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        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
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    <IRS990ScheduleD documentId="IRS990ScheduleD1" documentName="IRS990ScheduleD">
      <OtherLiabilitiesOrgGrp>
        <Desc>Anticipated cost of 12 23 Board Exam that will be billed after final processing.</Desc>
        <Amt>52600</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>52600</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI1" documentName="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MVHS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>111 Hospital Dr</AddressLine1Txt>
          <CityNm>Utica</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>13502</ZIPCd>
        </USAddress>
        <RecipientEIN>161576637</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Establish new fellowship program and fund first diabetes fellows</PurposeOfGrantTxt>
      </RecipientTable>
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      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Quarterly reporting ofTotal funds allocated for the reporting period to include Funds spent on program activities Funds spent on administrative expenses Funds remaining for future use:</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO1" documentName="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part12 Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>| Accounting method was changed to reflect liabilities for financial reporting.|</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2023 the American College of Diabetology ACD established an office and hired staff. ACD Funded a new Fellowship Program had its first annual conference and developed a board certification exam that was taken by 24 physicians. To support the organization's focus on physician training board members worked to develop live and asynchronous training for diabetes management.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>| Description:, Expense Amount:, Grants Amount:, Revenue Amount:| Educational Program Services and Content Expertise: Developing a library of continuing education presentations from a variety of organizations, $0, $0, $21000|</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>| Type of Significant change:, Description of the activity:| The provisions to amend the organizing or enabling document or by laws., Bylaws were approved by the board.|</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Members have equal vote at annual meeting. Members will elect new board members as board members rotate off the board. 3 new board members were elected at the 10 23 ACD Conference.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>| Class of the Person:, Nature of their rights:| All American College of Diabetology members have equal vote., Members elect new board members at the annual meeting.|</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Section A, Line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>Minutes are taken at each monthly board meeting. They are reviewed prior to and approved at the next month's meeting. Not all committees take minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>990 will be reviewed by the board prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>No conflicts of interest exist.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Our governing documents and financial statements are available to the general public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>| Description:, Explanation:, Amount:| Fellowship Grants, Payable First quarter 2024, $-300000| ACD Board Exam, 12 23 Board Exam will be invoiced after processing, $-52600| 2023 Conference Balance Due, Balance Due to SR-AHEC after reconciliation of expenses, $-17530| Revenue From 2023 Conference, Revenue owed to ACD by SR-AHEC for registration and exhibitors, $30020|</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounting method was changed to reflect liabilities for financial reporting.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>