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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN D MCCARLEY</PersonNm>
        <TitleTxt>SPEAKER OF THE HOUSE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>557282</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>239357</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>1833960</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1833960</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GENERAL OPERATIONS</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>90589</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>90589</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LICENSING FEES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>379754</TotalRevenueColumnAmt>
        <ExclusionAmt>379754</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADMINISTRATION INCOME</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>285102</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>285102</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION AND EVENTS</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>287062</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>287062</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>171155</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>171155</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>3047622</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>116539</TotalRevenueColumnAmt>
        <ExclusionAmt>116539</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>20952</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>2119</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>18833</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>18833</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18833</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>1086</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <OtherAmt>1086</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1086</TotalRevenueColumnAmt>
        <ExclusionAmt>1086</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>ERTC</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>496658</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>496658</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>496658</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3680738</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3183359</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>497379</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>132097</TotalAmt>
        <ProgramServicesAmt>132097</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>291761</TotalAmt>
        <ProgramServicesAmt>291761</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1426861</TotalAmt>
        <ProgramServicesAmt>1426861</ProgramServicesAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>405781</TotalAmt>
        <ProgramServicesAmt>405781</ProgramServicesAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>120279</TotalAmt>
        <ProgramServicesAmt>120279</ProgramServicesAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>293545</TotalAmt>
        <ProgramServicesAmt>293545</ProgramServicesAmt>
      </FeesForServicesLegalGrp>
      <AdvertisingGrp>
        <TotalAmt>24375</TotalAmt>
        <ProgramServicesAmt>24375</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>16516</TotalAmt>
        <ProgramServicesAmt>16516</ProgramServicesAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>169706</TotalAmt>
        <ProgramServicesAmt>169706</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>25645</TotalAmt>
        <ProgramServicesAmt>25645</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>299938</TotalAmt>
        <ProgramServicesAmt>299938</ProgramServicesAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>78924</TotalAmt>
        <ProgramServicesAmt>78924</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>28042</TotalAmt>
        <ProgramServicesAmt>28042</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>STAFF EXPENSES</Desc>
        <TotalAmt>34651</TotalAmt>
        <ProgramServicesAmt>34651</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRIBUTIONS</Desc>
        <TotalAmt>7001</TotalAmt>
        <ProgramServicesAmt>7001</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TAXES</Desc>
        <TotalAmt>33074</TotalAmt>
        <ProgramServicesAmt>33074</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>84386</TotalAmt>
        <ProgramServicesAmt>84386</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3472582</TotalAmt>
        <ProgramServicesAmt>3472582</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>180162</BOYAmt>
        <EOYAmt>106925</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>145724</BOYAmt>
        <EOYAmt>522425</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>239149</BOYAmt>
        <EOYAmt>241818</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>23289</BOYAmt>
        <EOYAmt>24229</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3171596</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>606503</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2626030</BOYAmt>
        <EOYAmt>2565093</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>3606219</BOYAmt>
        <EOYAmt>3987658</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>6820573</BOYAmt>
        <EOYAmt>7448148</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>428743</BOYAmt>
        <EOYAmt>259352</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>839077</BOYAmt>
        <EOYAmt>896826</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>81657</BOYAmt>
        <EOYAmt>64882</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1349477</BOYAmt>
        <EOYAmt>1221060</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>5226429</BOYAmt>
        <EOYAmt>5982421</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>244667</BOYAmt>
        <EOYAmt>244667</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5471096</BOYAmt>
        <EOYAmt>6227088</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6820573</BOYAmt>
        <EOYAmt>7448148</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>208156</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>547836</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="990C">
      <SubstantiallyAllDuesNondedInd>false</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>false</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>false</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>1833960</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>184570</NonDeductibleLbbyngPltclCYAmt>
      <NonDeductibleLbbyngPltclTotAmt>184570</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>421811</AggregateReportedDuesNtcAmt>
      <TaxableAmt>-237241</TaxableAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D">
      <AgentTrusteeEtcInd>false</AgentTrusteeEtcInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>566640</OtherCostOrOtherBasisAmt>
        <BookValueAmt>566640</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1897013</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>308264</DepreciationAmt>
        <BookValueAmt>1588749</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>459949</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>77681</DepreciationAmt>
        <BookValueAmt>382268</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>105000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>105000</DepreciationAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>142994</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>115558</DepreciationAmt>
        <BookValueAmt>27436</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2565093</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>2536</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED LEAVE</Desc>
        <Amt>62346</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>64882</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3682857</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>547836</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>547836</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3135021</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>3135021</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3474700</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>3474700</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>3474700</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS IN ACCORDANCE WITH THE CODIFICATION STANDARD RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION BELIEVES THAT IT HAS TAKEN NO UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="990I">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TENNESSEE MEDICAL FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5141 VIRGINIA WAY STE 110</AddressLine1Txt>
          <CityNm>BRENTWOOD</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37027</ZIPCd>
        </USAddress>
        <RecipientEIN>620541813</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <NonCashAssistanceAmt>99073</NonCashAssistanceAmt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TN MEDICAL EDUCATION FUND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>701 BRADFORD AVE</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37204</ZIPCd>
        </USAddress>
        <RecipientEIN>626049920</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <NonCashAssistanceAmt>33024</NonCashAssistanceAmt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Monitoring procedures (Part I, line 2)</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL CONTRIBUTIONS MADE BY THE ORGANIZATION ARE DECIDED AND APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUSSELL MILLER JR CAE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>245521</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>28800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>76843</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>351164</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIE GRIFFIN</PersonNm>
        <TitleTxt>DIRECTOR GOVT AFFAIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>146002</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>30000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31438</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>207440</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREW BEATTY</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>145759</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>30000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>42276</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>218035</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Committee meeting documentation Part VI line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT DOCUMENT COMMITTEE MEETINGS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE CEO, DIRECTOR OF FINANCE, BOARD OF DIRECTORS AND ADMINISTRATION PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO AND BOARD MEMBERS MONITOR THE CONFLICT OF INTEREST POLICY BY REVIEWING POTENTIAL NEW BOARD MEMBERS, DIRECTORS, AND NEW EMPLOYEES OF THE ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTORS COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS AND DOCUMENTED IN A WRITTEN EMPLOYMENT CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS RECORDS AND DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III response or note to any other line in Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 - ORGANIZATIONS MISSIONTHE TENNESSEE MEDICAL ASSOCIATION IS A NONPROFIT ORGANIZATION, WHICH EXISTS PRIMARILY TO FEDERATE AND BRING INTO ONE COMPACT ORGANIZATION, THROUGH THE COMPONENT SOCIETIES, THE MEDICAL PROFESSION OF THE STATE. THE ORGANIZATION ENHANCES THE EFFECTIVENESS OF PHYSICIANS THROUGHOUT THE STATE AND PROTECTS THE HEALTH INTERESTS OF PATIENTS BY DEFINING AND PROMOTING QUALITY, SAFE AND EFFECTIVE MEDICAL CARE, PUBLIC POLICY TO PROTECT THE SANCTITY OF THE PHYSICIAN - PATIENT RELATIONSHIP AND IMPROVE ACCESS TO AND THE AFFORDABILITY OF QUALITY MEDICAL SERVICES, ETHICS AND COMPETENCE IN MEDICAL EDUCATION AND PRACTICE, AND OPEN COMMUNICATIONS BETWEEN THE MEDICAL PROFESSION AND THE PUBLIC, FOSTERING A BETTER UNDERSTANDING OF THE CAPACITIES OF MEDICAL PRACTICE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TENNESSEE MEDICAL ASSOCIATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 BRADFORD AVENUE</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37204</ZIPCd>
        </USAddress>
        <EIN>620784698</EIN>
        <PrimaryActivitiesTxt>PAC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TENNESSEE MEDICAL EDUCATION FUND</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 BRADFORD AVENUE</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37204</ZIPCd>
        </USAddress>
        <EIN>626049920</EIN>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TENNESSEE FOUNDATION FOR QUALITY PA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 BRADFORD AVENUE</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37204</ZIPCd>
        </USAddress>
        <EIN>204232591</EIN>
        <PrimaryActivitiesTxt>MEDICAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TMA COMPONENT SOCIETIES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 BRADFORD AVENUE</AddressLine1Txt>
          <CityNm>NASHVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37204</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>SPECIALTY</PrimaryActivitiesTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TENNESSEE PHYSICIANS QUALITY VERFI</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1092 CHAMBERLAIN AVENUE</AddressLine1Txt>
          <CityNm>CHATTANOOGA</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37404</ZIPCd>
        </USAddress>
        <EIN>621716660</EIN>
        <PrimaryActivitiesTxt>QLTY CNTRL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C Corp</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>