AMERICAN COLLEGE OF SURGEONS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: AMERICAN COLLEGE OF SURGEONS (EIN 36-2192800)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201921349349308467
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T15:36:03-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT THORNTON LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	171 N CLARK ST SUITE 200	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60601	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362192800	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	American College of Surgeons	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% GAY L VINCENT CFO	InCareOfNm
Business Name Control	AMER	BusinessNameControlTxt
Phone	3122025000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	633 N SAINT CLAIR STREET	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60611	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GAY L VINCENT	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3122025000	PhoneNum
Signature	2019-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRIDGET T ROCHE	PreparerPersonNm
PTIN	P00666837	PTIN
Phone	3128560200	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	65.229.28.136	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	36941220191345000023	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	3C674528F742CD2292230A70881D63EB947C50D7	AtSubmissionCreationDeviceId
At Submission Filing Device Id	D5F4A73A254A2A5DCB5F8CFEC4490C008E940C58	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Barbara L Bass	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	SAME AS C ABOVE	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60611	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$285,864,942	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FACS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1912	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	THE PRIMARY EXEMPT PURPOSE IS TO IMPROVE THE QUALITY OF CARE OF THE SURGICAL PATIENT THROUGH EDUCATION AND RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	23	VotingMembersIndependentCnt
Total Employee	451	TotalEmployeeCnt
Total Volunteers	100	TotalVolunteersCnt
Total Gross UBI	-$23,414	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$360,077	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$20,418,120	PYContributionsGrantsAmt
CY Contributions Grants	$20,567,595	CYContributionsGrantsAmt
PY Program Service Revenue	$61,633,672	PYProgramServiceRevenueAmt
CY Program Service Revenue	$75,306,348	CYProgramServiceRevenueAmt
PY Investment Income	$18,793,082	PYInvestmentIncomeAmt
CY Investment Income	$40,711,374	CYInvestmentIncomeAmt
PY Other Revenue	$6,724,771	PYOtherRevenueAmt
CY Other Revenue	$5,088,585	CYOtherRevenueAmt
PY Total Revenue	$107,569,645	PYTotalRevenueAmt
CY Total Revenue	$141,673,902	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,714,593	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,256,069	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$55,299,200	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$59,357,460	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$922,606	CYTotalFundraisingExpenseAmt
PY Other Expenses	$49,810,401	PYOtherExpensesAmt
CY Other Expenses	$54,129,016	CYOtherExpensesAmt
PY Total Expenses	$106,824,194	PYTotalExpensesAmt
CY Total Expenses	$115,742,545	CYTotalExpensesAmt
PY Revenues Less Expenses	$745,451	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,931,357	CYRevenuesLessExpensesAmt
Total Assets BOY	$596,464,291	TotalAssetsBOYAmt
Total Assets EOY	$620,378,188	TotalAssetsEOYAmt
Total Liabilities BOY	$218,200,357	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$225,426,752	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$378,263,934	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$394,951,436	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE AMERICAN COLLEGE OF SURGEONS IS DEDICATED TO IMPROVING THE CARE OF THE SURGICAL PATIENT AND TO SAFEGUARDING STANDARDS OF CARE IN AN OPTIMAL AND ETHICAL PRACTICE ENVIRONMENT.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$45,925,573	ExpenseAmt
Grant	$453,911	GrantAmt
Revenue	$61,312,867	RevenueAmt
Desc	THE MISSION OF THE ACS DIVISION OF RESEARCH AND OPTIMAL PATIENT CARE (DROPC) IS TO IMPROVE THE QUALITY OF SURGICAL CARE BY ENABLING ALL SURGEONS TO APPLY THE BEST SCIENTIFIC EVIDENCE AVAILABLE IN ALL ASPECTS OF THEIR DAILY PRACTICE WITH RESPECT, COMPASSION, AND DIGNITY FOR ALL PATIENTS. THE DROPC PROMOTES THE PRACTICE OF EVIDENCE-BASED SURGERY BY DEVELOPING NEW KNOWLEDGE THROUGH BASIC AND CLINICAL RESEARCH, THE SETTING AND VERIFICATION OF STANDARDS, DEVELOPMENT OF BEST PRACTICES AND GUIDELINES, EDUCATIONAL ACTIVITIES, AND THE COLLECTION AND MEASUREMENT OF OUTCOMES. (Continued in Schedule O).	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$17,128,843	ExpenseAmt
Grant	$34,872	GrantAmt
Revenue	$10,656,855	RevenueAmt
Desc	EDUCATIONAL PROGRAMS - THE COLLEGE'S EDUCATIONAL PROGRAMS HELP MEET THE NEEDS OF SURGEONS, SURGERY RESIDENTS, MEDICAL STUDENTS AND PATIENTS. THE PROGRAMS PROVIDE SURGEONS WITH OPPORTUNITIES FOR MAINTENANCE OF CERTIFICATION, FOR LIFELONG LEARNING, AND FOR MEETING THE CORE COMPETENCIES. IN ADDITION TO PROVIDING CONTINUING MEDICAL EDUCATION ACTIVITIES, THE DIVISION OF EDUCATION HAS DEVELOPED PATIENT EDUCATIONAL MATERIALS RELATIVE TO SURGICAL CARE. DIVISION EFFORTS INCLUDE STAFFING NUMEROUS EDUCATION COMMITTEES AND THE FOLLOWING PROGRAMS: (CONTINUED in SCHEDULE O).	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$7,696,391	ExpenseAmt
Grant	$1,714,746	GrantAmt
Revenue	$413,552	RevenueAmt
Desc	THE COLLEGE HAS A MEMBER SERVICES DIVISION. THROUGH MEMBER SERVICES, THE COLLEGE CONTINUES TO REMAIN A MAJOR PROFESSIONAL ASSOCIATION, WITH OVER 80,000 MEMBERS. THE DIVERSE MEMBERSHIP REPRESENTS ALL SURGICAL SPECIALISTS, AND MEMBER SURGEONS ARE PROVIDED WITH PROGRAMS AND SERVICES THAT HELP THEM ADAPT TO A CHANGING HEALTH CARE ENVIRONMENT. THE DIVISION EVALUATES ALL APPLICATIONS FOR FELLOWSHIP BASED UPON DEFINED FELLOWSHIP REQUIREMENTS FOR PRACTICING SURGEONS, AS WELL AS ADMITS ASSOCIATE FELLOW, RESIDENT, MEDICAL STUDENT AND AFFILIATE MEMBERS. (CONTINUED in SCHEDULE O).	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$13,636,417	ExpenseAmt
Grant	$52,540	GrantAmt
Revenue	$4,278,822	RevenueAmt
Desc	ADVOCACY, HEALTH POLICY, COMMUNICATION, OTHER	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$13,636,417	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$52,540	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$4,278,822	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$84,387,224	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	Yes (true)	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	595	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	451	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	UK	ForeignCountryCd
Foreign Country	CA	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	23	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	GAY L VINCENT CFO	PersonNm
Phone	3122025000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	633 N SAINT CLAIR STREET	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60611	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BARBARA L BASS
PRESIDENT (BEG. 10/17)	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
COURTNEY M TOWNSEND JR
PRESIDENT (THRU 10/17)	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
LEIGH A NEUMAYER
CHAIR (BEG. 10/17)	1.0	1.0	Yes (X)		$0	$0	$0
MARSHALL Z SCHWARTZ
VICE CHAIR (BEG. 10/17)	1.0	1.0	Yes (X)		$0	$0	$0
ANTHONY ATALA
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
JOHN LD ATKINSON
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
JAMES C DENNENY III
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
MARGARET DUNN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
TIMOTHY J EBERLEIN
DIRECTOR	39.0	1.0	Yes (X)		$140,574	$0	$0
JAMES K ELSEY
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
HENRI R FORD
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
GERALD M FRIED
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
JAMES W GIGANTELLI
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
BJ HANCOCK
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
ENRIQUE HERNANDEZ
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
LENWORTH M JACOBS JR
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
L SCOTT LEVIN
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
MARK A MALANGONI
DIRECTOR (THRU 10/17)	1.0	1.0	Yes (X)		$0	$0	$0
FABRIZIO MICHELASSI
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
LINDA G PHILLIPS
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
VALERIE W RUSCH
DIRECTOR (THRU 10/17)	1.0	1.0	Yes (X)		$0	$0	$0
ANTON N SIDAWY
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
BETH H SUTTON
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
GARY L TIMMERMAN
DIRECTOR (BEG. 10/17)	1.0	1.0	Yes (X)		$0	$0	$0
STEVEN D WEXNER
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
DOUGLAS E WOOD
DIRECTOR (BEG. 10/17)	1.0	1.0	Yes (X)		$0	$0	$0
MICHAEL J ZINNER
CHAIR (THRU 10/17) & DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
HILARY A SANFEY
FIRST VP (THRU 10/17)	1.0	1.0		Yes (X)	$0	$0	$0
MARY C MCCARTHY
SECOND VP (THRU 10/17)	1.0	1.0		Yes (X)	$0	$0	$0
EDWARD E CORNWELL III
SECRETARY	1.0	1.0		Yes (X)	$0	$0	$0
WILLIAM G CIOFFI JR
TREASURER	1.0	2.0		Yes (X)	$0	$0	$0
CHARLES D MABRY
FIRST VP (BEG. 10/17)	1.0	1.0		Yes (X)	$0	$0	$0
BASIL A PRUITT JR
SECOND VP (BEG. 10/17)	1.0	1.0		Yes (X)	$0	$0	$0
DAVID B HOYT
EXECUTIVE DIRECTOR	38.0	2.0		Yes (X)	$1,080,635	$0	$346,816
GAY VINCENT
CHIEF FINANCIAL OFFICER	38.0	2.0		Yes (X)	$470,047	$0	$204,420
AJIT K SACHDEVA
DIRECTOR OF EDUCATION	40.0	0.0			$646,481	$0	$288,461	Yes (X)
CLIFFORD KO
DIRECTOR OF RESEARCH	40.0	0.0			$713,995	$0	$119,857	Yes (X)
PATRICIA L TURNER
DIRECTOR OF MEMBER SERVICES	40.0	0.0			$586,772	$0	$164,083	Yes (X)
LYNN KAHN
DIRECTOR OF COMMUNICATIONS	40.0	0.0			$306,145	$0	$198,258	Yes (X)
CHRISTIAN SHALGIAN
DIRECTOR OF ADVOCACY & HP	40.0	0.0			$337,681	$0	$131,961	Yes (X)
FRANK OPELKA
MEDICAL DIRECTOR	40.0	0.0			$552,294	$0	$167,711		Yes (X)
PATRICK V BAILEY
MEDICAL DIRECTOR	40.0	0.0			$552,230	$0	$149,330		Yes (X)
LEWIS FLINT
EDITOR OF SELECTED READINGS	40.0	0.0			$461,370	$0	$148,835		Yes (X)
DAVID WINCHESTER
MEDICAL DIRECTOR	40.0	0.0			$340,265	$0	$177,512		Yes (X)
WILFRED CHAPLEAU
PROGRAM DIRECTOR	40.0	0.0			$273,657	$0	$242,244		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,462,146	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,339,488	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	98	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line1ContractorAddress/ForeignAddress/AddressLine1Txt	CityContractorAddress/ForeignAddress/CityNm	Province Or StateContractorAddress/ForeignAddress/ProvinceOrStateNm	CountryContractorAddress/ForeignAddress/CountryCd	Foreign PostalContractorAddress/ForeignAddress/ForeignPostalCd
IQVIA RDS Inc
4820 Emperor Blvd	DURHAM	NC	27703	Technical Consulting	$20,417,588
Freeman
PO Box 650036	DALLAS	TX	75266	Event Planning	$1,494,187
Resilience Software Inc
				Software Consulting	$970,255	409-318 HOMER STREET SUITE 409	VANCOUVER	0	CA	V6B2V2
Aura Innovative Technology Inc
223 W Jackson Blvd Suite 975	CHICAGO	IL	60606	TECHNICAL CONSULTING	$875,788
Cambridge Associates LLC
PO Box 83232	CHICAGO	IL	60691	Invest. Consulting	$802,188

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	46	CntrctRcvdGreaterThan100KCnt
Membership Dues	$1,431,475	MembershipDuesAmt
Related Organizations	$17,541,872	RelatedOrganizationsAmt
All Other Contributions	$1,594,248	AllOtherContributionsAmt
Noncash Contributions	$505,138	NoncashContributionsAmt
Total Contributions	$20,567,595	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
RESEARCH & OPTIMAL PATIENT CARE	611600	$61,312,867	$61,312,867	$0	$0
EDUCATION	611600	$10,687,854	$10,640,854	$47,000	$0
ASSOCIATION MANAGEMENT SERVICES	561000	$2,107,525	$0	$0	$2,107,525
INTEGRATED COMMUNICATIONS	900099	$784,550	$784,550	$0	$0
MEMBER SERVICES	611600	$413,552	$413,552	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$75,306,348	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,246,673	TotalRevenueColumnAmt
Unrelated Business Revenue	-$673	UnrelatedBusinessRevenueAmt
Exclusion	$4,247,346	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$923,054	TotalRevenueColumnAmt
Exclusion	$923,054	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$16,412,972	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$13,603,189	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,809,783	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,809,783	TotalRevenueColumnAmt
Unrelated Business Revenue	-$493,358	UnrelatedBusinessRevenueAmt
Exclusion	$3,303,141	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$167,052,552	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$130,587,851	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$36,464,701	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,464,701	TotalRevenueColumnAmt
Unrelated Business Revenue	-$1,759	UnrelatedBusinessRevenueAmt
Exclusion	$36,466,460	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
COMMISSIONS	900099	$470,922	$0	$0	$470,922
20F CONFERENCE FACILITY	532000	$406,402	$0	$406,402	$0
MURPHY AUDITORIUM	532000	$313,640	$0	$0	$313,640

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$164,784	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$18,974	UnrelatedBusinessRevenueAmt
Exclusion	$145,810	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,355,748	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$141,673,902	TotalRevenueColumnAmt
Related Or Exempt Func Income	$73,151,823	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$23,414	UnrelatedBusinessRevenueAmt
Exclusion	$47,977,898	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$50,540	TotalAmt
Program Services	$50,540	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,940,113	TotalAmt
Program Services	$1,940,113	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$265,416	TotalAmt
Program Services	$265,416	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,295,594	TotalAmt
Program Services	$3,678,080	ProgramServicesAmt
Management And General	$1,558,421	ManagementAndGeneralAmt
Fundraising	$59,093	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$37,425,713	TotalAmt
Program Services	$25,700,687	ProgramServicesAmt
Management And General	$11,318,941	ManagementAndGeneralAmt
Fundraising	$406,085	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,728,637	TotalAmt
Program Services	$4,620,636	ProgramServicesAmt
Management And General	$2,034,992	ManagementAndGeneralAmt
Fundraising	$73,009	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,278,851	TotalAmt
Program Services	$4,998,474	ProgramServicesAmt
Management And General	$2,201,398	ManagementAndGeneralAmt
Fundraising	$78,979	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,628,665	TotalAmt
Program Services	$1,805,136	ProgramServicesAmt
Management And General	$795,007	ManagementAndGeneralAmt
Fundraising	$28,522	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$352,864	TotalAmt
Program Services	$201,581	ProgramServicesAmt
Management And General	$150,716	ManagementAndGeneralAmt
Fundraising	$567	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$201,356	TotalAmt
Management And General	$201,356	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,979,602	TotalAmt
Management And General	$1,979,602	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,753,342	TotalAmt
Program Services	$7,405,825	ProgramServicesAmt
Management And General	$296,150	ManagementAndGeneralAmt
Fundraising	$51,367	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,150,584	TotalAmt
Program Services	$1,047,737	ProgramServicesAmt
Management And General	$74,845	ManagementAndGeneralAmt
Fundraising	$28,002	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,106,148	TotalAmt
Program Services	$6,231,110	ProgramServicesAmt
Management And General	$797,996	ManagementAndGeneralAmt
Fundraising	$77,042	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,572,654	TotalAmt
Program Services	$13,836,557	ProgramServicesAmt
Management And General	$1,722,191	ManagementAndGeneralAmt
Fundraising	$13,906	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$132,218	TotalAmt
Program Services	$131,427	ProgramServicesAmt
Management And General	$791	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,095,746	TotalAmt
Program Services	$550,605	ProgramServicesAmt
Management And General	$1,545,141	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,773,651	TotalAmt
Program Services	$4,035,053	ProgramServicesAmt
Management And General	$685,830	ManagementAndGeneralAmt
Fundraising	$52,768	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$7,481,136	TotalAmt
Program Services	$6,921,562	ProgramServicesAmt
Management And General	$506,678	ManagementAndGeneralAmt
Fundraising	$52,896	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$919,374	TotalAmt
Management And General	$919,374	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,683,583	TotalAmt
Management And General	$2,683,583	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$422,269	TotalAmt
Program Services	$51,555	ProgramServicesAmt
Management And General	$370,714	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$589,147	$589,147	$0	$0
INCOME TAX	$400,000	$0	$400,000	$0
DUES AND FEES	$385,775	$196,416	$188,989	$370
BAD DEBT	$129,567	$129,567	$0	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$115,742,545	TotalAmt
Program Services	$84,387,224	ProgramServicesAmt
Management And General	$30,432,715	ManagementAndGeneralAmt
Fundraising	$922,606	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,579,249	BOYAmt
EOY	$2,463,522	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,564,191	BOYAmt
EOY	$2,242,468	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,687,679	BOYAmt
EOY	$28,321,872	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$25,295,319	BOYAmt
EOY	$24,470,560	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$198,784,494	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$78,058,045	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$122,530,601	BOYAmt
EOY	$120,726,449	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$232,009,727	BOYAmt
EOY	$147,815,975	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$181,648,329	BOYAmt
EOY	$290,134,074	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,149,196	BOYAmt
EOY	$4,203,268	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$596,464,291	BOYAmt
EOY	$620,378,188	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$48,509,843	BOYAmt
EOY	$42,138,342	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$32,976,327	BOYAmt
EOY	$40,417,356	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,507,000	BOYAmt
EOY	$20,307,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$88,065,980	BOYAmt
EOY	$100,000,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,141,207	BOYAmt
EOY	$22,564,054	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$218,200,357	BOYAmt
EOY	$225,426,752	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$344,371,377	BOYAmt
EOY	$359,700,977	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,324,918	BOYAmt
EOY	$28,670,734	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,567,639	BOYAmt
EOY	$6,579,725	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$378,263,934	BOYAmt
EOY	$394,951,436	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$596,464,291	BOYAmt
EOY	$620,378,188	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,931,357	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$9,464,494	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$220,639	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$19,978,683	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$19,996,729	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$19,277,554	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$20,288,553	CurrentTaxYearMinus1YearAmt
Current Tax Year	$20,567,595	CurrentTaxYearAmt
Total	$100,109,114	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$49,950,097	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$52,822,294	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$57,294,504	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$61,608,322	CurrentTaxYearMinus1YearAmt
Current Tax Year	$75,259,348	CurrentTaxYearAmt
Total	$296,934,565	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$69,928,780	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$72,819,023	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$76,572,058	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$81,896,875	CurrentTaxYearMinus1YearAmt
Current Tax Year	$95,826,943	CurrentTaxYearAmt
Total	$397,043,679	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$16,573,117	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,031,177	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$16,671,776	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$16,785,176	CurrentTaxYearMinus1YearAmt
Current Tax Year	$17,011,765	CurrentTaxYearAmt
Total	$84,073,011	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$615,425	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$555,910	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$922,694	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$464,106	CurrentTaxYearMinus1YearAmt
Current Tax Year	$530,107	CurrentTaxYearAmt
Total	$3,088,242	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$17,188,542	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$17,587,087	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,594,470	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$17,249,282	CurrentTaxYearMinus1YearAmt
Current Tax Year	$17,541,872	CurrentTaxYearAmt
Total	$87,161,253	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$309,882,426	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15,326,012	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,623,868	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,019,276	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$14,529,150	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,182,602	CurrentTaxYearAmt
Total	$72,680,908	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15,326,012	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,623,868	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,019,276	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$14,529,150	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,182,602	CurrentTaxYearAmt
Total	$72,680,908	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,035,875	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$989,645	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,050,062	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,007,011	CurrentTaxYearMinus1YearAmt
Current Tax Year	$930,373	CurrentTaxYearAmt
Total	$5,012,966	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$86,290,667	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$87,432,536	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$92,641,396	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$97,433,036	CurrentTaxYearMinus1YearAmt
Current Tax Year	$110,939,918	CurrentTaxYearAmt
Total	$474,737,553	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.65275	PublicSupportCY509Pct
Public Support PY509	0.62896	PublicSupportPY509Pct
Investment Income CY	0.15310	InvestmentIncomeCYPct
Investment Income PY	0.16426	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$20,000	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$4,198	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$24,198	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DESCRIPTION OF LOBBYING FOR NON ELECTING PUBLIC CHARITIES	SCHEDULE C, PART II-B VOLUNTEERS & PAID STAFF OR MANAGEMENT LINES 1A & 1B THE AMERICAN COLLEGE OF SURGEONS HAS VOLUNTEERS AND STAFF IN WASHINGTON D.C. WHICH, AS A PART OF THEIR DUTIES FOR THE COLLEGE, ESTABLISHES CONTACTS AND MAINTAINS LIAISON WITH MEMBERS OF CONGRESS AND THEIR STAFF, GOVERNMENT AGENCIES, AND OTHER HEALTH REGULATED ORGANIZATIONS IN ORDER TO EXCHANGE INFORMATION PERTINENT TO SURGERY. TO DO THIS THEY: (1) COMMUNICATE COLLEGE VIEWS ON LEGISLATION AND REGULATIONS TO STAFF AND MEMBERS OF CONGRESS THROUGH PERSONAL VISITS, TELEPHONE CONVERSATIONS, AND LETTERS. (2) ORGANIZE AND PARTICIPATE IN COALITIONS OF ORGANIZATIONS WITH RELATED LEGISLATIVE INTEREST. (3) ARRANGE AND FACILITATE MEETINGS FOR COLLEGE OFFICIALS AND MEMBERS WITH ELECTED LEGISLATORS AND STAFF. (4) ARRANGE FOR COLLEGE OFFICIALS TO PRESENT TESTIMONY AT CONGRESSIONAL HEARINGS AND DRAFT AND PRODUCE TESTIMONY AND OFFICIAL WRITTEN RESPONSES TO LEGISLATIVE PROPOSALS.
MAILING TO MEMBERS, LEGISLATORS, OR THE PUBLIC	LINE 1D THE COLLEGE COMMUNICATES VIEWS ON LEGISLATION AND REGULATIONS TO STAFF AND MEMBERS OF CONGRESS THROUGH LETTERS.
DIRECT CONTACT WITH LEGISLATORS, THEIR STAFF, GOVERNMENT OFFICIALS, OR	A LEGISLATIVE BODY LINE 1G AS DISCUSSED IN LINE 1B ABOVE, THE WASHINGTON STAFF MAINTAINS LIAISONS WITH MEMBERS OF CONGRESS, THEIR STAFF, AND GOVERNMENT AGENCIES TO EXCHANGE INFORMATION PERTINENT TO SURGERY. THE MAJOR ISSUES UNDER DISCUSSION RELATED TO MEDICARE FEE SCHEDULE, FUNDING FOR TRAUMA SYSTEM DEVELOPMENT, HEATH CARE QUALITY, AND MEDICAL LIABILITY REFORM.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$214,852,720	BeginningYearBalanceAmt
Contributions	$81,239	ContributionsAmt
Investment Earnings Or Losses	$16,108,067	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,669,590	GrantsOrScholarshipsAmt
Other Expenditures	$7,597,754	OtherExpendituresAmt
End Year Balance	$220,774,682	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$199,926,914	BeginningYearBalanceAmt
Contributions	$11,301	ContributionsAmt
Investment Earnings Or Losses	$23,933,839	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,341,568	GrantsOrScholarshipsAmt
Other Expenditures	$7,677,766	OtherExpendituresAmt
End Year Balance	$214,852,720	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$219,900,240	BeginningYearBalanceAmt
Contributions	$195,049	ContributionsAmt
Investment Earnings Or Losses	-$10,838,836	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,670,832	GrantsOrScholarshipsAmt
Other Expenditures	$7,658,707	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$199,926,914	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$231,379,060	BeginningYearBalanceAmt
Contributions	$44,875	ContributionsAmt
Investment Earnings Or Losses	-$2,510,900	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,405,361	GrantsOrScholarshipsAmt
Other Expenditures	$7,607,434	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$219,900,240	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$205,200,808	BeginningYearBalanceAmt
Contributions	$375,942	ContributionsAmt
Investment Earnings Or Losses	$35,726,522	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,535,935	GrantsOrScholarshipsAmt
Other Expenditures	$8,388,277	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$231,379,060	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.92050	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.02980	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04970	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,905,745	OtherCostOrOtherBasisAmt
Book Value	$40,905,745	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$132,176,551	OtherCostOrOtherBasisAmt
Depreciation	$60,119,881	DepreciationAmt
Book Value	$72,056,670	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,623,181	OtherCostOrOtherBasisAmt
Depreciation	$17,936,985	DepreciationAmt
Book Value	$7,686,196	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$79,017	OtherCostOrOtherBasisAmt
Depreciation	$1,179	DepreciationAmt
Book Value	$77,838	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$120,726,449	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (10 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
U.S. LARGE CAP EQUITY	$17,590,444	F
INTERNATIONAL EQUITY	$67,724,347	F
ENERGY EQUITY	$11,289,801	F
GLOBAL EQUITY	$58,150,185	F
GLOBAL REIT	$8,892,243	F
ALT. INV. - PRIVATE	$22,805,067	F
ALT. INV. - ABSOLUTE RETURN	$48,091,509	F
ALT. INV. - LONG SHORT	$36,464,430	F
ALT. INV. - COMMODITIES	$9,289,857	F
ALT. INV. - MLP	$9,836,191	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$290,134,074	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
FUNDS HELD FOR OTHERS	$15,070,194
DUE TO AFFILIATES	$6,954,285
OBLIGATIONS UNDER CAPITAL LEASES	$539,575

Field	Value	IRS element (for citing)
Total Liability	$22,564,054	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ENDOWMENT FUNDS AND AUDITED FINANCIAL STATEMENTS	SCHEDULE D, PART V, LINE 1(E) THE AMOUNT REPORTED ON PART V, LINE 1(E) REPRESENTS THE 5% ANNUAL SPENDING AMOUNT THAT WAS TRANSFERRED INTO OPERATING AND SPENT TO SUPPORT THE ACS MISSION, AND THEREFORE WAS MOVED TO LINE E OTHER EXPENDITURES.
INTENDED USES OF ENDOWMENT FUNDS	SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE INTENDED TO PROVIDE AND ENSURE THAT EDUCATION, RESEARCH, SCHOLARSHIPS, BUILDING FACILITIES AND THE COLLEGE AS A WHOLE HAVE ENOUGH FUNDING TO LAST DURING HARD ECONOMIC TIMES, WHILE PROVIDING THE OPERATIONS OF THE COLLEGE AN ANNUAL 5% SPENDING RATE.
FIN 48 (ASC 740) FOOTNOTE	SCHEDULE D, PART X, LINE 2 AMERICAN COLLEGE OF SURGEONS IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). EXCEPT FOR TAXES RELATING TO UNRELATED BUSINESS INCOME, THE COLLEGE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE COLLEGE DOES NOT BELIEVE THAT THERE ARE ANY UNRECOGNIZED TAX BENEFITS OR TAX LIABILITIES THAT SHOULD BE RECORDED AS OF JUNE 30, 2018 AND 2017. FORMS 990 AND 990T FILED BY THE COLLEGE ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. THE IRS HAS AUDITED THE TAX RETURNS OF THE COLLEGE FOR THE FISCAL YEARS 2010, 2011 AND 2012 AND ISSUED A NOTICE OF DEFICIENCY IN APRIL 2017. THE COLLEGE FILED A PETITION WITH THE U.S. TAX COURT IN JULY 2017 TO DISPUTE THE IRSS FINDINGS. THE COLLEGE HAS PROVIDED ADDITIONAL INFORMATION SINCE THAT TIME THROUGH AUGUST 2018, AND IS AWAITING A REPLY. THE POTENTIAL FINANCIAL IMPACT ON THE COLLEGE IS NOT ANTICIPATED TO BE SIGNIFICANT TO THE FINANCIAL STATEMENTS OF THE COLLEGE. FORMS 990 AND 990T FILED BY THE COLLEGE ARE GENERALLY NO LONGER SUBJECT TO EXAMINATION FOR THE TAX YEARS BEFORE 2014 AND PRIOR YEARS NOT UNDER AUDIT.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (10 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Europe (Including Iceland and Greenland)	Investments	$53,408,928
North America	Investments	$4,626,320
Central America and the Caribbean	Grantmaking	$10,000
East Asia and the Pacific	Grantmaking	$44,000
Europe (Including Iceland and Greenland)	Grantmaking	$85,000
Middle East and North Africa	Grantmaking	$25,000
North America	Grantmaking	$40,000
South America	Grantmaking	$10,000
South Asia	Grantmaking	$10,000
Sub-Saharan Africa	Grantmaking	$41,416

Field	Value	IRS element (for citing)
Subtotal Spent	$58,300,664	SubtotalSpentAmt
Total Spent	$58,300,664	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
Middle East and North Africa	To promote surgical education to the international	$25,000	Wire	$0
Sub-Saharan Africa	To promote surgical education to the international	$15,450	Wire	$0

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp (13 entries)

Type Of AssistanceTypeOfAssistanceTxt	RegionRegionTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
Germany Fellowship	North America	1	$10,000	Check	$0
Resident Reseach Scholarships	North America	1	$30,000	Check	$0
Intl Community Surgeons Travel Award	Sub-Saharan Africa	2	$5,966	ACH / Wire	$0
Intl Community Surgeons Travel Award	East Asia and the Pacific	1	$4,000	Wire	$0
International Guest Scholar	Central America and the Caribbean	1	$10,000	Wire	$0
International Guest Scholar	East Asia and the Pacific	4	$40,000	Wire	$0
International Guest Scholar	Europe (Including Iceland and Greenland)	5	$50,000	Wire	$0
International Guest Scholar	South America	1	$10,000	Wire	$0
International Guest Scholar	Sub-Saharan Africa	2	$20,000	Wire	$0
International ACS NSQIP Scholarship	Europe (Including Iceland and Greenland)	2	$20,000	Wire	$0
ACS/ASBrS International Scholarship	Europe (Including Iceland and Greenland)	1	$5,000	Check	$0
Intl Surgical Education Scholarship	South Asia	1	$10,000	Wire	$0
Intl Surgical Education Scholarship	Europe (Including Iceland and Greenland)	1	$10,000	Wire	$0

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PROCEDURE FOR MONITORING USE OF GRANT FUNDS OUTSIDE U.S.

SCHEDULE F, PART I, LINE 2 THE AMERICAN COLLEGE OF SURGEONS OFFERS VARIOUS AWARDS AND SCHOLARSHIPS EACH YEAR. EACH AWARD HAS A REQUIREMENTS BROCHURE AND SAMPLES CAN BE FOUND ON HTTP://WWW.FACS.ORG/MEMBERSERVICES/RESEARCH.HTML. THE COLLEGE HAS A SELECTION COMMITTEE WHO IS RESPONSIBLE FOR DECIDING WHO RECEIVES THESE AWARDS. AWARDEES PROVIDE A BUDGET FOR LARGER AWARDS, AND ARE REQUIRED TO SUBMIT ANNUAL AND FINAL NARRATIVE AND FINANCIAL REPORTS. SMALLER AWARDS REQUIRE A NARRATIVE AND SIMPLE FINANCIAL REPORT UPON COMPLETION OF THE PROJECT. THE MEMBER SERVICES DIVISION EMPLOYS AN INTERNATIONAL LIAISON AND SCHOLARSHIPS ADMINISTRATOR TO MONITOR AND OVERSEE THIS PROGRAM.

FOREIGN FORMS

SCHEDULE F, PART IV AMERICAN COLLEGE OF SURGEONS INVESTS IN DOMESTIC AND FOREIGN LIMITED PARTNERSHIPS AND OTHER CORPORATIONS THAT MAY OWN INTEREST IN A FOREIGN CORPORATION, PASSIVE FOREIGN INVESTMENT COMPANY, OR FOREIGN PARTNERSHIP. NEVERTHELESS, ACS'S INVESTMENT ACTIVITIES MAY NOT REACH THE THRESHOLDS REQUIRED FOR FILING FORMS 926, 5471, 8621, OR 8865. TO THE EXTENT SUCH A FORM WAS COMPLETED, IT HAS BEEN FILED WITH THE ORGANIZATION'S FORM 990-T.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
National Academy of Sciences
500 5th St NW Room 836	Washington	DC	20001	530196932	501(c)(3)	$25,000	$0	General Support
Nat'l Academies of Sci Eng & Medicine
500 Fifth Street NW	Washington	DC	20001	237284092	501(c)(3)	$10,000	$0	General Support offering a two-year onsite fellowship in surgical outcomes research, health services research, and health care policy. The primary goal of the program is to involve the Clinical Scholar in the ongoing quality improvement initiatives of the ACS, including the National Surgical Quality Improvement Program (ACS NSQIP), the National Cancer Database (NCDB), the Trauma Quality Improvement Program (TQIP), the Surgeon Specific Registry (SSR), the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), guideline development, and accreditation programs. The Clinical Scholar will also be able to conduct research in a variety of areas relevant to ongoing projects within the ACS. In parallel, the scholar will have the opportunity to complete a Master of Science degree in clinical investigation, health services and outcomes research, or health care quality and patient safety through Northwestern University.

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (16 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt
ANZ Fellowship	1	$10,000	$0
Japan Traveling Fellowshing	1	$10,000	$0
Clowes Award	4	$180,000	$0
Faculty Research Fellowship	10	$390,330	$0
Resident Reseach Scholarships	11	$330,000	$0
Health Policy Scholar	18	$73,500	$0
ACS / Triological Society Award	4	$200,000	$0
Claude Organ Travelling Fellowship	1	$5,000	$0
Oweida Scholar	3	$14,872	$0
ACS/AFSH Research Career Development	1	$40,000	$0
Clinical Scholar-in-Residence	3	$443,911	$0
ACS-MacLean Ctr Surgical Ethics Fllwshp	1	$10,000	$0
Jacobson Promising Investigator Award	1	$30,000	$0
Research Career Development Award	4	$200,000	$0
YFA Essay Contest	1	$500	$0
International Guest Scholar	1	$2,000	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE U.S.	FormAndLineReferenceDesc
Explanation	SCHEDULE I, PART I, LINE 2 THE AMERICAN COLLEGE OF SURGEONS OFFERS VARIOUS AWARDS AND SCHOLARSHIPS EACH YEAR. EACH AWARD HAS A REQUIREMENTS BROCHURE AND SAMPLES CAN BE FOUND ON HTTP://WWW.FACS.ORG/MEMBERSERVICES/RESEARCH.HTML. THE COLLEGE HAS A SELECTION COMMITTEE WHO IS RESPONSIBLE FOR DECIDING WHO RECEIVES THESE AWARDS. AWARDEES PROVIDE A BUDGET FOR LARGER AWARDS, AND ARE REQUIRED TO SUBMIT ANNUAL AND FINAL NARRATIVE AND FINANCIAL REPORTS. SMALLER AWARDS REQUIRE A NARRATIVE AND SIMPLE FINANCIAL REPORT UPON COMPLETION OF THE PROJECT. THE MEMBER SERVICES DIVISION EMPLOYS AN INTERNATIONAL LIAISON AND SCHOLARSHIPS ADMINISTRATOR TO MONITOR AND OVERSEE THIS PROGRAM.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID B HOYT
EXECUTIVE DIRECTOR	$1,080,074	$0	$561	$0	$0	$0	$325,572	$0	$21,244	$0	$1,427,451	$0	$0	$0
GAY VINCENT
CHIEF FINANCIAL OFFICER	$469,190	$0	$857	$0	$0	$0	$173,543	$0	$30,877	$0	$674,467	$0	$0	$0
AJIT K SACHDEVA
DIRECTOR OF EDUCATION	$645,704	$0	$777	$0	$0	$0	$267,217	$0	$21,244	$0	$934,942	$0	$0	$0
CLIFFORD KO
DIRECTOR OF RESEARCH	$688,237	$0	$25,758	$0	$0	$0	$119,857	$0	$0	$0	$833,852	$0	$0	$0
PATRICIA L TURNER
DIRECTOR OF MEMBER SERVICES	$586,211	$0	$561	$0	$0	$0	$151,792	$0	$12,291	$0	$750,855	$0	$0	$0
LYNN KAHN
DIRECTOR OF COMMUNICATIONS	$305,572	$0	$573	$0	$0	$0	$188,666	$0	$9,592	$0	$504,403	$0	$0	$0
CHRISTIAN SHALGIAN
DIRECTOR OF ADVOCACY & HP	$336,846	$0	$835	$0	$0	$0	$101,084	$0	$30,877	$0	$469,642	$0	$0	$0
FRANK OPELKA
MEDICAL DIRECTOR	$551,955	$0	$339	$0	$0	$0	$146,467	$0	$21,244	$0	$720,005	$0	$0	$0
PATRICK V BAILEY
MEDICAL DIRECTOR	$551,923	$0	$307	$0	$0	$0	$118,453	$0	$30,877	$0	$701,560	$0	$0	$0
LEWIS FLINT
EDITOR OF SELECTED READINGS	$460,850	$0	$520	$0	$0	$0	$124,782	$0	$24,053	$0	$610,205	$0	$0	$0
DAVID WINCHESTER
MEDICAL DIRECTOR	$339,446	$0	$819	$0	$0	$0	$156,268	$0	$21,244	$0	$517,777	$0	$0	$0
WILFRED CHAPLEAU
PROGRAM DIRECTOR	$243,096	$0	$30,561	$0	$0	$0	$224,955	$0	$17,289	$0	$515,901	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	NON-FIXED PAYMENTS	FormAndLineReferenceDesc
Explanation	SCHEDULE J, PART I, LINE 7 THE BOARD APPROVED BONUS PAYMENTS TO THE FOLLOWING INDIVIDUALS: CLIFFORD KO AND WILFRED CHAPLEAU THAT WERE NON-FIXED PAYMENTS. THESE PAYMENTS WERE NOT PART OF THE INDIVIDUALS' INITIAL COMPENSATION CONTRACTS WITH AMERICAN COLLEGE OF SURGEONS. THE BONUS PAYMENTS REPRESENT ACHIEVEMENT OF PERFORMANCE OBJECTIVES THAT WERE NOT CONTINGENT ON ACS'S FINANCIAL PERFORMANCE. ADDITIONAL AMOUNTS REPORTED WERE HOLIDAY BONUSES GIVEN TO ALL EMPLOYEES BASED ON LENGTH OF EMPLOYMENT. THE PAYMENTS ARE INCLUDED ON THE INDIVIDUALS' IRS FORM W-2.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	TIMOTHY EBERLEIN	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$140,000	TransactionAmt
Transaction	INDEPENDENT CONTRACTOR	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	PART IV, LINE 1 Timothy J. Eberlein, board member of American College of Surgeons, provided independent contractor service to the organization. The independent contractor service with the board member was conducted at arm's length and fair market value.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$505,138	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Form8283 Received	1	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED	FormAndLineReferenceDesc
Explanation	PART I, COLUMN (B) AMERICAN COLLEGE OF SURGEONS IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4A (CONTINUED from Part III) THE DROPC IS COMPRISED OF THREE FOCUS AREAS: 1. CANCER - THE COMMISSION ON CANCER (COC) IS A CONSORTIUM OF PROFESSIONAL ORGANIZATIONS DEDICATED TO IMPROVING SURVIVAL AND QUALITY OF LIFE FOR CANCER PATIENTS THROUGH STANDARD-SETTING, PREVENTION, RESEARCH, EDUCATION, AND THE MONITORING OF COMPREHENSIVE QUALITY CARE. THE COC ACCREDITATION PROGRAM SETS STANDARDS FOR QUALITY, MULTIDISCIPLINARY CANCER CARE DELIVERED IN MORE THAN 1,500 HOSPITAL SETTINGS IN THE UNITED STATES AND PUERTO RICO. OTHER COC PROGRAMS INCLUDE THE CANCER PHYSICIAN LIAISON PROGRAM, THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS, AND THE NATIONAL CANCER DATABASE. 2. TRAUMA - THE COMMITTEE ON TRAUMA (COT) AND THE TRAUMA PROGRAMS STAFF OVERSEE AND SUPPORT VARIOUS DIDACTIC AND EXPERIENTIAL TRAUMA COURSES, THE NATIONAL TRAUMA REGISTRY, THE NATIONAL TRAUMA DATA BANK, THE STOP THE BLEED AWARENESS CAMPAIGN, THE VERIFICATION/CONSULTATION PROGRAM FOR HOSPITALS, THE TRAUMA SYSTEM CONSULTATION PROGRAM, AND REGIONAL TRAUMA ORGANIZATION OF STATE/PROVINCIAL ACTIVITIES. THE COT IS ALSO ACTIVE IN PRE-HOSPITAL TRAUMA CARE, INJURY PREVENTION AND CONTROL, PERFORMANCE IMPROVEMENT AND PATIENT SAFETY, RURAL TRAUMA, DISASTER MANAGEMENT, AND OUTCOMES STUDIES. 3. CONTINUOUS QUALITY IMPROVEMENT (CQI) - THE DROPC'S CONTINUOUS QUALITY IMPROVEMENT (QI) PROGRAMS PROVIDE THE INFRASTRUCTURE FOR SEVERAL QI PROGRAMS, AS WELL AS FOR CONDUCTING HEALTH SERVICES RESEARCH, CLINICAL RESEARCH, LABORATORY RESEARCH, META-ANALYSES, CLINICAL TRIALS, OUTCOME STUDIES, RESEARCH HYPOTHESIS GENERATION, AND THE DEVELOPMENT OF EVIDENCE-BASED PRACTICE GUIDELINES. THE MAJOR QI PROGRAMS WITHIN CQI INCLUDE THE ACS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (ACS NSQIP) AND THE ACS BARIATRIC SURGERY CENTER NETWORK (ACS BSCN). FORM 990, PART III, LINE 4B (CONTINUED from Part III) THE ACS CLINICAL CONGRESS IS AN ANNUAL EDUCATIONAL CONFERENCE FOR SURGEONS, INCLUDING FOUR DAYS OF LECTURES, PANEL SESSIONS, POSTGRADUATE COURSES, PRESENTATIONS OF SCIENTIFIC PAPERS AND RESEARCH, VIDEO-BASED EDUCATION SESSIONS, AND OTHER EDUCATIONAL ACTIVITIES. IN OCTOBER 2017, ATTENDANCE AT THE CLINICAL CONGRESS INCLUDED OVER 12,000 PHYSICIANS. THE PUBLICATION, SELECTED READINGS IN GENERAL SURGERY (SRGS), PROVIDES A BROAD, TOPIC-ORIENTED ANALYSIS OF THE CURRENT SURGICAL LITERATURE AND IS AVAILABLE IN PRINT, ONLINE AND CD-ROM FORMATS. SRGS REVIEWS THE ENTIRE SPECIALTY OF SURGERY EVERY TWO TO THREE YEARS FOR SURGERY RESIDENTS AND PRACTICING SURGEONS, AND HAS APPROXIMATELY 2,800 - 3,000 SUBSCRIBERS. THE WEB-BASED PROGRAM ENTITLED FUNDAMENTALS OF LAPAROSCOPIC SURGERY (FLS) IS A JOINT PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS AND THE SOCIETY OF AMERICAN GASTROINTESTINAL AND ENDOSCOPIC SURGEONS (SAGES). FLS IS A COMPREHENSIVE EDUCATION MODULE DESIGNED TO TEACH AND ASSESS PROFICIENCY IN THE DOMAINS OF PHYSIOLOGY, FUNDAMENTAL KNOWLEDGE, AND TECHNICAL SKILLS REQUIRED FOR BASIC LAPAROSCOPIC SURGERY. FORM 990, PART III, LINE 4C (CONTINUED from Part III) THE DIVISION ALSO STAFFS SEVERAL COMMITTEES INCLUDING THE INTERNATIONAL RELATIONS COMMITTEE, SCHOLARSHIPS COMMITTEE, AND 13 SURGICAL SPECIALTY ADVISORY COUNCILS. THE DIVISION SUPPORTS THE 289 BOARD OF GOVERNORS WHO ADVISE AND COUNCIL THE BOARD OF REGENTS, AND SUPPORTS THE ACTIVITIES OF OVER 100 DOMESTIC AND INTERNATIONAL CHAPTERS. FORM 990, PART III, LINE 4D DIVISION OF ADVOCACY AND HEALTH POLICY (DAHP) - THE PURPOSE OF THE HEALTH POLICY AND ADVOCACY GROUP IS TO IDENTIFY PUBLIC POLICY ISSUES AND CONCERNS AFFECTING SURGEONS AND THEIR PATIENTS. DURING 2017 THE ACS DAHP HELPED ADVOCATE DIFFERENT LEGISLATIVE MEASURES THAT: RESPONDED TO THE PROPOSALS IN THE MEDICARE PHYSICIAN FEE SCHEDULE ON CHANGES RELATED TO EVALUATION AND MANAGEMENT CODES; TESTIFIED BEFORE U.S. HOUSE COMMITTEE ON ENERGY AND COMMERCE HEALTH SUBCOMMITTEE HEARING ON MACRA AND MIPS; LAUNCHED THE STOP OVERREGULATING MY OR (SOMO) INITIATIVE; SUPPORTED EFFORTS TO PASS THE MISSION ZERO ACT WHICH AUTHORIZES $15 MILLION IN GRANT FUNDING TO HELP CIVILIAN TRAUMA CENTERS THAT PARTNER WITH MILITARY PROFESSIONALS AND CREATES A PATHWAY TO PROVIDE PATIENTS WITH EXCELLENT TRAUMA CARE IN TIMES OF PEACE AND CONFLICT. ENCOURAGED THE AMERICAN MEDICAL ASSOCIATION HOUSE OF DELEGATES TO ENDORSE THE ACS-LED STOP THE BLEED PROGRAM AND ENCOURAGE THE EDUCATION OF FIRST RESPONDERS AND BYSTANDERS IN BLEEDING CONTROL AND TOURNIQUET USE.
MATERIAL DIFFERENCES IN VOTING RIGHTS	FORM 990, PART VI, LINE 1A ACCORDING TO ARTICLE V, SECTION 2, SUBPARAGRAPH (A) OF THE BYLAWS, IT STATES, "DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF REGENTS, THE EXECUTIVE COMMITTEE SHALL EXERCISE THE POWERS OF THE BOARD OF REGENTS IN THE MANAGEMENT AND DIRECTION OF THE BUSINESS AND THE CONDUCT OF THE AFFAIRS OF THE COLLEGE, EXCEPT THAT IT SHALL NOT HAVE POWER TO ELECT FELLOWS; AMEND THE BYLAWS; OR REGULATE FEES, DUES, OR ASSESSMENTS. IT SHALL KEEP A RECORD OF ITS PROCEEDINGS AND SHALL, AFTER EACH MEETING, REPORT THE SAME TO THE REGENTS FOR APPROVAL AT THE NEXT SUCCEEDING MEETING OF THE BOARD OF REGENTS."
FORM 990 REVIEW PROCESS	FORM 990, PART VI, LINE 11B THE FORM 990 WAS PREPARED BY THE ACS ACCOUNTING DEPARTMENT AND REVIEWED BY OUTSIDE TAX PROFESSIONALS. COPIES OF THE RETURN WERE SENT TO THE ACS FINANCE COMMITTEE FOR REVIEW (ACS BOARD OF REGENTS DELEGATED THIS RESPONSIBILITY TO THE ACS FINANCE COMMITTEE) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENT	FORM 990, PART VI, LINE 12C THE COLLEGE HAS CONFLICTS OF INTEREST POLICIES FOR EMPLOYEES, CONSULTANTS AND BOARD MEMBERS. ALL EMPLOYEES, CONSULTANTS AND BOARD MEMBERS ARE REQUIRED TO SIGN A DISCLOSURE STATEMENT EACH YEAR, WHICH ARE COLLECTED AND DISSEMINATED BY THE CHIEF FINANCIAL OFFICER'S OFFICE. THERE IS ALSO AN ACS CONFLICTS OF INTEREST COMMITTEE THAT MEETS PERIODICALLY AS THE NEED ARISES TO DISCUSS ISSUES THAT RELATE TO CONFLICTS OF INTEREST. THE COMMITTEE ACCOUNTS FOR THE RECEIPT OF DISCLOSURE STATEMENTS AND FOLLOWS UP ON ANY ISSUES. THIS INFORMATION IS THEN REPORTED TO THE ACS FINANCE COMMITTEE OF THE BOARD OF REGENTS. IF THE ACS FINANCE COMMITTEE FEELS THERE ARE CONFLICTS THAT ARE QUESTIONABLE IN NATURE, THEY ARE REPORTED TO THE ACS BOARD OF REGENTS CHAIR AND TREASURER FOR ACTION. THE BOARD OF REGENTS EXECUTIVE COMMITTEE SHALL TAKE ACTION ON ANY PRESUMED OR POTENTIAL VIOLATION OF THIS POLICY BY A MEMBER OF LEADERSHIP TO ENSURE THAT A CONFLICT OF INTEREST DOES NOT ARISE OR DOES NOT CONTINUE. IN ADDITION TO ANY LEGAL PENALTIES, SUCH ACTION MAY INCLUDE, BUT SHALL NOT BE LIMITED TO, ORAL ADMONISHMENT, WRITTEN REPRIMAND, RESIGNATION, AND RESTITUTION. A MEMBER WHO DISAGREES WITH THE FINDINGS OR RECOMMENDATIONS OF THE FINANCE COMMITTEE OR THE ACTION OF THE BOARD OF REGENTS EXECUTIVE COMMITTEE MAY APPEAL THE DECISION TO THE BOARD OF REGENTS.
PROCESS FOR DETERMINING COMPENSATION	FORM 990, PART VI, LINES 15A AND 15B THE COLLEGE HAS POLICIES AND PROCEDURES CONCERNING COMPENSATION INCREASES, PERFORMANCE EVALUATIONS, AND JOB EVALUATIONS. IN ADDITION, MERIT INCREASES ARE INCLUDED AS A BUDGET PARAMETER FOR REVIEW BY THE FINANCE COMMITTEE AS IS THE ADDITION OF ANY NEW EMPLOYEE OR HUMAN RESOURCE BENEFIT PROPOSAL. THE COLLEGE HAS AN EXECUTIVE COMPENSATION COMMITTEE AS A SUBCOMMITTEE TO THE FINANCE COMMITTEE. THE COMMITTEE IS COMPRISED OF THE BOARD OF REGENTS CHAIR, BOARD OF REGENTS TREASURER, BOARD OF GOVERNORS SECRETARY, AND A MEMBER OF THE FINANCE COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE'S PURPOSE IS AS FOLLOWS: TO ESTABLISH PROCEDURES TO CREATE A "REBUTTABLE PRESUMPTION OF REASONABLENESS" IN CONNECTION WITH IRS INTERMEDIATE SANCTIONS REGULATIONS. RESPONSIBILITIES ARE TO ENSURE THAT COMPENSATION FOR EACH "DISQUALIFIED PERSON" IS REASONABLE. HUMAN RESOURCES PROVIDES COMPARABILITY DATA TO THE COMMITTEE IN THE FORM OF SURVEYS, OTHER SIMILAR ORGANIZATIONS, GEOGRAPHICAL COMPARISONS, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS FOR THE SERVICES OF A DISQUALIFIED PERSON. THE COMMITTEE DOCUMENTS THE BASIS FOR ALL COMPENSATION DETERMINATIONS.
DOCUMENTS MADE AVAILABLE TO PUBLIC	FORM 990, PART VI, LINE 19 THE BYLAWS ARE AVAILABLE ON OUR WEBSITE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 9 CHANGE IN FUNDS HELD FOR OTHERS: (1,085,172). PENSION ADJUSTMENT: 1,305,811. ------------ TOTAL: 220,639. ============

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Surgeons Asset Management
633 N Saint Clair Street	Chicago	IL	60611	203761195	Invst Advisor	IL	$0	$0	ACS
ACS East Ontario LLC
633 N Saint Clair Street	Chicago	IL	60611	362192800	Re Investment	IL	-$72,773	$2,647,845	ACS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt
American College of Surgeons Prof Assoc
633 N Saint Clair Street	Chicago	IL	60611	300079883	Ed in Surgery	IL	501(c)(6)	ACS	Yes (true)
ACSPA Surgeons PAC
633 N Saint Clair Street	Chicago	IL	60611	141849039	Political Act	IL	527	ACSPA	Yes (true)
American College of Surgeons Foundation
633 N Saint Clair Street	Chicago	IL	60611	300305504	Surgical Edu	IL	501(c)(3)	ACS	false	07

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
American College of Surgeons Prof Assoc
c	$17,011,765	Cost
American College of Surgeons Prof Assoc
m	$1,643,863	Cost
American College of Surgeons Prof Assoc
o	$525,052	Cost
American College of Surgeons Prof Assoc
q	$635,504	Cost