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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <TitleTxt>Senior Vice President/Executive Director CHEST Foundation</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Robert Musacchio Phd</BusinessNameLine1Txt>
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        <TitleTxt>Senior Vice President/COO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Ronald Moen</BusinessNameLine1Txt>
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        <TitleTxt>CIO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Chad Jackson</BusinessNameLine1Txt>
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        <TitleTxt>Senior Director</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Heather Nash</BusinessNameLine1Txt>
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        <TitleTxt>Senior Director</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Susan Gripentrog</BusinessNameLine1Txt>
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        <TitleTxt>Senior Director</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Richard Schuch</BusinessNameLine1Txt>
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        <TitleTxt>Senior Director</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Dr Mark Rosen MD FCCP</BusinessNameLine1Txt>
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        <TitleTxt>Former Medical Director</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Nancy MacRae</BusinessNameLine1Txt>
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        <TitleTxt>Former SVP</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>Paul A Markowski CAE</BusinessNameLine1Txt>
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        <TitleTxt>Former EVP and CEO</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>The American College of Chest Physicians includes as taxable compensation any health club or social club dues paid on behalf of both interested and non-interested persons.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORMER CEO AND EXECUTIVE VICE PRESIDENT OF THE AMERICAN COLLEGE OF CHEST PHYSICIANS ("CHEST"), PAUL A. MARKOWSKI, CAE, ENTERED INTO A SEVERANCE AGREEMENT WITH CHEST, UPON TERMINATION OF EMPLOYMENT AND IN CONSIDERATION FOR EXECUTION OF SEVERANCE AGREEMENT MR. MARKOWSKI RECEIVED A GROSS LUMP SEVERANCE PAYMENT OF $361,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>The College Incentive Plan is available to all employees of the College who have met the eligibility requirements and were employed on the last day of the fiscal year. Certain criteria must be met by the College's management and staff prior to the incentive calculation, such as a surplus from operations, meeting strategic and personal goals. Incentive percentages are tiered based an employee's level within the College and are calculated based on the number of strategic and personal goals that are met.</ExplanationTxt>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Illinois Finance Authority</BusinessNameLine1Txt>
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        <BondIssuerEIN>861091967</BondIssuerEIN>
        <BondIssuedDt>2013-03-07</BondIssuedDt>
        <IssuePriceAmt>18000000</IssuePriceAmt>
        <PurposeDesc>See description on Part VI</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>18000000</TotalProceedsAmt>
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        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
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        <CapitalExpendituresAmt>16843146</CapitalExpendituresAmt>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
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        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
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      <TaxExemptBondsArbitrageGrp>
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        <Form8038TFiledInd>false</Form8038TFiledInd>
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        <RegulatorySafeHarborStsfdInd>false</RegulatorySafeHarborStsfdInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I Description of Purpose</FormAndLineReferenceDesc>
        <ExplanationTxt>The acquisition, design, development, construction, improvement, furnishing and equipping of certain new educational and training facilities, including, without limitation, one or more simulators, an auditorium, classrooms, administrative offices and various other educational and training facilities and including site improvements, landscaping, and improvements to roads, walkways and parking lots, all at 2595 Patriot Blvd, Glenview, Illinois 60026.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part III, Line 9 Written Procedures</FormAndLineReferenceDesc>
        <ExplanationTxt>The College has a draft form of written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with requirements. Management is in the process of obtaining formal approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 7 Written Procedures</FormAndLineReferenceDesc>
        <ExplanationTxt>The College has a draft form of written procedures to monitor the requirements of Section 148. Management is in the process of obtaining formal approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part V Written Procedures</FormAndLineReferenceDesc>
        <ExplanationTxt>The College has a draft form of written procedures and Management is in the process of obtaining formal approval.</ExplanationTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>Megan Schagrin CAE CFRE</BusinessNameLine1Txt>
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        <RelationshipWithOrgTxt>Former Senior Vice President, Business Development</RelationshipWithOrgTxt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="16000421" softwareVersionNum="2016v3.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 328,178 including grants of $)(Revenue $ 2,810,126) LEADERSHIP, NETWORKS, AND MEMBERSHIP: INTERDISCIPLINARY, FOCUSED-INTEREST GROUPS ARE ESTABLISHED TO PROVIDE THE OPPORTUNITY TO FORM A PROFESSIONAL ALLIANCE WITH OTHER MEMBERS OR GROUPS WHO SHARE SIMILAR EXPERTISE AND CONCERNS RELATIVE TO CLINICAL PRACTICE AND/OR COMMUNITY HEALTH ISSUES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a Filing of 1099's</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of Forms 1099 reported on Part V, Line 1a include various payments to faculty for honorariums and speaking engagements. These individuals have been appropriately classified as independent contractors rather than employees of the College.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has the following classes of membership with the right to elect members of the board or regents. There are no other rights granted to these members. Fellow: A physician or other healthcare professional or person holding an advanced degree, who meets such qualifications as established by the board of regents. Fellows shall be entitled to all privileges of the College, including but not limited to, the right to vote at the meetings of Fellows and to hold office. Fellows shall be permitted to use the designation "FCCP". Master Fellow: A Master Fellow shall be a Fellow who meets such qualifications as have been established by the board of regents. A Master Fellow shall have their dues permanently waived, continue to be a Fellow, and shall be permitted to use the designation "Master FCCP".</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>See Narrative for Form 990, Part VI, Section A, Line 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior to filing the return with the IRS, a draft of the completed Form 990 is reviewed by the organization's Joint Finance Oversight Committee. Subsequent to the Joint Finance Oversight Committee's review, the completed and final Form 990 is presented to the organization's Board of Directors for review and filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually, the organization distributes an electronic conflict of interest questionnaire to all interested persons to determine if any potential or actual conflict of interest exists. The Ethics Committee reviews each questionnaire electronically submitted by these individuals to determine if any potential or actual conflicts of interest exist and requires the attention of the board. If the board determines that an actual conflict exists, then the interested person with the conflict will recuse him/herself from any related discussion, vote or similar action on the matter.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>For fiscal year ended 6/30/2017 the Compensation Committee of the American College of Chest Physicians (College) engaged an Independent Compensation Consultant to provide consulting advice and market comparability data about the organization's top management, which includes the top management official and all key employees. The independent compensation consultant first determined that the Compensation Committee for the College was independent and free from conflicts of interest. The second step determined the "disqualified persons" and the methodology used to assess reasonableness. This assessment was conducted at the total rewards level and included all compensation components. Westcott Hunter, Inc. obtained external valid comparable market data from published sources for comparable positions, and established a Form 990 peer group of comparable organizations. The third step consisted of reviewing the disqualified individuals and market data; considering management's recommendations for salary increases and incentive awards; then finalizing and approving salary increase and incentive awards for all "disqualified persons". For fiscal year 6/30/16 the Compensation Committee compared the compensation for "Disqualified Persons" to that of the established "Peer Group". Noting that the compensation for the Disqualified Persons was reasonable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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 and reviews the compensation structure on an annual basis. The review process is documented in the compensation committee's minutes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Commissions - Total Expense: 282558, Program Service Expense: 282558, Management and General Expenses: , Fundraising Expenses: ; Honorarium - Total Expense: 1370084, Program Service Expense: 1053084, Management and General Expenses: 317000, Fundraising Expenses: ; Consultants - Total Expense: 1367369, Program Service Expense: 1349369, Management and General Expenses: 18000, Fundraising Expenses: ; Management Fee Enterprise - Total Expense: 799275, Program Service Expense: 799275, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Gain on swap valuation - 479013;</ExplanationTxt>
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          <BusinessNameLine1Txt>THE CHEST FOUNDATION</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>CREATE AND DELIVER EDUCATIONAL PROGRAMS</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>The Chest Foundation</BusinessNameLine1Txt>
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