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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARNISH ERIN MD</PersonNm>
        <TitleTxt>AMA DELEGATE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETERSON ELIZABETH MD</PersonNm>
        <TitleTxt>AMA DELEGATE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>4490</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REGE SHEILA MD</PersonNm>
        <TitleTxt>AMA DELEGATE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRYTKO RODNEY MD</PersonNm>
        <TitleTxt>AMA DELEGATE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARKETT PETER MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEALER REILLY</PersonNm>
        <TitleTxt>TRUSTEE THRU 09/30/23</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BLYKOWSKI-MAY MONICA MD</PersonNm>
        <TitleTxt>TRUSTEE THRU 09/30/23</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BROWN LINDA MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BUSCH NAOMI MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DUROWOJU RASHEED MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELLINGSON AMY MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GERBINO INGRID MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEYER LEAH MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HAMLING ALEXANDER MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HAUXWELL CLINTON MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOFFMAN REBECCA MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HORWITCH CARRIE MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IVANJACK LISA MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NAYAK BINDU MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OJOGHO OKECHUKWU MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PARK JAMES MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PIZZUTE CHRISTINE MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PURONEN CAMILLE MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>QUANG TONY MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSSI RALPH MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCHIEBEL STEVEN MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT JOHN MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHANG TIANFU</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAYESTEH YASMIN MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>URBINA ALVAREZ ALAN MD</PersonNm>
        <TitleTxt>TRUSTEE THRU 09/30/23</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YORE AINE MD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HANSCOM JENNIFER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>356128</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23237</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FREDERICKS AMY</PersonNm>
        <TitleTxt>DIRECTOR, FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>150875</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18241</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BOZARTH SHANNON</PersonNm>
        <TitleTxt>SENIOR DIRECTOR, OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>159035</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39022</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GRAHAM SEAN</PersonNm>
        <TitleTxt>DIRECTOR, GOVERNMENT AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>156162</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13271</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MCLEAD MILANA</PersonNm>
        <TitleTxt>SENIOR DIRECTOR, STRATEGIC</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>153461</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23226</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHEPARD JEB</PersonNm>
        <TitleTxt>DIRECTOR, POLICY</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>131364</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12770</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BROWN TROY</PersonNm>
        <TitleTxt>DIRECTOR, INFORMATION TECHNOLOGY</TitleTxt>
        <AverageHoursPerWeekRt>35.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>116087</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16276</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1343406</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>146043</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>186465</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>43265</AllOtherContributionsAmt>
      <TotalContributionsAmt>229730</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3589388</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3589388</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CME ACCREDITATION FEES</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>358401</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>289826</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>68575</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ANNUAL MEETING &amp; CONF.</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>250488</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>250488</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>4198277</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>60901</TotalRevenueColumnAmt>
        <ExclusionAmt>60901</ExclusionAmt>
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      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>5000</TotalRevenueColumnAmt>
        <ExclusionAmt>5000</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>19404</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>19404</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>19404</TotalRevenueColumnAmt>
        <ExclusionAmt>19404</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1714799</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1700553</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>14246</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>14246</TotalRevenueColumnAmt>
        <ExclusionAmt>14246</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>ASSOCIATION MGMT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>765056</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>758876</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>6180</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PHYSICIANS INSUR. FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>300924</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>300924</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>LOBBYING SVCS CONTRACT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>36000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15000</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>21000</UnrelatedBusinessRevenueAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>97985</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4958</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>33716</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>59311</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>1199965</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>5727523</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4908536</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>430395</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>158862</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>80316</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>767089</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2365575</TotalAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>62515</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>296750</TotalAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>272099</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>15333</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>52696</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>90000</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>8138</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>23394</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>21883</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>124317</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>35921</TotalAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>274307</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>14103</TotalAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>501735</TotalAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>28467</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>21016</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEMBERSHIP DEVELOPMENT</Desc>
        <TotalAmt>221346</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ASSOCIATION MGMT.</Desc>
        <TotalAmt>119882</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>INCOME TAX EXPENSE</Desc>
        <TotalAmt>49686</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TAX - OTHER</Desc>
        <TotalAmt>33747</TotalAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>225584</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>5705899</TotalAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>15040</BOYAmt>
        <EOYAmt>14965</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2077078</BOYAmt>
        <EOYAmt>3351053</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>96669</BOYAmt>
        <EOYAmt>83492</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>110415</BOYAmt>
        <EOYAmt>127821</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>928069</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>681691</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>271823</BOYAmt>
        <EOYAmt>246378</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>1923479</BOYAmt>
        <EOYAmt>2114894</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>338530</BOYAmt>
        <EOYAmt>135553</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>4833034</BOYAmt>
        <EOYAmt>6074156</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>278569</BOYAmt>
        <EOYAmt>298353</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>1306859</BOYAmt>
        <EOYAmt>2297695</EOYAmt>
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      <EscrowAccountLiabilityGrp>
        <BOYAmt>60041</BOYAmt>
        <EOYAmt>204873</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>381632</BOYAmt>
        <EOYAmt>169087</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2027101</BOYAmt>
        <EOYAmt>2970008</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2805933</BOYAmt>
        <EOYAmt>3104148</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2805933</BOYAmt>
        <EOYAmt>3104148</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4833034</BOYAmt>
        <EOYAmt>6074156</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>21624</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>276591</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <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>
    <IRS990ScheduleC documentId="RetDoc1039500001">
      <Section527PoliticalOrgGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>WASHINGTON STATE MEDICAL PAC</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>1215 FOURTH AVENUE SUITE 1901</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98161</ZIPCd>
        </USAddress>
        <EIN>910864731</EIN>
        <ContributionsRcvdDlvrAmt>145568</ContributionsRcvdDlvrAmt>
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      <SubstantiallyAllDuesNondedInd>0</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>0</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>1</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>3589388</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>609673</NonDeductibleLbbyngPltclCYAmt>
      <NonDedLbbyngPltclCyovAmt>-307778</NonDedLbbyngPltclCyovAmt>
      <NonDeductibleLbbyngPltclTotAmt>301895</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>538408</AggregateReportedDuesNtcAmt>
      <TaxableAmt>-236513</TaxableAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>162608</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>162608</BookValueAmt>
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      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>280138</InvestmentCostOrOtherBasisAmt>
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        <BookValueAmt>46849</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>20281</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>17745</DepreciationAmt>
        <BookValueAmt>2536</BookValueAmt>
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      <EquipmentGrp>
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        <OtherCostOrOtherBasisAmt>305503</OtherCostOrOtherBasisAmt>
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        <BookValueAmt>24591</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>9794</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>246378</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>INCOME TAXES PAYABLE</Desc>
        <Amt>1597</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
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      <InvestmentExpensesNotIncldAmt>8138</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>8138</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>5727523</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>5697761</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>8138</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>8138</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>5705899</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR, MEMBERS OF WASHINGTON STATE MEDICAL ASSOCIATION PAY ANNUAL FEES TO WSMA AS WELL AS FEES TO COVER OTHER DUES ON BEHALF OF COUNTIES, THE WASHINGTON STATE MEDICAL POLITICAL ACTION COMMITTEE AND THE WSMA FOUNDATION FOR HEALTH CARE IMPROVEMENT. THIS ALLOWS THE WSMA MEMBERS TO MAKE ONE PAYMENT AND WSMA SUBSEQUENTLY DISBURSES THOSE DUES ON BEHALF OF THE PAYING MEMBERS. WSMA CARRIES DUES COLLECTED AS A PAYABLE UNTIL THEY ARE REMITTED TO THE ABOVE ENTITIES. THESE FUNDS REPRESENT AGENCY TRANSACTIONS.</ExplanationTxt>
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          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
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        <PurposeOfGrantTxt>GENERAL CONTRIBUTION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WASHINGTON HEALTHCARE FORUM SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2003 WESTERN AVE STE 600</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98121</ZIPCd>
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        <PurposeOfGrantTxt>GENERAL CONTRIBUTION</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WASHINGTON STATE MEDICAL ASSOCIATION CONTRIBUTES UNRESTRICTED FUNDS TO ORGANIZATIONS WHOSE PURPOSE IS TO IMPROVE THE PRACTICE OF MEDICINE. THE WSMA STAFF IS ACTIVELY INVOLVED WITH ORGANIZATIONS WHO RECEIVE CONTRIBUTIONS.</ExplanationTxt>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HANSCOM JENNIFER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12962</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7000</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9900</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13337</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>379365</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BOZARTH SHANNON</PersonNm>
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        <BonusFilingOrganizationAmount>2389</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4879</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34143</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>GRAHAM SEAN</PersonNm>
        <TitleTxt>DIRECTOR, GOVERNMENT AFFAIRS</TitleTxt>
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        <PersonNm>FREDERICKS AMY</PersonNm>
        <TitleTxt>DIRECTOR, FINANCE</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6, VOLUNTEERS:</FormAndLineReferenceDesc>
        <ExplanationTxt>WASHINGTON STATE MEDICAL ASSOCIATION HAS 5 STANDING COMMITTEES BY WHICH VOLUNTEERS CAN SERVE. VOLUNTEERS ARE EITHER ELECTED OR APPOINTED TO A COMMITTEE BASED ON THE VOLUNTEER'S EXPERTISE. VOLUNTEERS WITHIN THE COMMITTEE ARE DIRECTED TO IDENTIFY AND ANALYZE ONGOING OR EMERGING ISSUES OF DIRECT CONCERN TO PHYSICIANS AND MAKE APPROPRIATE RECOMMENDATIONS FOR POLICY OR ACTION AS APPROPRIATE TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES HAS FULL AND COMPLETE POWER AND AUTHORITY TO PERFORM ALL ACTS AND TO TRANSACT ALL BUSINESS FOR OR ON BEHALF OF THE ASSOCIATION, AND TO MANAGE AND CONDUCT ALL THE PROPERTY, AFFAIRS, AND ACTIVITIES OF WSMA. THE EXECUTIVE COMMITTEE SUPERVISES AND DIRECTS THE EXECUTIVE DIRECTOR/CEO AND OTHER EMPLOYEES IN THE EXECUTION OF THEIR DUTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE PART III, LINE 4D.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>WASHINGTON STATE MEDICAL ASSOCIATION HAS A VARIETY OF MEMBERSHIP CLASSES. THEY INCLUDE THE FOLLOWING: - ACTIVE MEMBERS: ACTIVE MEMBERS ARE GRANTED ALL RIGHTS AND PRIVILEGES OF MEMBERSHIP, INCLUDING BUT NOT LIMITED TO THE RIGHT TO REGISTER AT SESSIONS OF THIS ASSOCIATION, TO ATTEND AND PARTICIPATE IN GENERAL MEETINGS HELD THEREIN, TO VOTE, TO HOLD OFFICE, AND TO RECEIVE A SUBSCRIPTION TO THE ASSOCIATION'S OFFICIAL PUBLICATION. AN ACTIVE MEMBER SHALL BE SUBJECT TO THE PAYMENT OF FULL DUES AND ASSESSMENTS. - ACTIVE-LIMITED MEMBERS: AN ACTIVE-LIMITED MEMBER SHALL BE ONE WHO IS OTHERWISE QUALIFIED FOR ACTIVE MEMBERSHIP AND WHO LIMITS THE PRACTICE OF MEDICINE TO LESS THAN 20 HOURS PER WEEK. AN ACTIVE-LIMITED MEMBER SHALL HAVE ALL THE RIGHTS AND PRIVILEGES OF AN ACTIVE MEMBER. AN ACTIVE-LIMITED MEMBER SHALL BE SUBJECT TO PAYMENT OF 55 PERCENT OF THE DUES AND ASSESSMENTS. - HONORARY MEMBERS: AN HONORARY MEMBER SHALL BE ONE WHO IS NOT OTHERWISE QUALIFIED FOR ACTIVE MEMBERSHIP, WHO IS DISTINGUISHED BY OUTSTANDING SERVICE OR ACHIEVEMENT IN THE PROFESSION OR THE COMMUNITY, WHO IS RECOMMENDED FOR HONORARY MEMBERSHIP BY A COMPONENT COUNTY SOCIETY, AND WHO IS ELECTED TO HONORARY MEMBERSHIP BY THE BOARD OF TRUSTEES OF THIS ASSOCIATION. AN HONORARY MEMBER SHALL HAVE ALL THE RIGHTS AND PRIVILEGES OF AN ACTIVE MEMBER EXCEPT THE RIGHT TO VOTE AND HOLD OFFICE. AN HONORARY MEMBER SHALL NOT BE SUBJECT TO PAYMENT OF DUES OR ASSESSMENTS. - RETIRED MEMBERS: A RETIRED MEMBER SHALL BE ONE WHO HAS BEEN QUALIFIED FOR ACTIVE MEMBERSHIP, WHO HAS RETIRED FROM ACTIVE PRACTICE, AND WHO HAS BEEN A MEMBER IN GOOD STANDING IN ONE OR MORE CONSTITUENT OR COMPONENT ASSOCIATIONS OF THE AMERICAN MEDICAL ASSOCIATION FOR TWENTY-FIVE YEARS. A RETIRED MEMBER SHALL HAVE ALL THE RIGHTS AND PRIVILEGES OF AN ACTIVE MEMBER. A RETIRED MEMBER SHALL NOT BE SUBJECT TO PAYMENT OF DUES AND ASSESSMENTS. - RESIDENT MEMBERS: A RESIDENT MEMBER SHALL BE ONE, WHO IS OTHERWISE QUALIFIED FOR ACTIVE MEMBERSHIP, AND WHO IS A RESIDENT, FELLOW OR OTHER PHYSICIAN ENGAGED IN FORMAL POSTGRADUATE MEDICAL TRAINING IN AN INSTITUTION APPROVED BY THE COUNCIL ON MEDICAL EDUCATION OF THE AMERICAN MEDICAL ASSOCIATION, EXCEPT THAT A LICENSE TO PRACTICE MEDICINE IS NOT REQUIRED. A RESIDENT MEMBER SHALL HAVE ALL THE RIGHTS AND PRIVILEGES OF AN ACTIVE MEMBER. RESIDENT DUES SHALL BE ESTABLISHED BY THE BOARD OF TRUSTEES. - MEDICAL STUDENT MEMBERS: A MEDICAL STUDENT MEMBER SHALL BE ONE WHO IS A FULL-TIME STUDENT OF THE UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, AND WHO IS MAKING SATISFACTORY PROGRESS TOWARD THE ATTAINMENT OF THE DEGREE OF DOCTOR OF MEDICINE. A MEDICAL STUDENT MEMBER SHALL HAVE ALL THE RIGHTS AND PRIVILEGES OF AN ACTIVE MEMBER, EXCEPT THE RIGHT TO VOTE, OR TO HOLD OFFICE OTHER THAN AS A STUDENT TRUSTEE AND STUDENT SECTION DELEGATE OR ALTERNATE TO THE HOUSE OF DELEGATES. MEDICAL STUDENT MEMBER DUES SHALL BE ESTABLISHED BY THE BOARD OF TRUSTEES. - PHYSICIAN ASSISTANT MEMBERS: A PHYSICIAN ASSISTANT MEMBER SHALL BE ONE WHO IS LICENSED BY THE MEDICAL QUALITY ASSURANCE COMMISSION. A PHYSICIAN ASSISTANT MEMBER SHALL HAVE ALL THE RIGHTS AND PRIVILEGES OF AN ACTIVE MEMBER, EXCEPT THE RIGHT TO VOTE OR TO BE AN OFFICER; HOWEVER, THE PHYSICIAN ASSISTANT SECTION DELEGATE TO THE HOUSE OF DELEGATES MAY VOTE WHILE CARRYING OUT THE FUNCTION OF THE POSITION. PHYSICIAN ASSISTANT DUES SHALL BE DETERMINED BY THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY IS ELECTED BY THE HOUSE OF DELEGATES. THE HOUSE OF DELEGATES IS COMPOSED OF MEMBERS IN GOOD STANDING WHO ARE DELEGATES REPRESENTING THE COMPONENT COUNTY SOCIETIES, DELEGATES REPRESENTING SPECIALTY SOCIETY SECTIONS, DELEGATES REPRESENTING THE SPECIAL SECTIONS DEFINED IN THE BYLAWS, AND THE MEMBERS OF THE BOARD OF TRUSTEES OF THE ASSOCIATION, AND DELEGATES REPRESENTING AFFILIATE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF FORM 990 IS DISTRIBUTED TO ALL BOARD MEMBERS PRIOR TO FILING THE TAX RETURN WITH THE IRS. THE BOARD HAS DESIGNATED THAT THE EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE PERFORM THE DETAIL REVIEW OF THE TAX RETURN TO ENSURE AN ACCURATE TAX RETURN IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT-OF-INTEREST POLICY AT THE OCTOBER BOARD MEETING. LEGAL COUNCIL ATTENDS THE MEETING TO EXPLAIN THE IMPORTANCE OF A CONFLICT-OF-INTEREST POLICY, GIVE EXAMPLES OF CONFLICTS AND ANSWER QUESTIONS. POTENTIAL CONFLICT OF INTEREST ITEMS ARE DISCUSSED OPENLY AT THE MEETING. IF AN OFFICER HAS A CONFLICT OF INTEREST, THE OFFICER IS REQUIRED TO EITHER RECUSE THEMSELVES FROM THE VOTE OR STEP OUT OF THE ROOM DURING THE DISCUSSION AND NOT VOTE ON THAT PARTICULAR ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>HONORARIUMS FOR THE EXECUTIVE COMMITTEE ARE REVIEWED ANNUALLY. HONORARIUMS ARE BASED ON THE DEGREE OF RESPONSIBILITY, TIME COMMITMENT AND WHAT IS PROVIDED BY OTHER LIKE-SIZED STATE MEDICAL ASSOCIATIONS. THE EXECUTIVE DIRECTOR/CEO'S COMPENSATION IS REVIEWED ANNUALLY AS PART OF AN OVERALL PERFORMANCE EVALUATION PROCESS AT THE BEGINNING OF THE FISCAL YEAR. THE LEVEL IS ESTABLISHED IN CONTEXT OF DEGREE OF RESPONSIBILITY, PERFORMANCE RELATIVE TO AGREED UPON OBJECTIVES, AND WHAT IS PROVIDED BY THE OTHER LIKE-SIZED STATE MEDICAL ASSOCIATIONS. THE LAST COMPENSATION REVIEW FOR THE CEO WAS CONDUCTED IN 2023.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>WASHINGTON STATE MEDICAL ASSOCIATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS OPEN TO THE PUBLIC. IT IS NOT REQUIRED TO DO SO BY LAW. IT DOES COMPLY WITH ALL PUBLIC DISCLOSURE REQUIREMENTS FOR ITS FEDERAL TAX FILINGS.</ExplanationTxt>
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