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        <BusinessName>
          <BusinessNameLine1Txt>Debra Janiszewski</BusinessNameLine1Txt>
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        <BusinessName>
          <BusinessNameLine1Txt>Jennifer Nemkovich</BusinessNameLine1Txt>
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        <BusinessName>
          <BusinessNameLine1Txt>Nicki Augustyn</BusinessNameLine1Txt>
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      <ContractorCompensationGrp>
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          <BusinessNameLine1Txt>Debra Janiszewski</BusinessNameLine1Txt>
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        <TitleTxt>Senior Vice President</TitleTxt>
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          <BusinessNameLine1Txt>Richard Schuch</BusinessNameLine1Txt>
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        <TitleTxt>Senior Vice President</TitleTxt>
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          <BusinessNameLine1Txt>John Rather</BusinessNameLine1Txt>
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        <TitleTxt>General counsel</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>Jonathan Iaccarino</BusinessNameLine1Txt>
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        <BusinessName>
          <BusinessNameLine1Txt>Manuel Alfaro</BusinessNameLine1Txt>
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        <TitleTxt>Senior Director</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>Robb Rabito</BusinessNameLine1Txt>
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        <TitleTxt>Senior DIrector</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Suzanne Sletto</BusinessNameLine1Txt>
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        <TitleTxt>Senior Director</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>4271</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>The American College of Chest Physicians includes as taxable compensation any health club dues paid on behalf of both interested and non-interested persons.</ExplanationTxt>
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        <BondIssuedDt>2013-03-07</BondIssuedDt>
        <IssuePriceAmt>18000000</IssuePriceAmt>
        <PurposeDesc>See description on Part VI</PurposeDesc>
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        <CapitalExpendituresAmt>18000000</CapitalExpendituresAmt>
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        <BondReferenceCd>A</BondReferenceCd>
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        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
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        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
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        <BondReferenceCd>A</BondReferenceCd>
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        <FormAndLineReferenceDesc>Schedule K, Part I Description of Purpose</FormAndLineReferenceDesc>
        <ExplanationTxt>The acquisition, design, development, construction, improvement, furnishing and equipping of certain new educational and training facilities, including, without limitation, one or more simulators, an auditorium, classrooms, administrative offices and various other educational and training facilities and including site improvements, landscaping, and improvements to roads, walkways and parking lots, all at 2595 Patriot Blvd, Glenview, Illinois 60026.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part III, Line 9 Written Procedures</FormAndLineReferenceDesc>
        <ExplanationTxt>The College has a draft form of written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with requirements. Management is in the process of obtaining formal approval.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 7 Written Procedures</FormAndLineReferenceDesc>
        <ExplanationTxt>The College has a draft form of written procedures to monitor the requirements of Section 148. Management is in the process of obtaining formal approval.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part V Written Procedures</FormAndLineReferenceDesc>
        <ExplanationTxt>The College has a draft form of written procedures and Management is in the process of obtaining formal approval.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 1,113,867 including grants of $)(Revenue $ 2,990,067) LEADERSHIP, NETWORKS, AND MEMBERSHIP: INTERDISCIPLINARY, FOCUSED-INTEREST GROUPS ARE ESTABLISHED TO PROVIDE THE OPPORTUNITY TO FORM A PROFESSIONAL ALLIANCE WITH OTHER MEMBERS OR GROUPS WHO SHARE SIMILAR EXPERTISE AND CONCERNS RELATIVE TO CLINICAL PRACTICE AND/OR COMMUNITY HEALTH ISSUES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a Delegate broad authority to a committee</FormAndLineReferenceDesc>
        <ExplanationTxt>The Governance Committee consists of the College's Immediate Past President, the Foundation's Immediate Past President, three at-large members of the Board of Regents and two at-large members of the Board of Trustees to be selected by the College and Foundation Presidents. The Governance Committee shall propose nominees for elective offices as designated by the Board of Regents and Board of Trustees, in accordance with procedures determined by the Boards. The Governance Committee may consider nominees recommended by any Fellow in good standing.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization amended the following provisions of its bylaws: (a) size and composition of the Organization's governing board; (b) how the governing board is elected; (c) quorum for the annual meeting of the members; and (d) composition of the Finance, Compensation, and Governance Committees.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has the following classes of membership with the right to elect members of the board or regents. There are no other rights granted to these members. Fellow: A physician or other healthcare professional or person holding an advanced degree, who meets such qualifications as established by the board of regents. Fellows shall be entitled to all privileges of the College, including but not limited to, the right to vote at the meetings of Fellows and to hold office. Fellows shall be permitted to use the designation "FCCP". Master Fellow: A Master Fellow shall be a Fellow who meets such qualifications as have been established by the board of regents. A Master Fellow shall have their dues permanently waived, continue to be a Fellow, and shall be permitted to use the designation "Master FCCP".</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Regents-at-Large shall be elected by the Fellows at the Annual Meeting. They shall serve an initial term of three (3) years and shall be eligible for re-election for one (1) additional three (3) year term. The Governance Committee shall propose a candidate for the office of President-Designate. Candidates for the office of President-Designate may also be nominated by twenty-five (25) Fellows in good standing, provided that such nominations are submitted to the Executive Vice President in the form of a written petition signed by the petitioning Fellows at least sixty (60) days before the Annual Meeting of Fellows, and provided such candidates have agreed in writing in advance to accept such nomination. Nominations will not be accepted from the floor. All elected officers of the College shall be elected at the Annual Meeting of Fellows. Except for the Secretary, all officers shall serve a term of one (1) year or until their successors have been duly elected and qualified. All elected officers shall assume their duties on January 1 after the annual meeting.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior to filing the return with the IRS, a draft of the completed Form 990 is reviewed by the organization's Finance Committee. Subsequent to the Finance Committee's review, the completed and final Form 990 is presented to the organization's Board of Directors for review and filed with the IRS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually, the organization distributes an electronic conflict of interest questionnaire to all interested persons to determine if any potential or actual conflict of interest exists. The Professional Standards Committee reviews each questionnaire electronically submitted by these individuals to determine if any potential or actual conflicts of interest exist and requires the attention of the board. If the board determines that an actual conflict exists, then the interested person with the conflict will recuse him/herself from any related discussion, vote or similar action on the matter.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEAR ENDED DECEMBER 31, 2022 THE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT MEMBERS, ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE CONSULTING ADVICE AND MARKET COMPARABILITY DATA ABOUT THE ORGANIZATION'S TOP MANAGEMENT, WHICH INCLUDES THE CEO AND ALL KEY EMPLOYEES. THE INDEPENDENT COMPENSATION CONSULTANT DETERMINED THE "DISQUALIFIED PERSONS THE METHODOLOGY USED TO ASSESS REASONABLENESS. THIS ASSESSMENT WAS CONDUCTED AT THE TOTAL REWARDS LEVEL AND INCLUDED ALL COMPENSATION COMPONENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEAR ENDED DECEMBER 31, 2022 THE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT MEMBERS, ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE CONSULTING ADVICE AND MARKET COMPARABILITY REGARDING HONORARIUMS CERTAIN OFFICERS RECEIVE. THE COLLEGE'S BOARD OF REGENTS DETERMINED THAT THE PRESIDENT, PRESIDENT ELECT, IMMEDIATE PAST-PRESIDENT AND PRESIDENT DESIGNATE SHALL RECEIVE HONORARIUMS FOR THE TIME SERVED IN THESE POSITIONS. THE INDEPENDENT COMPENSATION CONSULTANT DETERMINED THAT HONORARIUMS PAID TO THESE OFFICERS ARE REASONABLE WHEN COMPARED TO SIMILAR MEDICAL ASSOCIATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's bylaws and conflict of interest policy are available on the organization's website. Other documents which are required to be made available to the public, pursuant to IRC §6104, are available upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Gain on swap valuation - 273039;</ExplanationTxt>
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          <BusinessNameLine1Txt>THE CHEST FOUNDATION</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>CREATE AND DELIVER EDUCATIONAL PROGRAMS</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>AMERICAN COLLEGE OF CHEST PHYSICIANS</BusinessNameLine1Txt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
