﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v6.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-05-09T08:31:25+00:00</ReturnTs>
    <TaxPeriodEndDt>2024-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>332621854</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>CRI Capin Crouse Advisors LLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>345 Massachusetts Ave Suite 300</AddressLine1Txt>
        <CityNm>Indianapolis</CityNm>
        <StateAbbreviationCd>IN</StateAbbreviationCd>
        <ZIPCd>46204</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>362284267</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Christian Medical &amp; Dental Society</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>CHRI</BusinessNameControlTxt>
      <PhoneNum>4238441000</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO Box 7500</AddressLine1Txt>
        <CityNm>Bristol</CityNm>
        <StateAbbreviationCd>TN</StateAbbreviationCd>
        <ZIPCd>376217500</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Michael E Chupp MD</PersonNm>
      <PersonTitleTxt>Chief Executive Officer</PersonTitleTxt>
      <PhoneNum>4238441000</PhoneNum>
      <SignatureDt>2025-05-09</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>Ted R Batson Jr</PreparerPersonNm>
      <PTIN>P00721951</PTIN>
      <PhoneNum>5055022746</PhoneNum>
      <PreparationDt>2025-05-09</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="12">
    <IRS990 documentId="IRS990" softwareId="23017437" softwareVersionNum="2023v6.0">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>Christian Medical &amp; Dental Associations</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfcrBusinessName>
        <BusinessNameLine1Txt>Michael E Chupp MD</BusinessNameLine1Txt>
      </PrincipalOfcrBusinessName>
      <USAddress>
        <AddressLine1Txt>PO Box 7500</AddressLine1Txt>
        <CityNm>Bristol</CityNm>
        <StateAbbreviationCd>TN</StateAbbreviationCd>
        <ZIPCd>376217500</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>13842339</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.cmda.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1946</FormationYr>
      <LegalDomicileStateCd>IL</LegalDomicileStateCd>
      <ActivityOrMissionDesc>CMDA exists to motivate, educate, and equip Christian healthcare professionals to glorify God. We have over 40 ministries that support our mission which includes working with students on medical and dental campuses, organizing and leading international medical/dental teams, addressing policies on healthcare issues, developing and distributing educational and inspirational resources, holding conferences on the integration of faith and practice, marriage and family, ethics and other topics, and providing medical education.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>19</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>19</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>110</TotalEmployeeCnt>
      <TotalVolunteersCnt>3132</TotalVolunteersCnt>
      <TotalGrossUBIAmt>36474</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>8234520</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>8011139</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>3280412</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>3932134</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>540403</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>359572</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>516747</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>210540</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>12572082</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>12513385</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>243204</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>323733</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>6660633</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>6516702</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>864174</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>6114262</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>6497282</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>13018099</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>13337717</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-446017</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-824332</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>21606301</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>21517675</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>2593837</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>2496426</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>19012464</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>19021249</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>CMDA educates, encourages, and equips Christian healthcare professionals to glorify God. Christian healthcare professionals glorify God by following Christ, serving with excellence and compassion, caring for all people, and advancing Biblical principles of healthcare within the Church and throughout the world.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>5697388</ExpenseAmt>
      <GrantAmt>33088</GrantAmt>
      <RevenueAmt>0</RevenueAmt>
      <Desc>Regional Campus &amp; Community Ministries: CMDA staff and members support and serve in a variety of activities on campus (for healthcare students and residents) and in local communities (for graduate physician, dentists and other healthcare professionals). These include Bible studies, prayer breakfasts, fellowship groups, conferences, service projects, missions' trips abroad and stateside and virtual gatherings for various specialty groups. CMDA has over 50 community ministries and over 369 campus ministries on healthcare campuses in over 245 cities, with thousands of students and residents participating, including medical, dental, physician assistant, rehab professional, nurses and nurse practitioner, and other healthcare students. Regional Directors, Area Directors, Associate Staff, Campus Advisors and student leaders oversee these activities. Each year, numerous volunteers participate in many CMDA outreach programs.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>1864822</ExpenseAmt>
        <GrantAmt>266171</GrantAmt>
        <RevenueAmt>0</RevenueAmt>
        <Desc>CMDA's Global Health Outreach ministry (GHO) coordinated 35 short-term medical, dental and surgical mission trips to developing countries this year, with approximately 787 qualified volunteers seeing 33,949 patients. GHO was blessed to witness approximately 3,658 people profess a new faith in Jesus Christ. GHO combines evangelistic outreach with desperately needed healthcare to demonstrate the love and compassion of Christ in a material way. GHO held 9 pastor training conferences with 184 pastors trained. GHO also held conferences, children's ministry events, marriage enrichment conferences, and 26 public health trainings for many national team members and distributed 197 water filters into communities where we were serving, allowing them to have access to clean water long after our teams leave. GHO is working to continue to implement community empowerment measures such as these to allow communities to have an active role in their good health. Our national partners are continuing to disciple our patients after our teams return home.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>1096114</ExpenseAmt>
        <GrantAmt>6404</GrantAmt>
        <RevenueAmt>3755737</RevenueAmt>
        <Desc>Conferences and Seminars: CMDA seeks to encourage, train and equip healthcare professionals and students in their professional lives by providing conferences on evangelism, marriage, bioethical issues, women in healthcare, family and more. National conventions and regional seminars allow members to network with colleagues, hear renowned Christian speakers and discuss professional and spiritual issues. CMDA is approved to offer Category 1 Continuing Medical Education (CME) for physicians, as well as Continuing Dental Education (CDE) for dentists. CMDA offers continuing medical and dental educational credits in the USA and on some GHO and MEI mission trips, as well as in an annual overseas conference for missionaries and national doctors to provide their required yearly continuing education requirements which may have been difficult for the missionaries to otherwise obtain.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>590238</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>139923</RevenueAmt>
        <Desc>Publication and Resource sales: Life &amp; Health Resources provides educational materials, books, CDs, DVDs, and logo items. CMDA members receive the quarterly CMDA magazine, CMDA Today, providing practical ways for members to integrate Christian faith and values with their professional practice. CMDA provides updates on legislative actions and news developments in bioethical issues, missions reports, and personal and professional resources which are also replicated on the CMDA website. CMDA Matters is a weekly podcast offering news, updates and perspectives on issues such as malpractice, witnessing in the workplace, bioethics, and more.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>275676</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>0</RevenueAmt>
        <Desc>Public policy -CMDA serves as the collective voice of thousands of Christian doctors on bioethical and other health care issues. CMDA promotes a Christian perspective on ethical issues and provides medically reliable and biblically sound guidance on healthcare issues. Many turn to CMDA for help with critical bioethical issues, such as abortion, conscience rights in healthcare, euthanasia and physician-assisted suicide, human trafficking, embryo research, and many others. CMDA experts have testified in Congress and have conducted hundreds of media interviews for national outlets. The Washington office serves as a liaison with the White House, Congress, and federal agencies. The Washington office provides experts for congressional testimony, legislative counsel, coordinates legal briefs in court cases, and White House consultation; produces commentaries and articles for national media; networks with and assists other pro-life policy organizations; and provides members with updates and analysis on public policy issues. An extensive website offers valuable information on critical issues related to medical ethics and healthcare. The Washington Office of the Christian Medical Association links our members with Congress, the Administration, and policy organizations; presents life-honoring perspectives through the national media; and publishes resources on vital issues.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>218917</ExpenseAmt>
        <GrantAmt>18070</GrantAmt>
        <RevenueAmt>25614</RevenueAmt>
        <Desc>Other National Ministries such as our Placement Services, Endowments, as well as many other various small ministries.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>1084831</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcGrantAmt>18070</TotalOtherProgSrvcGrantAmt>
      <TotalOtherProgSrvcRevenueAmt>165537</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>9743155</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="IRS990ScheduleA">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="IRS990ScheduleC">true</LobbyingActivitiesInd>
      <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
      <ConservationEasementsInd>false</ConservationEasementsInd>
      <CollectionsOfArtInd>false</CollectionsOfArtInd>
      <CreditCounselingInd>false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="IRS990ScheduleD">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd>false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd>false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>true</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="IRS990ScheduleF">true</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="IRS990ScheduleF">true</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="IRS990ScheduleF">true</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="IRS990ScheduleG">true</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="IRS990ScheduleI">true</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="IRS990ScheduleM">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="IRS990ScheduleR">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="IRS990ScheduleR">true</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>100</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>110</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>true</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>19</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>19</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>true</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>true</LocalChaptersInd>
      <PoliciesReferenceChaptersInd>true</PoliciesReferenceChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>CO</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>GA</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>HI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>KY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>AK</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MN</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NH</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NY</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>ND</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>RI</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>SC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>AR</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>WI</StatesWhereCopyOfReturnIsFldCd>
      <OwnWebsiteInd>X</OwnWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>Mr Connie Fox</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>4238441000</PhoneNum>
        <USAddress>
          <AddressLine1Txt>PO Box 7500</AddressLine1Txt>
          <CityNm>Bristol</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>376217500</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Blake T Westra DMD</PersonNm>
        <TitleTxt>Trustee (Part Year), Secretary &amp; Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>George Gonzalez MD</PersonNm>
        <TitleTxt>President</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John H Gill MD</PersonNm>
        <TitleTxt>Secretary &amp; Treasurer (Part Year)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>T Lisle Whitman MD</PersonNm>
        <TitleTxt>Past President (Part Year)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Adrienne E Abrenica DNP</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Amy Givler MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brenda L Abraham MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brick A Lantz MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cara Brown MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Caroline D Doherty BA</PersonNm>
        <TitleTxt>Student Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Darilyn Falck MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2825</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jack R Pike PA</PersonNm>
        <TitleTxt>Trustee (Part Year)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Middle Zamora DHSc PA-C</PersonNm>
        <TitleTxt>Trustee, Associate Category</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John G Pierce Jr MD</PersonNm>
        <TitleTxt>Trustee (Part Year)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KaKa Adams MD</PersonNm>
        <TitleTxt>Resident Trustee (Part Year)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Krystal Mattox DDS</PersonNm>
        <TitleTxt>Young Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Madison C Chapman MD</PersonNm>
        <TitleTxt>Resident Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Micailya Hall</PersonNm>
        <TitleTxt>Student Trustee (Part Year)</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Crouch MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mitchell Duininck MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Omari A Hodge MD</PersonNm>
        <TitleTxt>President-Elect</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Regina Frost-Clark MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Steven C Bergeson MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Van B Haywood DMD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William P Cheshire Jr MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Connie Fox</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>102277</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23556</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeff Barrows DO</PersonNm>
        <TitleTxt>Senior VP for Bioethics &amp; Public Policy</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>116435</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7170</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>L Scott Ledford</PersonNm>
        <TitleTxt>Chief Operations Officer</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>121292</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26384</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael E Chupp MD</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>162085</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34477</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Anna Pilato</PersonNm>
        <TitleTxt>Director of Federal Public Policy</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>121373</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20738</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>George Courtney</PersonNm>
        <TitleTxt>VP for Stewardship Development</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>117807</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33663</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>K Scott Rimell</PersonNm>
        <TitleTxt>VP for Marketing &amp; Media</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>116053</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28867</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Patricia Burgess</PersonNm>
        <TitleTxt>GHO Director</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>112017</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7829</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Griffin</PersonNm>
        <TitleTxt>VP for Dental Ministries</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>115164</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7427</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1087328</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>190111</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SB WHITE CO INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 1734</AddressLine1Txt>
            <CityNm>Johnson City</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>376051734</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Cooling Tower removal/replacement</ServicesDesc>
        <CompensationAmt>148818</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>36391</FundraisingAmt>
      <AllOtherContributionsAmt>7974748</AllOtherContributionsAmt>
      <NoncashContributionsAmt>165960</NoncashContributionsAmt>
      <TotalContributionsAmt>8011139</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Membership Dues</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1663765</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1663765</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Conferences &amp; Programs</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2091972</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2091972</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Publications</Desc>
        <BusinessCd>511120</BusinessCd>
        <TotalRevenueColumnAmt>51397</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14923</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>36474</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Placement Fees</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>125000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>125000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>3932134</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>350572</TotalRevenueColumnAmt>
        <ExclusionAmt>350572</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>13863</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>15948</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-2085</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-2085</TotalRevenueColumnAmt>
        <ExclusionAmt>-2085</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1219402</SecuritiesAmt>
        <OtherAmt>9000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1219402</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>9000</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>9000</TotalRevenueColumnAmt>
        <ExclusionAmt>9000</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>56072</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>36391</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>52159</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>3913</TotalRevenueColumnAmt>
        <ExclusionAmt>3913</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GrossSalesOfInventoryAmt>67059</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>41445</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>25614</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25614</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Trust Distributions</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>104559</TotalRevenueColumnAmt>
        <ExclusionAmt>104559</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>78539</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>78539</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>183098</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>12513385</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3921274</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>36474</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>544498</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>16214</TotalAmt>
        <ProgramServicesAmt>16214</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>23278</TotalAmt>
        <ProgramServicesAmt>23278</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>284241</TotalAmt>
        <ProgramServicesAmt>284241</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>607818</TotalAmt>
        <ProgramServicesAmt>362701</ProgramServicesAmt>
        <ManagementAndGeneralAmt>154212</ManagementAndGeneralAmt>
        <FundraisingAmt>90905</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4821723</TotalAmt>
        <ProgramServicesAmt>3418494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>950015</ManagementAndGeneralAmt>
        <FundraisingAmt>453214</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>141459</TotalAmt>
        <ProgramServicesAmt>118034</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16962</ManagementAndGeneralAmt>
        <FundraisingAmt>6463</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>610278</TotalAmt>
        <ProgramServicesAmt>331291</ProgramServicesAmt>
        <ManagementAndGeneralAmt>176559</ManagementAndGeneralAmt>
        <FundraisingAmt>102428</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>335424</TotalAmt>
        <ProgramServicesAmt>248138</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63780</ManagementAndGeneralAmt>
        <FundraisingAmt>23506</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>26566</TotalAmt>
        <ProgramServicesAmt>26071</ProgramServicesAmt>
        <ManagementAndGeneralAmt>495</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>47412</TotalAmt>
        <ManagementAndGeneralAmt>47412</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>54713</TotalAmt>
        <ManagementAndGeneralAmt>54713</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>57008</TotalAmt>
        <ManagementAndGeneralAmt>57008</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>331300</TotalAmt>
        <ProgramServicesAmt>114216</ProgramServicesAmt>
        <ManagementAndGeneralAmt>169559</ManagementAndGeneralAmt>
        <FundraisingAmt>47525</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>268893</TotalAmt>
        <ProgramServicesAmt>180040</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27068</ManagementAndGeneralAmt>
        <FundraisingAmt>61785</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>628772</TotalAmt>
        <ProgramServicesAmt>187411</ProgramServicesAmt>
        <ManagementAndGeneralAmt>418049</ManagementAndGeneralAmt>
        <FundraisingAmt>23312</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>78461</TotalAmt>
        <ProgramServicesAmt>43804</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33206</ManagementAndGeneralAmt>
        <FundraisingAmt>1451</FundraisingAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>401</TotalAmt>
        <ProgramServicesAmt>401</ProgramServicesAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>105279</TotalAmt>
        <ProgramServicesAmt>13879</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91400</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>1442783</TotalAmt>
        <ProgramServicesAmt>1409506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16226</ManagementAndGeneralAmt>
        <FundraisingAmt>17051</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1961458</TotalAmt>
        <ProgramServicesAmt>1888128</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47597</ManagementAndGeneralAmt>
        <FundraisingAmt>25733</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>394046</TotalAmt>
        <ProgramServicesAmt>262999</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131047</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>158446</TotalAmt>
        <ProgramServicesAmt>69139</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87286</ManagementAndGeneralAmt>
        <FundraisingAmt>2021</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Fees and Licenses</Desc>
        <TotalAmt>19639</TotalAmt>
        <ProgramServicesAmt>2463</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17176</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bad Debt Expense</Desc>
        <TotalAmt>44427</TotalAmt>
        <ProgramServicesAmt>40950</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3477</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Foreign Mission Expenses</Desc>
        <TotalAmt>546133</TotalAmt>
        <ProgramServicesAmt>546133</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>331545</TotalAmt>
        <ProgramServicesAmt>155624</ProgramServicesAmt>
        <ManagementAndGeneralAmt>167141</ManagementAndGeneralAmt>
        <FundraisingAmt>8780</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>13337717</TotalAmt>
        <ProgramServicesAmt>9743155</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2730388</ManagementAndGeneralAmt>
        <FundraisingAmt>864174</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>622188</BOYAmt>
        <EOYAmt>293712</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <EOYAmt>721641</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1179393</BOYAmt>
        <EOYAmt>567728</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>35085</BOYAmt>
        <EOYAmt>20771</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>171014</BOYAmt>
        <EOYAmt>184140</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>594945</BOYAmt>
        <EOYAmt>751485</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>11740780</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>9176112</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2759852</BOYAmt>
        <EOYAmt>2564668</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>9471188</BOYAmt>
        <EOYAmt>9042060</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>6772636</BOYAmt>
        <EOYAmt>7371470</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>21606301</BOYAmt>
        <EOYAmt>21517675</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>762197</BOYAmt>
        <EOYAmt>681027</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>697287</BOYAmt>
        <EOYAmt>732354</EOYAmt>
      </DeferredRevenueGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1134353</BOYAmt>
        <EOYAmt>1083045</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2593837</BOYAmt>
        <EOYAmt>2496426</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>5383925</BOYAmt>
        <EOYAmt>4211821</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>13628539</BOYAmt>
        <EOYAmt>14809428</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>19012464</BOYAmt>
        <EOYAmt>19021249</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>21606301</BOYAmt>
        <EOYAmt>21517675</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-824332</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>213736</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>619381</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="23017437" softwareVersionNum="2023v6.0">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>13155863</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7391645</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7559088</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8234520</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8011139</CurrentTaxYearAmt>
        <TotalAmt>44352255</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>1481384</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1158578</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3103014</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3408259</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3999193</CurrentTaxYearAmt>
        <TotalAmt>13150428</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <TotalAmt>0</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <TaxRevLeviedOrgnztnlBnft509Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft509Grp>
      <GovtFurnSrvcFcltsVl509Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>14637247</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8550223</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10662102</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11642779</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12010332</CurrentTaxYearAmt>
        <TotalAmt>57502683</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>121013</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>144754</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>104878</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>148935</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>95392</CurrentTaxYearAmt>
        <TotalAmt>614972</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>121013</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>144754</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>104878</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>148935</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>95392</CurrentTaxYearAmt>
        <TotalAmt>614972</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>56887711</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>547076</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>489314</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>878958</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>550903</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>364435</CurrentTaxYearAmt>
        <TotalAmt>2830686</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <Post1975UBTIGrp>
        <CurrentTaxYearMinus2YearsAmt>9387</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>9387</TotalAmt>
      </Post1975UBTIGrp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>547076</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>489314</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>888345</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>550903</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>364435</CurrentTaxYearAmt>
        <TotalAmt>2840073</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearAmt>3913</CurrentTaxYearAmt>
        <TotalAmt>3913</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>176292</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>243396</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>273801</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>495993</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>219572</CurrentTaxYearAmt>
        <TotalAmt>1409054</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>15360615</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9282933</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11824248</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12689675</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12598252</CurrentTaxYearAmt>
        <TotalAmt>61755723</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.9212</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.9174</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.05</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.05</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization is a public charity under section 509(a)(2) and completes Schedule A (Form 990), Part III. The organization has analyzed Schedule A (Form 990), Part II and established that it meets the 33 1/3% public support requirements under sections 509(a)(1) and 170(b)(1)(A)(vi), thus it qualifies to use the first listed special rule for Schedule B (Form 990) reporting.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part III, Line 12 Other Income</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION - DISTRIBUTIONS FROM TRUST, COLUMN A - 176292.0, COLUMN B - 197453.0, COLUMN C - 157424.0, COLUMN D - 314605.0, COLUMN E - 104559.0, COLUMN F - 950333.0; DESCRIPTION - MISCELLANEOUS REVENUE, COLUMN A - , COLUMN B - 45943.0, COLUMN C - 116377.0, COLUMN D - 181388.0, COLUMN E - 115013.0, COLUMN F - 458721.0;</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="23017437" softwareVersionNum="2023v6.0">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="23017437" softwareVersionNum="2023v6.0">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>54713</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>54713</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>13283004</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>13337717</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>816886</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>0</AffiliatedGroupTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>204221</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>775643</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>737894</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>800905</CurrentYearMinus1Amt>
        <CurrentYearAmt>816886</CurrentYearAmt>
        <TotalAmt>3131328</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>4696992</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>1019</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>16321</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>54575</CurrentYearMinus1Amt>
        <CurrentYearAmt>54713</CurrentYearAmt>
        <TotalAmt>126628</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>193911</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>184474</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>200226</CurrentYearMinus1Amt>
        <CurrentYearAmt>204221</CurrentYearAmt>
        <TotalAmt>782833</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1174249</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus3Amt>951</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>16321</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>54575</CurrentYearMinus1Amt>
        <CurrentYearAmt>54713</CurrentYearAmt>
        <TotalAmt>126560</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="23017437" softwareVersionNum="2023v6.0">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>4361605</BeginningYearBalanceAmt>
        <ContributionsAmt>275835</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>374981</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>56999</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>290257</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>10588</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>4654577</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3967350</BeginningYearBalanceAmt>
        <ContributionsAmt>229846</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>354042</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>25171</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>156434</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>8028</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>4361605</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3580650</BeginningYearBalanceAmt>
        <ContributionsAmt>1065400</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-385341</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>7524</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>279635</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>6200</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>3967350</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3407612</BeginningYearBalanceAmt>
        <ContributionsAmt>391511</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>727533</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>3500</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>942506</OtherExpendituresAmt>
        <EndYearBalanceAmt>3580650</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3335256</BeginningYearBalanceAmt>
        <ContributionsAmt>130035</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>25630</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>27000</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>56309</OtherExpendituresAmt>
        <EndYearBalanceAmt>3407612</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.465</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.535</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.0</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>324359</OtherCostOrOtherBasisAmt>
        <BookValueAmt>324359</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6922426</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4975928</DepreciationAmt>
        <BookValueAmt>1946498</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3970023</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3694044</DepreciationAmt>
        <BookValueAmt>275979</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>523972</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>506140</DepreciationAmt>
        <BookValueAmt>17832</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2564668</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Beneficial Interest in Perpetual Trusts</Desc>
        <BookValueAmt>6016470</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Property Subject to Life Estate Agreement</Desc>
        <BookValueAmt>1355000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>7371470</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Annuities Payable</Desc>
        <Amt>423131</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Life Estate Payable</Desc>
        <Amt>659914</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1083045</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>15257734</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>213736</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>1858688</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>728933</OtherRevenueAmt>
      <RevenueNotReportedAmt>2801357</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>12456377</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>57008</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>57008</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>12513385</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15248949</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>1858688</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>109552</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1968240</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>13280709</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>57008</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>57008</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>13337717</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Description of intended use of endowment funds: The various mission grants and scholarship funds are used for the following purposes: to provide aid so that medical/dental students and residents can participate in short-term medical mission trips; to support Global Health Outreach mission trips; to help fund general operations of CMDA; to aid medically trained persons exploring or beginning medical service in East Asia; and to stimulate CMDA leadership in medical students and residents.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Rental Expenses - 15948 Fundraising Event Expenses - 52159 Cost of Goods Sold - 41445 Change in Annuity Fund - -10416 Change in Life Estate Trust Agreement - 30963 Change in Perpetual Trust - 598834</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Rental Expenses - 15948 Fundraising Event Expenses - 52159 Cost of Goods Sold - 41445</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF" softwareId="23017437" softwareVersionNum="2023v6.0">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>1</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Medical Mission</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>325193</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Educational Tour and Medical Mission</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>306902</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Educational Tour</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>8484</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Medical mission and other program services</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>146769</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Educational Tour and Medical Mission</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>179919</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>274603</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>1</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grantmaking</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>9638</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>2</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>2</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>2</TotalOfficeCnt>
      <TotalEmployeeCnt>2</TotalEmployeeCnt>
      <SubtotalSpentAmt>1251508</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>1251508</TotalSpentAmt>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <PurposeOfGrantTxt>Aid for Ukraine War</PurposeOfGrantTxt>
        <CashGrantAmt>30000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Wire Transfer</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
        <PurposeOfGrantTxt>Provide local support for eye care</PurposeOfGrantTxt>
        <CashGrantAmt>9638</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Check</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <ForeignIndividualsGrantsGrp>
        <TypeOfAssistanceTxt>Mission Grants</TypeOfAssistanceTxt>
        <RegionTxt>Europe (Including Iceland and Greenland)</RegionTxt>
        <RecipientCnt>93</RecipientCnt>
        <CashGrantAmt>244603</CashGrantAmt>
        <MannerOfCashDisbursementTxt>Check</MannerOfCashDisbursementTxt>
      </ForeignIndividualsGrantsGrp>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Mission grants are given for mission trips related to Global Health Outreach projects. Recipients of mission grants are required to report on the ministry accomplishments to CMDA, including photographs if possible.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual; SUB-SAHARAN AFRICA-Accrual</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part III Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>EUROPE (INCLUDING ICELAND AND GREENLAND) -Accrual</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="23017437" softwareVersionNum="2023v6.0">
      <FundraisingEventInformationGrp>
        <Event1Nm>Houston Banquet</Event1Nm>
        <GrossReceiptsEvent1Amt>36391</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>36391</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>0</GrossRevenueEvent1Amt>
        <FoodAndBeverageEvent1Amt>21318</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1815</OtherDirectExpensesEvent1Amt>
        <Event2Nm>San Antonio Banquet</Event2Nm>
        <GrossReceiptsEvent2Amt>27812</GrossReceiptsEvent2Amt>
        <GrossRevenueEvent2Amt>27812</GrossRevenueEvent2Amt>
        <FoodAndBeverageEvent2Amt>6788</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>7139</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>28260</GrossReceiptsOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>28260</GrossRevenueOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>5946</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>6500</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>2653</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>92463</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>36391</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>56072</GrossRevenueTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>34052</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>6500</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>11607</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>52159</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>3913</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="23017437" softwareVersionNum="2023v6.0">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Conference grants</GrantTypeTxt>
        <RecipientCnt>23</RecipientCnt>
        <CashGrantAmt>23278</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>Conference grants are given to students/residents for mission trips or student leadership development. Recipients of mission grants are required to report on the ministry accomplishments to CMDA, including photographs if possible. Conference grants are monitored by area directors.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="23017437" softwareVersionNum="2023v6.0">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael E Chupp MD</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>148761</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1108</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>12216</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9542</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24935</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>196562</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>George Courtney</PersonNm>
        <TitleTxt>VP for Stewardship Development</TitleTxt>
        <BaseCompensationFilingOrgAmt>115925</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1108</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>774</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7742</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25921</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>151470</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>A discretionary bonus was provided to certain officers and employees of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="23017437" softwareVersionNum="2023v6.0">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>8</ContributionCnt>
        <NoncashContributionsRptF990Amt>43488</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Selling cost</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>2050</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>10</ContributionCnt>
        <NoncashContributionsRptF990Amt>39781</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Equipment</Desc>
        <ContributionCnt>10</ContributionCnt>
        <NoncashContributionsRptF990Amt>22791</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Meals</Desc>
        <ContributionCnt>12</ContributionCnt>
        <NoncashContributionsRptF990Amt>44750</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Photography</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>10950</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Rental Housing</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>2150</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of contributions represent the number of contributions received, not the number of items donated.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 590,238 including grants of $ 0)(Revenue $ 139,923) Publication and Resource sales: Life &amp; Health Resources provides educational materials, books, CDs, DVDs, and logo items. CMDA members receive the quarterly CMDA magazine, CMDA Today, providing practical ways for members to integrate Christian faith and values with their professional practice. CMDA provides updates on legislative actions and news developments in bioethical issues, missions reports, and personal and professional resources which are also replicated on the CMDA website. CMDA Matters is a weekly podcast offering news, updates and perspectives on issues such as malpractice, witnessing in the workplace, bioethics, and more.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 275,676 including grants of $ 0)(Revenue $ 0) Public policy -CMDA serves as the collective voice of thousands of Christian doctors on bioethical and other health care issues. CMDA promotes a Christian perspective on ethical issues and provides medically reliable and biblically sound guidance on healthcare issues. Many turn to CMDA for help with critical bioethical issues, such as abortion, conscience rights in healthcare, euthanasia and physician-assisted suicide, human trafficking, embryo research, and many others. CMDA experts have testified in Congress and have conducted hundreds of media interviews for national outlets. The Washington office serves as a liaison with the White House, Congress, and federal agencies. The Washington office provides experts for congressional testimony, legislative counsel, coordinates legal briefs in court cases, and White House consultation; produces commentaries and articles for national media; networks with and assists other pro-life policy organizations; and provides members with updates and analysis on public policy issues. An extensive website offers valuable information on critical issues related to medical ethics and healthcare. The Washington Office of the Christian Medical Association links our members with Congress, the Administration, and policy organizations; presents life-honoring perspectives through the national media; and publishes resources on vital issues.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 218,917 including grants of $ 18,070)(Revenue $ 25,614) Other National Ministries such as our Placement Services, Endowments, as well as many other various small ministries.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee is composed of the President, President-Elect, Board Secretary/Treasurer, Immediate Past President, the Chair of the Governance Committee, the CEO and one additional member of the Board appointed at the discretion of the President. The CEO will be a non-voting member of the Executive Committee. The Board of Trustees will serve as advisory on matters of personnel to the CEO, as the appeal committee in cases of member discipline, as the Presidential Nominating Committee for the Organization, and will have the power of the Board of Trustees to act on these matters, except the committee may not have the power to: elect Trustees, amend the Bylaws or articles of the corporation, change the statement of faith, or hire or terminate the CEO. Any permitted action taken by the Executive Committee as well as the minutes of any meeting of the Committee must be ratified by the Board of Trustees at its next regular or special meeting otherwise the action taken at any such Executive Committee meeting will deemed to be void.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The core constituency of the organization's members is made up of Physicians, Dentists, and students in those fields.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>All members have a right to vote from a list of nominees for the President of the Board of Trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Members have the right to vote on any changes recommended to the Articles of Incorporation, or Statement of Faith. Dissolution of the organization also requires approval of the membership.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared by an independent CPA firm and reviewed in detail by the organization's top management. The reviewed Form 990 is then provided to the board of directors prior to filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Annual statements of conflicts of interest are signed by trustees, officers, and key employees. The Chief Financial Officer is responsible for reviewing the signed statements. The Chief Executive Officer is responsible for reviewing the Chief Financial Officer's signed disclosure. Should any potential conflicts of interest be disclosed, the board member or officer would be asked to refrain from participation in any deliberation or decision with regard to matters affected by the relationship. Any conflicts of interest must be discussed at the Board level and decided upon.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO's salary is reviewed and established by the Executive Committe. This process uses comparability data, and contemporaneous substantiation of the deliberation and decision. This process is done annually by persons appropriately independent of the person for whom compensation is being established. Documentation of salary for the CEO is done via the budgeting process and documented in committee meeting minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Other officers' salaries are reviewed and established by the CEO. This process uses comparability data, and contemporaneous substantiation of the deliberation and decision. This process is done annually by persons appropriately independent of the person for whom compensation is being established. Documentation of salary for other officers is done via the budgeting process then approved by the CEO and the Board of Trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's governing documents, conflict of interest policy, and financial statements are available on the organization's website and are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Revenue - Total Revenue: 78539, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 78539;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Value of Annuities - -10416; Change in Value of Perpetual Life Trust - 598834; Change in Value of Life Estate Trust - 30963;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Page 1, Doing Business As</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization operates under the following DBA names: Christian Medical &amp; Dental Associations Christian Medical Association Christian Dental Association American Academy of Medical Ethics Side By Side</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="23017437" softwareVersionNum="2023v6.0">
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>The Vance Irrevocable Trust</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO Box 7500</AddressLine1Txt>
          <CityNm>Bristol</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37621</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Trust</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Christian Medical and Dental Society</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Trust</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>596713</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>5994381</ShareOfEOYAssetsAmt>
        <OwnershipPct>1</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>The Vance Irrevocable Trust</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>246959</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>