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      <ProgramServiceRevenue>
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        <ExclusionAmount>19655</ExclusionAmount>
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        <ExclusionAmount>1459</ExclusionAmount>
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        <ExclusionAmount>256</ExclusionAmount>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>21370</ExclusionAmount>
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      <FeesForServicesLobbying>
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        <Description>REGULATORY AFFAIRS</Description>
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      <AllOtherExpenses>
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        <EOY>53353</EOY>
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        <EOY>16601</EOY>
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      <TotalAssets>
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        <EOY>1867164</EOY>
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        <EOY>41009</EOY>
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        <EOY>362502</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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        <BOY>1589010</BOY>
        <EOY>1504662</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>1504662</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>1867164</EOY>
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      <ReconcilationRevenueExpenses>-83289</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>-1059</ReconciliationUnrealizedInvest>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
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      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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      <Sec527PolOrgs>
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          <BusinessNameLine1>PIAAPAC</BusinessNameLine1>
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          <AddressLine1>2275 RESEARCH BLVD SUITE 250</AddressLine1>
          <City>ROCKVILLE</City>
          <State>MD</State>
          <ZIPCode>20850</ZIPCode>
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      <SubstantiallyAllDuesNondeduct>0</SubstantiallyAllDuesNondeduct>
      <OnlyInHouseLobbying>0</OnlyInHouseLobbying>
      <AgreeToCarryoverPriorYear>1</AgreeToCarryoverPriorYear>
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      <Form990ScheduleCPartIV>
        <Identifier>ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES:</Identifier>
        <ReturnReference>PART I-A, LINE 1:</ReturnReference>
        <Explanation>ADMINISTRATIVE EXPENSES PAID ON BEHALF OF RELATED POLITICAL ACTION COMMITTEE.</Explanation>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <Depreciation>39874</Depreciation>
        <BookValue>2262</BookValue>
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        <Depreciation>601834</Depreciation>
        <BookValue>46145</BookValue>
      </OtherLandBuildings>
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      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>MANAGEMENT HAS CONCLUDED THAT PIAA, THE PAC AND THE FOUNDATION HAVE PROPERLY MAINTAINED THEIR EXEMPT STATUSES AND THAT THERE ARE NO UNCERTAIN TAX POSITIONS THROUGH DECEMBER 31, 2012</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
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      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
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      <Form990ScheduleJPartII>
        <NamePerson>BRIAN K ATCHINSON</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <BaseCompensationFilingOrg>370266</BaseCompensationFilingOrg>
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        <BonusFilingOrg>36500</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM E BURGESS</NamePerson>
        <Title>TREASURER/VICE PRESIDENT O</Title>
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        <BonusFilingOrg>5000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>ERIC ANDERSON</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>JILL KNERR</NamePerson>
        <Title>DIRECTOR OF HUMAN RESOURCE</Title>
        <BaseCompensationFilingOrg>117900</BaseCompensationFilingOrg>
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        <BonusFilingOrg>4000</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL STINSON</NamePerson>
        <Title>DIRECTOR OF GOVERNMENT REL</Title>
        <BaseCompensationFilingOrg>141107</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>4000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>15962</DeferredCompFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE ORGANIZATION'S BYLAWS GRANT VOTING RIGHTS TO REGULAR MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>AS DETAILED IN THE BYLAWS, THE REGULAR MEMBERS OF THE ORGANIZATION HAVE THE RIGHT TO ELECT THE GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>AS DEFINED IN THE BYLAWS, THE VOTING MEMBERS OF THE ORGANIZATION MUST RATIFY ANY CHANGES TO THE BYLAWS MADE BY THE GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>AT THIS TIME THE RESPONSIBILITY OF THE FORM 990 REVIEW BELONGS TO THE INDIVIDUAL SIGNING THE RETURN ON BEHALF OF THE PHYSICIAN INSURERS ASSOCIATION OF AMERICA.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE PIAA MAINTAINS A CONFLICT OF INTEREST POLICY WHICH REQUIRES BOARD MEMBERS AND MANAGEMENT EMPLOYEES TO SIGN AN ACKNOWLEDGEMENT AND DISCLOSURE FORM ON AN ANNUAL BASIS. THIS IS DONE AT THE TIME OF OUR ANNUAL BUSINESS MEETING IN MAY, AND THE RESULTING FORMS ARE REVIEWED BY THE PRESIDENT. ANY APPARENT CONFLICTS ARE ADDRESSED WITH THE INDIVIDUAL AT THAT TIME. ADHERENCE TO THIS POLICY IS MONITORED ON AN ONGOING BASIS THROUGHOUT THE YEAR ON AN OBSERVATION BASIS. WHILE RARE, WHEN CONFLICTS DO ARISE, THEY ARE DEALT WITH ON AN INDIVIDUAL BASIS. IF BOARD MEMBERS HAVE CONFLICTS REGARDING INDIVIDUAL ITEMS OF BOARD BUSINESS, THEY ARE ASKED TO RECUSE THEMSELVES FROM CONSIDERATION OF THAT ITEM. CONFLICTS OF INTERESTS ARE ALSO ADDRESSED IN THE PIAA EMPLOYEE MANUAL, SUCH AS OUTSIDE EMPLOYMENT, WHERE EMPLOYEES ARE REQUIRED TO NOTIFY THEIR SUPERVISOR BEFORE TAKING OUTSIDE EMPLOYMENT SO THAT THE POTENTIAL FOR A CONFLICT CAN BE DISCUSSED AND ADDRESSED.IN 2012, PIAA REVISED THE FOLLOWING CORPORATE POLICIES: WHISTLEBLOWER, CONFIDENTIALITY, AND CONFLICTS OF INTERESTS &amp; ETHICS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE PIAA'S COMPENSATION PROGRAM IS REVIEWED ON EVERY 3-4 YEARS BASIS BY AN OUTSIDE COMPENSATION CONSULTANT - TOTAL COMPENSATION SOLUTIONS ("TCS"). UPDATED JOB DESCRIPTIONS ARE PROVIDED FOR THE REVIEW, AS ARE COMPENSATION AND BENEFITS DATA FOR EACH STAFF POSITION. TCS DOES A MARKET REVIEW OF SIMILAR ASSOCIATION POSITIONS IN THE GREATER WASHINGTON AREA, AND ALSO CONSULTS ITS NATIONAL DATABASE OF COMPENSATION DATA FOR ASSOCIATIONS. TCS PROVIDES A COMPREHENSIVE REPORT INDICATING SALARY RANGES FOR EACH POSITION, AND ALSO CONSULTING ADVICE REGARDING THE PLACEMENT OF INDIVIDUALS WITHIN THEIR JOB RANGE AND THE PROPRIETY OF OUR BENEFITS PACKAGE. THIS REVIEW IS DONE TO ASSURE THAT THE PIAA PROVIDES A COMPETITIVE SALARY AND BENEFITS PACKAGE TO ITS EMPLOYEES AND ALSO THAT SALARIES AND BENEFITS ARE NOT EXCESSIVE AND IN LINE WITH INDUSTRY PRACTICES. THE RESULTING REPORTS ARE PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. STAFF SALARIES ARE ADJUSTED EFFECTIVE JULY 1 OF EACH YEAR AT THE TIME PERFORMANCE REVIEWS ARE DONE. CEO COMPENSATION IS DETERMINED BY THE BOARD EXECUTIVE COMMITTEE AND APPROVED BY THE BOARD EFFECTIVE JULY 1 OF EACH YEAR. THE LAST REVIEW OF CEO'S COMPENSATION WAS CONDUCTED IN AUGUST 2012</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>PIAA EDUCATION &amp; RESEARCH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2275 RESEARCH BLVD SUITE 250</AddressLine1>
          <City>ROCKVILLE</City>
          <State>MD</State>
          <ZIPCode>20850</ZIPCode>
        </AddressUS>
        <EIN>311815301</EIN>
        <PrimaryActivities>RESEARCH CAUSES OF MEDICAL INJURY AND REDUCE THE INCIDENCE OF INJURY.</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PIAA</BusinessNameLine1>
        </DirectControllingEntityName>
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      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
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    </IRS990ScheduleR>
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