2025-11-14T21:42:03+00:00 2024-12-31 135381590 BDO USA 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2024-01-01 135641985 American College of Cardiology Foundation AMER 2023756000 2400 N Street NW Washington DC 20037 Cathleen C Gates CEO 2023756000 2025-11-15 true true Sandra L Feinsmith P01064157 7038930600 2025-11-15 2024 2025-03-06 01:10:19Z Cathleen C Gates 2400 N Street NW Washington DC 20037 150500678 false X www.ACC.org X 1952 DC TO TRANSFORM CARDIOVASCULAR CARE AND IMPROVE HEART HEALTH FOR ALL. 15 9 559 2050 768233 19757306 17034165 83811338 87854602 7601076 8520780 12998478 12421709 124168198 125831256 1065994 588524 0 58239953 60675312 0 255744 65983253 68730887 125289200 129994723 -1121002 -4163467 306574064 295838875 159211240 142864868 147362824 152974007 X TO TRANSFORM CARDIOVASCULAR CARE AND IMPROVE HEART HEALTH FOR ALL. false false 28194087 0 52807167 REGISTRY PRODUCTS & RESEARCH - RESOURCES FOR MEASURING CV QUALITY OUTCOMES & GAPS 15752236 0 155751 SCIENCE and QUALITY 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Trustee 2.5 2.5 X 31229 31229 0 ED W CHILDS MD FACS Trustee 03/2024 2.5 2.5 X 0 0 0 HANI K NAJM MD MSc FACC Trustee 2.5 2.5 X 3375 3375 0 JAMES L JANUZZI Jr MD FACC Trustee 03/2024 2.5 2.5 X 6667 6667 0 JEFFREY T KUVIN MD FACC Trustee 2.5 2.5 X 7738 7738 0 JOSEPH E MARINE MD MBA FACC Trustee 03/2024 2.5 2.5 X 5388 5388 0 LEE R GOLDBERG MD MPH FACC Trustee 2.5 2.5 X 4100 4100 0 PAMELA B MORRIS MD FACC Trustee 2.5 2.5 X 5388 5388 0 ROXANA MEHRAN MD FACC Trustee 2.5 2.5 X 2388 2388 0 SANDRA J LEWIS MD FACC Trustee 2.5 2.5 X 400 400 0 THOMAS M MADDOX MD MSc FACC Trustee 2.5 2.5 X 400 400 0 Cathleen C Gates CEO 45.0 5.0 X 1055051 117228 6017 Ravee Kurian COO / CFO 27.5 22.5 X 280870 229802 34997 Amanda K Kraiger DVP, Enterprise Content & Digital Strategy 50.0 0 X 157904 0 25256 Anita Piermarini DVP, Finance 50.0 0 X 312612 0 11635 Bruce Carper DVP, Technology & Business Service 50.0 0 X 303921 0 2264 Janice Sibley EVP 50.0 0 X 609494 0 3082 John B Mullen EVP 50.0 0 X 560643 0 35156 Joyce Donnellan DVP, Education 50.0 0 X 283519 0 31453 Justine M Turco DVP, Publishing 50.0 0 X 266161 0 22277 Katherine M Wilson DVP, Membership 25.0 25.0 X 107983 107983 23740 Lara E Slattery DVP, Clinical Registry & Accreditation 50.0 0 X 334505 0 31673 Lisa Hix EVP/General Counsel 45.0 5.0 X 577418 64158 32579 Neal A Kovach DVP, Global Innovation & Clinical Transformation 50.0 0 X 302451 0 34277 Nicola Kennedy DVP, Chief People Officer 50.0 0 X 332233 0 21900 Richard Kovacs Chief Medical Officer 50.0 0 X 302234 0 10446 Shalen Fairbanks DVP, Marketing & Communications 50.0 0 X 262711 0 31444 Ami Bhatt Chief Innovation Officer 50.0 0 X 446590 0 30809 Audra Ludwig Deputy General Counsel Associate 25.0 25.0 X 141369 141369 34298 Julie Stephenson Team Leader, Corporate Relations & Business Strategy 50.0 0 X 268025 0 32796 Lear Zaborowski Team Leader, Corporate Relations & Business Strategy 50.0 0 X 255592 0 32769 Melvin Echols Chief Health Equity Officer 50.0 0 X 383575 0 10646 7928322 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27689879 37146464 20596075 16550389 143440505 115179547 28260958 3504621 3504621 89698301 Program Related 16392812 C 16392812 1598015 Federal Income Taxes 1598015 Liability Under the Interest Rate Swap 3300544 Due to the American College of Cardiology 6334421 Deferred Financing Costs -1067417 refundable advance 2308039 12473602 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds TO FULFILL THE EDUCATIONAL MISSION OF THE COLLEGE: To transform cardiovascular care and improve heart health for all. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote UNDER ASC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED. THE COLLEGE RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. RECOGNIZED UNCERTAIN INCOME TAX POSITIONS ($0 AT DECEMBER 31, 2024 AND 2023) ARE MEASURED AT THE LARGEST AMOUNT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURRED. East Asia and the Pacific 0 1 Program Services Educational Activity 1127476 Central America and the Caribbean 0 0 Program Services Educational Activity 264321 Middle East and North Africa 0 0 Program Services Educational Activity 517674 0 1 0 0 0 1 1909471 0 1909471 Travel Award East Asia and the Pacific 1 1000 wire Middle East Conference Travel Award Middle East and North Africa 2 2917 wire Young Investigators Travel Award UK Europe (Including Iceland and Greenland) 1 2500 wire Young Investigator Award India South Asia 1 2000 wire false false false false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EAST ASIA AND THE PACIFIC-Accrual; MIDDLE EAST AND NORTH AFRICA-Accrual Schedule F, Part III Method used to account for expenditures on org's financial statements EAST ASIA AND THE PACIFIC -Accrual EUROPE (INCLUDING ICELAND AND GREENLAND) -Accrual MIDDLE EAST AND NORTH AFRICA -Accrual SOUTH ASIA -Accrual true The Regents of the University of California Davis Office of Research 1850 Research Pa Davis CA 956186134 946036494 501(c)(3) 63965 0 AFC - Accreditation Foundation Committee Microgrant The Christ Hospital 2123 Auburn Avenue Ste 424 Cincinnati OH 45219 263885165 501(c)(3) 56000 0 AFC - Accreditation Foundation Committee Microgrant Brigham and Women's Hospital 75 Francis Street PBB-1 Boston MA 02115 042312909 501(c)(3) 50000 0 ACC/ABC Merck Award Duke University 2200 West Main Street Ste 1000 Durham NC 27705 560532129 501(c)(3) 50000 0 ACC/ABC Merck Award Regents of the University of California San Franc 3333 California Street Suite 315 San Francisco CA 94143 946036493 501(c)(3) 50000 0 ACC/ABC Merck Award Regents of the University of California San Diego 9500 Gilman Drive MC 0041 La Jolla CA 92093 956006144 115 50000 0 AFC - Accreditation Foundation Committee Microgrant Henry Ford Health System 2799 West Grand Blvd Detroit MI 48020 381357020 501(c)(3) 49755 0 AFC - Accreditation Foundation Committee Microgrant Icahn School of Medicine at Mount Sinai One Gustave L Levy Place New York NY 10029 136171197 501(c)(3) 25000 0 ACCF Geriatric Cardiology Career Dev. Award Association of Black Cardiologists inc 2400 N Street NW Suite 200 Washington DC 20037 953959283 501(c)(3) 25000 0 ABC 50th Anniv Gala support Minneapolis Heart Institute Fnd 920 East 28th Street Suite 100 Minneapolis MN 05540 411426406 501(c)(3) 25000 0 AFC - Accreditation Foundation Committee Microgrant The Regents of the University of Colorado 1800 Grant Street Suite 600 Denver CO 80203 846000555 501(c)(3) 25000 0 AFC - Accreditation Foundation Committee Microgrant Parkview Hospital Inc 11109 Parkview Plaza Drive Fort Wayne IN 46845 350868085 501(c)(3) 24976 0 AFC - Accreditation Foundation Committee Microgrant American Heart Association PO Box 4002012 Des Moines IA 503402012 135613797 501(c)(3) 15000 0 Heart Ball - DC Gala support Regents of the University of Minnesota NW 5960 PO Box 1450 Minneapolis MN 554855960 416007513 501(c)(3) 10000 0 Global Cardio Oncology Summit Sponsorship Naples Community Hospital Inc 350 7th Street N Naples FL 34102 590694358 501(c)(3) 6000 0 AFC - Accreditation Foundation Committee Microgrant 14 1 CVT Section Travel Award 2 1990 0 LIttman Travel Award 1 5000 0 Merck/ABC Award 3 2731 0 Young Investigators Award 22 28190 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds The organization maintains comprehensive records to substantiate the amount of grants or assistance, the eligibility of grantees, and the selection criteria used to award such grants. All financial award programs are administered through formal application processes that include eligibility verification, documentation requirements, and review by designated committees. The Awards Committee and other selection panels evaluate applications based on established criteria and make recommendations for disbursement. All grant decisions are documented and tracked internally to ensure compliance and transparency. X X X X X false false false false false true false false false CATHLEEN BIGA MSN FACC President 136500 136500 0 0 0 0 0 0 0 0 136500 136500 0 0 Cathleen C Gates CEO 899067 99896 155984 17332 0 0 0 0 5415 602 1060466 117830 0 0 Ravee Kurian COO / CFO 256670 210002 24200 19800 0 0 0 0 19248 15749 300118 245551 0 0 Bruce Carper DVP, Technology & Business Service 279921 0 24000 0 0 0 0 0 2264 0 306185 0 0 0 Joyce Donnellan DVP, Education 263019 0 20500 0 0 0 0 0 31453 0 314972 0 0 0 Shalen Fairbanks DVP, Marketing & Communications 241111 0 21600 0 0 0 0 0 31444 0 294155 0 0 0 Lisa Hix EVP/General Counsel 505418 56158 72000 8000 0 0 0 0 29321 3258 606739 67416 0 0 Nicola Kennedy DVP, Chief People Officer 305233 0 27000 0 0 0 0 0 21900 0 354133 0 0 0 Neal A Kovach DVP, Global Innovation & Clinical Transformation 280351 0 22100 0 0 0 0 0 34277 0 336728 0 0 0 Richard Kovacs Chief Medical Officer 290134 0 12100 0 0 0 0 0 10446 0 312680 0 0 0 Amanda K Kraiger DVP, Enterprise Content & Digital Strategy 157904 0 0 0 0 0 0 0 25256 0 183160 0 0 0 John B Mullen EVP 514643 0 46000 0 0 0 0 0 35156 0 595799 0 0 0 Anita Piermarini DVP, Finance 290412 0 22200 0 0 0 0 0 11635 0 324247 0 0 0 Janice Sibley EVP 509494 0 100000 0 0 0 0 0 3082 0 612576 0 0 0 Lara E Slattery DVP, Clinical Registry & Accreditation 307705 0 26800 0 0 0 0 0 31673 0 366178 0 0 0 Justine M Turco DVP, Publishing 245961 0 20200 0 0 0 0 0 22277 0 288438 0 0 0 Katherine M Wilson DVP, Membership 88484 88484 19499 19499 0 0 0 0 11870 11870 119853 119853 0 0 Ami Bhatt Chief Innovation Officer 421590 0 25000 0 0 0 0 0 30809 0 477399 0 0 0 Melvin Echols Chief Health Equity Officer 367675 0 15900 0 0 0 0 0 10646 0 394221 0 0 0 Audra Ludwig Deputy General Counsel Associate 135120 135120 6249 6249 0 0 0 0 17149 17149 158518 158518 0 0 Julie Stephenson Team Leader, Corporate Relations & Business Strategy 204915 0 63110 0 0 0 0 0 32796 0 300821 0 0 0 Lear Zaborowski Team Leader, Corporate Relations & Business Strategy 196324 0 59268 0 0 0 0 0 32769 0 288361 0 0 0 Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization A portion of the Chief Executive Officer's compensation is contingent upon achievement of board-defined strategic performance metrics, which includes financial outcomes such as net earnings as well as other organizational goals. A DISTRICT OF COLUMBIA 536001131 2005-06-29 39200000 ACQUIRE, RENOVATE & FURNISH OFFICE false false false B DISTRICT OF COLUMBIA 566001131 254839P72 2007-04-18 12000000 ACQUIRE, RENOVATE & FURNISH OFFICE false false false C DISTRICT OF COLUMBIA 536001131 2018-12-04 14300000 ACQUIRE, RENOVATE & FURNISH OFFICE false false false A 0 39200000 39200000 2006 false false true true B 12000000 12000000 12000000 2022 false false true true C 1000002 14300000 14300000 false false true true A false false true true false false 0 0.0 0.0 false false 0 false true B false false true true false false 0 0.0 0.0 false false 0 false true C false false true true false false 0 0.0 0.0 false false 0 false true A false false true false true true Truist Bank 30.0 false false false 0 false false true B false false true false true true Suntrust Bank 30.0 false false false 0 false false true C false false true false true false 0 false false false 0 false false true A true B true C true Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 11,626,989 including grants of $ 169,401)(Revenue $ 7,944,904) ANNUAL SCIENTIFIC SESSION - EDUCATION, INNOVATION, LECTURES, DISUCSSIONS, CLINICAL DEMONSTRATIONS Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 9,502,596 including grants of $ 10,000)(Revenue $ 4,127,549) Publishing Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 7,827,679 including grants of $ 10,000)(Revenue $ 1,521,336) Other Education Activities Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 7,026,137 including grants of $ 317,196)(Revenue $ 7,048,838) Accreditation Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 5,489,759 including grants of $ 0)(Revenue $ 8,635,669) Educational Products Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 3,736,473 including grants of $ 0)(Revenue $ 3,515,074) Educational Programs Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 2,412,877 including grants of $ 0)(Revenue $ 0) ACC Web & Digital Strategy Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 1,556,219 including grants of $)(Revenue $ 0) Leadership and Governance (70/30 split) Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 1,480,896 including grants of $ 0)(Revenue $ 0) Member engagement Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 849,820 including grants of $ 0)(Revenue $ 0) Federal Grants Form 990, Part VI, Line 6 Classes of members or stockholders ACCF'S SOLE MEMBER IS AMERICAN COLLEGE OF CARDIOLOGY. Form 990, Part VI, Line 11b Review of form 990 by governing body ACCF GOVERNING BODY REVIEW OF THE 990 INCLUDES DETAILED REVIEWS BY THE AUDIT AND COMPLIANCE COMMITTEE, A GENERAL REVIEW BY THE FINANCE COMMITTEE AND EXECUTIVE COMMITTEE AND OPTIONAL REVIEW BY EACH BOARD OF TRUSTEE MEMBER. Form 990, Part VI, Line 12c Conflict of interest policy ANNUAL DISCLOSURE IS REQUIRED FOR ALL MEMBERS PARTICIPATING ON ACCF COMMITTEES, TASK FORCES, WORKING GROUPS, ETC. Form 990, Part VI, Line 15a Process to establish compensation of top management official ACCF REGULARLY REVIEWS COMPENSATION SURVEYS OF OTHER SIMILAR ORGANIZATIONS TO DETERMINE MARKET RATES FOR SAME/OR SIMILAR FUNCTIONS AND POSITIONS. THIS APPLIES TO ALL FULL-TIME AND PART-TIME EMPLOYEES. IN ADDITION, A FULL COMPENSATION STUDY HAS BEEN CONDUCTED BY AN OUTSIDE CONSULTANT FOR ALL SENIOR STAFF POSITIONS. THIS STUDY IS UPDATED AT LEAST EVERY TWO YEARS. ONLY THE CEO ANNUAL COMPENSATION, INCLUDING ANY PERFORMANCE AWARDS, IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. AN OUTSIDE COMPENSATION CONSULTANT PROVIDES MARKET DATA FOR THE BOARD OF TRUSTEES TO ENSURE APPROPRIATE MARKET RATE IS USED. COMPENSATION PAID TO ACCF MEMBERS, INCLUDING BOARD OF TRUSTEES OFFICERS, IS GOVERNED BY A MEMBER COMPENSATION COMMITTEE POLICY THAT INCORPORATES IRS REQUIREMENTS FOR INDEPENDENT REVIEW, ESTABLISHING COMPARABILITY OF COMPENSATION WITH OTHER, SIMILAR POSITIONS AND/ OR MARKET RATES AND THE DOCUMENTING OF DELIBERATIONS AND OUTCOMES. Form 990, Part VI, Line 15b Process to establish compensation of other employees COMPENSATION FOR MEMBER-FILLED POSITIONS IS BASED ON AN AVERAGE HOURLY RATE FOR CARDIOLOGISTS, AS PUBLISHED FROM AN INDEPENDENT SOURCE, AND THE EXPECTED ANNUAL HOURLY TIME COMMITMENT. AND/OR, THE COMPENSATION AMOUNT IS DETERMINED BY USING THE MARKET COMPENSATION FOR SIMILAR, COMPARABLE POSITIONS. COMPENSATION FOR ALL MEMBER HELD POSITIONS ARE REVIEWED BY AN INDEPENDENT (NON-COMPENSATED) MEMBER-ONLY COMPENSATION COMMITTEE TO ENSURE COMPLIANCE WITH IRS REQUIREMENTS. THIS PROCESS WAS LAST APPLIED TO BOARD OF TRUSTEE OFFICER POSITIONS (I.E. PRESIDENT, PRESIDENT ELECT, IMMEDIATE PAST PRESIDENT, VICE PRESIDENT, TREASURER, SECRETARY/ BOARD OF GOVERNERS (BOG) CHAIR, BOG CHAIR ELECT AND IMMEDIATE PAST BOG CHAIR) PERIODICALLY. COMPENSATION FOR ALL OTHER MEMBER-FILLED POSITIONS IS REVIEWED BY THE BOARD PERIODICALLY. Form 990, Part VI, Line 19 Required documents available to the public GOVERNING DOCUMENTS: GOVERNING DOCUMENTS, SUCH AS BYLAWS, ARTICLES OF INCORPORATION AND CONFLICT OF INTEREST POLICY ARE POSTED ON ACCF MAIN WEBSITE, WWW.ACC.ORG AND ITS MEMBER PORTAL. CONFLICT OF INTEREST POLICY - POSTED ON ACCF MAIN WEBSITE, WWW.ACC.ORG AND ITS MEMBER PORTAL. FINANCIAL STATEMENTS: FINANCIAL STATEMENTS AND FEDERAL TAX RETURNS ARE AVAILABLE UPON REQUEST. IN ADDITION, FEDERAL TAX AND INFORMATIONAL RETURNS ARE AVAILABLE ON WWW.GUIDESTAR.ORG Form 990, Part VII, Section A NAME: Christopher M Kramer, MD, FACC ORGANIZATION: Rector and Visitors of the University of VA COMPENSATION: $125,000 ACC AFFILIATION: Vice President Form 990, Part VII, Section A NAME: Hadley B. Wilson, MD, FACC ORGANIZATION: Carolinas Physicians COMPENSATION: $126,800 ACC AFFILIATION: Immediate Past-President Form 990, Part VIII, Line 2f Other Program Service Revenue Other Education Activities - Total Revenue: 1521336, Related or Exempt Function Revenue: 1521336, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Educational Products - Total Revenue: 8635669, Related or Exempt Function Revenue: 8635669, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Educational Programs - Total Revenue: 3515074, Related or Exempt Function Revenue: 3515074, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; ACC Web & Digital Strategy - Total Revenue: 765671, Related or Exempt Function Revenue: 13948, Unrelated Business Revenue: 751723, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Leadership and Governance (70/30 split) - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Member engagement - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Federal Grants - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Programs and Awards - Total Revenue: 1318695, Related or Exempt Function Revenue: 1278770, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 39925; Form 990, Part IX, Line 11g Other Expenses Tech Cont. - Total Expense: 2568994, Program Service Expense: 2568994, Management and General Expenses: , Fundraising Expenses: ; Consulting/Professional service Fees - Total Expense: 2191001, Program Service Expense: 1943756, Management and General Expenses: 222517, Fundraising Expenses: 24728; Other allocations by usage - Total Expense: 2042313, Program Service Expense: 2042313, Management and General Expenses: , Fundraising Expenses: ; Temporary Employees - Total Expense: 1972966, Program Service Expense: 1726260, Management and General Expenses: 246706, Fundraising Expenses: ; Misc - Total Expense: 1673045, Program Service Expense: 1673045, Management and General Expenses: , Fundraising Expenses: ; Independent Contractors - Total Expense: 1466316, Program Service Expense: 1375616, Management and General Expenses: 90700, Fundraising Expenses: ; JACC subscriptions - Total Expense: 1419097, Program Service Expense: 1419097, Management and General Expenses: , Fundraising Expenses: ; Building Maintenance/Utilities - Total Expense: 926841, Program Service Expense: 924400, Management and General Expenses: 2441, Fundraising Expenses: ; Contr/Serv Decoration - Total Expense: 573155, Program Service Expense: 566259, Management and General Expenses: 6896, Fundraising Expenses: ; Contr/Serv Security - Total Expense: 516785, Program Service Expense: 213213, Management and General Expenses: 303572, Fundraising Expenses: ; Other Consultants and Contractors - Total Expense: 484905, Program Service Expense: 484905, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Unrealized gain on interest rate swap - 2003125; Other - -19234; Total - 1983891; AMERICAN COLLEGE OF CARDIOLOGY 2400 N ST NW Washington DC 20037 311781555 ADVOCATE AND INFLUENCE POLICY FOR QUALITY CARDIOVASCULAR CARE DC 501(c)(6) ACCF true ACCF SERVICES LLC DBA MEDAXIOM 2400 N ST NW WASHINGTON DC 20037 833513296 CONSULTING DC ACCF C Corporation 13364441 10359212 1 true false false true true true false false false false false false false false true true false true false false American College of Cardiology D 7150965 Cost American College of Cardiology C 655498 Cost