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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMANDA MCKINNEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SALVATORE LACAGNINA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN BENIGAS</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <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>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>IMPACT GROUPS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1244</AddressLine1Txt>
            <CityNm>WHITE SALMON</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98672</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PUBLIC RELATIONS</ServicesDesc>
        <CompensationAmt>122427</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>405959</MembershipDuesAmt>
      <AllOtherContributionsAmt>319401</AllOtherContributionsAmt>
      <TotalContributionsAmt>725360</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCEEDUCATIONAL</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>907888</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>907888</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>TRAINEELMIG</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>3870</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3870</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ONLINE MEDICAL EDUCATIO</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>583712</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>583712</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER EDUCATION</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>57425</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>57425</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADVOCACY</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>242323</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>242323</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>6436</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6436</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>1801654</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>284</TotalRevenueColumnAmt>
        <ExclusionAmt>284</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>419</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>419</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REIMBURSE</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>373</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>373</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>DISCOUNTS EARNED</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>140</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>140</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>932</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2528230</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1802586</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>284</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <BenefitsToMembersGrp>
        <TotalAmt>79245</TotalAmt>
        <ProgramServicesAmt>79245</ProgramServicesAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>199840</TotalAmt>
        <ProgramServicesAmt>139888</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59952</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>120194</TotalAmt>
        <ManagementAndGeneralAmt>120194</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>2100</TotalAmt>
        <ManagementAndGeneralAmt>2100</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>24658</TotalAmt>
        <ProgramServicesAmt>21471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3187</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>5550</TotalAmt>
        <ManagementAndGeneralAmt>5550</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>250</TotalAmt>
        <ManagementAndGeneralAmt>250</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>137089</TotalAmt>
        <ManagementAndGeneralAmt>137089</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <TravelGrp>
        <TotalAmt>5253</TotalAmt>
        <ManagementAndGeneralAmt>5253</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>625613</TotalAmt>
        <ProgramServicesAmt>625613</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <OtherExpensesGrp>
        <Desc>TRAINEELMIG EXPENSES</Desc>
        <TotalAmt>3449</TotalAmt>
        <ProgramServicesAmt>3449</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ONLINE MEDICAL EDUCATION</Desc>
        <TotalAmt>382503</TotalAmt>
        <ProgramServicesAmt>382503</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ADVOCACYPATIENT EDUCATION</Desc>
        <TotalAmt>266420</TotalAmt>
        <ProgramServicesAmt>266420</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MARKETING</Desc>
        <TotalAmt>209265</TotalAmt>
        <ManagementAndGeneralAmt>209265</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>75329</TotalAmt>
        <ProgramServicesAmt>53302</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22027</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2136758</TotalAmt>
        <ProgramServicesAmt>1571891</ProgramServicesAmt>
        <ManagementAndGeneralAmt>564867</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <JointCostsInd>X</JointCostsInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>527807</BOYAmt>
        <EOYAmt>166108</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>198819</BOYAmt>
        <EOYAmt>845566</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <InvestmentsPubTradedSecGrp>
        <EOYAmt>90231</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <EOYAmt>6500</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>726626</BOYAmt>
        <EOYAmt>1108405</EOYAmt>
      </TotalAssetsGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>7922</BOYAmt>
        <EOYAmt>5308</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>7922</BOYAmt>
        <EOYAmt>5308</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>718704</BOYAmt>
        <EOYAmt>1103097</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>718704</BOYAmt>
        <EOYAmt>1103097</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>726626</BOYAmt>
        <EOYAmt>1108405</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>391472</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-8457</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>1378</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus2YearsAmt>63812</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>636198</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>905360</CurrentTaxYearAmt>
        <TotalAmt>1605370</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus2YearsAmt>101945</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>618042</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1555461</CurrentTaxYearAmt>
        <TotalAmt>2275448</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearMinus2YearsAmt>71741</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>343286</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>66193</CurrentTaxYearAmt>
        <TotalAmt>481220</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus2YearsAmt>237498</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1597526</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2527014</CurrentTaxYearAmt>
        <TotalAmt>4362038</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>4362038</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus2YearsAmt>4</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>73</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>284</CurrentTaxYearAmt>
        <TotalAmt>361</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus2YearsAmt>4</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>73</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>284</CurrentTaxYearAmt>
        <TotalAmt>361</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus2YearsAmt>750</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>81257</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>932</CurrentTaxYearAmt>
        <TotalAmt>82939</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>238252</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1678856</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2528230</CurrentTaxYearAmt>
        <TotalAmt>4445338</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <First5Years509Ind>X</First5Years509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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="990D">
      <OtherAssetsOrgGrp>
        <Desc>ADVANCE BONUS PAYMENTS</Desc>
        <BookValueAmt>6500</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6500</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYROLL TAXES PAYABLE</Desc>
        <Amt>5308</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5308</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleL documentId="990L">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOHN KELLY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD OF DIRECTORS MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>45450</TransactionAmt>
        <TransactionDesc>LEAD FACULTY-DEVELOP LM BOARD REVIEW COURSE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR REVIEWS THE TAX RETURN BEFORE IT IS SUBMITTED TO THE INTERNAL REVENUE SERVICE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMERICAN COLLEGE OF LIFESTYLE MEDICINE HAS A CONFLICT OF INTEREST POLICY IN PLACE AND COVERS ALL DIRECTORS, OFFICERS, AGENTS AND EMPLOYEES OF THE ORGANIZATION. IN SHORT, A CONFLICT OF INTEREST WOULD ARISE WHEN ANY OF THE ABOVE HAS COMPETING LOYALTIES BY VIRTUE OF THE PERSONS ROLE IN THE ORGANIZATION AND ANY DUALITY WITH OTHER BUSINESSES OR ORGANIZATIONS.IF A CONFLICT OF INTEREST IS DISCOVERED OR DISCLOSED, THE AFFECTED MEMBER IS NOT ALLOWED TO PARTICIPATE IN THE DISCUSSION OR VOTING ON THE ISSUE IN CONFLICT AND THAT MEMBERS ATTENDANCE AT ANY MEETING UPON WHICH ACTION IS TAKEN IS NOT COUNTED TOWARDS DETERMINING A QUORUM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>BASE SALARY - WILL BE REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE AND MAY BE INCREASED BEYOND THE COST-OF-LIVING ADJUSTMENT IN THE DISCRETION OF THE EXECUTIVE COMMITTEE BASED UPON EXTRAORDINARY PERFORMANCE OF THE EXECUTIVE. THIS BASE SALARY SHALL BE PRORATED FOR ANY PARTIAL YEAR OF THE EXECUTIVES EMPLOYMENT HEREUNDER. BONUS - THE EXECUTIVE SHALL BE ELIGIBLE TO RECEIVE AN ANNUAL BONUS BASED UPON EXTRAORDINARY PERFORMANCE AGAINST A PLAN TO BE MUTUALLY AGREED UPON BY THE EXECUTIVE COMMITTEE AND THE EXECUTIVE FROM TIME TO TIME. EACH BONUS SHALL CORRESPOND TO THE CALENDAR YEAR AND SHALL BE PAID TO THE EXECUTIVE IN ONE LUMP SUM, SUBJECT TO DEDUCTIONS AND WITHHOLDINGE, DURING THE FIRST MONTH OF THE FOLLOWING CALENDAR YEAR. THE BONUS IS NOT ALLOWED TO EXCEED 20% OF THE BASE SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE PUBLIC ITS FINANCIAL STATEMENTS OR GOVERNING DOCUMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Significant program services not listed on prior year return Part III line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMERICAN COLLEGE OF LIFESTYLE MEDICINE REORGANIZED ITS CHART OF ACCOUNTS TO BETTER GROUP THE INCOME AND EXPENSE ACCOUNTS INTO MATCHING INCOME AND EXPENSE CENTERS.IN ADDITION TO THE PROGRAMS LISTED ON THE PRIOR YEAR RETURN, ACLM NOW INCLUDES ON-LINE MEDICAL EDUCATION, ADVOCACY/PATIENT EDUCATION, GLOBAL OUTREACH AND RESEARCH AS SEPARATE PROGRAM CENTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>THE VALUE OF THE FUND BALANCE TRANSFERRED IN WHEN THE ORGANIZATION WAS DESIGNATED AS A 501(C)(6).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATIONS TO OTHER TAX-EXEMPT ORGANIZATIONS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other expenses Part IX line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM EXPENSES - RESEARCH $40,206 - GLOBAL OUTREACH $11,776 - OTHER CERTIFICATIONS $ 1,320OTHER ADMIN EXPENSES - STAFF RETREAT $22,027</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General explanation attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>ACLM CHANGED ITS EXEMPT STATUS FROM 501(C)(6) TO 501(C)(3) AS OF OCTOBER 1, 2016. 501(C)(6) ORGANIZATIONS ARE NOT REQUIRED TO COMPLETE SCHEDULE A, SINCE THEY ARE NOT CONSIDERED A PUBLIC CHARITY.THEREFORE, EVEN THOUGH THE ORGANIZATION HAS BEEN IN OPERATION SINCE 2004, SCHEDULE A INFORMATION WAS NOT REQUIRED UNTIL 2016. THE PRIOR YEARS COLUMNS CORRECTLY DO NOT HAVE ANY DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>