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        <PersonNm>RICHARD ARONS SCD</PersonNm>
        <TitleTxt>TRUSTEE, BOARD CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>7500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINA JIMENEZ</PersonNm>
        <TitleTxt>TRUSTEE, BOARD VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>7500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARY GREEN</PersonNm>
        <TitleTxt>TRUSTEE, SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>7500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL PROKOPIS</PersonNm>
        <TitleTxt>TRUSTEE, TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>7500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER CATALANO</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>380990</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>116496</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RANDAL WHITE</PersonNm>
        <TitleTxt>CHIEF LEGAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>24.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>319382</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>90452</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STUART MORRIS HIPKINS</PersonNm>
        <TitleTxt>CHIEF SOLUTIONS OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>541707</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>121918</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DHEERENDRA KOMMALA</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>445072</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>98723</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEVIN O'NEIL</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>39.85</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>331843</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48940</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEA RUBINI</PersonNm>
        <TitleTxt>CHIEF HR OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>278082</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>87626</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DARRYL GOSS</PersonNm>
        <TitleTxt>CHIEF TECHNOLOGY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>253600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34938</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT BECKER</PersonNm>
        <TitleTxt>TEAM LEAD, GMICS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>334779</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>51612</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALISON MAGUIRE</PersonNm>
        <TitleTxt>VP, SALES - GLOBAL MARKET</TitleTxt>
        <AverageHoursPerWeekRt>39.92</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>336292</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40743</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NEAL MCMAHON</PersonNm>
        <TitleTxt>SR. ACCT EXECUTIVE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>332065</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13597</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH MUIR</PersonNm>
        <TitleTxt>SR. ACCT EXECUTIVE</TitleTxt>
        <AverageHoursPerWeekRt>42.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>312766</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26389</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARTHA PICKENS</PersonNm>
        <TitleTxt>SR. ACCT. EXECUTIVE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>276432</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19466</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>5161401</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>987594</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>198</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INTELLIGENT LIFE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 CRUSHER RD</AddressLine1Txt>
            <CityNm>HOPEWELL</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>085252204</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IHSI DEVELOPMENT</ServicesDesc>
        <CompensationAmt>280500</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SUMMIT 58 LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5775 POPPY WAY</AddressLine1Txt>
            <CityNm>GOLDEN</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>804032048</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>VALUE ANALYSIS WORKFLOW</ServicesDesc>
        <CompensationAmt>219500</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RSM US LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5155 PAYSPHERE CIRCLE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606740001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AUDIT AND TAX SERVICES</ServicesDesc>
        <CompensationAmt>167799</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FOX ROTHSCHILD LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 COMMERCE SQ</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>191037080</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>155229</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JP MARTUCCI LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>816 FAIR WAY</AddressLine1Txt>
            <CityNm>LIBERTYVILLE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>600481402</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TECHNOLOGY CONSULTING</ServicesDesc>
        <CompensationAmt>152025</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP, PUBLICATIONS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>59352859</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>59352859</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>TECHNICAL ASSISTANCE</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>18604572</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18604572</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>77957431</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1367479</TotalRevenueColumnAmt>
        <ExclusionAmt>1367479</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>14011223</SecuritiesAmt>
        <OtherAmt>13967500</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>12940822</SecuritiesAmt>
        <OtherAmt>16677562</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1070401</SecuritiesAmt>
        <OtherAmt>-2710062</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1639661</TotalRevenueColumnAmt>
        <ExclusionAmt>-1639661</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>SHARED SERVICE FEE</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>2196199</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>173334</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2022865</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>INSURANCE PROCEEDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>490278</TotalRevenueColumnAmt>
        <ExclusionAmt>490278</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>17087</TotalRevenueColumnAmt>
        <ExclusionAmt>17087</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2703564</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>80388813</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>77957431</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>173334</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2258048</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4404853</TotalAmt>
        <ProgramServicesAmt>631672</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3773181</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>48098008</TotalAmt>
        <ProgramServicesAmt>37591483</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10506525</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>1763190</TotalAmt>
        <ProgramServicesAmt>1436847</ProgramServicesAmt>
        <ManagementAndGeneralAmt>326343</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>6778718</TotalAmt>
        <ProgramServicesAmt>5432669</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1346049</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>2885466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>816967</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>56433</ProgramServicesAmt>
        <ManagementAndGeneralAmt>395944</ManagementAndGeneralAmt>
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        <TotalAmt>132799</TotalAmt>
        <ManagementAndGeneralAmt>132799</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>109461</ManagementAndGeneralAmt>
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        <TotalAmt>7662354</TotalAmt>
        <ProgramServicesAmt>7274999</ProgramServicesAmt>
        <ManagementAndGeneralAmt>387355</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>448901</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>131808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>580582</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2266528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1656905</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>307816</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87153</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>663383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>120404</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>89028</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77243</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>315681</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1017276</ProgramServicesAmt>
        <ManagementAndGeneralAmt>501047</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>321006</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90887</ManagementAndGeneralAmt>
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        <Desc>DUES AND SUBSCRIPTIONS</Desc>
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        <ProgramServicesAmt>531402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50843</ManagementAndGeneralAmt>
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        <Desc>RECRUITING AND TRAINING</Desc>
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        <ProgramServicesAmt>34668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>196880</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>EMPLOYEE EXPENSES</Desc>
        <TotalAmt>162085</TotalAmt>
        <ProgramServicesAmt>80997</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81088</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>ADMINISTRATIVE EXPENSES</Desc>
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        <ManagementAndGeneralAmt>9474</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>66421</ProgramServicesAmt>
        <ManagementAndGeneralAmt>335301</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>61268803</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21898273</ManagementAndGeneralAmt>
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        <EOYAmt>5108890</EOYAmt>
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        <EOYAmt>5000</EOYAmt>
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        <EOYAmt>13120893</EOYAmt>
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        <EOYAmt>666667</EOYAmt>
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        <EOYAmt>1702669</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>3863926</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2223635</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>1640291</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>46617460</EOYAmt>
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        <EOYAmt>7936137</EOYAmt>
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        <BOYAmt>8496030</BOYAmt>
        <EOYAmt>10326886</EOYAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES WHO PARTICIPATED IN A 457(F) PLAN DURING THE CALENDAR YEAR 2024 ARE PETER CATALANO, DHEERENDRA KOMMALA, STUART MORRIS-HIPKINS, BEVIN O'NEILL, LEA RUBINI, MARCUS SCHABACKER, AND RANDAL WHITE. CONTRIBUTIONS TO THE 457(F) PLANS DURING 2024: - PETER CATALANO - $65,356 - DHEERENDRA KOMMALA - $71,361 - STUART MORRIS-HIPKINS - $66,901 - BEVIN O'NEILL - $39,732 - LEA RUBINI - $35,040 - MARCUS SCHABACKER - $183,548 - RANDAL WHITE - $39,794 THERE WERE NO DISTRIBUTIONS FROM THE PLAN DURING THE CALENDAR YEAR 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ORDER TO ACCOMPLISH ITS MISSION TO IMPROVE PUBLIC HEALTH AND SAFETY, IT IS NECESSARY TO HIRE, MOTIVATE AND RETAIN QUALIFIED EMPLOYEES PRIMARILY RESPONSIBLE FOR BUSINESS DEVELOPMENT. THESE POSITIONS REQUIRE EXTENSIVE KNOWLEDGE OF HEALTHCARE ISSUES AND INSTITUTE CAPABILITIES, THE ABILITY TO EFFECTIVELY COMMUNICATE WITH HEALTHCARE PROFESSIONALS AT ALL LEVELS, AND OTHER CRITICAL SKILLS. FOR THE POSITIONS, THE ORGANIZATION PROVIDES A BASE SALARY COMBINED WITH A PAY COMPONENT WHICH IS CONTINGENT ON REVENUES FOR SELECTED ACTIVITIES IN ORDER TO REWARD REVENUE GENERATION FOR BUSINESS DEVELOPMENT WHILE ENSURING THAT A PORTION OF COMPENSATION IS AT RISK.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY THE CONTROLLER WITH INPUT FROM OTHERS AS NEEDED, INCLUDING AN INDEPENDENT ACCOUNTING FIRMS REVIEW. A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY THE CFO. THEREAFTER, THE PRELIMINARY FORM 990 IS SENT TO EACH OFFICER AND TRUSTEE FOR THEIR REVIEW AND COMMENTS, AND ALL QUESTIONS AND COMMENTS ARE RESPONDED TO. IN ADDITION, THE FORM 990 IS REVIEWED AND DISCUSSED WITH THE GOVERNING BOARD'S AUDIT AND COMPLIANCE COMMITTEE AND THEREAFTER WITH THE TRUSTEES. AFTER THE ABOVE-DESCRIBED REVIEWS AND DISCUSSIONS, THE FINAL FORM 990 IS SIGNED AND FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL STAFF RECEIVE A CODE OF CONDUCT AND BUSINESS ETHICS MANUAL THAT SETS FORTH ECRI'S PRINCIPLES, MISSION, GOALS, CONFLICT OF INTEREST RULES, AND OTHER MATTERS RELATED TO QUALITY AND ACCOUNTABILITY. THE BOARD OF TRUSTEES HAS ESTABLISHED THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND REQUIRES THAT EACH EMPLOYEE ANNUALLY RESPONDS TO A QUESTIONNAIRE WITH A CERTIFICATION THAT THERE IS NO CONFLICT OF INTEREST THAT HAS NOT BEEN DISCLOSED AND APPROPRIATELY ADJUDICATED. THE BOARD OF TRUSTEES HAS DIRECTED THE CONFLICT OF INTEREST COMMITTEE TO REVIEW EACH CERTIFICATION AND TO ENSURE ADHERENCE WITH THIS POLICY. THE ORGANIZATION ALSO MAINTAINS A HOTLINE NUMBER FOR STAFF TO REPORT POSSIBLE ETHICAL VIOLATIONS OR FRAUDULENT CONDUCT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ALSO REQUIRES THAT INSTANCES THAT MIGHT OCCUR DURING THE YEAR AND WOULD REQUIRE DISCLOSURE UNDER THE POLICY BE PROMPTLY REPORTED TO THE CONFLICT OF INTEREST COMMITTEE FOR THEIR REVIEW AND ADJUDICATION. THE BOARD OF TRUSTEES TAKES APPROPRIATE ACTION IF THERE IS ANY NON-COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IS SUBJECT TO THE REVIEW AND APPROVAL OF THE BOARD OF TRUSTEES, MEETING IN EXECUTIVE SESSION WITH NO INVOLVEMENT BY PERSONS HAVING A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENTS AT ISSUE. THE COMPENSATION COMMITTEE OF THE BOARD, WHICH IS SOLELY COMPRISED OF INDEPENDENT TRUSTEES, REVIEWS AND ANALYZES PERFORMANCE AND COMPARABILITY DATA AND MAKES A RECOMMENDATION TO THE FULL BOARD. THE PROCESS INCLUDES THE USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THERE IS CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING SUCH COMPENSATION ARRANGEMENTS. THE ORGANIZATION'S PROCESS INVOLVES DATA FROM COMPENSATION SURVEYS, THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT, AND OTHER SOURCES OF COMPARABILITY DATA. COMPENSATION FOR OTHER "DISQUALIFIED PERSONS" IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE PROCESS INCLUDES THE USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. PERTINENT INFORMATION AND OTHER SUBSTANTIATION OF THE DELIBERATIONS AND DECISIONS ARE DOCUMENTED. THE ORGANIZATION'S PROCESS INVOLVES DATA FROM COMPENSATION SURVEYS, THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT, AND OTHER SOURCES OF COMPARABILITY DATA. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND OTHER TOP MANAGERS REVIEW THE COMPENSATION FOR KEY EMPLOYEES WHO ARE NOT "DISQUALIFIED PERSONS". THE ORGANIZATION ALSO USES ITS HUMAN RESOURCES DEPARTMENT TO REVIEW COMPENSATION AND SALARY INCREASES BASED ON SALARY SURVEY DATA AND COMPENSATION DATA FOR COMPARABLE ORGANIZATIONS AND JOB FUNCTIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTH THE CHIEF FINANCIAL OFFICER AND CHIEF LEGAL OFFICER ARE RESPONSIBLE FOR MAKING ECRI'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND OTHER DOCUMENTS (ECRI INSTITUTE'S "PUBLIC FILE") AVAILABLE TO THE PUBLIC FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). THIS IS ACCOMPLISHED BY ANNOUNCING THE AVAILABILITY OF THE PUBLIC FILE AND THE PROCESS BY WHICH IT MAY BE INSPECTED OR COPIES OBTAINED, SUCH ANNOUNCEMENT BEING POSTED ON ECRI'S WEBSITE AND BEING POSTED IN A PUBLIC AREA OF ITS FACILITIES. THE ORGANIZATION'S FORM 990 IS ALSO PUBLICLY AVAILABLE AT CANDID FORMERLY KNOWN AS GUIDESTAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON INVESTMENT IN ISMP -1,701,938. CHANGE IN VALUE OF INTEREST RATE SWAP -15,800. LOSS ON INVESTMENT IN SSIQ -195,397. LOSS ON INVESTMENT IN TJCC -67,312. EXCHANGE RATE DIFFERENTIAL -224,357. UK RECLASSIFICATION ADJUSTMENT -321,816.</ExplanationTxt>
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        <USAddress>
          <AddressLine1Txt>77 N BROAD STREET 3RD FLOOR</AddressLine1Txt>
          <CityNm>DOYLESTOWN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>PRODUCT EVALUATION OF PHARMACEUTICALS</PrimaryActivitiesTxt>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>INSTITUTE FOR SAFE MEDICATION PRACTICES</BusinessNameLine1Txt>
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        <InvolvedAmt>1316665</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL COSTS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MED SAFETY BOARD INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>ACTUAL COSTS</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>