<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2023-11-14T16:30:23+00:00</ReturnTs>
    <TaxPeriodEndDt>2022-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>135381590</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BDO USA PC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>8401 GREENSBORO DRIVE 800</AddressLine1Txt>
        <CityNm>MCLEAN</CityNm>
        <StateAbbreviationCd>VA</StateAbbreviationCd>
        <ZIPCd>22102</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>311781555</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>American College of Cardiology</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>AMER</BusinessNameControlTxt>
      <PhoneNum>2023756000</PhoneNum>
      <USAddress>
        <AddressLine1Txt>2400 N Street NW</AddressLine1Txt>
        <CityNm>Washington DC</CityNm>
        <StateAbbreviationCd>DC</StateAbbreviationCd>
        <ZIPCd>20037</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Cathleen C Gates</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>2023756000</PhoneNum>
      <SignatureDt>2023-11-14</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>Cathleen</PersonFirstNm>
        <PersonLastNm>Gates</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>MARC BERGER</PreparerPersonNm>
      <PTIN>P01871563</PTIN>
      <PhoneNum>7038930600</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="IRS990" softwareId="22016089" softwareVersionNum="2022v5.0">
      <PrincipalOfcrBusinessName>
        <BusinessNameLine1Txt>Cathleen C Gates</BusinessNameLine1Txt>
      </PrincipalOfcrBusinessName>
      <USAddress>
        <AddressLine1Txt>2400 N Street NW</AddressLine1Txt>
        <CityNm>Washington DC</CityNm>
        <StateAbbreviationCd>DC</StateAbbreviationCd>
        <ZIPCd>20037</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>27275591</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501cInd organization501cTypeTxt="6">X</Organization501cInd>
      <WebsiteAddressTxt>www.ACC.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2001</FormationYr>
      <LegalDomicileStateCd>DC</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO TRANSFORM CARDIOVASCULAR CARE AND IMPROVE HEART HEALTH.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>15</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>8</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>2</TotalEmployeeCnt>
      <TotalVolunteersCnt>2050</TotalVolunteersCnt>
      <TotalGrossUBIAmt>119336</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>1081021</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2246910</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>20317767</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>23437423</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>3987</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>7930</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>1316764</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>1583328</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>22719539</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>27275591</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>31580</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>257289</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>11175205</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>11872687</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>11346942</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>15081809</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>22553727</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>27211785</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>165812</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>63806</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>26183566</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>22869328</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>26183566</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>22869328</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>0</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>0</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO TRANSFORM CARDIOVASCULAR CARE AND IMPROVE HEART HEALTH.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <Desc>MEMBERSHIP - MEMBERSHIP BENEFITS INCLUDE SUBSCRIPTIONS TO MEMBER PUBLICATIONS (JOURNAL OF AMERICAN COLLEGE OF CARDIOLOGY), FREE ON-LINE ACCESS TO CARDIOSOURCE, LIVE EDUCATIONAL PROGRAMS AND DIGITAL EDUCATIONAL PRODUCTS, ACCESS TO CAREER DEVELOPMENT SERVICES AND OPPORTUNITIES INCLUDING JOB BOARDS, MENTORING, RESEARCH AWARDS AND TRAINING.</Desc>
      <ProgSrvcAccomActy2Grp>
        <Desc>ADVOCACY - THE COLLEGE CONTINUALLY ADVOCATES FOR QUALITY CARDIOVASCULAR CARE AND SEEKS TO INFLUENCE HEALTH CARE POLICY FOR ITS MEMBERS AND THEIR PATIENTS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <Desc>BOG/MEMBER LEADERSHIP/CHAPTER RELATIONS - THE BOARD OF GOVERNORS AND CHAPTERS DEPARTMENT OF THE ACC IS RESPONSIBLE FOR ENHANCING THE ACC VOLUNTEER EXPERIENCE THROUGH THE BOARD OF GOVERNORS AND CHAPTERS LEADERSHIP EXPERIENCE. ACC'S LEADERSHIP DEVELOPMENT PROGRAMMING IMPROVES THE EFFECTIVENESS OF CV PROFESSIONALS AND CREATES A PIPELINE OF LEADERS BY ENHANCING THE CAPABILITIES OF OUR MEMBERS DIVERSE IN THOUGHT, EXPERIENCE AND CAREER-STAGE, TO CONTRIBUTE TO ACC ACTIVITIES AND THE WORKFORCE AT ALL LEVELS OF PATIENT CARE AND CV LEADERSHIP ACROSS THE GLOBE.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>ANNUAL SCIENTIFIC SESSION EXPOSITION</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>LEADERSHIP AND GOVERNANCE</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <ProgSrvcAccomActyOtherGrp>
        <Desc>OTHER</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalProgramServiceExpensesAmt>0</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind>false</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <SubjectToProxyTaxInd referenceDocumentId="IRS990ScheduleC">true</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
      <ConservationEasementsInd>false</ConservationEasementsInd>
      <CollectionsOfArtInd>false</CollectionsOfArtInd>
      <CreditCounselingInd>false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="IRS990ScheduleD">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd>false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="IRS990ScheduleD">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd>false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="IRS990ScheduleI">true</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="IRS990ScheduleR">true</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>true</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>0</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>2</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>true</NondeductibleContributionsInd>
      <NondeductibleContriDisclInd>true</NondeductibleContriDisclInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>15</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>8</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>DC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>MD</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>Maria Thomas</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>2023756646</PhoneNum>
        <USAddress>
          <AddressLine1Txt>2400 N Street NW</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20037</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>B HADLEY WILSON MD FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>CHRISTOPHER M KRAMER MD FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>76750</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DIPTI ITCHHAPORIA MD FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Immediate Past President</TitleTxt>
        <AverageHoursPerWeekRt>4.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>127150</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>EDWARD T A FRY MD FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>President</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MALISSA WOOD MD FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>BOG Chair</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>92925</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Nicole L Lohr MD PhD FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>BOG Chair - Elect</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>33900</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>CATHLEEN BIGA MSN RN FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>6275</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Ed W Childs MD FACS</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>800</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>HANI NAJM MDFACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>800</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JAMES L JANUZZI JR MD FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>7550</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JEFFREY T KUVIN MD FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>6550</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JOSEPH EDWARD MARINE MD MBA FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>8600</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Pamela B Morris MD FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>40102</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ROXANA MEHRAN MD FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>4500</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>THOMAS MADDOX MD FACC</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>2.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.5</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>800</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Cathleen C Gates</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>45.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>94936</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>854422</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>63408</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Ravee Kurian</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>COO / CFO</TitleTxt>
        <AverageHoursPerWeekRt>22.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>27.5</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>206076</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>251871</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39245</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Katherine Marthea Wilson</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>DVP, Membership</TitleTxt>
        <AverageHoursPerWeekRt>37.5</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>12.5</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>217326</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>72442</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>62925</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Lisa Hix</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>EVP</TitleTxt>
        <AverageHoursPerWeekRt>25.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>25.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>240329</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>240329</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>60285</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Noia Morse</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>DVP, Advocacy</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>249497</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>27722</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61317</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Angela Shuman</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Team Leader, Medicare Pymt &amp; Cov Plcy</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>109238</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11357</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Frank Ryan</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>State Gov't Affairs Associate</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>160065</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>49060</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Henry G McCants</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Team Leader, Payer &amp; Care Delivery Policy</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>119522</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26298</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>James Vavricek</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Team Leader, Medicare Pymt &amp; Cov Plcy</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>165405</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>18378</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27801</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Lucas Sanders</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Team Leader, Congressional Affairs</TitleTxt>
        <AverageHoursPerWeekRt>45.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>176250</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>19583</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37166</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1865469</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1764624</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>438861</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Marriott Business Services</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 402642</AddressLine1Txt>
            <CityNm>Atlanta</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30348</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Staff Services</ServicesDesc>
        <CompensationAmt>670696</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>J Spargo &amp; Associates</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11208 Waples Mill Rd Ste 112</AddressLine1Txt>
            <CityNm>Fairfax</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>22030</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACC.22 EXPO</ServicesDesc>
        <CompensationAmt>570528</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FREEMAN Decorating co</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 734596</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75235</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACC.22 EXPO</ServicesDesc>
        <CompensationAmt>563880</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Aramark Services Inc dba Aramark Sports Entnmnt</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 7548</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACC.22 Meeting</ServicesDesc>
        <CompensationAmt>454607</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Hyatt Regency Washington</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>400 New Jersey Ave NW</AddressLine1Txt>
            <CityNm>Washington</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACC.22 Annual Meeting</ServicesDesc>
        <CompensationAmt>404819</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>0</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2246910</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>2246910</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Membership Dues</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>18413856</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18413856</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Annual Scientific Session</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5012017</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5012017</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Advocacy</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>11550</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11550</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>23437423</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>7930</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>7930</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>1463992</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1463992</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </GainOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>Mailing List Rental</Desc>
        <BusinessCd>511140</BusinessCd>
        <TotalRevenueColumnAmt>119336</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>119336</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>119336</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>27275591</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23437423</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>119336</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1471922</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>100230</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>157059</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1316578</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>7544987</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>312109</TotalAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>922933</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1048635</TotalAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>727445</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>13414</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>53018</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>1690000</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2672437</TotalAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>481947</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>55273</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>453631</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>0</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>1438733</TotalAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>728914</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>0</TotalAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>2185129</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>0</TotalAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>104196</TotalAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>JACC Subscriptions</Desc>
        <TotalAmt>1549476</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Honoraria</Desc>
        <TotalAmt>267426</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bank and Credit Card Fees</Desc>
        <TotalAmt>801941</TotalAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Building Operations</Desc>
        <TotalAmt>397304</TotalAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>2188970</TotalAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>27211785</TotalAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>16602452</BOYAmt>
        <EOYAmt>543989</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2227138</BOYAmt>
        <EOYAmt>2273912</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>3968808</BOYAmt>
        <EOYAmt>4169768</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>5345</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>0</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5345</BOYAmt>
        <EOYAmt>5345</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>480590</BOYAmt>
        <EOYAmt>480590</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>0</BOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2899233</BOYAmt>
        <EOYAmt>15395724</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>26183566</BOYAmt>
        <EOYAmt>22869328</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1266566</BOYAmt>
        <EOYAmt>308945</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>24917000</BOYAmt>
        <EOYAmt>22560383</EOYAmt>
      </DeferredRevenueGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>26183566</BOYAmt>
        <EOYAmt>22869328</EOYAmt>
      </TotalLiabilitiesGrp>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>26183566</BOYAmt>
        <EOYAmt>22869328</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>63806</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-63806</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="22016089" softwareVersionNum="2022v5.0">
      <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="IRS990ScheduleC" softwareId="22016089" softwareVersionNum="2022v5.0">
      <SubstantiallyAllDuesNondedInd>false</SubstantiallyAllDuesNondedInd>
      <OnlyInHouseLobbyingInd>false</OnlyInHouseLobbyingInd>
      <AgreeCarryoverPriorYearInd>true</AgreeCarryoverPriorYearInd>
      <DuesAssessmentsAmt>18413856</DuesAssessmentsAmt>
      <NonDeductibleLbbyngPltclCYAmt>2050000</NonDeductibleLbbyngPltclCYAmt>
      <NonDedLbbyngPltclCyovAmt>-2507967</NonDedLbbyngPltclCyovAmt>
      <NonDeductibleLbbyngPltclTotAmt>-457967</NonDeductibleLbbyngPltclTotAmt>
      <AggregateReportedDuesNtcAmt>2331194</AggregateReportedDuesNtcAmt>
      <TaxableAmt>-2789161</TaxableAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="22016089" softwareVersionNum="2022v5.0">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>5345</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>5345</BookValueAmt>
      </LandGrp>
      <TotalBookValueLandBuildingsAmt>5345</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Due From ACC Foundation</Desc>
        <BookValueAmt>15395724</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>15395724</TotalBookValueOtherAssetsAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER ASC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE-LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED. MANAGEMENT BELIEVES IT HAS NO MATERIAL UNCERTAIN TAX POSITIONS NOR ANY PENALTIES AND INTEREST TO BE ACCRUED FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021, AND, ACCORDINGLY, THERE IS NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="22016089" softwareVersionNum="2022v5.0">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Arizona Chapter of the ACC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3849 Broadway Blvd</AddressLine1Txt>
          <CityNm>Tucson</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85716</ZIPCd>
        </USAddress>
        <RecipientEIN>742474220</RecipientEIN>
        <IRCSectionDesc>501(c)(6)</IRCSectionDesc>
        <CashGrantAmt>10230</CashGrantAmt>
        <PurposeOfGrantTxt>Educational Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Illinois Chapter of the ACC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>908 N Elm St 404</AddressLine1Txt>
          <CityNm>Hinsdale</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60521</ZIPCd>
        </USAddress>
        <RecipientEIN>363740744</RecipientEIN>
        <IRCSectionDesc>501(C)6</IRCSectionDesc>
        <CashGrantAmt>9000</CashGrantAmt>
        <PurposeOfGrantTxt>Educational Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Maryland Chapter of ACC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3525 Elliott Mills Dr Ste N</AddressLine1Txt>
          <CityNm>Ellicott City</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>210434622</ZIPCd>
        </USAddress>
        <RecipientEIN>521859537</RecipientEIN>
        <IRCSectionDesc>501(C)6</IRCSectionDesc>
        <CashGrantAmt>21000</CashGrantAmt>
        <PurposeOfGrantTxt>Educational Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>New York Chapter of the ACC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>31 W 34th St Ste 7054</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10001</ZIPCd>
        </USAddress>
        <RecipientEIN>133569376</RecipientEIN>
        <IRCSectionDesc>501(C)6</IRCSectionDesc>
        <CashGrantAmt>13000</CashGrantAmt>
        <PurposeOfGrantTxt>Educational Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>North Carolina Chapter of the ACC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1500 Sunday Drive</AddressLine1Txt>
          <CityNm>Raleigh</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27607</ZIPCd>
        </USAddress>
        <RecipientEIN>581978714</RecipientEIN>
        <IRCSectionDesc>501(C)6</IRCSectionDesc>
        <CashGrantAmt>17000</CashGrantAmt>
        <PurposeOfGrantTxt>Educational Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Wisconsin Chapter of the ACC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6737 W Washington St Ste 1420</AddressLine1Txt>
          <CityNm>Milwaukee</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53214</ZIPCd>
        </USAddress>
        <RecipientEIN>300097571</RecipientEIN>
        <IRCSectionDesc>501(C)6</IRCSectionDesc>
        <CashGrantAmt>13000</CashGrantAmt>
        <PurposeOfGrantTxt>Section Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Northern New England Tri-State - CHAPTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>76 S State St</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>033013520</ZIPCd>
        </USAddress>
        <RecipientEIN>223148889</RecipientEIN>
        <IRCSectionDesc>501(C)6</IRCSectionDesc>
        <CashGrantAmt>4000</CashGrantAmt>
        <PurposeOfGrantTxt>Section Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Pennsylvania Chapter of the ACC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>777 East Park Drive</AddressLine1Txt>
          <CityNm>Harrisburg</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>171058820</ZIPCd>
        </USAddress>
        <RecipientEIN>251616833</RecipientEIN>
        <IRCSectionDesc>501(C)6</IRCSectionDesc>
        <CashGrantAmt>8000</CashGrantAmt>
        <PurposeOfGrantTxt>Section Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>West Virginia Chapter of ACC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>9111 Old Georgetown Rd</AddressLine1Txt>
          <CityNm>Bethesda</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20814</ZIPCd>
        </USAddress>
        <RecipientEIN>550724979</RecipientEIN>
        <IRCSectionDesc>501(C)6</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>Section Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>0</Total501c3OrgCnt>
      <TotalOtherOrgCnt>9</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Travel and CTR Program Awards</GrantTypeTxt>
        <RecipientCnt>60</RecipientCnt>
        <CashGrantAmt>157059</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT AWARDS ARE FOR TRAVEL REIMBURSEMENTS TO VARIOUS ACC RELATED MEETINGS. RECIPIENTS ARE REIMBURSED FOR ACTUAL TRAVEL EXPENDITURES UP TO THE MAXIMUM ALLOWED BY THE GRANT. REIMBURSEMENTS ARE PAID BASED ON SUBMISSION OF ACTUAL RECEIPTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="22016089" softwareVersionNum="2022v5.0">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Cathleen C Gates</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>77344</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>696100</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>17591</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>158322</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5763</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>51863</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>578</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5205</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>101277</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>911490</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Ravee Kurian</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>COO / CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>181896</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>222318</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>24180</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>29553</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3167</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>3871</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14493</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17714</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>223736</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>273456</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Lisa Hix</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>EVP</TitleTxt>
        <BaseCompensationFilingOrgAmt>212452</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>212452</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>27877</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>27877</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>15250</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14893</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>14893</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270472</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>270472</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Katherine Marthea Wilson</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>DVP, Membership</TitleTxt>
        <BaseCompensationFilingOrgAmt>196439</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>65480</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20886</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>6962</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25297</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>8432</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21896</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7299</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>264519</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>88173</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Noia Morse</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>DVP, Advocacy</TitleTxt>
        <BaseCompensationFilingOrgAmt>227459</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>25273</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>22038</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>2449</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>29600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28545</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3172</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>307643</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>30894</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Frank Ryan</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>State Gov't Affairs Associate</TitleTxt>
        <BaseCompensationFilingOrgAmt>155337</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4728</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20278</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28781</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>209125</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Lucas Sanders</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Team Leader, Congressional Affairs</TitleTxt>
        <BaseCompensationFilingOrgAmt>168006</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>18667</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8244</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>916</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17242</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17931</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1992</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>211423</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>21576</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>James Vavricek</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Team Leader, Medicare Pymt &amp; Cov Plcy</TitleTxt>
        <BaseCompensationFilingOrgAmt>157582</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>17509</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7823</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>869</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15953</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10663</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1185</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>192021</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>19563</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22016089" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ including grants of $) ANNUAL SCIENTIFIC SESSION EXPOSITION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ including grants of $) LEADERSHIP AND GOVERNANCE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ including grants of $) OTHER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>AMERICAN COLLEGE OF CARDIOLOGY HAS MEMBERS WHO ARE INDIVIDUALS WHO PAY DUES TO THE COLLEGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>ACC GOVERNING BODY REVIEW OF THE 990 INCLUDES DETAILED REVIEWS BY THE AUDIT AND COMPLIANCE COMMITTEE, A GENERAL REVIEW BY THE FINANCE COMMITTEE AND EXECUTIVE COMMITTEE AND OPTIONAL REVIEW BY EACH BOARD OF TRUSTEE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL DISCLOSURE FOR ALL MEMBERS PARTICIPATING ON ACC COMMITTEES, TASK FORCES, WORKING GROUPS, ETC. IS REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>ACC REGULARLY REVIEWS COMPENSATION SURVEYS OF OTHER SIMILAR ORGANIZATIONS TO DETERMINE MARKET RATES FOR SAME/OR SIMILAR FUNCTIONS AND POSITIONS. THIS APPLIES TO ALL FULL-TIME AND PART-TIME EMPLOYEES. IN ADDITION, A FULL COMPENSATION STUDY HAS BEEN CONDUCTED BY AN OUTSIDE CONSULTANT FOR ALL SENIOR STAFF POSITIONS. THIS STUDY IS UPDATED AT LEAST EVERY TWO YEARS. ONLY THE CEO ANNUAL COMPENSATION, INCLUDING ANY PERFORMANCE AWARDS, IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. AN OUTSIDE COMPENSATION CONSULTANT PROVIDES MARKET DATA FOR THE BOARD OF TRUSTEES TO ENSURE APPROPRIATE MARKET RATE IS USED. COMPENSATION PAID TO ACCF MEMBERS, INCLUDING BOARD OF TRUSTEES OFFICERS, IS GOVERNED BY A MEMBER COMPENSATION COMMITTEE POLICY THAT INCORPORATES IRS REQUIREMENTS FOR INDEPENDENT REVIEW, ESTABLISHING COMPARABILITY OF COMPENSATION WITH OTHER, SIMILAR POSITIONS AND/ OR MARKET RATES AND THE DOCUMENTING OF DELIBERATIONS AND OUTCOMES. COMPENSATION FOR MEMBER-FILLED POSITIONS IS BASED ON AN AVERAGE HOURLY RATE FOR CARDIOLOGISTS, AS PUBLISHED FROM AN INDEPENDENT SOURCE, AND THE EXPECTED ANNUAL HOURLY TIME COMMITMENT. AND/ OR, THE COMPENSATION AMOUNT IS DETERMINED BY USING THE MARKET COMPENSATION FOR SIMILAR, COMPARABLE POSITIONS. COMPENSATION FOR ALL MEMBER HELD POSITIONS ARE REVIEWED BY AN INDEPENDENT (NON-COMPENSATED) MEMBER-ONLY COMPENSATION COMMITTEE TO ENSURE COMPLIANCE WITH IRS REQUIREMENTS. THIS PROCESS WAS LAST APPLIED TO BOARD OF TRUSTEE OFFICER POSITIONS (I.E. PRESIDENT, PRESIDENT ELECT, IMMEDIATE PAST PRESIDENT, VICE PRESIDENT, TREASURER, SECRETARY/ BOARD OF GOVERNERS (BOG) CHAIR, BOG CHAIR ELECT AND IMMEDIATE PAST BOG CHAIR) PERIODICALLY. COMPENSATION FOR ALL OTHER MEMBER-FILLED POSITIONS IS REVIEWED WITH EXECUTIVE COMMITTEE PERIODICAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PAID TO ACC AND ACCF MEMBERS, INCLUDING BOARD OF TRUSTEES OFFICERS, IS GOVERNED BY A MEMBER COMPENSATION POLICY THAT INCORPORATES IRS REQUIREMENTS FOR INDEPENDENT REVIEW, ESTABLISHING COMPARABILITY OF COMPENSATION WITH OTHER, SIMILAR POSITIONS AND/OR MARKET RATES AND THE DOCUMENTING OF DELIBERATIONS AND OUTCOMES. COMPENSATION FOR ALMOST ALL MEMBER-FILLED POSITIONS IS BASED ON AN AVERAGE HOURLY RATE FOR CARDIOLOGISTS, AS PUBLISHED FROM AN INDEPENDENT SOURCE, AND THE EXPECTED ANNUAL HOURLY TIME COMMITMENT. IN SOME INSTANCES, THE COMPENSATION AMOUNT IS DECIDED BY USING THE MARKET COMPENSATION FOR SIMILAR, COMPARABLE POSITIONS. COMPENSATION FOR ALL MEMBER HELD POSITIONS ARE REVIEWED BY AN INDEPENDENT (NON-COMPENSATED) MEMBER-ONLY COMPENSATION COMMITTEE TO ENSURE COMPLIANCE WITH IRS REQUIREMENTS. THIS PROCESS IS APPLIED TO BOARD OF TRUSTEE OFFICER POSITIONS (I.E. PRESIDENT, PRESIDENT ELECT, IMMEDIATE PAST PRESIDENT, VICE PRESIDENT, TREASURER, SECRETARY/ BOARD OF GOVERNORS (BOG) CHAIR, BOG CHAIR ELECT AND IMMEDIATE PAST BOG CHAIR) PERIODICALLY. COMPENSATION FOR ALL OTHER MEMBER-FILLED POSITIONS IS REVIEWED WITH EXECUTIVE COMMITTEE PERIODICALLY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS: GOVERNING DOCUMENTS, SUCH AS BYLAWS, ARTICLES OF INCORPORATION AND CONFLICT OF INTEREST POLICY ARE POSTED ON ACC'S MAIN WEBSITE, WWW.ACC.ORG AND ITS MEMBER PORTAL AND ARE MADE AVAILABLE UPON REQUEST. CONFLICT OF INTEREST POLICY IS MADE AVAILABLE ON ACC'S OWN WEBSITE AND IS ALSO MADE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS AND FEDERAL TAX RETURNS ARE AVAILABLE UPON REQUEST. IN ADDITION, FEDERAL TAX RETURNS ARE AVAILABLE ON WWW.GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="22016089" softwareVersionNum="2022v5.0">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AMERICAN COLLEGE OF CARDIOLOGY FDN</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2400 N STREET NW</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20037</ZIPCd>
        </USAddress>
        <EIN>135641985</EIN>
        <PrimaryActivitiesTxt>ADVOCATE AND INFLUENCE POLICY FOR QUALITY CARDIOVASCULAR CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>AMERICAN COLLEGE OF CARDIOLOGY PAC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2400 N STREET NW</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20037</ZIPCd>
        </USAddress>
        <EIN>260011785</EIN>
        <PrimaryActivitiesTxt>ADVOCATE AND INFLUENCE POLICY FOR QUALITY CARDIOVASCULAR CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>527</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ACC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ACCF SERVICES LLC DBA MEDAXIOM</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2400 N Street NW</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20037</ZIPCd>
        </USAddress>
        <EIN>833513296</EIN>
        <PrimaryActivitiesTxt>CONSULTING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ACCF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>12048471</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>10214918</ShareOfEOYAssetsAmt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
