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      <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 WINTER BOARD RETREAT, APPD HOSTED REGIONAL EVENTS, AND OTHER MEETINGS AND LIAISONS DURING THE YEAR.</Desc>
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        <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, NOTIFICATIONS OF UPCOMING EVENTS AND OPPORTUNITIES, AND MEETING MATERIALS.</Desc>
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        <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>
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        <Desc>THE APPD CBME DATA HUB IS A DYNAMIC NEW SYSTEM DESIGNED TO HELP PROGRAM LEADERS ACCELERATE THEIR IMPLEMENTATION OF COMPETENCY-BASED MEDICAL EDUCATION (CBME). THE DATA HUB ALLOWS PROGRAMS TO UPLOAD CLINICAL COMPETENCY COMMITTEE (CCC) DETERMINED ENTRUSTABLE PROFESSIONAL ACTIVITY (EPA) SUPERVISION LEVELS AND RECEIVE TWO THINGS IN RETURN: 1) RECOMMENDED ACGME MILESTONE LEVELS, AND 2) SUMMARY OF EPA PRACTICE READINESS (I.E., READY FOR UNSUPERVISED PRACTICE). THE CBME DATA HUB IS AVAILABLE TO ALL APPD MEMBER PROGRAMS, ALLOWING CCCS TO FOCUS THEIR ASSESSMENT EFFORTS ON THE 12 EPAS FOR GENERAL PEDIATRICS WHILE ALSO BEING EQUIPPED TO CONSIDER AND REPORT THE 22 ACGME MILESTONES. IT IS CURRENTLY BUILT FOR GENERAL PEDIATRICS EPAS, WITH SUBSPECIALTY FELLOWSHIP EPAS TO FOLLOW.</Desc>
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        <Desc>THE FUEL (FOSTERING UIM EDUCATION LEADERSHIP) FACULTY MENTORING PROGRAM AIMS TO INCREASE DIVERSITY IN PEDIATRIC MEDICAL EDUCATION LEADERSHIP THROUGH PROFESSIONAL DEVELOPMENT AND MENTORSHIP OF UNDERREPRESENTED IN MEDICINE EARLY CAREER FACULTY. PARTICIPANTS WILL BE EXPOSED TO THE MANY CAREERS IN PEDIATRIC MEDICAL EDUCATION, AS WELL AS THE PROFESSIONAL DEVELOPMENT OPPORTUNITIES AND EDUCATIONAL LEADERS WITHIN THE APPD COMMUNITY. THE PROGRAM IS BASED ON MENTORSHIP, SPONSORSHIP AND REPRESENTATION WITH A FOCUS ON EXPERIENTIAL LEARNING.</Desc>
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        <TitleTxt>SECRETARY TREASURER(OUTGOING)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAHIA YEMANE MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TYREE WINTERS DO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOANNA LEWIS MD</PersonNm>
        <TitleTxt>DIRECTOR (INCOMING)</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>1110000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>111302</AllOtherContributionsAmt>
      <TotalContributionsAmt>111302</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCES &amp; MEETINGS</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>1677300</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1677300</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>1217155</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1217155</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LEAD TUITION FEES</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>117000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>117000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>LEAPES - TRAINING FOR</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>44000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>44000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>3055455</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>78422</TotalRevenueColumnAmt>
        <ExclusionAmt>78422</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>114223</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>94380</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>19843</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>19843</TotalRevenueColumnAmt>
        <ExclusionAmt>19843</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3265022</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3055455</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>98265</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>25250</TotalAmt>
        <ProgramServicesAmt>25250</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>69689</TotalAmt>
        <ProgramServicesAmt>69689</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1110000</TotalAmt>
        <ProgramServicesAmt>935000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>175000</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1413</TotalAmt>
        <ManagementAndGeneralAmt>1413</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>13875</TotalAmt>
        <ManagementAndGeneralAmt>13875</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>7251</TotalAmt>
        <ManagementAndGeneralAmt>7251</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>142229</TotalAmt>
        <ProgramServicesAmt>142229</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>22179</TotalAmt>
        <ProgramServicesAmt>3377</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18802</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>222492</TotalAmt>
        <ProgramServicesAmt>222492</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>42000</TotalAmt>
        <ProgramServicesAmt>33500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8500</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>33446</TotalAmt>
        <ProgramServicesAmt>33446</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1451307</TotalAmt>
        <ProgramServicesAmt>1451307</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InsuranceGrp>
        <TotalAmt>9134</TotalAmt>
        <ProgramServicesAmt>5935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3199</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CREDIT CARD PROCESSING</Desc>
        <TotalAmt>76003</TotalAmt>
        <ProgramServicesAmt>76003</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>JOURNAL SUBSCRIPTIONS</Desc>
        <TotalAmt>7950</TotalAmt>
        <ProgramServicesAmt>7950</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTINUING EDUCATION</Desc>
        <TotalAmt>7000</TotalAmt>
        <ProgramServicesAmt>2000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5000</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>POSTAGE AND DELIVERY</Desc>
        <TotalAmt>3831</TotalAmt>
        <ManagementAndGeneralAmt>3831</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>568</TotalAmt>
        <ManagementAndGeneralAmt>568</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3245617</TotalAmt>
        <ProgramServicesAmt>3008178</ProgramServicesAmt>
        <ManagementAndGeneralAmt>237439</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>887110</BOYAmt>
        <EOYAmt>321173</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>30000</BOYAmt>
        <EOYAmt>20000</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>47250</BOYAmt>
        <EOYAmt>2000</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>252480</BOYAmt>
        <EOYAmt>308744</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1533566</BOYAmt>
        <EOYAmt>1688835</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>2750406</BOYAmt>
        <EOYAmt>2340752</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>769096</BOYAmt>
        <EOYAmt>98192</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>227578</BOYAmt>
        <EOYAmt>375213</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>996674</BOYAmt>
        <EOYAmt>473405</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>286487</BOYAmt>
        <EOYAmt>306988</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1467245</BOYAmt>
        <EOYAmt>1560359</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1753732</BOYAmt>
        <EOYAmt>1867347</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2750406</BOYAmt>
        <EOYAmt>2340752</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>19405</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>94210</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <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>801125</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>907838</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>136965</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>105589</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>111302</CurrentTaxYearAmt>
        <TotalAmt>2062819</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>736331</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>906177</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2217650</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2401770</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3055455</CurrentTaxYearAmt>
        <TotalAmt>9317383</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1537456</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1814015</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2354615</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2507359</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3166757</CurrentTaxYearAmt>
        <TotalAmt>11380202</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>11380202</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>61666</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>41775</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>53591</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>77114</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>98265</CurrentTaxYearAmt>
        <TotalAmt>332411</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>61666</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>41775</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>53591</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>77114</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>98265</CurrentTaxYearAmt>
        <TotalAmt>332411</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>500</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>893</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4181</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>350</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>5924</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>1599622</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1856683</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2412387</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2584823</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3265022</CurrentTaxYearAmt>
        <TotalAmt>11718537</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.97110</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.95420</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02840</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.04490</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PT III LN 12</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME PART III, LINE 12 DESCRIPTION: LABEL SALES 2019: $2,129, 2020: $0 2021: $300, 2022: $0, 2023: $0 DESCRIPTION: RETURN OF FUNDS 2019: $0, 2020: $0, 2021: $0, 2022 $4,181, 2023: $350</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>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</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>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ORGANIZATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>GLOBAL HEALTH EDUCATION SCHOLARSHIP</GrantTypeTxt>
        <RecipientCnt>2</RecipientCnt>
        <CashGrantAmt>5221</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>FOSTERING UIM EDUCATION LEADERSHIP (FUEL) AWARD</GrantTypeTxt>
        <RecipientCnt>7</RecipientCnt>
        <CashGrantAmt>18329</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MID-AMERICA SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>250</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>NORTHEAST GRANTS</GrantTypeTxt>
        <RecipientCnt>2</RecipientCnt>
        <CashGrantAmt>1000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>WESTERN REGIONAL SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>3</RecipientCnt>
        <CashGrantAmt>3000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>AIMS SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>16</RecipientCnt>
        <CashGrantAmt>37395</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MID-ATLANTIC SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>3</RecipientCnt>
        <CashGrantAmt>3000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>NY/NJ REGIONAL SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>1494</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT FUNDS ARE MONITORED BY REQUIRING THE RECIPIENTS TO SUBMIT 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>DEGNON ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY MORE THAN 35% OWNED BY EXECUTIVE DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>1110000</TransactionAmt>
        <TransactionDesc>INDEPENDENT CONTRACTOR</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>FNB LLC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>ENTITY MORE THAN 35% OWNED BY EXECUTIVE DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>42000</TransactionAmt>
        <TransactionDesc>RENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE SEE LINE 4D FOR DESCRIPTIONS OF THE NEW PROGRAMS, CBME DATA HUB AND SMERFS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>THE ORGANIZATION RESERVES BYLAW CHANGES AND THE ELECTION OF THE BOARD, TO MEMBERS.</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 XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>