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THE ORGANIZATION FOLLOWS GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") WITH RESPECT TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST AND INCOME TAX EXPENSE, RESPECTIVELY. THE ORGANIZATION HAS NO AMOUNTS ACCRUED FOR INTEREST OR PENALTIES AS OF DECEMBER 31, 2024 AND DECEMBER 31, 2023. DUE TO ITS TAX-EXEMPT STATUS, THE COLLEGE IS NOT SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX, EXCEPT ON UNRELATED BUSINESS INCOME. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. ALL ENTITIES ARE SUBJECT TO EXAMINATION BY THESE TAXING AUTHORITIES. true North America 0 0 Grantmaking 32000 East Asia and the Pacific 0 0 Grantmaking 2000 South Asia 0 0 Grantmaking 1000 South America 0 0 Grantmaking 1000 Central America and the Caribbean 0 0 Grantmaking 2000 0 0 0 0 38000 38000 North America RESEARCH GRANT 30000 WIRE 1 Travel Grants North America 2 2000 WIRE Travel Grants South America 1 1000 WIRE Travel Grants East Asia and the Pacific 2 2000 Wire Travel Grants South Asia 1 1000 WIRE Travel Grants Central America and the Caribbean 2 2000 WIRE false false false false false false SCHEDULE F, PART I, LINE 2 - PROCEDURES FOR MONITORING USE OF GRANT FUNDS CHEST'S AWARDS COMMITTEE OVERSEES THE CLINICAL RESEARCH AND HUMANITARIAN AWARDS PROGRAM THAT OFFERS ANNUAL GRANTS TO TAX-EXEMPT ORGANIZATIONS OR NON-GOVERNMENTAL ORGANIZATIONS (NGO) TO WHICH MEMBERS DONATE THEIR TIME AND EXPERTISE. A PEER REVIEW APPLICATION PROCESS IS USED TO SELECT RECIPIENTS OF THE FUNDS. THE NGO PROVIDES PROOF OF ITS STATUS. CHEST ONLY CONFERS PART OF THE MONETARY GRANT ACCOMPANIED BY A LETTER OF AGREEMENT TO THE RECIPIENT ORGANIZATION. AS PART OF THE AGREEMENT, THE RECIPIENT ORGANIZATION MUST SUBMIT A REPORT AT THE 1 YEAR MILESTONE OF THE PROJECT, IF IT IS A MULTI-YEAR GRANT. AFTER THE REPORT IS REVIEWED, THE REMAINING GRANT FUNDS ARE RELEASED. A FINAL REPORT IS DUE AT THE CONCLUSION OF THE GRANT PERIOD FOR ALL GRANTS. 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ALL REPORTING DEADLINES ARE SUPERVISED BY CHEST STAFF. CHEST REQUIRES PROOF OF 501(C)(3) STATUS AND/OR PROOF THAT THE FUNDS WILL BE USED CONSISTENTLY WITH CHEST'S EXEMPT PURPOSES. CHEST SCREENS ALL ORGANIZATIONS PRIOR TO ISSUING GRANT PAYMENTS. 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A ILLINOIS FINANCE AUTHORITY 861091967 000000000 2013-03-07 18000000 SEE DESCRIPTION ON PART VI false false false A 3226461 0 18000000 0 0 0 0 0 0 18000000 0 0 2014 false false true true A false false false false 0.00000 0.00000 0.00000 false false false false A false false true false true false 0 false 0 false false A false SCHEDULE K, PART I - DESCRIPTION OF PURPOSE 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. SCHEDULE K, PART III, LINE 9 - WRITTEN PROCEDURES 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. SCHEDULE K, PART IV, LINE 7 - WRITTEN PROCEDURES 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. SCHEDULE K, PART V - WRITTEN PROCEDURES THE COLLEGE HAS A DRAFT FORM OF WRITTEN PROCEDURES AND MANAGEMENT IS IN THE PROCESS OF OBTAINING FORMAL APPROVAL. X 3 217496 FMV false false false Form 990, Part VI, Line 1A- Delegate Broad Authority To a Committee THE GOVERNANCE COMMITTEE SHALL BE COMPOSED OF THE IMMEDIATE PAST PRESIDENT, THE CHAIR OF THE BOARD OF ADVISORS, AND BETWEEN 4 AND 5 REGENTS-AT-LARGE. THE IMMEDIATE PAST PRESIDENT SHALL SERVE AS CHAIR OF THE COMMITTEE. THE GOVERNANCE COMMITTEE SHALL RECEIVE AND EVALUATE NOMINATIONS FOR OFFICERS AND REGENT POSITIONS AND PREPARE RECOMMENDATIONS FOR THE BOARD. THE PROCEDURES RELATING TO CALL FOR, RECEIPT, EVALUATION, RECOMMENDATION, AND ELECTION OF OFFICERS AND REGENTS SHALL BE SET FORTH IN THE COMMITTEE'S CHARTER. THE GOVERNANCE COMMITTEE SHALL PERIODICALLY REVIEW THE COLLEGE'S GOVERNANCE DOCUMENTS AND MAKE RECOMMENDATIONS TO THE BOARD AS DEEMED NECESSARY, AND SHALL PERFORM SUCH OTHER DUTIES AS SET FORTH IN THE COMMITTEE'S CHARTER OR AS ASSIGNED BY THE BOARD. FORM 990, PART VI, LINE 6 - CLASSES OF MEMBERS OR STOCKHOLDERS THE COLLEGE MAY HAVE ONE OR MORE TYPES OF MEMBERSHIP. ANY ADDITION, TERMINATION, OR MODIFICATION OF A MEMBERSHIP TYPE THAT ADDRESSES A RIGHT TO VOTE UNDER THESE BYLAWS OR THAT CHANGES WHO IS ELIGIBLE TO BE A REGENT OR OFFICER OF THE COLLEGE IS SUBJECT TO APPROVAL BY THE BOARD. FELLOW: A FELLOW IS A MEMBER WHO MEETS QUALIFICATIONS ESTABLISHED BY THE BOARD AND WHO HAS APPLIED FOR SUCH DESIGNATION AND BEEN APPROVED ACCORDING TO PROCEDURES ESTABLISHED BY THE COLLEGE. CURRENT FELLOWS IN GOOD STANDING MAY USE THE DESIGNATION "FCCP." MASTER FELLOW: A MASTER FELLOW IS A FELLOW WHO HAS BEEN NOMINATED FOR SUCH DESIGNATION AND APPROVED BY THE BOARD. A MASTER FELLOW'S DUES SHALL BE WAIVED AND THEY USE THE DESIGNATION "MASTER FCCP" AS LONG AS THEY REMAIN A FELLOW IN GOOD STANDING. HONORARY FELLOW: AN HONORARY FELLOW IS AN INDIVIDUAL WHO IS NOT OTHERWISE A MEMBER BUT WHO HAS BEEN DETERMINED BY THE BOARD TO HAVE MADE A SIGNIFICANT CONTRIBUTION TO THE FIELD OF CHEST MEDICINE WORTHY OF DISTINCTION. AN HONORARY FELLOW MAY USE THE DESIGNATION "FCCP HONORARY"FCCP (HON)," SUBJECT TO REVOCATION BY THE BOARD. FORM 990, PART VI, LINE 11B - REVIEW OF FORM 990 BY GOVERNING BODY 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. FORM 990, PART VI, LINE 12C - CONFLICT OF INTEREST POLICY 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. FORM 990,PART VI,LINE 15A-ESTABLISHING TOP MANAGMENT COMPENSATION FOR THE YEAR ENDED DECEMBER 31, 2023 THE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT MEMBERS, COMPARED THE COMPENSATION FOR "DISQUALIFIED PERSONS" TO THAT OF THE ESTABLISHED "PEER GROUP" BASED ON A STUDY CONDUCTED BY AN INDEPENDENT COMPENSATION CONSULTANT, NOTING THAT THE COMPENSATION FOR THE DISQUALIFIED PERSONS WAS REASONABLE. THESE DELIBERATIONS AND DECISIONS WERE DOCUMENTED CONTEMPORANEOUSLY. FOR THE YEAR ENDING DECEMBER 31, 2024 THE COMPENSATION FOR THE "DISQUALIFIED PERSONS" WERE COMPARED TO THE 990S OF THE "PEER GROUPCOMPENSATION SURVEYS AND DETERMINED THAT THEIR COMPENSATION WAS REASONABLE. FORM 990,PART VI,LINE 15B - ESTABLISHING COMPENSATION OF OTHER OFFICERS FOR THE YEARS ENDED DECEMBER 31, 2024 AND DECEMBER 31, 2023 THE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT MEMBERS, COMPARED THE COMPENSATION FOR "DISQUALIFIED PERSONS" TO THAT OF THE ESTABLISHED "PEER GROUP" BASED ON A STUDY CONDUCTED BY AN INDEPENDENT COMPENSATION CONSULTANT FOR A PRIOR FISCAL YEAR, NOTING THAT THE COMPENSATION FOR THE DISQUALIFIED PERSONS WAS REASONABLE. THESE DELIBERATIONS AND DECISIONS WERE DOCUMENTED CONTEMPORANEOUSLY. 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. SIMILAR MEDICAL ASSOCIATIONS WERE SURVEYED TO DETERMINE WHAT BOARD POSITIONS IN SIMILAR ASSOCIATIONS RECEIVED HONORARIUMS, THE AMOUNT OF TIME THE BOARD MEMBERS SPEND ON ASSOCIATION BUSINESS AND THE AMOUNT OF HONORARIUMS THEY RECEIVED. BASED ON THE DATA COLLECTED A PROPOSAL WAS MADE TO THE COLLEGE'S BOARD WITH THE RELATED "PROPOSED PAID" BOARD POSITIONS RECUSING THEMSELVES FROM THE MEETING AND VOTE. THE BOARD PASSED THE CURRENT HONORARIUM STRUCTURE. FORM 990, PART VI, LINE 19- REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC 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. FORM 990, PART XI, LINE 5 - UNREALIZED GAINS ON INVESTMENTS UNREALIZED GAINS ON INVESTMENTS: $2,313,912 UNREALIZED GAINS ON INTEREST RATE SWAP: $226,910 FORM 990, PART III, LINE 4D - DESCRIPTION OF OTHER PROGRAM SERVICES LEADERSHIP, NETWORKS, AND MEMBERSHIP: INTERDISCIPLINARY, FOCUSED-INTEREST GROUPS ARE ESTABLIHED 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. PHILANTHROPY: IN 2024, THE AMERICAN COLLEGE OF CHEST PHYSICIANS (CHEST) PHILANTHROPIC APPROACH ALIGNED WITH THE ORGANIZATIONAL MISSION AND ELEVATED THE VALUE PLACED ON GIVING, MAKING IT A CORE PRIORITY AND RESPONSIBILITY OF CHEST AS AN ORGANIZATION. IN 2024, CHEST AIDED RESEARCHERS, PROVIDED NEEDED RESOURCES FOR COMMUNITY IMPACT PROGRAMS, AND CONNECTED UP-AND-COMING TRAINEES AND MEDICAL EDUCATORS WITH RESOURCES AND MENTORS. 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