﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2018v3.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2020-04-02T06:47:35-05:00</ReturnTs>
    <TaxPeriodEndDt>2019-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>541019610</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>CST GROUP CPAS PC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>10740 PARKRIDGE BLVD 5TH FLOOR</AddressLine1Txt>
        <CityNm>RESTON</CityNm>
        <StateAbbreviationCd>VA</StateAbbreviationCd>
        <ZIPCd>20191</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2018-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>542015821</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ASSOCIATION OF PEDIATRIC PROGRAM</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>DIRECTORS</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>ASSO</BusinessNameControlTxt>
      <PhoneNum>7035569222</PhoneNum>
      <USAddress>
        <AddressLine1Txt>6728 OLD MCLEAN VILLAGE DRIVE</AddressLine1Txt>
        <CityNm>MCLEAN</CityNm>
        <StateAbbreviationCd>VA</StateAbbreviationCd>
        <ZIPCd>22101</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>LAURA DEGNON</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>7035569222</PhoneNum>
      <SignatureDt>2020-03-30</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>JOSEPH J ROMAGNOLI</PreparerPersonNm>
      <PTIN>P00181102</PTIN>
      <PhoneNum>7033912000</PhoneNum>
      <PreparationDt>2020-03-30</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>66.77.128.118</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2020-03-30</IPDt>
      <IPTm>15:12:34</IPTm>
      <IPTimezoneCd>ED</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>231EA64EA6462DCFC48F067DA0BB89C14EC80B9A</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>4340C6EB107BDC50268463AFD5BF331192DC587E</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2018</TaxYr>
    <BuildTS>2020-09-23 17:36:50Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>JAVIER GONZALEZ DEL REY</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>6728 OLD MCLEAN VILLAGE DR</AddressLine1Txt>
        <CityNm>MCLEAN</CityNm>
        <StateAbbreviationCd>VA</StateAbbreviationCd>
        <ZIPCd>22101</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>2152697</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.APPD.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1985</FormationYr>
      <LegalDomicileStateCd>VA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>MEDICAL EDUCATION TO ENSURE THE OPTIMAL HEALTH AND WELL BEING OF CHILDREN BY PROVIDING A VOICE AND VENUE FOR DEFINING, PROMOTING, AND IMPROVING PEDIATRIC MEDICAL EDUCATION.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>7</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>7</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <TotalVolunteersCnt>145</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>732730</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>745498</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>1129752</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>1260543</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>39060</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>23992</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>655</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>2974</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>1902197</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>2033007</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>45300</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>41850</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>0</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>0</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1680316</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1962337</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>1725616</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2004187</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>176581</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>28820</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1808991</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1854792</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>119580</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>119390</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>1689411</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>1735402</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>MEDICAL EDUCATION TO ENSURE THE OPTIMAL HEALTH AND WELL BEING OF CHILDREN BY PROVIDING A VOICE AND VENUE FOR DEFINING, PROMOTING, AND IMPROVING PEDIATRIC MEDICAL EDUCATION.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>716819</ExpenseAmt>
      <RevenueAmt>788105</RevenueAmt>
      <Desc>THE ASSOCIATION SPONSORS SPRING AND FALL MEETINGS DURING WHICH THE MEETING PROGRAMS WILL PROVIDE A COMPREHENSIVE UPDATE FOR RESIDENCY PROGRAM DIRECTORS AND COORDINATORS, WITH PARTICULAR EMPHASIS ON THE NEEDS OF NEW PROGRAM DIRECTORS AND COORDINATORS, WITH THE MAJOR FOCUS ON PROGRAM REQUIREMENTS OF THE RRC AND ACCREDITATION PROCESS. ADDITIONAL FEATURES WILL INCLUDE ERAS PROBLEM SOLVING, ROLE DEFINITION, CONFLICT RESOLUTION, AND ORIENTATION FOR HOUSE STAFF. MEETINGS ALSO INCLUDES THE PEEAC MEETING, WINTER BOARD RETREAT, APPD HOSTED REGIONAL EVENTS, AND OTHER MEETINGS AND LIAISONS DURING THE YEAR.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>287399</ExpenseAmt>
        <RevenueAmt>346133</RevenueAmt>
        <Desc>THE PMAC PROJECT IS A NATIONAL STUDY OF THE PEDIATRIC MILESTONES TO OBSERVE LEARNERS IN THE WORKPLACE TO DETERMINE AT WHAT POINT IN THEIR EDUCATION/TRAINING MOST ATTAIN A GIVEN LEVEL OF MILESTONE FOR THE COMPETENCIES UNDER STUDY IN ORDER TO SET PERFORMANCE EXPECTATIONS. THE STUDY WILL PROVIDE A MECHANISM FOR A CENTRALLY DEVELOPED EDUCATIONAL INNOVATION PROCESS CAPABLE OF ADDRESSING A RESEARCH QUESTION OF NATIONAL INTEREST.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>176543</ExpenseAmt>
        <GrantAmt>3800</GrantAmt>
        <RevenueAmt>2974</RevenueAmt>
        <Desc>THE ASSOCIATION PROVIDES MEMBERSHIP SERVICES FOR ANNUAL AND REGIONAL MEETINGS, NEWSLETTER, AND MEMBERSHIP DIRECTORY. THE ASSOCIATION PROVIDES CONVENIENT ELECTRONIC SERVICES TO ITS MEMBERS SUCH AS LIST SERVES, WEBSITE ACCESS, ANNUAL SURVEYS, ONLINE REGISTRATIONS AND DUES RENEWAL, ELECTRONIC BALLOTING, AND NOTIFICATIONS OF UPCOMING EVENTS AND OPPORTUNITIES, AND MEETING MATERIALS.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>165684</ExpenseAmt>
        <RevenueAmt>22500</RevenueAmt>
        <Desc>LONGITUDINAL EDUCATION ASSESSMENT RESEARCH NETWORK (LEARN) WAS CREATED TO PROMOTE THE DEVELOPMENT OF EDUCATIONAL ASSESSMENT METHODS TO BE USED BY PEDIATRIC RESIDENCY PROGRAMS FOR THE PURPOSE OF IMPROVING MEASUREMENT OF LEARNER OUTCOMES AND PROVIDING PERFORMANCE DATA FOR PROGRAM IMPROVEMENT.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>5766</ExpenseAmt>
        <RevenueAmt>4805</RevenueAmt>
        <Desc>GLOBAL HEALTH EDUCATION SCHOLARSHIP PROVIDES THE OPPORTUNITY FOR INTERNATIONAL RECIPIENTS TO RECEIVE FINANCIAL ASSISTANCE TO ATTEND THE APPD ANNUAL SPRING MEETING, SPEAK AT THE GLOBAL HEALTH PEG MEETING, PARTICIPATE IN AN EDUCATIONAL EXCHANGE AT A LOCAL HOSPITAL, AND RECEIVE ONGOING MENTORSHIP IN GLOBAL HEALTH EDUCATION SCHOLARSHIP.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>16142</ExpenseAmt>
        <GrantAmt>8050</GrantAmt>
        <Desc>REGIONAL EXPENSES ARE INCURRED FOR REGIONAL MEETINGS AND SMALL RESEARCH GRANTS.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>123741</ExpenseAmt>
        <RevenueAmt>99000</RevenueAmt>
        <Desc>LEAD WAS CREATED TO PROVIDE OUTSTANDING TRAINING FOR EDUCATORS ASPIRING TO DEVELOP THE KNOWLEDGE AND SKILLS NEEDED TO BECOME LEADERS IN MEDICAL EDUCATION.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>20000</ExpenseAmt>
        <GrantAmt>20000</GrantAmt>
        <Desc>THE SPECIAL PROJECTS PROGRAM PROVIDES FINANCIAL SUPPORT FOR PROJECTS IN THE AREAS OF LEARNING TECHNOLOGY, RESIDENCY CURRICULUM, EDUCATIONAL RESEARCH, RESIDENCY EVALUATION, AND FACULTY DEVELOPMENT.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>10000</ExpenseAmt>
        <GrantAmt>10000</GrantAmt>
        <Desc>THE ASSOCIATION MAKES PERIODIC ORGANIZATIONAL SUPPORT GRANTS TO LIKE-MINDED NON-PROFIT ORGANIZATIONS. THE ASSOCIATION REVIEWS THE REQUESTS FOR ORGANIZATIONAL SUPPORT AND DECISIONS ARE BASED ON A BOARD VOTE.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>341333</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcGrantAmt>38050</TotalOtherProgSrvcGrantAmt>
      <TotalOtherProgSrvcRevenueAmt>126305</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>1522094</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc1040000001">0</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">0</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">1</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">0</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">1</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>0</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc1042800001">0</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc1042800001">1</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd referenceDocumentId="RetDoc1042800001">1</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>1</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>0</EmployeeCnt>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>7</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>7</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>1</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>0</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>DEGNON ASSOCIATES</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>7035569222</PhoneNum>
        <USAddress>
          <AddressLine1Txt>6728 OLD MCLEAN VILLAGE DR</AddressLine1Txt>
          <CityNm>MCLEAN</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22101</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <NoListedPersonsCompensatedInd>X</NoListedPersonsCompensatedInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAVIER GONZALES DEL REY MD MED</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>R FRANKLIN TRIMM MD</PersonNm>
        <TitleTxt>IMMEDIATE PAST-PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA BLANKENBURG MD MPH</PersonNm>
        <TitleTxt>PRESIDENT-ELECT</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA POITEVIEN MD</PersonNm>
        <TitleTxt>SECRETARY-TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN D MAHAN MD</PersonNm>
        <TitleTxt>FORMER SECRETARY TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON CALAMAN MD CHSE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN FROHNA MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA WAGGONER-FOUNTAIN MD MED</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA DEGNON</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>0</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DEGNON ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6728 OLD MCLEAN VILLAGE DRIVE</AddressLine1Txt>
            <CityNm>MCLEAN</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>538040</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>738600</MembershipDuesAmt>
      <AllOtherContributionsAmt>6898</AllOtherContributionsAmt>
      <TotalContributionsAmt>745498</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCES &amp; MEETINGS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>788105</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>788105</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PMAC PROJECT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>346133</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>346133</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LEAD - TRAINING FOR ED</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>99000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>99000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LEARN - EPA STUDY</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>22500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22500</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GHES SCHOLARHSIP</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4805</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4805</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1260543</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>45878</TotalRevenueColumnAmt>
        <ExclusionAmt>45878</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>97804</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>119690</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-21886</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-21886</TotalRevenueColumnAmt>
        <ExclusionAmt>-21886</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2974</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2974</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2974</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2033007</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1263517</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>23992</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>37600</TotalAmt>
        <ProgramServicesAmt>37600</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>4250</TotalAmt>
        <ProgramServicesAmt>4250</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>530000</TotalAmt>
        <ProgramServicesAmt>120000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>410000</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>7800</TotalAmt>
        <ManagementAndGeneralAmt>7800</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>6558</TotalAmt>
        <ManagementAndGeneralAmt>6558</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>317046</TotalAmt>
        <ProgramServicesAmt>317046</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>4779</TotalAmt>
        <ManagementAndGeneralAmt>4779</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>108250</TotalAmt>
        <ProgramServicesAmt>108250</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>38000</TotalAmt>
        <ProgramServicesAmt>6000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32000</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>3080</TotalAmt>
        <ProgramServicesAmt>3080</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>847521</TotalAmt>
        <ProgramServicesAmt>847521</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InsuranceGrp>
        <TotalAmt>2679</TotalAmt>
        <ManagementAndGeneralAmt>2679</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CREDIT CARD PROCESSING</Desc>
        <TotalAmt>25535</TotalAmt>
        <ProgramServicesAmt>25535</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>JOURNAL SUBSCRIPTIONS</Desc>
        <TotalAmt>24570</TotalAmt>
        <ProgramServicesAmt>24570</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMPUTER USAGE</Desc>
        <TotalAmt>19006</TotalAmt>
        <ProgramServicesAmt>19006</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>11589</TotalAmt>
        <ProgramServicesAmt>1764</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9825</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>15924</TotalAmt>
        <ProgramServicesAmt>7472</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8452</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2004187</TotalAmt>
        <ProgramServicesAmt>1522094</ProgramServicesAmt>
        <ManagementAndGeneralAmt>482093</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>601472</BOYAmt>
        <EOYAmt>626574</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>42418</BOYAmt>
        <EOYAmt>42450</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>59973</BOYAmt>
        <EOYAmt>28630</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>23864</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>1105128</BOYAmt>
        <EOYAmt>1133274</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <TotalAssetsGrp>
        <BOYAmt>1808991</BOYAmt>
        <EOYAmt>1854792</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>20000</BOYAmt>
        <EOYAmt>15000</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>99580</BOYAmt>
        <EOYAmt>104390</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>119580</BOYAmt>
        <EOYAmt>119390</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1557587</BOYAmt>
        <EOYAmt>1586585</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>131824</BOYAmt>
        <EOYAmt>148817</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1689411</BOYAmt>
        <EOYAmt>1735402</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1808991</BOYAmt>
        <EOYAmt>1854792</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>28820</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>17171</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>0</FSAuditedInd>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>871923</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>877878</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>666545</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>737730</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>745498</CurrentTaxYearAmt>
        <TotalAmt>3899574</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>705815</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>738422</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>961284</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1124752</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1260543</CurrentTaxYearAmt>
        <TotalAmt>4790816</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1577738</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1616300</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1627829</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1862482</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2006041</CurrentTaxYearAmt>
        <TotalAmt>8690390</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>8690390</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>27440</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>20431</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>29914</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39060</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23992</CurrentTaxYearAmt>
        <TotalAmt>140837</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>27440</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>20431</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>29914</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39060</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23992</CurrentTaxYearAmt>
        <TotalAmt>140837</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>750</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>401</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1750</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>655</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2974</CurrentTaxYearAmt>
        <TotalAmt>6530</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>1605928</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1637132</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1659493</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1902197</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2033007</CurrentTaxYearAmt>
        <TotalAmt>8837757</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98330</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01590</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01850</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PT III LN 12</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME PART III, LINE 12 DESCRIPTION: LABEL SALES 2014: $750, 2015: $250, 2016: $1,250, 2017: $655, 2018: $1,500. DESCRIPTION: RETURN OF FUNDS 2014: $0, 2015: $151, 2016: $500, 2017: $0 2018: $360. DESCRIPTION: OLD VOIDED CHECKS 2014: $0, 2015: $0, 2016: $0, 2017: $0, 2018: $1,113.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>SCHWAB INVESTMENTS</Desc>
        <BookValueAmt>1133274</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>1133274</TotalBookValueSecuritiesAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>STATEMENT OF FINANCIAL ACCOUNTING STANDARD ASC TOPIC 740, INCOME TAXES (ASC TOPIC 740) ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. MANAGEMENT EVALUATED THE ASSOCIATION'S TAX POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ASC TOPIC 740. GENERALLY, THE ASSOCIATION'S TAX RETURNS REMAIN OPEN FOR THREE YEARS FOR FEDERAL INCOME TAX EXAMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COUNCIL OF PEDIATRIC SUBSPECIALTIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6728 OLD MCLEAN VILLAGE DRIVE</AddressLine1Txt>
          <CityNm>MCLEAN</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22101</ZIPCd>
        </USAddress>
        <RecipientEIN>271669910</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DARTMOUTH-HITCHCOCK CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 MEDICAL CENTER DRIVE</AddressLine1Txt>
          <CityNm>LEBANON</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03756</ZIPCd>
        </USAddress>
        <RecipientEIN>222519596</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SPECIAL PROJECTS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LELAND STANFORD JUNIOR UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3415 PORTER DRIVE</AddressLine1Txt>
          <CityNm>PALO ALTO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94304</ZIPCd>
        </USAddress>
        <RecipientEIN>941156365</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SPECIAL PROJECTS</PurposeOfGrantTxt>
      </RecipientTable>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>COORDINATORS SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>7</RecipientCnt>
        <CashGrantAmt>3500</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>RESEARCH/QI/ TRAINEE AWARDS</GrantTypeTxt>
        <RecipientCnt>3</RecipientCnt>
        <CashGrantAmt>300</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>NORTHEAST GRANTS</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>450</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT FUNDS ARE MONITORED BY REQUIRING THE RECIPIENTS TO SUBMITE TWO (2) REPORTS, MIDWAY THROUGH THE PROCESS AND A FINAL REPORT AT THE END. THE REPORTS DESCRIBE WHAT THEY DID AND HOW THEY SPENT THE GRANT FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>EXECUTIVE DIRECTOR LAURA DEGNON</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EXECUTIVE DIRECTOR IS ALSO AN EMPLOYEE OF DEGNON ASSOCIATES, INC.</RelationshipDescriptionTxt>
        <TransactionAmt>538040</TransactionAmt>
        <TransactionDesc>MANAGEMENT FEES</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>EXECUTIVE DIRECTOR LAURA DEGNON</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EXECUTIVE DIRECTOR IS ALSO A MEMBER OF OMV, LLC</RelationshipDescriptionTxt>
        <TransactionAmt>38000</TransactionAmt>
        <TransactionDesc>RENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT AND ADMINISTRATIVE SERVICES PERFORMED BY DEGNON ASSOCIATES, INC. AN ASSOCIATION MANAGEMENT COMPANY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION IS A PROFESSIONAL MEMBERSHIP ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERSHIP ELECTS THE GOVERNING BODY THROUGH A NOMINATION AND BALLOT PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>BYLAW CHANGES ARE RESERVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE 990 IS ELECTRONICALLY SUBMITTED TO BOARD MEMBERS ASKING FOR COMMENTS AND QUESTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A SIGNED DISCLOSURE FORM IS SUBMITTED AND REVIEWED BY THE PRESIDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR GOVERNING DOCUMENTS, WHISTLEBLOWER POLICY, AND CONFLICT OF INTEREST POLICY ARE ON THE WEBSITE, THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>STIPENDS: PROGRAM SERVICE EXPENSES 317,046. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 317,046.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>