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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42193</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>478142</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57088</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT PHILLIPS MD</PersonNm>
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        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>504802</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57088</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY LEROY MD</PersonNm>
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        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>350198</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17400</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3323437</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>303108</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>55</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>FAMILY MEDICINE CERTIFICATION FEE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>29583325</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>GOVERNMENT GRANTS,NET</Desc>
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        <RelatedOrExemptFuncIncomeAmt>645751</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>3610801</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <GainOrLossGrp>
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        <OtherAmt>-36443</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <RelatedOrExemptFuncIncomeAmt>-36443</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>10888732</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>770818</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>LATE FEES</Desc>
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        <RelatedOrExemptFuncIncomeAmt>219050</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>45682034</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31182501</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>14499533</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <CompDisqualPersonsGrp>
        <TotalAmt>10717665</TotalAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>847505</TotalAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1007233</TotalAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>830875</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>52375</TotalAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>606671</TotalAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>680988</TotalAmt>
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      <OfficeExpensesGrp>
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      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>803620</TotalAmt>
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      <OccupancyGrp>
        <TotalAmt>897037</TotalAmt>
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      <TravelGrp>
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      <ConferencesMeetingsGrp>
        <TotalAmt>1545362</TotalAmt>
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      <DepreciationDepletionGrp>
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      <InsuranceGrp>
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      <OtherExpensesGrp>
        <Desc>AFFLIATE SUPPORT</Desc>
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      <OtherExpensesGrp>
        <Desc>CERTIFICATION DIRECT CO</Desc>
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      <OtherExpensesGrp>
        <Desc>CENTER CONTRACT EXPENSE</Desc>
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      <OtherExpensesGrp>
        <Desc>JOURNAL PUBLICATION</Desc>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>580080</EOYAmt>
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        <EOYAmt>318913</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>1620074</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>1883970</EOYAmt>
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        <EOYAmt>123110035</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>1953988</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>45544774</EOYAmt>
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        <EOYAmt>7752854</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>187363413</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>502733</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>33682264</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>47583149</EOYAmt>
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        <EOYAmt>139780264</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>139780264</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>187363413</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>834455</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>8399996</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>1604420</BookValueAmt>
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      <EquipmentGrp>
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      <OtherLandBuildingsGrp>
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      <InvstProgramRelatedOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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      <ExpensesNotRptFinclStmtAmt>606671</ExpensesNotRptFinclStmtAmt>
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      <TravelForCompanionsInd>X</TravelForCompanionsInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>408349</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>367598</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>9811</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>24354</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15268</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>288541</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS ARE ALLOWED TO TRAVEL TO THREE BOARD MEETINGS PER YEAR VIA FIRST CLASS TRAVEL. COMPANIONS ARE ALLOWED TO TRAVEL TO TWO BOARD MEETINGS PER YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCLOSURE OF CONFLICTS OF INTEREST IS DONE AT EVERY BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AN ANNUAL EVALUATION AND COMPENSATION REVIEW IS DONE BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR THE CEO. THE CEO ANNUALLY EVALUATES ALL KEY EMPLOYEES AND THEIR RELATED COMPENSATION. COMPARABILITY DATA IS UTILIZED AND CONTEMPORANEOUS RECORDS OF THE DELIBERATION AND DECISION ARE RECORDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>TAX RETURNS ARE MADE AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REPORTABLE COMPENSATION FOR THE BOARD OF DIRECTORS REPRESENTS PER DIEM FOR ATTENDANCE AT MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENT YEAR CHANGE IN PENSION FUNDING STATUS 1,275,310.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PISACANO LEADERSHIP FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1648 MCGRATHIANA PKWY STE 550</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40511</ZIPCd>
        </USAddress>
        <EIN>611189281</EIN>
        <PrimaryActivitiesTxt>FAMILY MEDICINE RESIDENT SCHOLARSHIP AND LEADERSHIP TRAINING ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(3) TYPE I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ABFM FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1648 MCGRATHIANA PKWY STE 550</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40511</ZIPCd>
        </USAddress>
        <EIN>611368512</EIN>
        <PrimaryActivitiesTxt>EDUCATION,SCHOLARLY ANALYSIS AND RESEARCH IN FAMILY MEDICINE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>KY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(3) TYPE I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PISACANO LEADERSHIP FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>300000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL CASH CONTRIBUTION</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ABFM FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>556186</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL CASH RECEIVED</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ABFM FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>12420000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL CASH CONTRIBUTION</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ABFM FOUNDATION INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>3693494</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL CASH PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>