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        <OtherCompensationAmt>31757</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Adrienne White-Faines</PersonNm>
        <TitleTxt>Chief Strategy Officer</TitleTxt>
        <AverageHoursPerWeekRt>35.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>350961</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>38982</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ryan Mire MD</PersonNm>
        <TitleTxt>Immediate Past President</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>168400</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sue Bornstein MD</PersonNm>
        <TitleTxt>Immed Past Chair BOR</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>168400</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Janet Jokela MD</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>8.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gregory Kane MD</PersonNm>
        <TitleTxt>Past Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>0.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>89300</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Omar Atiq MD</PersonNm>
        <TitleTxt>President</TitleTxt>
        <AverageHoursPerWeekRt>15.0</AverageHoursPerWeekRt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Eileen Barrett MD</PersonNm>
        <TitleTxt>Chair, Board of Regents</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>84300</ReportableCompFromOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>George Abraham MD</PersonNm>
        <TitleTxt>Past President</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>84200</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Elisa Choi MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>53700</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Priya Radhakrishnan MD</PersonNm>
        <TitleTxt>Chair Board of Governors</TitleTxt>
        <AverageHoursPerWeekRt>8.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>53700</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Stephen Sisson MD</PersonNm>
        <TitleTxt>President - Elect</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Cooney MD</PersonNm>
        <TitleTxt>Past Chair, BOR</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Leslie Algase MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rebecca Andrews MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alicia Arbaje MD</PersonNm>
        <TitleTxt>Chair, Coun of Subspec Soc</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jan Carney MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ricardo Correa MD</PersonNm>
        <TitleTxt>Chair, Coun of Early Career Ph</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Charlene Dewey MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Fox MD</PersonNm>
        <TitleTxt>Chair-elect, Board of Regents</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jason Goldman MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Charles Hamori MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Saba Hasan MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David R Hilden MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Pooja Jaeel MD</PersonNm>
        <TitleTxt>Chair, Coun of Resident/Fellow</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Angela C Johnson MD</PersonNm>
        <TitleTxt>Chair-elect Board of Governors</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Suja M Mathew MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Isaac Opole MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
        <AverageHoursPerWeekRt>4.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Marianne Parshley MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Molly Southworth MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Tan MD</PersonNm>
        <TitleTxt>Regent</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>A Mario Tarasco</PersonNm>
        <TitleTxt>Chair, Coun of Stud Memb</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>5344525</TotalReportableCompFromOrgAmt>
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      <TotalOtherCompensationAmt>498600</TotalOtherCompensationAmt>
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      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>QUAD GRAPHICS INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>N61 W230044 HARRYS WAY</AddressLine1Txt>
            <CityNm>SUSSEX</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53089</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIGITAL &amp; PRINT SVCS</ServicesDesc>
        <CompensationAmt>1613024</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>FREEMAN EXPO-DECORATING CO</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 734596</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75397</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONVENTION SERVICES</ServicesDesc>
        <CompensationAmt>1124021</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>McMaster University</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <ForeignAddress>
            <AddressLine1Txt>1200 MAIN STREET</AddressLine1Txt>
            <CityNm>HAMILTON</CityNm>
            <ProvinceOrStateNm>ONTARIO</ProvinceOrStateNm>
            <CountryCd>CA</CountryCd>
            <ForeignPostalCd>LBS 4LB</ForeignPostalCd>
          </ForeignAddress>
        </ContractorAddress>
        <ServicesDesc>Editorial Services</ServicesDesc>
        <CompensationAmt>858581</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Finn Partners Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>301 E 57th Street</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Product/campaign svc</ServicesDesc>
        <CompensationAmt>799345</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Able Building Manintence</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>868 Folsom Street</AddressLine1Txt>
            <CityNm>SAN FRANCISCO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94107</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Janitorial Services</ServicesDesc>
        <CompensationAmt>756279</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>30</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>26120502</MembershipDuesAmt>
      <AllOtherContributionsAmt>1489710</AllOtherContributionsAmt>
      <TotalContributionsAmt>27610212</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION AND INFORMATION</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>29018943</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29018943</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>JOURNALS AND PUBLICATIONS</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>9212809</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4514790</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>4698019</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP SERVICES</Desc>
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        <ExplanationTxt>AS A 501(C)(3) ORGANIZATION, LOBBYING ACTIVITIES DO NOT CONSTITUTE A SUBSTANTIAL PERCENTAGE OF ACP ACTIVITIES. THE ACP IS HEADQUARTERED IN PHILADELPHIA, PENNSYLVANIA, BUT MOST OF THE PUBLIC ACTIVITIES TAKE PLACE THROUGH THE WASHINGTON, DC OFFICE. THE ACP DOES NOT HAVE A POLITICAL ACTION COMMITTEE (PAC) AND PROVIDES NO CAMPAIGN CONTRIBUTIONS. THE ACP TAKES POSITIONS ON ISSUES AFFECTING THE ABILITY OF THE DOCTORS OF INTERNAL MEDICINE TO PROVIDE HIGH QUALITY OF CARE TO THEIR PATIENTS, SUCH AS ACCESS TO CARE, THE PHYSICIANS WORKFORCE AND MEDICAL HOME BUILDER, MEDICARE PAYMENTS AND REGULATORY REFORM AND PATIENTS RIGHTS. THE ACP DOES NOT DEVOTE A SUBSTANTIAL PORTION OF ORGANIZATIONAL REVENUE TO INFLUENCE CONGRESS TO PASS ANY PARTICULAR PIECES OF LEGISLATION. THE ACP DEVOTES MUCH OF ITS RESOURCES WITHIN THE WASHINGTON, DC OFFICE TO LIAISON ACTIVATES WITH OTHER MEDICAL ORGANIZATIONS AND TO WORK WITH GOVERNMENTAL REGULATORY AND ADVISORY BOARDS. ALSO, A SMALL PORTION OF ITS RESOURCES IS DEVOTED TO GRASSROOTS LOBBYING.</ExplanationTxt>
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        <ExplanationTxt>For the years ended June 30, 2023 and 2022, ACP did not identify any uncertain tax positions taken or expected to be taken in a tax return which would require adjustment to its consolidated financial statements. In addition, ACP believes it has not engaged in any activities for which its tax-exempt status would not be sustained under federal or local examination. With certain exceptions, ACP, ACP Services and MASI are not subject to federal tax examinations for years prior to 2020 and ACP Services and MASI are not subject to District of Columbia tax examinations for years prior to 2020. In June 2018, the U.S. Supreme Court issued a ruling in South Dakota v. Wayfair that will allow states to require remote sellers to collect sales and use tax under certain circumstances. The State of South Dakota alleged that U.S. constitutional law should be revised to permit South Dakota to require remote sellers to collect and remit sales tax in South Dakota in accordance with South Dakota's sales tax statute. Under the U.S. Supreme Court's ruling, the longstanding Quill Corp v. North Dakota sales tax case which required physical nexus for the imposition of sales tax was overruled. Pursuant to South Dakota's statute, the College is not required to pay sales and use tax retroactively. The College recognized an estimated liability for state sales and use tax of $1,350,000 and $1,700,000 at June 30, 2023 and 2022, respectively. The liability is included in accounts payable and accrued expenses in the consolidated statements of financial position.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1, THE ORGANIZATION'S MISSION CONTINUED:</FormAndLineReferenceDesc>
        <ExplanationTxt>OF ILLNESSES IN ADULTS. ACP IS THE LARGEST MEDICAL-SPECIALTY ORGANIZATION AND SECOND-LARGEST PHYSICIAN GROUP IN THE UNITED STATES. ITS MEMBERSHIP OF 161,000 INCLUDES INTERNISTS, INTERNAL MEDICINE SUBSPECIALISTS, MEDICAL STUDENTS, RESIDENTS, AND FELLOWS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACP WAS FOUNDED IN 1915 TO PROMOTE THE SCIENCE AND PRACTICE OF MEDICINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A, CONTINUED:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACP'S MEDICAL KNOWLEDGE SELF-ASSESSMENT PROGRAM (MKSAP), NOW IN ITS 21TH EDITION, IS THE TOP SELLING SELF-ASSESSMENT CURRICULUM AMONG INTERNISTS. MKSAP PROVIDES INTERNISTS AN OPPORTUNITY TO TEST THEIR CLINICAL KNOWLEDGE AND COMPARE THEIR RESULTS AGAINST NATIONAL AVERAGES. ADDITIONALLY, ACP OFFERS BOARD REVIEW COURSES; RECERTIFICATION COURSES AND RESOURCES; AND HOSTS OVER 100 REGIONAL EDUCATIONAL MEETINGS. ACP PRODUCES EVIDENCE-BASED CLINICAL PRACTICE GUIDELINES THAT FOLLOW A RIGOROUS DEVELOPMENT PROCESS AND ARE BASED ON THE HIGHEST QUALITY SCIENTIFIC EVIDENCE. THE GUIDELINES COVER MANY AREAS OF INTERNAL MEDICINE, INCLUDING SCREENING FOR CANCER AND OTHER MAJOR DISEASES, DIAGNOSIS, TREATMENT AND MEDICAL TECHNOLOGY. ACP HELPS INTERNAL MEDICINE PRACTICES ACHIEVE QUALITY PERFORMANCE IN TODAY'S COMPLEX HEALTH CARE ENVIRONMENT. THE ORGANIZATION OFFERS WRITTEN GUIDES, PRACTICE MANAGEMENT TOOLS, AND CUSTOMIZED ADVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D:</FormAndLineReferenceDesc>
        <ExplanationTxt>ADVOCACY AND PUBLIC POLICY: ACP MONITORS AND RESPONDS TO POLICY ISSUES THAT AFFECT PUBLIC HEALTH AND THE PRACTICE OF INTERNAL MEDICINE. THE ORGANIZATION DEVELOPS POLICY STATEMENTS AND COMMUNICATES WITH THE LEGISLATIVE AND ADMINISTRATIVE SECTORS OF GOVERNMENT TO ASSURE THE VOICE OF INTERNAL MEDICINE IS HEARD. OTHER PROGRAMS ALSO INCLUDE MEDICAL PRACTICE PROGRAMS AND THE MEDICAL LAB EVALUATION (MLE) PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE SHALL BE SEVEN CLASSES OF MEMBERS: "MASTERS," "FELLOWS," "HONORARY FELLOWS," "MEMBERS," "RESIDENT/FELLOW MEMBERS," "MEDICAL STUDENT MEMBERS,"AFFILIATES".</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT, TREASURER, AND REGENTS ARE ELECTED BY BOARD OF REGENTS AND BOARD OF GOVERNORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2022 RETURN WAS PRESENTED TO THE FINANCIAL POLICY AND AUDIT COMMITTEE AND THE BOARD OF REGENTS, PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, A DISCLOSURE FORM IS PREPARED. ACP MANAGEMENT IN VARIOUS DIVISIONS MONITOR AND REVIEW CONFLICT OF INTEREST DISCLOSURES BY NEW AND CURRENT BOARD MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINES 15A &amp; B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ACP STRIVES TO RECRUIT HIGHLY MOTIVATED AND EXPERIENCED INDIVIDUALS AT ALL LEVELS OF THE ORGANIZATION, INCLUDING STAFF AND GOVERNANCE POSITIONS. COMPENSATION FOR SERVICES PROVIDED BY THESE INDIVIDUALS SHOULD REFLECT THE REQUIREMENTS OF THE JOB AND THE VALUE OF THE INDIVIDUAL TO THE ORGANIZATION, AND BE COMPETITIVE WITH SIMILAR POSITIONS AT COMPARABLE ORGANIZATIONS. COMPENSATION OF ELECTED OFFICERS AND EXECUTIVE VICE PRESIDENT IS DETERMINED AS FOLLOWS: 1. THE COMPENSATION COMMITTEE, PERIODICALLY, BUT NOT LESS FREQUENTLY THAN EVERY THREE YEARS, REQUESTS HUMAN RESOURCES STAFF TO ENGAGE A QUALIFIED THIRD PARTY TO PERFORM A COMPENSATION SURVEY OF ELECTED GOVERNANCE OFFICERS AND THE EXECUTIVE VICE PRESIDENT/CHIEF EXECUTIVE OFFICER (EVP/CEO), OR SIMILAR POSITIONS, AT COMPARABLE ORGANIZATIONS. 2. CONSIDERING THE RESULTS OF THE COMPENSATION SURVEY, THE CC REVIEWS THE CURRENT COMPENSATION OF OFFICERS AND THE EVP/CEO AND RECOMMENDS TO THE FINANCE POLICY AND AUDIT COMMITTEE (FPAC) AND THE BOARD OF REGENTS (BOR) ANY ADJUSTMENTS DETERMINED TO BE NECESSARY. 3. PER THE ANNUAL CYCLE FOR DETERMINING THE EVP/CEO'S PERFORMANCE, COMPENSATION AND BONUS, APPROVED BY THE BOR IN APRIL MEETING ON AN ANNUAL BASIS, THE BOR CHAIR AND IMMEDIATE PAST CHAIR CONDUCT THE ANNUAL REVIEW OF THE EVP/CEO, BASED ON GOALS SET FOR THE EVP/CEO IN MAY OF THE PREVIOUS YEAR BY THE THEN-CURRENT BOR CHAIR AND CHAIR-ELECT, CONSIDERING ACP'S STRATEGIC PLAN FOR THE UPCOMING YEAR. THE BOR CHAIR AND IMMEDIATE PAST CHAIR RECOMMEND A SALARY AND BONUS AMOUNT FOR THE EVP/CEO TO THE CC, WHO MAKES A RECOMMENDATION TO THE BOR. THE BOR CHAIR RECOMMENDS THE FINAL SALARY AND BONUS AMOUNT FOR THE EVP/CEO TO THE BOR IN EXECUTIVE SESSION. 4. THE CC MAY PERIODICALLY REVIEW AND RECOMMEND TO THE FPAC AND/OR BOR COMPENSABLE ITEMS FOR ELECTED REPRESENTATIVES AND OTHER NON-EMPLOYEES TRAVELING ON BUSINESS FOR ACP.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNRECOGNIZED GAIN ON PENSION: $(215,897)</ExplanationTxt>
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