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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADAM ZANATION MD</PersonNm>
        <TitleTxt>SOUTHERN SECRETARY/TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN J WANG MD</PersonNm>
        <TitleTxt>WESTERN SECRETARY/TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL G DESCHLER MD</PersonNm>
        <TitleTxt>THESE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETH FAUBEL</PersonNm>
        <TitleTxt>ADMINISTRATOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>148050</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAMUEL H SELESNICK MD</PersonNm>
        <TitleTxt>LARYNGOSCOPE EDITOR-IN-CHIEF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>150000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>383050</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>1</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SAMUEL SELESNICK MD</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>119 ESSEX AVE</AddressLine1Txt>
            <CityNm>MONTCLAIR</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07042</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>150000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>65646</MembershipDuesAmt>
      <AllOtherContributionsAmt>131</AllOtherContributionsAmt>
      <TotalContributionsAmt>65777</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PUBLISHING ROYALTIES A</Desc>
        <BusinessCd>513190</BusinessCd>
        <TotalRevenueColumnAmt>1372435</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1372435</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEETING REGISTRATION F</Desc>
        <BusinessCd>513190</BusinessCd>
        <TotalRevenueColumnAmt>300761</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>300761</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EXHIBITOR FEES</Desc>
        <BusinessCd>513190</BusinessCd>
        <TotalRevenueColumnAmt>43875</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>43875</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>30780</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30780</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>1747851</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>427004</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>12754</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>414250</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>866487</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>579602</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>286885</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>286885</TotalRevenueColumnAmt>
        <ExclusionAmt>286885</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC. REVENUE-RELATED-</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>51434</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>51434</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>51434</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2578951</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1799285</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>12754</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>701135</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>280000</TotalAmt>
        <ProgramServicesAmt>280000</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>252869</TotalAmt>
        <ProgramServicesAmt>252869</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>233050</TotalAmt>
        <ProgramServicesAmt>196038</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37012</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>160015</TotalAmt>
        <ProgramServicesAmt>120012</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40003</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>74953</TotalAmt>
        <ProgramServicesAmt>56215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18738</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>25382</TotalAmt>
        <ProgramServicesAmt>19037</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6345</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>8431</TotalAmt>
        <ManagementAndGeneralAmt>8431</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>44294</TotalAmt>
        <ManagementAndGeneralAmt>44294</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>78597</TotalAmt>
        <ManagementAndGeneralAmt>78597</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>50511</TotalAmt>
        <ProgramServicesAmt>43676</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6835</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>2380</TotalAmt>
        <ProgramServicesAmt>2380</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>24330</TotalAmt>
        <ProgramServicesAmt>21188</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3142</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>46369</TotalAmt>
        <ProgramServicesAmt>14238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32131</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>34119</TotalAmt>
        <ManagementAndGeneralAmt>34119</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>71740</TotalAmt>
        <ProgramServicesAmt>71740</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>514285</TotalAmt>
        <ProgramServicesAmt>446279</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68006</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>21000</TotalAmt>
        <ProgramServicesAmt>21000</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>32075</TotalAmt>
        <ManagementAndGeneralAmt>32075</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>EDITORIAL SUPPORT AND E</Desc>
        <TotalAmt>407654</TotalAmt>
        <ProgramServicesAmt>407654</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER OPERATING EXPENSE</Desc>
        <TotalAmt>67579</TotalAmt>
        <ProgramServicesAmt>30599</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36980</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EMPLOYEE AWARDS</Desc>
        <TotalAmt>614</TotalAmt>
        <ProgramServicesAmt>614</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2430247</TotalAmt>
        <ProgramServicesAmt>1983539</ProgramServicesAmt>
        <ManagementAndGeneralAmt>446708</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>469151</BOYAmt>
        <EOYAmt>593882</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>346676</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>122047</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>92350</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>92350</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>0</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>17544331</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>3098404</BOYAmt>
        <EOYAmt>3243842</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <IntangibleAssetsGrp>
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        <EOYAmt>71750</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>157467</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
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        <EOYAmt>22079995</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>95993</BOYAmt>
        <EOYAmt>104168</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>479167</BOYAmt>
        <EOYAmt>479167</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <EOYAmt>172930</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>575160</BOYAmt>
        <EOYAmt>756265</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>20342361</BOYAmt>
        <EOYAmt>21323730</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>20342361</BOYAmt>
        <EOYAmt>21323730</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>20917521</BOYAmt>
        <EOYAmt>22079995</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>148704</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>832665</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>115535</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>114800</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>108340</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>115785</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>65646</CurrentTaxYearAmt>
        <TotalAmt>520106</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>1600026</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1324296</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1444768</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1799285</CurrentTaxYearAmt>
        <TotalAmt>7902608</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1849768</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1714826</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1432636</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1560553</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1864931</CurrentTaxYearAmt>
        <TotalAmt>8422714</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>8422714</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>314157</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>331679</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>412854</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>271022</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>701135</CurrentTaxYearAmt>
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      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>314157</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>331679</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>412854</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>271022</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>701135</CurrentTaxYearAmt>
        <TotalAmt>2030847</TotalAmt>
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      <NetIncomeFromOtherUBIGrp>
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        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>30116</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12754</CurrentTaxYearAmt>
        <TotalAmt>60771</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus2YearsAmt>30379</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15702</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>131</CurrentTaxYearAmt>
        <TotalAmt>46212</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>2054369</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1875869</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1877393</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2578951</CurrentTaxYearAmt>
        <TotalAmt>10560544</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.79760</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.83120</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.19230</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.15830</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>51006</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>51006</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>41344</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>41344</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>HEDGE FUND II</Desc>
        <BookValueAmt>1726497</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>HEDGE ADJ TO MARKET</Desc>
        <BookValueAmt>1517345</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>3243842</TotalBookValueSecuritiesAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3333019</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>832665</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>832665</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2500354</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>78597</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>78597</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2578951</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2351650</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2351650</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>78597</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>78597</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2430247</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY HAS RECEIVED EXEMPTION FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. AS SUCH, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE FINANCIAL STATEMENTS. THE SOCIETY FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, IN THE U.S. FEDERAL AND STATE JURISDICTIONS. AS OF JULY 31, 2023 AND 2022, THE SOCIETY HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. TAX YEARS SUBSEQUENT TO 2019 REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS. THE SOCIETY HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING DISCLOSURE, AND THERE ARE NO MATERIAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEDICAL UNIVERSITY OF SOUTH CAROLINA EVAN GRABOYES MD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>135 RUTLEDGE AVE LMC 2018</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <RecipientEIN>576000722</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT - IMPROVING THE TIMELINESS AND EQUITY OF ADJUVANT THERAPY FOLLOWING SURGERY FOR HEAD AND NECK CANCER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY OF CALIFORNIA LOS ANGELES ASHLEY KITA MD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>405 HILGARD AVE</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90095</ZIPCd>
        </USAddress>
        <RecipientEIN>956006143</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>80000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT - PROLONGED LOCAL MELATONIN DELIVERY FOR RECURRENT LARYNGEAL NERVE NEUROPRAXIA</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE FRANCIS CREIGHTON MD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>733 N BROADWAY STE 117</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21205</ZIPCd>
        </USAddress>
        <RecipientEIN>520595110</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT - COOPERATIVE CONTROL ROBOTICS AND COMPUTER VISION: DEVELOPMENT OF SEMI-AUTONOMOUS TEMPORAL BONE AND SKULL BASE SURGERY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER YIN REN MD PHD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>410 W 10TH AVE</AddressLine1Txt>
          <CityNm>COLUMBUS</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>43210</ZIPCd>
        </USAddress>
        <RecipientEIN>316025986</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>40000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT - ENGINEERING PROTEASE BIOMARKERS TO GUIDE SURGICAL THERAPY FOR VESTIBULAR SCHWANNOMA AND NEUROFIBROMATOSIS TYPE 2</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER DAVID SMITH MD PHD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3333 BURNET AVE MLC 2018</AddressLine1Txt>
          <CityNm>CINCINNATI</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>45229</ZIPCd>
        </USAddress>
        <RecipientEIN>310833936</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>80000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RESEARCH GRANT - CIRCADIAN CLOCK DYSREGULATION IN A MODEL OF OBSTRUCTIVE SLEEP APNEA</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>5</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TRIO/ACS GRANT FUNDING</GrantTypeTxt>
        <RecipientCnt>5</RecipientCnt>
        <CashGrantAmt>280000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TRAVEL AWARD GRANTS</GrantTypeTxt>
        <RecipientCnt>321</RecipientCnt>
        <CashGrantAmt>241500</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>POSTER AWARD</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>6369</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>THESIS AWARD</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>5000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES A REPORT FROM GRANT RECIPIENTS EVERY SIX MONTHS AND A FINAL REPORT UPON COMPLETION OF THE GRANT. THE REPORTS ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY HAS AN EXECUTIVE COMMITTEE WHICH HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD BETWEEN BOARD MEETINGS. THE EXECUTIVE COMMITTEE SHALL SERVE AS THE FINANCE, INVESTMENT AND AUDIT COMMITTEE WITH THE AUTHORITY AND DUTY TO MONITOR AND ADVISE THE COUNCIL CONCERNING THE MANAGEMENT OF THE SOCIETY'S FUNDS AND FINANCIAL OPERATIONS. THE EXECUTIVE COMMITTEE SHALL SERVE AS THE BY-LAWS COMMITTEE WITH RESPONSIBILITY TO REVIEW, REVISE AND PROPOSE ANY CHANGES AND ADDITIONS TO THE BY-LAWS TO MAINTAIN THE OBJECTIVES OF THE SOCIETY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY HAS TWO MAIN CLASSES OF MEMBERSHIP, FELLOWS AND ALL OTHER MEMBERS. FELLOWS HAVE FOUR CLASSES; THE CLASSES ARE ACTIVE FELLOW, SENIOR FELLOW, EMERITUS FELLOW AND INACTIVE FELLOW. THE ADDITIONAL CLASSES OF MEMBERSHIP INCLUDE ASSOCIATE MEMBER, RESIDENT MEMBER, POST GRADUATE MEMBER AND ACTIVE CANDIDATE. THE ONLY VOTING MEMBERS ARE THE ACTIVE FELLOWS, SENIOR FELLOWS AND EMERITUS FELLOWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS OF THE SOCIETY SHALL BE KNOWN AS THE COUNCIL. THE FELLOWS OF THE SOCIETY ENTITLED TO VOTE SHALL ELECT A PRESIDENT-ELECT AT THE ANNUAL BUSINESS MEETING. OTHER COUNCIL MEMBERS ARE ELECTED EITHER WITHIN THEIR SECTIONS BY FELLOWS ENTITLED TO VOTE (SUCH AS ELECTION OF SECTION VICE PRESIDENTS, SECTION VICE PRESIDENT-ELECTS, AND SECTION SECRETARIES) AND APPROVED BY THE EXISTING COUNCIL OR ELECTED/RE-ELECTED BY VOTE OF FELLOWS ENTITLED TO VOTE AT THE ANNUAL MEETING OF THE SOCIETY. THERE ARE A TOTAL OF FOUR SECTIONS: THE EASTERN SECTION, THE SOUTHERN SECTION, THE MIDDLE SECTION AND THE WESTERN SECTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE IRS FORM 990 IS AVAILABLE FOR REVIEW BY THE BOARD OF DIRECTORS AND MANAGEMENT BEFORE SIGNING BY AN OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY REQUIRES A CONFIDENTIALITY AND ETHICS PLEDGE TO BE SIGNED BY COUNCIL MEMBERS AT THE COUNCIL MEETINGS HELD TWICE PER YEAR. ALSO A MANAGEMENT CONFLICT OF INTEREST AFFIDAVIT IS TO BE SIGNED BY EACH MEMBER AT EACH COUNCIL MEETING. ANY KNOWN CONFLICTS ARE IDENTIFIED ON THIS FORM AND ARE ADDRESSED BY THE COUNCIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION FOR THE ADMINISTRATOR IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AND IS DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>MYLES L. PENSAK, MD WAS PAID A STIPEND FOR SERVICES PROVIDED TO THE TRIOLOGICAL SOCIETY, NOT FOR HIS SERVICE AS THE EXECUTIVE VICE PRESIDENT ON THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
