﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2023v6.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-07-14T11:16:49-05:00</ReturnTs>
    <TaxPeriodEndDt>2024-08-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>520963432</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BERKOWITZ &amp; SHRAMKO CPAS</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1829 REISTERSTOWN ROAD 430</AddressLine1Txt>
        <CityNm>BALTIMORE</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21208</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-09-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>311145375</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ASSOCIATION OF ACADEMIC PHYSIATRISTS</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>ASSO</BusinessNameControlTxt>
      <PhoneNum>4106541000</PhoneNum>
      <USAddress>
        <AddressLine1Txt>10461 MILL RUN CIRCLE 730</AddressLine1Txt>
        <CityNm>OWINGS MILLS</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21117</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>TIFFANY I KNOWLTON</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>4106541000</PhoneNum>
      <SignatureDt>2025-07-11</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>0</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>NEIL S STULMAN CPA</PreparerPersonNm>
      <PTIN>P00026015</PTIN>
      <PhoneNum>4104847700</PhoneNum>
      <PreparationDt>2025-07-11</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>TIFFANY I KNOWLTON</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>10461 MILL RUN CIRCLE 730</AddressLine1Txt>
        <CityNm>OWINGS MILLS</CityNm>
        <StateAbbreviationCd>MD</StateAbbreviationCd>
        <ZIPCd>21117</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>5399604</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.PHYSIATRY.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationAssocInd>X</TypeOfOrganizationAssocInd>
      <FormationYr>1971</FormationYr>
      <LegalDomicileStateCd>MD</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO EMPOWER ACADEMIC PHYSIATRISTS TO ADVANCE THE SCIENCE OF PHYSICAL MEDICINE AND REHABILITATION, EDUCATE LEADERS OF THE FUTURE AND CHAMPION PHYSIATRY TO TRANSFORM HEALTHCARE.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>12</TotalEmployeeCnt>
      <TotalVolunteersCnt>0</TotalVolunteersCnt>
      <TotalGrossUBIAmt>3662</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>566374</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>607207</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>2627158</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>2719632</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>109072</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>119579</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>0</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>3302604</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>3446418</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>81000</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>71000</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>956545</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1093446</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1961461</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1921485</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>2999006</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>3085931</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>303598</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>360487</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>4021916</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>5276795</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>235437</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>914019</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>3786479</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>4362776</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO EMPOWER ACADEMIC PHYSIATRISTS TO ADVANCE THE SCIENCE OF PHYSICAL MEDICINE AND REHABILITATION, EDUCATE LEADERS OF THE FUTURE AND CHAMPION PHYSIATRY TO TRANSFORM HEALTHCARE.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>1992521</ExpenseAmt>
      <GrantAmt>71000</GrantAmt>
      <RevenueAmt>1951673</RevenueAmt>
      <Desc>PROGRAM COMMITTEE SUPPORT OF ANNUAL MEETING AND SCIENTIFIC PROGRAM(S) WITH COURSES OFFERING CME CREDIT.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>168000</ExpenseAmt>
        <RevenueAmt>665372</RevenueAmt>
        <Desc>AMERICAN JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION; PUBLICATION OF SCIENTIFIC JOURNAL TO DISSEMINATE ACADEMIC RESEARCH INFORMATION TO MEMBERS AND SUPPORT EDITORIAL OFFICE AND MEETINGS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>48697</ExpenseAmt>
        <RevenueAmt>25950</RevenueAmt>
        <Desc>COMMUNICATIONS AND PUBLIC RELATION ENDEAVORS TO SUPPORT PHYSIATRY.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>88395</ExpenseAmt>
        <RevenueAmt>72975</RevenueAmt>
        <Desc>VARIOUS COUNCILS AND COMMITTEES.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>88395</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>72975</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>2297613</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>0</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039700001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039700001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>1</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">1</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>21</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>12</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>1</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>1</Form990TFiledInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>0</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>TIFFANY I KNOWLTON EXECUTIVE DIRECTOR</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>4106541000</PhoneNum>
        <USAddress>
          <AddressLine1Txt>10461 MILL RUN CIRCLE SUITE 730</AddressLine1Txt>
          <CityNm>OWINGS MILLS</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21117</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN KOWALSKE MD</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER VISCO MD</PersonNm>
        <TitleTxt>PRESIDENT-ELECT</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GWENDOLYN A SOWA MD PHD</PersonNm>
        <TitleTxt>PAST PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PABLO CELNIK MD</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALLISON BEAN MD PHD</PersonNm>
        <TitleTxt>DIRECTOR-AT-LARGE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL FREDERICSON MD</PersonNm>
        <TitleTxt>DIRECTOR-AT-LARGE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GIRALDO-PRIETO MD</PersonNm>
        <TitleTxt>DIRECTOR-AT-LARGE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL LEE MD</PersonNm>
        <TitleTxt>DIRECTOR-AT-LARGE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FELICIA SKELTON MD</PersonNm>
        <TitleTxt>DIRECTOR-AT-LARGE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD WILSON MD</PersonNm>
        <TitleTxt>DIRECTOR-AT-LARGE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WALTER FRONTERA MD PHD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIFFANY I KNOWLTON</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>230889</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21738</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BERNADETTE M RENSING</PersonNm>
        <TitleTxt>EXTERNAL AFFAIRS DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>133000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9647</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>363889</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>31385</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROSEN SHINGLE CREEK ORLANDO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9939 UNIVERSAL BOULEVARD</AddressLine1Txt>
            <CityNm>ORLANDO</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32819</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOTEL AND CONFERENCE FACILITIES</ServicesDesc>
        <CompensationAmt>825339</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IMS TECHNOLOGY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>404 SUNPORT LANE SUITE 350</AddressLine1Txt>
            <CityNm>ORLANDO</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32809</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EVENT TECHNOLOGY SERVICES</ServicesDesc>
        <CompensationAmt>502664</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WELLS FARGO CARD SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 51193</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>900515493</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CREDIT CARD SERVICES</ServicesDesc>
        <CompensationAmt>182490</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BENEFIT MALL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 418742</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022418742</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INSURANCE PROVIDER</ServicesDesc>
        <CompensationAmt>122407</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>YOKO CONSULTING COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8300 GREENSBORO DRIVE SUITE 700</AddressLine1Txt>
            <CityNm>MCLEAN</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>WEB DESIGN &amp; IMPLEMNENTATION SERVICES</ServicesDesc>
        <CompensationAmt>116772</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>598660</MembershipDuesAmt>
      <AllOtherContributionsAmt>8547</AllOtherContributionsAmt>
      <TotalContributionsAmt>607207</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM COMMITTEE</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>1951673</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1951673</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AMERICAN JOURNAL OF PM&amp;R</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>665372</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>665372</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SUPPORT AND MENTORSHIP</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>98925</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>98925</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AMERICAN JOURNAL OF PM&amp;R</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>3662</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>3662</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2719632</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>76610</TotalRevenueColumnAmt>
        <ExclusionAmt>76610</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1996155</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1953186</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>42969</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>42969</TotalRevenueColumnAmt>
        <ExclusionAmt>42969</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3446418</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2715970</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>3662</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>119579</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>71000</TotalAmt>
        <ProgramServicesAmt>71000</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>891137</TotalAmt>
        <ProgramServicesAmt>630039</ProgramServicesAmt>
        <ManagementAndGeneralAmt>261098</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>47891</TotalAmt>
        <ProgramServicesAmt>33859</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14032</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>89489</TotalAmt>
        <ProgramServicesAmt>56981</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32508</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>64929</TotalAmt>
        <ProgramServicesAmt>45905</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19024</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1064</TotalAmt>
        <ManagementAndGeneralAmt>1064</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>21845</TotalAmt>
        <ManagementAndGeneralAmt>21845</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>48684</TotalAmt>
        <ManagementAndGeneralAmt>48684</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>48697</TotalAmt>
        <ProgramServicesAmt>48697</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>10384</TotalAmt>
        <ManagementAndGeneralAmt>10384</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>426135</TotalAmt>
        <ProgramServicesAmt>303049</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123086</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>734</TotalAmt>
        <ProgramServicesAmt>701</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>87601</TotalAmt>
        <ProgramServicesAmt>65562</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22039</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>48205</TotalAmt>
        <ManagementAndGeneralAmt>48205</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>96132</TotalAmt>
        <ProgramServicesAmt>28611</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67521</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2594</TotalAmt>
        <ManagementAndGeneralAmt>2594</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>5763</TotalAmt>
        <ManagementAndGeneralAmt>5763</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEETING RELATED EXPENSE</Desc>
        <TotalAmt>907865</TotalAmt>
        <ProgramServicesAmt>890376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17489</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>JOURNAL SUBSCRIPTIONS</Desc>
        <TotalAmt>100000</TotalAmt>
        <ProgramServicesAmt>100000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BANK CHARGES</Desc>
        <TotalAmt>73912</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73912</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>19088</TotalAmt>
        <ProgramServicesAmt>11798</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7290</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>22782</TotalAmt>
        <ProgramServicesAmt>11035</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11747</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3085931</TotalAmt>
        <ProgramServicesAmt>2297613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>788318</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>157266</BOYAmt>
        <EOYAmt>343444</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2223018</BOYAmt>
        <EOYAmt>1124979</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>44324</BOYAmt>
        <EOYAmt>63449</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>614362</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>186745</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4365</BOYAmt>
        <EOYAmt>427617</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1589907</BOYAmt>
        <EOYAmt>3212950</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>3036</BOYAmt>
        <EOYAmt>104356</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>4021916</BOYAmt>
        <EOYAmt>5276795</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>65722</BOYAmt>
        <EOYAmt>60246</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>169715</BOYAmt>
        <EOYAmt>567411</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>286362</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>235437</BOYAmt>
        <EOYAmt>914019</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3643459</BOYAmt>
        <EOYAmt>4224813</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>143020</BOYAmt>
        <EOYAmt>137963</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3786479</BOYAmt>
        <EOYAmt>4362776</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4021916</BOYAmt>
        <EOYAmt>5276795</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>360487</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>215810</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>505872</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>552830</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>549426</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>566374</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>607207</CurrentTaxYearAmt>
        <TotalAmt>2781709</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>2867980</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1493603</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2178293</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2626193</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2719632</CurrentTaxYearAmt>
        <TotalAmt>11885701</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>3373852</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2046433</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2727719</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3192567</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3326839</CurrentTaxYearAmt>
        <TotalAmt>14667410</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>14667410</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>36942</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>49906</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>63006</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>67209</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>119579</CurrentTaxYearAmt>
        <TotalAmt>336642</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>36942</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>49906</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>63006</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>67209</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>119579</CurrentTaxYearAmt>
        <TotalAmt>336642</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearMinus4YearsAmt>10830</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13571</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5210</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>965</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>30576</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>107000</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>41000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus1YearAmt>82000</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>65500</CurrentTaxYearAmt>
        <TotalAmt>295500</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>3528624</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2150910</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2795935</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3342741</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3511918</CurrentTaxYearAmt>
        <TotalAmt>15330128</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.95680</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.95750</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02200</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01790</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>1</VolunteersInd>
      <PaidStaffOrManagementInd>1</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>48697</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>48697</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES A SMALL AMOUNT OF LOBBYING EACH YEAR ON A FEW TOPICS THAT IMPACT ITS CONSTITUENCY, BUT ARE SPEARHEADED BY LARGER ASSOCIATIONS. THE ASSOCIATION HAS HIRED A LOBBYING FIRM TO EDUCATE THE PUBLIC POLICY COMMITTEE MEMBERS ON HOW TO COMMUNICATE WITH MEMBERS OF CONGRESS AND THE FEDERAL ADMINISTRATION, AS WELL AS KEEP THE ASSOCIATION'S MEMBERSHIP INFORMED OF ISSUES THAT MAY BE OF INTEREST TO THEM. THE ORGANIZATION'S PUBLIC POLICY COMMITTEE VISITS CAPITAL HILL WHEN ABLE ON AN ANNUAL BASIS TO EDUCATE MEMBERS OF CONGRESS ON PHYSIATRY IN CONJUNCTION WITH THE FALL BOARD MEETING OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>110703</BeginningYearBalanceAmt>
        <ContributionsAmt>300</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3484</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>8744</OtherExpendituresAmt>
        <EndYearBalanceAmt>105743</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>115713</BeginningYearBalanceAmt>
        <ContributionsAmt>300</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3434</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>8744</OtherExpendituresAmt>
        <EndYearBalanceAmt>110703</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>119439</BeginningYearBalanceAmt>
        <ContributionsAmt>5</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>6850</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>10581</OtherExpendituresAmt>
        <EndYearBalanceAmt>115713</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>124369</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>4708</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>9638</OtherExpendituresAmt>
        <EndYearBalanceAmt>119439</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>129471</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>2932</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>8034</OtherExpendituresAmt>
        <EndYearBalanceAmt>124369</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.97270</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.02730</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>369360</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>83366</DepreciationAmt>
        <BookValueAmt>285994</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>245002</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>103379</DepreciationAmt>
        <BookValueAmt>141623</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>427617</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>286362</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>286362</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3326839</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3326839</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>119579</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>119579</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3446418</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3075547</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3075547</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>10384</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>10384</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3085931</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO PROVIDE RESEARCH, LECTURESHIP, AND SCHOLARSHIP AWARDS TO INDIVIDUALS IN THE FIELD OF PHYSIATRY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION'S EVALUATIONS ON AUGUST 31, 2024 AND 2023 REVEALED NO UNCERTAIN TAX POSITIONS THAT WOULD HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. THE 2020 THROUGH 2022 TAX YEARS REMAIN SUBJECT TO EXAMINATION BY THE IRS. THE ASSOCIATION DOES NOT BELIEVE THAT ANY REASONABLY POSSIBLE CHANGES, OR RELATED INTEREST OR PENALTY CHARGES, WILL OCCUR WITHIN THE NEXT TWELVE MONTHS THAT WILL HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT INCOME 119,579.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EDUCATIONAL PROGRAMMING (NONSPECIFIC)</GrantTypeTxt>
        <NonCashAssistanceAmt>5000</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MEDICAL STUDENT CLINICAL EXTERNSHIP PROGRAM (MSSCE)</GrantTypeTxt>
        <NonCashAssistanceAmt>37000</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>REHABILITATION RESEARCH EXPERIENCE FOR MED STUDENTS (RREMS)</GrantTypeTxt>
        <NonCashAssistanceAmt>29000</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>STIPENDS ARE AWARDED ANNUALLY TO STUDENTS IN SUMMER CLINICAL OR RESEARCH PROGRAMS. ADDITIONALLY, THE DIRECTORS OF EACH PROGRAM ARE PROVIDED STIPENDS TO RUN THE PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIFFANY I KNOWLTON</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>230889</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15283</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6455</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>252627</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR HAS A WRITTEN EMPLOYMENT CONTRACT. SALARY INCREASES ARE INCLUDED IN THE CONTRACT. BONUSES ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS MEMBERS THAT PAY ANNUAL MEMBERSHIP DUES TO SUPPORT THE ASSOCIATION'S MISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION'S MEMBERSHIP ELECTS MEMBERS OF THE GOVERNING BODY EVERY YEAR WITH A SMALL NUMBER OF MEMBERS OF THE BOARD ROTATING OFF EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL LEGISLATIVE POWERS OF THE ASSOCIATION, INCLUDING THE POWER TO ALTER, AMEND OR REPEAL THE BYLAWS, ARE INVESTED IN THE MEMBERSHIP OF THE ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCORDING TO THE ASSOCIATION'S BYLAWS, NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION PROVIDES COPIES OF FORM 990 TO THE GOVERNANCE COMMITTEE, WHICH, PER THE ASSOCIATION'S BYLAWS, IS RESPONSIBLE FOR OVERSIGHT OF FINANCIAL MATTERS THAT INCLUDE ANNUAL BUDGETING, OPERATING PERFORMANCE, THE FINANCIAL STATEMENT AUDIT AND TAX RETURNS. DISSEMINATION OF THIS INFORMATION IS ELECTRONIC IN NATURE. THE INFORMATION IS REVIEWED REGULARLY AT MEETINGS OF THE GOVERNANCE COMMITTEE, INCLUDING DISCUSSION AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION ANNUALLY PROVIDES DISCLOSURE FORMS TO THE BOARD OF TRUSTEES AND KEY EMPLOYEES. THE FORMS ARE COMPLETED, COLLECTED AND REVIEWED FOR CONFLICTS (IF ANY). THE COMPLETED FORMS ARE REVIEWED ANNUALLY AT THE FIRST MEETING OF THE BOARD OF TRUSTEES EACH FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION DETERMINES COMPENSATION OF KEY PERSONNEL AT HIRING, THROUGH THE USE OF INDEPENDENT THIRD PARTY CONSULTANTS. SUBSEQUENT COMPENSATION CHANGES FOR KEY EMPLOYEES ARE COMPARED TO PUBLISHED COMPARABLE DATA AVAILABLE PUBLICLY BY THE SOCIETY OF ASSOCIATION EXECUTIVES AND ARE REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. OTHER EMPLOYEE COMPENSATION IS DETERMINED BY THE EXECUTIVE DIRECTOR, AND IS REVIEWED AND APPROVED BY THE ASSOCIATION'S GOVERNANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND TAX RETURNS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 235,049. MANAGEMENT AND GENERAL EXPENSES 123,086. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 358,135. EDITING EXPENSES: PROGRAM SERVICE EXPENSES 68,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>