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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <SubstantiallyAllDuesNondedInd>0</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>1</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>0</AgreeCarryoverPriorYearInd>
    </IRS990ScheduleC>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS OR TRUSTEES, OR KEY EMPLOYEES TO CONCEPTS IN MEETINGS &amp; EVENTS, WHO PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE ASSOCIATION SHALL CONSIST OF ACTIVE MEMBERS, ASSOCIATE MEMBERS, AND LIFE AND/OR HONORARY MEMBERS. ACTIVE MEMBERS - ACTIVE MEMBERSHIP SHALL BE LIMITED TO DUES-PAYING INDIVIDUALS WHO ARE SERVING IN A MANAGERIAL CAPACITY IN A PRIVATE OR ACADEMIC GROUP. MEDICAL PRACTICE ASSOCIATE MEMBERS - ASSOCIATE MEMBERS SHALL CONSIST OF THOSE DUES-PAYING INDIVIDUALS WHO WISH TO SUPPORT THE PURPOSE AND STRATEGIES OF THE ASSOCIATION. LIFE AND/OR HONORARY MEMBERS - LIFE AND/OR HONORARY MEMBERSHIP MAY BE AWARDED TO INDIVIDUALS BY TWO-THIRDS VOTE OF THE EXECUTIVE COMMITTEE OF THE ASSOCIATION WITH THE TERMS OF EACH SUCH MEMBERSHIP TO BE DETERMINED AT THE TIME OF AWARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL PROFESSIONAL MEMBERS HAVE A VOTE. THE BOARD OF DIRECTORS IS ELECTED BY THE MEMBERSHIP. MEMBERS ALSO APPROVE THE ANNUAL BUSINESS MEETING REPORTS PRESENTED AT OUR ANNUAL MEETING AND CAN BRING UP MOTIONS AND BUSINESS DURING THE ANNUAL MEETING. THEY ALSO HAVE A RIGHT TO COMMUNICATE WITH THE EXECUTIVE DIRECTOR AND BOARD DURING THE COURSE OF THE YEAR AND BRING UP ISSUES RELATIVE TO THE ASSOCIATION AND/OR SUGGESTIONS THAT THEY MAY HAVE. WE PROVIDE MANY OPPORTUNITIES THROUGHOUT THE YEAR FOR MEMBERS TO HAVE INPUT INTO THE DIRECTION OF THE ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN IS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM. THE RETURN IS THEN REVIEWED IN DETAIL BY THE TREASURER AND EXECUTIVE DIRECTOR PRIOR TO FILING, A COPY OF THE RETURN IS MADE AVAILABLE TO THE BOARD MEMBERS FOR THEIR COMMENTS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE BEGINNING OF EACH YEAR, BOARD MEMBERS MUST FILE AND SUBMIT A CONFLICT OF INTEREST POLICY DISCLOSURE FORM. AT THIS TIME, THEY AGREE TO NOTIFY THE ORGANIZATION SHOULD ANY CONFLICT ARISE DURING THE YEAR. THE CONFLICT OF INTEREST DISCLOSURE FORM IS THEN REVIEWED BY THE EXECUTIVE DIRECTOR AND ANY CONFLICTS ARE ADDRESSED BY THE EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>SPEAKERS 835. PURCHASED SERVICES 112,782.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>