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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALEXANDER W RAMSAY MD</PersonNm>
        <TitleTxt>AMA ALTERNATE DELEGATE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE A SNYDER MD</PersonNm>
        <TitleTxt>AMA DELEGATE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER A YEAKEL MD FAAP</PersonNm>
        <TitleTxt>AMA ALTERNATE DELEGATE</TitleTxt>
        <AverageHoursPerWeekRt>6.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TODD E SCHLESINGER MD</PersonNm>
        <TitleTxt>AMA ALTERNATE DELEGATE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WESLEY H FRIERSON MD</PersonNm>
        <TitleTxt>CHAIRMAN, TREASURER 05/25</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>6000</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMANDA S DAVIS MD</PersonNm>
        <TitleTxt>VICE-CHAIRMAN, CHAIRMAN 05/25</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>M MAYES DUBOSE MD</PersonNm>
        <TitleTxt>PRESIDENT, IMM. PAST PRES. 05/25</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY F BUTEHORN III MD</PersonNm>
        <TitleTxt>PRESIDNET-ELECT, PRESIDENT 05/25</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>4000</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HELEN STOCKINGER MD</PersonNm>
        <TitleTxt>IMMEDIATE PAST PRESIDENT 07/24-04/25</TitleTxt>
        <AverageHoursPerWeekRt>6.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>5333</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>H TIMBERLAKE PEARCE MD FACS</PersonNm>
        <TitleTxt>SECRETARY 07/24-04/25</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREGORY TARASIDIS MD</PersonNm>
        <TitleTxt>SECRETARY 05/25</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>A MILES SCOTT DO</PersonNm>
        <TitleTxt>TREASURER, VICE SPEAKER OF LDC 05/25</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FOREST CLEAVE HAM MD</PersonNm>
        <TitleTxt>MEMBER-AT-LARGE, VICE CHAIR 05/25</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY P CASHMAN DO</PersonNm>
        <TitleTxt>SPEAKER OF HOUSE, PRESIDENT-ELECT 05/25</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEFANIE M PUTNAM MD</PersonNm>
        <TitleTxt>VICE SPEAKER OF HOUSE, VICE SPEAKER OF LDC 05/25</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES JIMMY WELLS MD</PersonNm>
        <TitleTxt>MEMBER-AT-LARGE 05/25</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHELE TAYLOR</PersonNm>
        <TitleTxt>CEO, CLO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE BOLIN</PersonNm>
        <TitleTxt>CFO, COO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>45740</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAKE THOMPSON</PersonNm>
        <TitleTxt>FRS AREA VICE-PRESIDENT</TitleTxt>
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        <ReportableCompFromOrgAmt>381115</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID CONNOLLY</PersonNm>
        <TitleTxt>FRS PRESIDENT</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>37.50</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HOLLY PISARIK</PersonNm>
        <TitleTxt>SR VP OF ADVOCACY &amp; POLICY COUNSEL</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MACK GOODWIN</PersonNm>
        <TitleTxt>FRS VP OF FINANCIAL PLANNING</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRANDT SMITH</PersonNm>
        <TitleTxt>VP OF IT</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UPSTATE MEDICAL UNIVERSITY PARTNERS LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9 A ANDERSON ST</AddressLine1Txt>
            <CityNm>GREENVILLE</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29601</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>GENERAL CONSULTING</ServicesDesc>
        <CompensationAmt>190500</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>1101 PUBLIC AFFAIRS LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6107 MARTHAS GLEN ROAD</AddressLine1Txt>
            <CityNm>COLUMBIA</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29209</ZIPCd>
          </USAddress>
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        <ServicesDesc>LEGISLATIVE &amp; GENERAL CONSULTING</ServicesDesc>
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      <AllOtherContributionsAmt>470709</AllOtherContributionsAmt>
      <TotalContributionsAmt>470709</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP REVENUE</Desc>
        <BusinessCd>813920</BusinessCd>
        <TotalRevenueColumnAmt>881219</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PLAN SPONSOR REVENUE</Desc>
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      <ProgramServiceRevenueGrp>
        <Desc>ANNUAL MEETING</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>99137</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONTINUING MEDICAL EDUCATION</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>59184</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>59184</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PRINTING</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>9332</TotalRevenueColumnAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>7500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7500</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>1816391</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>67261</TotalRevenueColumnAmt>
        <ExclusionAmt>67261</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>151247</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>151247</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>151247</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>100690</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>50557</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MGMT FEE - SCMA MIT</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>929328</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>929328</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MGMT FEE - FULCRUM</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>166598</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>166598</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>46999</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>46999</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>46137</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>46137</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueTotalAmt>1189062</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3694670</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1854058</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1252085</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>117818</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>195000</TotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>468641</TotalAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>1696888</TotalAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>46043</TotalAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>340281</TotalAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>96601</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>21696</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>65430</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>53476</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>76535</TotalAmt>
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      <AdvertisingGrp>
        <TotalAmt>69588</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>7712</TotalAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>49723</TotalAmt>
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      <OccupancyGrp>
        <TotalAmt>140577</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>10764</TotalAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>88018</TotalAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>128386</TotalAmt>
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      <InsuranceGrp>
        <TotalAmt>67026</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>ANNUAL MEETING</Desc>
        <TotalAmt>159127</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAGAZINE</Desc>
        <TotalAmt>116250</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        </USAddress>
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        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
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        <USAddress>
          <AddressLine1Txt>132 WESTPARK BLVD</AddressLine1Txt>
          <CityNm>COLUMBIA</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29210</ZIPCd>
        </USAddress>
        <EIN>570983258</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <DirectControllingEntityName>
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        <ShareOfEOYAssetsAmt>2682163</ShareOfEOYAssetsAmt>
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        <USAddress>
          <AddressLine1Txt>132 WESTPARK BLVD</AddressLine1Txt>
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        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <DirectControllingEntityName>
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      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
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      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>1</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FULCRUM RISK SOLUTIONS INC</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SCMA MEMBERS' INSURANCE TRUST</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SCMA MEMBERS' INSURANCE TRUST</BusinessNameLine1Txt>
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      </TransactionsRelatedOrgGrp>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>SCMA PRACTICE MANAGEMENT SERVICES INC</BusinessNameLine1Txt>
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      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>