</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE A WOLF DO</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN S CREASON</PersonNm>
        <TitleTxt>CEO, BOARD SECRETARY</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS RIZZO</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE KULOVITS</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MAURA BISZEWSKI</PersonNm>
        <TitleTxt>SVP OSTEOPATHIC ENGAGEMENT</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DARCY STEINBERG VP STRATEGIC</PersonNm>
        <TitleTxt>PARTNERSHIPS AND HEALTH INIT.</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PRANAV PAREKH VP INFORMATION</PersonNm>
        <TitleTxt>TECHNOLOGY - UNTIL 04/25</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>204754</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON MCGILL</PersonNm>
        <TitleTxt>VP RESEARCH</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSE CARINO</PersonNm>
        <TitleTxt>VP MEMBERSHIP</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GENIE JAMES</PersonNm>
        <TitleTxt>VP ACCREDITATION</TitleTxt>
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        <ReportableCompFromOrgAmt>195126</ReportableCompFromOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>72</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NBOME</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8765 W HIGGINS RD STE 200</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60631</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TESTING MODULES</ServicesDesc>
        <CompensationAmt>986733</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WALT DISNEY WORLD SWAN &amp; DOLPHIN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1200 EPCOT RESORT BLVD</AddressLine1Txt>
            <CityNm>LAKE BUENA VISTA</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32830</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONVENTION</ServicesDesc>
        <CompensationAmt>781530</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ENCORE GLOBAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>900 E MARKET ST</AddressLine1Txt>
            <CityNm>SAN ANTONIO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78205</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONVENTION PRODUCTION SERVICES</ServicesDesc>
        <CompensationAmt>752249</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACP CREATIVIT LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>851 COMMERCE CT</AddressLine1Txt>
            <CityNm>BUFFALO GROVE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60089</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATION TECHNOLOGY SUPPORT</ServicesDesc>
        <CompensationAmt>452989</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FUSIONSPAN LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9450 SW GEMINI DR PMB 45851</AddressLine1Txt>
            <CityNm>BEAVERTON</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97008</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGED SERVICES SUPPORT</ServicesDesc>
        <CompensationAmt>424989</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>24</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>300000</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>587411</AllOtherContributionsAmt>
      <TotalContributionsAmt>887411</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>12374426</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12374426</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CERTIFYING BOARDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8753567</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8753567</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>COLLEGE ACCREDITATION</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4166920</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4166920</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONVENTION</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3995356</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3995356</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION FEES</Desc>
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      <TotalBookValueOtherAssetsAmt>8261777</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEPOSITS</Desc>
        <Amt>292665</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY - OPERATING</Desc>
        <Amt>6766498</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7059163</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>42032856</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2638757</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>3818096</OtherRevenueAmt>
      <RevenueNotReportedAmt>6456853</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>35576003</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>198513</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>198513</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>35774516</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>38689732</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>3818096</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>3818096</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>34871636</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>198513</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>198513</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>35070149</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO TRUE ENDOWMENT FUNDS. THE NET ASSETS ARE AVAILABLE FOR THE BOARD TO DESIGNATE TO BE USED FOR SPECIAL AND/OR SPECIFIC PURPOSES. THESE ARE SELF-DESIGNATED AND CAN BE WITHDRAWN AT ANY TIME BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE ASSOCIATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE ASSOCIATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES; HOWEVER, NO EXAMINATIONS ARE CURRENTLY PENDING OR IN PROGRESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 3,818,096.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 3,818,096.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE FRANCE FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>330 NORTH WABASH</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60611</ZIPCd>
        </USAddress>
        <RecipientEIN>061545717</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>133700</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>EDUCATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IMPACT EDUCATION LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>589 SKIPPACK PIKE SUITE 100</AddressLine1Txt>
          <CityNm>BLUE BELL</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19422</ZIPCd>
        </USAddress>
        <RecipientEIN>522043740</RecipientEIN>
        <IRCSectionDesc>FOR-PROFIT ENTITY</IRCSectionDesc>
        <CashGrantAmt>71420</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>EDUCATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW YORK INSTITUTE OF TECHNOLOGY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>SEROTA ACADEMIC CENTER ROOM 203</AddressLine1Txt>
          <AddressLine2Txt>NORTHERN BLVD PO BOX 8000</AddressLine2Txt>
          <CityNm>OLD WESTBURY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11568</ZIPCd>
        </USAddress>
        <RecipientEIN>111788788</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>EDUCATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EDWARD VIA VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2265 KRAFT DRIVE</AddressLine1Txt>
          <CityNm>BLACKSBURG</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24060</ZIPCd>
        </USAddress>
        <RecipientEIN>542052107</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>30787</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>EDUCATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN OSTEOPATHIC FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>142 E ONTARIO STREET</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60611</ZIPCd>
        </USAddress>
        <RecipientEIN>366056120</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>EDUCATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MICHIGAN STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>EAST FEE HALL 965 WILSON ROAD ROOM</AddressLine1Txt>
          <AddressLine2Txt>A136</AddressLine2Txt>
          <CityNm>EAST LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48824</ZIPCd>
        </USAddress>
        <RecipientEIN>386005984</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>EDUCATION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN COLLEGE OF OSTEOPATHIC OBSTETRICIANS AND GYNECOLOGISTS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 17598</AddressLine1Txt>
          <CityNm>FORT WORTH</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76102</ZIPCd>
        </USAddress>
        <RecipientEIN>386094734</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>EDUCATION</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>5</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SUPPORTING OSTEOPATHIC MEDICAL TRAINING AND RESEARCH</GrantTypeTxt>
        <RecipientCnt>30</RecipientCnt>
        <CashGrantAmt>180478</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIFIC PROPOSED BUDGETS MUST BE SUBMITTED BEFORE A GRANT IS ISSUED. ALONG WITH THE PROPOSED BUDGET, GRANT REQUESTS MUST BE ACCOMPANIED BY MID-TERM AND FULL-TERM FINANCIAL STATEMENTS. ANY CHANGES TO AGREED UPON BUDGETS MUST BE MADE VIA FORMAL WRITTEN REQUEST AND APPROVED BY THE BUREAU OF OSTEOPATHIC RESEARCH AND PUBLIC HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHLEEN S CREASON</PersonNm>
        <TitleTxt>CEO, BOARD SECRETARY</TitleTxt>
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        <TotalCompensationFilingOrgAmt>560272</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>285983</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>283150</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationFilingOrgAmt>553</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6608</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>282284</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>222251</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR DECEMBER 31, 2024, PRANAV PAREKH, VP INFORMATION TECHNOLOGY UNTIL APRIL OF 2025, RECEIVED A SEVERANCE PAYMENT OF $9,542.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES ARE MADE AT THE COMMITTEE ON ADMINISTRATIVE PERSONNEL'S DISCRETION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>COMPREHENSIVE WELLNESS</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DR.TERESA A. HUBKA, DO, PRESIDENT, IS THE OWNER OF COMPREHENSIVE WELLNESS</RelationshipDescriptionTxt>
        <TransactionAmt>256442</TransactionAmt>
        <TransactionDesc>PAYMENT FOR SERVICES AS A BOARD MEMBER</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOUSE OF DELEGATES ELECTS THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOUSE OF DELEGATES HAS THE POWER TO ELECT MEMBERS OF THE BOARD OF TRUSTEES AND CONCUR WITH THE BUDGET AND AMEND THE CONSTITUTION AND BYLAWS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING, THE CEO, CFO AND GENERAL COUNSEL REVIEW FORM 990 AND THEN PROVIDE FORM 990 TO THE BOARD FOR REVIEW AND COMMENT PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BEFORE VENDORS AND CAPITAL REQUESTS ARE APPROVED, THE REQUESTING OFFICER, DIRECTOR, TRUSTEE OR KEY EMPLOYEE MUST DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. THE CURRENT POLICY ENFORCEMENT IS BASED ON REGULAR COLLECTION OF CONFLICT INFORMATION FROM KEY STAFF, TRUSTEES, AND OFFICERS. TRUSTEES, OFFICERS, KEY STAFF ARE ALL EDUCATED AS TO WHAT AOA'S POLICY IS REGARDING A CONFLICT OF INTEREST AND ARE EXPECTED TO DISCLOSE CONFLICT OF INTEREST AND NOT PARTICIPATE IN DECISIONS REGARDING ANY ENTITY WITH WHICH THEY HAVE A CONFLICT, INCLUDING DECISIONS ON DOING BUSINESS WITH AN ORGANIZATION OR INDIVIDUAL WHERE THERE IS A CONFLICT. THERE IS A WHISTLE-BLOWER POLICY THAT PROTECTS EMPLOYEES WHO DISCLOSE A VIOLATION OF CONFLICT OF INTEREST POLICY FROM GOOD-FAITH REPORTING OF A SUSPECTED BREACH OF CONFLICT POLICY. FAILURE TO COMPLY WITH POLICY IS ENFORCED BY DISCIPLINARY MEASURES, INCLUDING REMOVAL FROM OFFICE AND/OR TERMINATION OF EMPLOYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION (SALARIES, BONUSES, BENEFITS) FOR THE CHIEF EXECUTIVE OFFICER AND KEY EMPLOYEES ARE SET BASED UPON INFORMATION AVAILABLE OBTAINED VIA SURVEYS, ANALYSIS OF INFORMATION FROM COMPARABLE HEALTHCARE ASSOCIATIONS (INCLUDING FORMS 990) AND OTHER EMPLOYERS IN THE RELEVANT GEOGRAPHIC MARKETS. A COMMITTEE OF THE BOARD OF TRUSTEES - THE COMMITTEE ON ADMINISTRATIVE PERSONNEL (COAP) - IS PROVIDED WITH THE INFORMATION FOR THE CHIEF EXECUTIVE OFFICER'S COMPENSATION AND MAKES RECOMMENDATIONS FOR FINAL APPROVAL BY THE ENTIRE BOARD OF TRUSTEES. COMPENSATION FOR THE PRESIDENT, PRESIDENT-ELECT AND THE IMMEDIATE PAST PRESIDENT IS SET BY FINANCE COMMITTEE BASED ON A REVIEW OF COMPARABLE NATIONAL PROFESSIONAL ORGANIZATIONS WHERE THE PRESIDENT FULFILLS SIMILAR RESPONSIBILITIES IN REPRESENTING THE ORGANIZATION. THE COMPENSATION FOR THESE POSITIONS ARE REVIEWED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AOA'S GOVERNING DOCUMENTS (CONSTITUTION AND BYLAWS AND CODE OF ETHICS) ARE PUBLISHED ON-LINE AND AVAILABLE AT THE AOA'S WEBSITE. THE ASSOCIATION'S CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT RECISSION -598,207.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60611</ZIPCd>
        </USAddress>
        <EIN>364340931</EIN>
        <PrimaryActivitiesTxt>TO IMPROVE THE EFFECTIVENESS OF DO TECHNICIANS THROUGH TECHNOLOGY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AT STILL OSTEOPATHIC FOUNDATION AND RESEARCH INSTITUTE</BusinessNameLine1Txt>
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          <AddressLine1Txt>142 EAST ONTARIO STREET</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60611</ZIPCd>
        </USAddress>
        <EIN>366056030</EIN>
        <PrimaryActivitiesTxt>TO SUPPORT RESEARCH FOR THE ADVANCEMENT OF THE OSTEOPATHIC PROFESSION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>AMERICAN OSTEOPATHIC ASSOCIATION</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AMERICAN OSTEOPATHIC FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>142 EAST ONTARIO STREET</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60611</ZIPCd>
        </USAddress>
        <EIN>366056120</EIN>
        <PrimaryActivitiesTxt>SUPPORTING THE ADVANCEMENT OF THE OSTEOPATHIC PROFESSION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>AMERICAN OSTEOPATHIC ASSOCIATION</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>AOIA - OSTEOPATHIC POLITICAL ACTION COMMITTEE (AOIA-OPAC)</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>511 2ND STREET NE</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20002</ZIPCd>
        </USAddress>
        <EIN>522079978</EIN>
        <PrimaryActivitiesTxt>POLITICAL ACTION COMMITTEE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AMERICAN OSTEOPATHIC INFORMATION ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>AMERICAN OSTEOPATHIC SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>142 EAST ONTARIO STREET</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60611</ZIPCd>
        </USAddress>
        <EIN>300937170</EIN>
        <PrimaryActivitiesTxt>MARKETING AFFINITY PROGRAMS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AMERICAN OSTEOPATHIC ASSOCIATION</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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          <BusinessNameLine1Txt>CHARITABLE REMAINDER TRUST (1)</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>CHARITABLE TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>AMERICAN OSTEOPATHIC INFORMATION ASSOCIATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>771765</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AT STILL OSTEOPATHIC FOUNDATION AND RESEARCH INSTITUTE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>300000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICAN OSTEOPATHIC INFORMATION ASSOCIATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>509035</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>AMERICAN OSTEOPATHIC INFORMATION ASSOCIATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>400000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>