﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2012v2.3">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2014-02-12T13:17:38-06:00</Timestamp>
    <TaxPeriodEndDate>2013-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>PricewaterhouseCoopers LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>1301 K STREET NW SUITE 800W</AddressLine1>
        <City>WASHINGTON</City>
        <State>DC</State>
        <ZIPCode>200053333</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>362261602</EIN>
      <Name>
        <BusinessNameLine1>AMERICAN COLLEGE OF RADIOLOGY</BusinessNameLine1>
      </Name>
      <InCareOfName>% Diane Mullis</InCareOfName>
      <NameControl>AMER</NameControl>
      <Phone>7036488900</Phone>
      <USAddress>
        <AddressLine1>1891 PRESTON WHITE DRIVE</AddressLine1>
        <AddressLine2>Suite</AddressLine2>
        <City>RESTON</City>
        <State>VA</State>
        <ZIPCode>201910000</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>DIANE MULLIS</Name>
      <Title>CHIEF FINANCIAL OFFICER</Title>
      <Phone>7036488900</Phone>
      <DateSigned>2014-02-10</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Phone>2024141000</Phone>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="9">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <NameOfPrincipalOfficerPerson>HARVEY L NEIMAN</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>1891 PRESTON WHITE DRIVE</AddressLine1>
        <City>RESTON</City>
        <State>VA</State>
        <ZIPCode>201910000</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>114762800</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.ACR.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1924</YearFormation>
      <StateLegalDomicile>CA</StateLegalDomicile>
      <ActivityOrMissionDescription>SEE SCHEDULE O - ATTACHMENT 1</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>31</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>28</NbrIndependentVotingMembers>
      <TotalNbrEmployees>591</TotalNbrEmployees>
      <TotalNbrVolunteers>1200</TotalNbrVolunteers>
      <TotalGrossUBI>443062</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>66905</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>42729093</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>40887279</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>53230214</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>47597882</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>532416</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>4880726</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>985734</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>727330</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>97477457</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>94093217</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>577064</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>1579355</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>36884299</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>39933208</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>100000</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>104598</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>53815746</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>51567008</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>91377109</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>93079571</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>6100348</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>1013646</RevenuesLessExpensesCY>
      <TotalAssetsBOY>145297337</TotalAssetsBOY>
      <TotalAssetsEOY>154666417</TotalAssetsEOY>
      <TotalLiabilitiesBOY>64369331</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>70293380</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>80928006</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>84373037</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>THE COLLEGE IS ORGANIZED TO ADVANCE THE SCIENCE OF RADIOLOGY, IMPROVE THE QUALITY OF PATIENT CARE, POSITIVELY INFLUENCE THE SOCIO-ECONOMICS OF THE PRACTICE OF RADIOLOGY, PROVIDE CONTINUING EDUCATION FOR RADIOLOGY AND ALLIED HEALTH PROFESSIONALS, AND CONDUCT RESEARCH FOR THE FUTURE OF RADIOLOGY.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>37225950</Expense>
      <Grants>1579355</Grants>
      <Revenue>6980342</Revenue>
      <Description>RESEARCH GRANTS AND CONTRACTS - THE COLLEGE MANAGES CLINICAL TRIALS FOR CANCER TREATMENT AND DIAGNOSTIC IMAGING UNDER GRANTS FROM THE NATIONAL CANCER INSTITUTE AND PRIVATE FIRMS.</Description>
      <Activity2>
        <Expense>14647809</Expense>
        <Revenue>31156824</Revenue>
        <Description>QUALITY AND SAFETY - THE COLLEGE DISSEMINATES, AND MONITORS PRACTICE GUIDELINES AND TECHNICAL STANDARDS AND APPROPRIATENESS CRITERIA FOR RADIOLOGY AND DEVELOPS AND MAINTAINS ACCREDITATION PROGRAMS TO PROMOTE QUALITY HEALTHCARE.</Description>
      </Activity2>
      <Activity3>
        <Expense>8967214</Expense>
        <Revenue>7796278</Revenue>
        <Description>EDUCATION - THE COLLEGE REPRESENTS THE EDUCATIONAL CONCERNS OF RADIOLOGISTS AND RADIATION ONCOLOGISTS, IN ALL PRACTICE SITUATIONS, AS WELL AS RADIOLOGY RESIDENTS, RADIATION TECHNOLOGISTS, AND MEDICAL PHYSICISTS. EDUCATIONAL OFFERINGS INCLUDE HANDS-ON COURSES, E-LEARNING PRODUCTS, AND PUBLICATIONS.</Description>
      </Activity3>
      <ActivityOther>
        <Expense>3863578</Expense>
        <Revenue>187389</Revenue>
        <Description>MEMBER AND CHAPTER SERVICES</Description>
      </ActivityOther>
      <ActivityOther>
        <Expense>1160292</Expense>
        <Revenue>1278062</Revenue>
        <Description>SOCIETY ADMINISTRATION</Description>
      </ActivityOther>
      <ActivityOther>
        <Expense>644468</Expense>
        <Revenue>72632</Revenue>
        <Description>COMMISSIONS AND COMMITTEES</Description>
      </ActivityOther>
      <ActivityOther>
        <Expense>0</Expense>
        <Revenue>254139</Revenue>
        <Description>OTHER PROGRAM SERVICES</Description>
      </ActivityOther>
      <TotalOfOtherProgramServiceExp>5668338</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceRev>1792222</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>66509311</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="IRS990ScheduleK">true</TaxExemptBonds>
      <InvestTaxExemptBonds>false</InvestTaxExemptBonds>
      <EscrowAccount>false</EscrowAccount>
      <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>true</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="IRS990ScheduleR">true</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="IRS990ScheduleR">true</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>621</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>591</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>true</UnrelatedBusinessIncome>
      <Form990-TFiled>true</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>31</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>28</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>true</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>false</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>Diane Mullis</NamePerson>
        <TelephoneNumber>7036488900</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1891 PRESTON WHITE DRIVE</AddressLine1>
          <City>RESTON</City>
          <State>VA</State>
          <ZIPCode>201910000</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>BIBB ALLEN JR MD</NamePerson>
        <Title>VICE CHAIR</Title>
        <AverageHoursPerWeek>20.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>6.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>7418</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KIMBERLY E APPLEGATE MD</NamePerson>
        <Title>SPEAKER (AS OF 5/7/13)</Title>
        <AverageHoursPerWeek>20.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>4.2</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>993</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ALBERT L BLUMBERG MD</NamePerson>
        <Title>PRESIDENT (AS OF 5/7/13)</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.4</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>2030</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EDWARD I BLUTH MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>2410</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES A BRINK MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>656</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHERI L CANON MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PHILIP S COOK MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>651</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GERALD D DODD III MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BURTON P DRAYER MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>4.5</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>583</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL H ELLENBOGEN MD</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>29.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>6.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>119169</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>HOWARD B FLEISHON MD</NamePerson>
        <Title>CHANCE./SPKR. (THROUGH 5/7/13)</Title>
        <AverageHoursPerWeek>4.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>890</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD A GEISE MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>4.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>14852</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARTA HERNANZ-SCHULMAN MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>607</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRUCE J HILLMAN MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>26.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>14.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>224268</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>209772</ReportableCompFromRelatedOrgs>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PETER A S JOHNSTONE MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>1.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>4731</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ALAN D KAYE MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.1</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>535</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID C KUSHNER MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>687</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DEBORAH LEVINE MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>660</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JONATHAN S LEWIN MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.7</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>711</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LAWRENCE A LIEBSCHER MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>8.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GERALDINE MCGINTY MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>18.1</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>2358</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CAROLYN C MELTZER MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>8.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>5.0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>541</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BARBARA MONSEES MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>394</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DEBRA MONTICCIOLO MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>15.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>5.1</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>3808</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>M ELIZABETH OATES MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>6.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.1</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>459</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANNE C ROBERTS MD</NamePerson>
        <Title>SECRETARY/TREASURER</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CYNTHIA S SHERRY MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>2.2</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>848</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATARZYNA J MACURA MD</NamePerson>
        <Title>CHANCELLOR (AS OF 5/7/13)</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SETH A ROSENTHAL MD</NamePerson>
        <Title>CHANCELLOR (AS OF 5/7/13)</Title>
        <AverageHoursPerWeek>8.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GEOFFREY G SMITH MD</NamePerson>
        <Title>VICE PRESIDENT (AS OF 5/7/13)</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM T HERRINGTON MD</NamePerson>
        <Title>VICE SPEAKER (AS OF 5/7/13)</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>1521</ReportableCompFromOrganization>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL A LARSON MD</NamePerson>
        <Title>VICE PRES. (THROUGH 5/7/13)</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN A PATTI MD</NamePerson>
        <Title>PRESIDENT (THROUGH 5/7/13)</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0.3</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>81990</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>HARVEY L NEIMAN MD</NamePerson>
        <Title>CEO</Title>
        <AverageHoursPerWeek>36.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.5</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>706333</ReportableCompFromOrganization>
        <OtherCompensation>47150</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KENNETH KOROTKY</NamePerson>
        <Title>COO</Title>
        <AverageHoursPerWeek>36.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.5</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>445175</ReportableCompFromOrganization>
        <OtherCompensation>47453</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DIANE MULLIS</NamePerson>
        <Title>CFO (AS OF 4/16/13)</Title>
        <AverageHoursPerWeek>36.0</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.5</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RONALD FREEDMAN</NamePerson>
        <Title>AED - EDU, MRKT, PUBLCTNS</Title>
        <AverageHoursPerWeek>33.5</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>4.0</AverageHoursPerWeekRelated>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>363857</ReportableCompFromOrganization>
        <OtherCompensation>43701</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL TILKIN</NamePerson>
        <Title>CIO</Title>
        <AverageHoursPerWeek>37.5</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>355453</ReportableCompFromOrganization>
        <OtherCompensation>26922</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM SHIELDS</NamePerson>
        <Title>GENERAL COUNSEL</Title>
        <AverageHoursPerWeek>37.5</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>339871</ReportableCompFromOrganization>
        <OtherCompensation>45839</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAMELA WILCOX</NamePerson>
        <Title>AED - QUALITY &amp; SAFETY</Title>
        <AverageHoursPerWeek>37.5</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>330159</ReportableCompFromOrganization>
        <OtherCompensation>27024</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEVEN KING</NamePerson>
        <Title>AED - CLINICAL RSRCH</Title>
        <AverageHoursPerWeek>37.5</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>310848</ReportableCompFromOrganization>
        <OtherCompensation>54954</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES MORRISON</NamePerson>
        <Title>AED - ADMIN &amp; MBR SRVCS</Title>
        <AverageHoursPerWeek>37.5</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>318059</ReportableCompFromOrganization>
        <OtherCompensation>27050</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANIEL WU</NamePerson>
        <Title>DIRECTOR - IT</Title>
        <AverageHoursPerWeek>37.5</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>195344</ReportableCompFromOrganization>
        <OtherCompensation>27872</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JEAN OWEN</NamePerson>
        <Title>SR DIRECTOR - QRRO</Title>
        <AverageHoursPerWeek>37.5</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>216417</ReportableCompFromOrganization>
        <OtherCompensation>32326</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELIZABETH YARBORO</NamePerson>
        <Title>SR DIR - EDUCATION</Title>
        <AverageHoursPerWeek>37.5</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>201705</ReportableCompFromOrganization>
        <OtherCompensation>17969</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PENNY BUTLER</NamePerson>
        <Title>SR DIRECTOR - ACCREDITATION</Title>
        <AverageHoursPerWeek>37.5</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>183267</ReportableCompFromOrganization>
        <OtherCompensation>43960</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>HANG TRUONG</NamePerson>
        <Title>SR DIR - HUMAN RESOURCES</Title>
        <AverageHoursPerWeek>37.5</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>183145</ReportableCompFromOrganization>
        <OtherCompensation>26040</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>4623403</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>209772</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>468260</TotalOtherCompensation>
      <NumberIndividualsGT100K>65</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>JAMES G DAVIS CONTRUCTION CORP</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>12530 PARKLAWN DRIVE</AddressLine1>
            <City>ROCKVILLE</City>
            <State>MD</State>
            <ZIPCode>20852</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
        <Compensation>7143357</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CORE PARTNERS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>5 SOUTH MARKET STREET 302</AddressLine1>
            <City>FREDERICK</City>
            <State>MD</State>
            <ZIPCode>21701</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SOFTWARE CONSULTING</DescriptionOfServices>
        <Compensation>1712354</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>MWEBWARECOM</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1200 EAST WEST HWY 915</AddressLine1>
            <City>SILVER SPRING</City>
            <State>MD</State>
            <ZIPCode>20910</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SOFTWARE CONSULTING</DescriptionOfServices>
        <Compensation>1199114</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>ELSEVIER</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 7247</AddressLine1>
            <City>PHILADELPHIA</City>
            <State>PA</State>
            <ZIPCode>19170</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>JOURNAL PUBLISHING</DescriptionOfServices>
        <Compensation>1119832</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SANDHIR MANAGEMENT CONSULTANTS LLC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1712 LANDON HILL ROAD</AddressLine1>
            <City>VIENNA</City>
            <State>VA</State>
            <ZIPCode>22182</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MANAGEMNT CONSULTING</DescriptionOfServices>
        <Compensation>1004707</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>43</NumberOfContractorsGT100K>
      <RelatedOrganizations>6826402</RelatedOrganizations>
      <GovernmentGrants>34053877</GovernmentGrants>
      <AllOtherContributions>7000</AllOtherContributions>
      <TotalContributions>40887279</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Quality &amp; Safety</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>31156824</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>31156824</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CLINICAL RESEARCH</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>6980342</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6895342</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>85000</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Education</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>7796278</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7796278</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Member &amp; Chapter Services</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>187389</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>33736</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>153653</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Society Administration</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>1278062</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1278062</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>198987</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>198987</RelatedOrExemptFunctionIncome>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>47597882</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1343581</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>17650</UnrelatedBusinessRevenue>
        <ExclusionAmount>1325931</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>355652</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>10352</UnrelatedBusinessRevenue>
        <ExclusionAmount>345300</ExclusionAmount>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>243894</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>243894</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>243894</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>176407</UnrelatedBusinessRevenue>
        <ExclusionAmount>67487</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>24206728</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>20669583</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>3537145</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>3537145</TotalRevenueColumn>
        <ExclusionAmount>3537145</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Miscellaneous Revenue</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>127784</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>127784</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>127784</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>94093217</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>47487013</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>443062</UnrelatedBusinessRevenue>
        <ExclusionAmount>5275863</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>1579355</Total>
        <ProgramServices>1579355</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>3561957</Total>
        <ProgramServices>1032312</ProgramServices>
        <ManagementAndGeneral>2529645</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>26356809</Total>
        <ProgramServices>17264532</ProgramServices>
        <ManagementAndGeneral>9058281</ManagementAndGeneral>
        <Fundraising>33996</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>3158236</Total>
        <ProgramServices>2006128</ProgramServices>
        <ManagementAndGeneral>1148212</ManagementAndGeneral>
        <Fundraising>3896</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>4200476</Total>
        <ProgramServices>2617980</ProgramServices>
        <ManagementAndGeneral>1577527</ManagementAndGeneral>
        <Fundraising>4969</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>2655730</Total>
        <ProgramServices>1632975</ProgramServices>
        <ManagementAndGeneral>1019670</ManagementAndGeneral>
        <Fundraising>3085</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>270681</Total>
        <ProgramServices>128791</ProgramServices>
        <ManagementAndGeneral>141890</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>509347</Total>
        <ProgramServices>51</ProgramServices>
        <ManagementAndGeneral>509296</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>52083</Total>
        <ManagementAndGeneral>52083</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>12158594</Total>
        <ProgramServices>11127832</ProgramServices>
        <ManagementAndGeneral>1013015</ManagementAndGeneral>
        <Fundraising>17747</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>675429</Total>
        <ProgramServices>629952</ProgramServices>
        <ManagementAndGeneral>45477</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>3608592</Total>
        <ProgramServices>2079721</ProgramServices>
        <ManagementAndGeneral>1527327</ManagementAndGeneral>
        <Fundraising>1544</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>2080831</Total>
        <ProgramServices>9596</ProgramServices>
        <ManagementAndGeneral>2071235</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>2687076</Total>
        <ProgramServices>65268</ProgramServices>
        <ManagementAndGeneral>2621808</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>4080828</Total>
        <ProgramServices>2875767</ProgramServices>
        <ManagementAndGeneral>1192863</ManagementAndGeneral>
        <Fundraising>12198</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>2838755</Total>
        <ProgramServices>1601044</ProgramServices>
        <ManagementAndGeneral>1210743</ManagementAndGeneral>
        <Fundraising>26968</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>6233756</Total>
        <ProgramServices>3241825</ProgramServices>
        <ManagementAndGeneral>2991931</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>282589</Total>
        <ManagementAndGeneral>282589</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Reimbursed Overhead</Description>
        <Total>-3165708</Total>
        <ManagementAndGeneral>-3165708</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Consortium Costs</Description>
        <Total>18183708</Total>
        <ProgramServices>18183708</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Other</Description>
        <Total>1070447</Total>
        <ProgramServices>432474</ProgramServices>
        <ManagementAndGeneral>637778</ManagementAndGeneral>
        <Fundraising>195</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>93079571</Total>
        <ProgramServices>66509311</ProgramServices>
        <ManagementAndGeneral>26465662</ManagementAndGeneral>
        <Fundraising>104598</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>21859395</BOY>
        <EOY>10368028</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>4191008</BOY>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>9010132</BOY>
        <EOY>7258968</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>500000</BOY>
        <EOY>500000</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1197112</BOY>
        <EOY>1623033</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>85418807</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>41282364</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>36870264</BOY>
        <EOY>44136443</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>68338276</BOY>
        <EOY>86276146</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>3331150</BOY>
        <EOY>4503799</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>145297337</BOY>
        <EOY>154666417</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>9819734</BOY>
        <EOY>11408630</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>29530107</BOY>
        <EOY>33560919</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>19945000</BOY>
        <EOY>19700000</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>5074490</BOY>
        <EOY>5623831</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>64369331</BOY>
        <EOY>70293380</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>80928006</BOY>
        <EOY>84373037</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>80928006</BOY>
        <EOY>84373037</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>145297337</BOY>
        <EOY>154666417</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>1013646</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>2431385</ReconciliationUnrealizedInvest>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>36165541</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>37187676</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>41022504</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>42729093</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>40887279</CurrentTaxYear>
        <Total>197992093</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>35852858</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>42814517</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>51633382</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>52979036</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>47274229</CurrentTaxYear>
        <Total>230554022</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <Total>0</Total>
      </GrossReceiptsFromNonUBI>
      <TaxRevLeviedForOrgBenefit509>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit509>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <Total>0</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>72018399</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>80002193</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>92655886</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>95708129</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>88161508</CurrentTaxYear>
        <Total>428546115</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <CurrentTaxYearMinus4Years>1148793</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>760820</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1149768</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>56164</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>111471</CurrentTaxYear>
        <Total>3227016</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>1148793</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>760820</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1149768</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>56164</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>111471</CurrentTaxYear>
        <Total>3227016</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>425319099</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>2085973</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1338951</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1418440</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1654712</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1943127</CurrentTaxYear>
        <Total>8441203</Total>
      </GrossInvestmentIncome509>
      <Post1975UBTI>
        <CurrentTaxYearMinus4Years>55109</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>165684</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>26524</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>155729</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>180512</CurrentTaxYear>
        <Total>583558</Total>
      </Post1975UBTI>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>2141082</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1504635</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1444964</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1810441</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2123639</CurrentTaxYear>
        <Total>9024761</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <Total>0</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>125528</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>20727</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>85108</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>437878</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>127784</CurrentTaxYear>
        <Total>797025</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>74285009</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>81527555</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>94185958</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>97956448</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>90412931</CurrentTaxYear>
        <Total>438367901</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.97023</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.97580</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.02059</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.02230</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <CurrentYearMinus4Years />
      <Land>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>1937346</OtherCostOrOtherBasis>
        <BookValue>1937346</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>20348485</OtherCostOrOtherBasis>
        <Depreciation>4340745</Depreciation>
        <BookValue>16007740</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>5290141</OtherCostOrOtherBasis>
        <Depreciation>4573575</Depreciation>
        <BookValue>716566</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>5269865</OtherCostOrOtherBasis>
        <Depreciation>4118769</Depreciation>
        <BookValue>1151096</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>52572970</OtherCostOrOtherBasis>
        <Depreciation>28249275</Depreciation>
        <BookValue>24323695</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>44136443</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>5623831</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>5623831</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART X, LINE 2:</Identifier>
        <ReturnReference>FIN 48 FINANCIAL STATEMENT FOOTNOTE:</ReturnReference>
        <Explanation>FOR THE YEARS ENDED JUNE 30, 2013 AND 2012, THE COLLEGE HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10 AND DETERMINED NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE COLLEGE IS STILL OPEN TO EXAMINATION BY TAXING AUTHORITIES FROM FISCAL YEAR 2007 FORWARD.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American College of Radiology Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1891 Preston White Drive</AddressLine1>
          <AddressLine2>SUITE 4B</AddressLine2>
          <City>Reston</City>
          <State>VA</State>
          <ZIPCode>20191</ZIPCode>
        </AddressUS>
        <EINOfRecipient>366125578</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>1200000</AmountOfCashGrant>
        <PurposeOfGrant>DONATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>American College of Radiology Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1891 Preston White Drive</AddressLine1>
          <City>Reston</City>
          <State>VA</State>
          <ZIPCode>20191</ZIPCode>
        </AddressUS>
        <EINOfRecipient>366125578</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>318750</AmountOfCashGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Conference of Radiation Control Program Directors</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1030 Burlington Lane</AddressLine1>
          <City>Frankfort</City>
          <State>KY</State>
          <ZIPCode>40601</ZIPCode>
        </AddressUS>
        <EINOfRecipient>710477153</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>40000</AmountOfCashGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>SCHEDULE I, PART I, LINE 2:</Identifier>
        <Explanation>SELECTION OF RECIPIENTS FOR GENERAL DONATIONS ARE MADE BY THE CHIEF EXECUTIVE OFFICER. DONATIONS ARE TYPICALLY IN SUPPORT OF RADIOLOGY RELATED ORGANIZATIONS OR MEMORIAL CONTRIBUTIONS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <FirstClassOrCharterTravel>X</FirstClassOrCharterTravel>
      <TravelForCompanions>X</TravelForCompanions>
      <PersonalServices>X</PersonalServices>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>BRUCE J HILLMAN MD</NamePerson>
        <Title>CHANCELLOR</Title>
        <BaseCompensationFilingOrg>223872</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>209772</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>396</OtherCompensationFilingOrg>
        <TotalCompensationFilingOrg>224268</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>209772</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HARVEY L NEIMAN MD</NamePerson>
        <Title>CEO</Title>
        <BaseCompensationFilingOrg>444316</BaseCompensationFilingOrg>
        <BonusFilingOrg>205000</BonusFilingOrg>
        <OtherCompensationFilingOrg>57017</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>24500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>22650</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>753483</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KENNETH KOROTKY</NamePerson>
        <Title>COO</Title>
        <BaseCompensationFilingOrg>309521</BaseCompensationFilingOrg>
        <BonusFilingOrg>115000</BonusFilingOrg>
        <OtherCompensationFilingOrg>20654</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>24500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>22953</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>492628</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RONALD FREEDMAN</NamePerson>
        <Title>AED - EDU, MRKT, PUBLCTNS</Title>
        <BaseCompensationFilingOrg>324378</BaseCompensationFilingOrg>
        <BonusFilingOrg>25000</BonusFilingOrg>
        <OtherCompensationFilingOrg>14479</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>24500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>19201</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>407558</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL TILKIN</NamePerson>
        <Title>CIO</Title>
        <BaseCompensationFilingOrg>319149</BaseCompensationFilingOrg>
        <BonusFilingOrg>25000</BonusFilingOrg>
        <OtherCompensationFilingOrg>11304</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>24500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>2422</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>382375</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM SHIELDS</NamePerson>
        <Title>GENERAL COUNSEL</Title>
        <BaseCompensationFilingOrg>301181</BaseCompensationFilingOrg>
        <BonusFilingOrg>25000</BonusFilingOrg>
        <OtherCompensationFilingOrg>13690</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>24500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21339</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>385710</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAMELA WILCOX</NamePerson>
        <Title>AED - QUALITY &amp; SAFETY</Title>
        <BaseCompensationFilingOrg>297949</BaseCompensationFilingOrg>
        <BonusFilingOrg>20000</BonusFilingOrg>
        <OtherCompensationFilingOrg>12210</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>24500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>2524</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>357183</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEVEN KING</NamePerson>
        <Title>AED - CLINICAL RSRCH</Title>
        <BaseCompensationFilingOrg>280654</BaseCompensationFilingOrg>
        <BonusFilingOrg>20000</BonusFilingOrg>
        <OtherCompensationFilingOrg>10194</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>24500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>30454</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>365802</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES MORRISON</NamePerson>
        <Title>AED - ADMIN &amp; MBR SRVCS</Title>
        <BaseCompensationFilingOrg>282734</BaseCompensationFilingOrg>
        <BonusFilingOrg>20000</BonusFilingOrg>
        <OtherCompensationFilingOrg>15325</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>24500</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>2550</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>345109</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DANIEL WU</NamePerson>
        <Title>DIRECTOR - IT</Title>
        <BaseCompensationFilingOrg>189630</BaseCompensationFilingOrg>
        <BonusFilingOrg>3750</BonusFilingOrg>
        <OtherCompensationFilingOrg>1964</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>19938</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7934</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>223216</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JEAN OWEN</NamePerson>
        <Title>SR DIRECTOR - QRRO</Title>
        <BaseCompensationFilingOrg>214421</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>1996</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>21960</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>10366</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>248743</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ELIZABETH YARBORO</NamePerson>
        <Title>SR DIR - EDUCATION</Title>
        <BaseCompensationFilingOrg>198146</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>3559</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>4731</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13238</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>219674</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PENNY BUTLER</NamePerson>
        <Title>SR DIRECTOR - ACCREDITATION</Title>
        <BaseCompensationFilingOrg>173490</BaseCompensationFilingOrg>
        <BonusFilingOrg>6000</BonusFilingOrg>
        <OtherCompensationFilingOrg>3777</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>18816</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>25144</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>227227</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HANG TRUONG</NamePerson>
        <Title>SR DIR - HUMAN RESOURCES</Title>
        <BaseCompensationFilingOrg>176798</BaseCompensationFilingOrg>
        <BonusFilingOrg>5000</BonusFilingOrg>
        <OtherCompensationFilingOrg>1347</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>18333</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7707</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>209185</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>PART I, LINE 1A:</Identifier>
        <Explanation>THE CHAIRMAN, VICE CHAIRMAN, PRESIDENT, AND CHIEF EXECUTIVE OFFICER MAY USE FIRST-CLASS TRAVEL. STAFF SPOUSAL TRAVEL IS COVERED FOR THE CHAIRMAN, VICE CHAIRMAN, AND PRESIDENT. SPOUSAL TRAVEL IS COVERED FOR THE EXECUTIVE DIRECTOR UP TO A CERTAIN ANNUAL THRESHOLD. FOR ALL OTHER BOARD MEMBERS AND SENIOR STAFF ATTENDING BOARD MEETINGS, ONE SPOUSAL AIRFARE IS COVERED BY THE ORGANIZATION PER YEAR. SPOUSAL TRAVEL IS A TAXABLE BENEFIT INCLUDED IN COMPENSATION REPORTED IN PART II. A HEALTH AIDE WAS PROVIDED TO ASSIST DR. HARVEY NEIMAN, CEO, AT VARIOUS BUSINESS MEETINGS. THE SERVICE WAS NOT TREATED AS TAXABLE INCOME.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>PART I, LINE 3:</Identifier>
        <Explanation>ACR DETERMINES THE COMPENSATION OF CERTAIN SENIOR MANAGEMENT POSITIONS, INCLUDING THE CEO, COO, CFO, AND OTHER KEY EMPLOYEES, SUBJECT TO REVIEW AND APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD OF CHANCELLORS. UNDER THE COMPENSATION POLICY, THERE ARE REQUIREMENTS ESTABLISHED FOR DECISION MAKER IMPARTIALITY, REVIEW OF COMPARABILITY DATA, AND DOCUMENTED SUBSTANTIATION OF DECISIONS. THIS PROCESS WAS LAST UNDERTAKEN FOR EACH SUCH PERSON IN 2013.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>PART II:</Identifier>
        <Explanation>BRUCE HILLMAN IS COMPENSATED FOR HIS SERVICES AS THE EDITOR OF THE JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY AND FOR SERVICES RENDERED TO IMAGE METRIX, LLC AS ITS CHIEF SCIENTIFIC OFFICER. THE PAYMENTS FOR THESE SERVICES ARE MADE DIRECTLY TO THE UNIVERSITY OF VIRGINIA. COMPENSATION RECEIVED BY DR. JOHN A. PATTI WAS FOR SERVICE AS CHAIRMAN OF THE BOARD OF CHANCELLORS THROUGH 4/24/2012. DR. PATTI BECAME PRESIDENT SUBSEQUENT TO HIS TERM AS CHAIRMAN. NO COMPENSATION IS PROVIDED FOR SERVICE AS PRESIDENT OF THE BOARD OF CHANCELLORS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>Fairfax County Economic Development Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>540787833</IssuerEIN>
        <DateIssued>2011-12-29</DateIssued>
        <IssuePrice>16000000</IssuePrice>
        <DescriptionOfPurpose>BUILDING RENOVATION/PURCHASE</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>16000000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>0</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>16000000</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2012</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.02050</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.02050</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>false</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>false</ChangeInUseBondFinancedProp>
        <RemedialActionTaken>false</RemedialActionTaken>
        <NonQualifiedBondRemedProcdrs>false</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>false</Form8038TFiled>
        <RebateNotDueYet>false</RebateNotDueYet>
        <ExceptionToRebate>true</ExceptionToRebate>
        <NoRebateDue>false</NoRebateDue>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>false</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>false</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6:</Identifier>
        <Explanation>MEMBERS CONSIST OF MEDICAL PROFESSIONALS IN THE FIELD OF RADIOLOGY. MEMBERSHIP IN THIS ORGANIZATION SHALL BE OF TWELVE (12) CLASSES: (1) MEMBER, (2) ASSOCIATE MEMBER, (3) FELLOW, (4) MEMBER IN TRAINING (5) ALLIED HEALTH, (6) HONORARY FELLOW, (7) INTERNATIONAL MEMBER, (8) INTERNATIONAL MEMBER IN TRAINING, (9) FELLOW EMERITUS, (10) RETIRED MEMBER AND FELLOW, (11) CHAPTER INACTIVE MEMBER AND FELLOW, AND (12) ELECTRONIC ACCESS INTERNATIONAL MEMBER. THE COLLEGE DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, RELIGION, GENDER, AGE, NATIONAL ORIGIN, OR SEXUAL ORIENTATION IN GRANTING OR TERMINATING MEMBERSHIP OR IN REGARD TO ANY OF THE BENEFITS OF MEMBERSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A:</Identifier>
        <Explanation>THE COUNCIL ELECTS SIX OF THE NINE TOTAL MEMBERS OF THE COLLEGE NOMINATING COMMITTEE. THE NOMINATING COMMITTEE PROPOSES THE SLATE OF CANDIDATES FOR EACH VACANT ELECTED POSITION ON THE BOARD OF CHANCELLORS. THE NOMINATIONS ARE PRESENTED AT THE ANNUAL MEETING. ELECTIONS BY BALLOT ARE HELD AT THE ANNUAL MEETING. THE BOARD OF CHANCELLORS IS COMPRISED OF A MAXIMUM OF FIFTEEN ELECTED CHANCELLORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B:</Identifier>
        <Explanation>BYLAWS CHANGES AND DUES ASSESSMENTS ARE SUBJECT TO APPROVAL BY THE COUNCIL. THE DUES MAY BE INCREASED UP TO 3% ANNUALLY WITH APPROVAL BY THE BOARD OF CHANCELLORS AND COUNCIL STEERING COMMITTEEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11:</Identifier>
        <Explanation>THE 990 IS REVIEWED BY THE AUDIT COMMITTEE PRIOR TO FILING WITH THE IRS, AS WELL AS BY THE CHIEF FINANCIAL OFFICER AND SENIOR DIRECTOR OF FINANCE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 12C:</Identifier>
        <Explanation>A MEMBER AND ACR STAFF PERSON ("DESIGNATES") ARE DESIGNATED BY THE CHAIRMAN OF THE BOARD OF CHANCELLORS AND CEO TO ADMINISTER THE CONFLICT OF INTEREST POLICY. AN INTERESTED PERSON WHO BECOMES AWARE OF A POTENTIAL OR PERCEIVED CONFLICT IS DIRECTED TO PROMPTLY REPORT IT USING A DISCLOSURE FORM. ACR OFFICERS, CHANCELLORS, COMMISSION, COMMITTEE, AND TASK FORCE MEMBERS, AND EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS AND AMEND/UPDATE IT AS NECESSARY THROUGHOUT THE YEAR. CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE DESIGNATES. SUGGESTED RESOLUTIONS ARE DOCUMENTED FOR ANY ITEMS REQUIRING ACTION. RESOLUTIONS MAY BE APPLIED IN WRITING TO THE FULL BOARD OF CHANCELLORS. ALL DOCUMENTS PERTAINING TO CONFLICT OF INTEREST WILL BE MAINTAINED BY ACR GENERAL COUNSEL. THE DESIGNATES MAY CONSULT WITH GENERAL COUNSEL AND CFO IN DETERMINING WHETHER A CONFLICT SHOULD DISQUALIFY SOMEONE FROM SERVING ON AN ACR BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 15:</Identifier>
        <Explanation>COMPENSATION OF CERTAIN SENIOR MANAGEMENT POSITIONS, INCLUDING THE CEO, COO, CFO, AND OTHER KEY EMPLOYEES ARE SUBJECT TO REVIEW AND APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD OF CHANCELLORS. UNDER THE COMPENSATION POLICY, THERE ARE REQUIREMENTS ESTABLISHED FOR DECISION MAKER IMPARTIALITY, REVIEW OF COMPARABILITY DATA, AND DOCUMENTED SUBSTANTIATION OF DECISIONS. THIS PROCESS WAS LAST UNDERTAKEN FOR EACH SUCH PERSON IN 2013.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION C, LINE 19:</Identifier>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES FOR NON-EMPLOYEES</Identifier>
        <ReturnReference>FORM 990 PART IX LINE 11G</ReturnReference>
        <Explanation>DESCRIPTION:EDUCATION CONSULTING TOTAL FEES:3704264</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES FOR NON-EMPLOYEES</Identifier>
        <ReturnReference>FORM 990 PART IX LINE 11G</ReturnReference>
        <Explanation>DESCRIPTION:MEMBER SERVICE CONSULTING TOTAL FEES:1097126</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES FOR NON-EMPLOYEES</Identifier>
        <ReturnReference>FORM 990 PART IX LINE 11G</ReturnReference>
        <Explanation>DESCRIPTION:HEALTH POLICY CONSULTING TOTAL FEES:362776</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES FOR NON-EMPLOYEES</Identifier>
        <ReturnReference>FORM 990 PART IX LINE 11G</ReturnReference>
        <Explanation>DESCRIPTION:QUALITY AND SAFETY CONSULTING TOTAL FEES:3986587</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES FOR NON-EMPLOYEES</Identifier>
        <ReturnReference>FORM 990 PART IX LINE 11G</ReturnReference>
        <Explanation>DESCRIPTION:RESEARCH CONSULTING TOTAL FEES:1953677</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES FOR NON-EMPLOYEES</Identifier>
        <ReturnReference>FORM 990 PART IX LINE 11G</ReturnReference>
        <Explanation>DESCRIPTION:COMMUNICATIONS CONSULTING TOTAL FEES:549352</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES FOR NON-EMPLOYEES</Identifier>
        <ReturnReference>FORM 990 PART IX LINE 11G</ReturnReference>
        <Explanation>DESCRIPTION:DOCUMENT IMAGING SERVICES TOTAL FEES:248879</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES FOR NON-EMPLOYEES</Identifier>
        <ReturnReference>FORM 990 PART IX LINE 11G</ReturnReference>
        <Explanation>DESCRIPTION:FUNDRAISING CONSULTING TOTAL FEES:17747</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES FOR NON-EMPLOYEES</Identifier>
        <ReturnReference>FORM 990 PART IX LINE 11G</ReturnReference>
        <Explanation>DESCRIPTION:OTHER CONSULTING TOTAL FEES:238186</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AMERICAN COLLEGE OF RADIOLOGY ASSOC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1891 Preston White Drive</AddressLine1>
          <City>Reston</City>
          <State>VA</State>
          <ZIPCode>20191</ZIPCode>
        </AddressUS>
        <EIN>541871642</EIN>
        <PrimaryActivities>Association</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(6)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>American College of Radiology Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1891 Preston White Drive</AddressLine1>
          <City>Reston</City>
          <State>VA</State>
          <ZIPCode>20191</ZIPCode>
        </AddressUS>
        <EIN>366125578</EIN>
        <PrimaryActivities>Radiology Sci</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AMERICAN INST FOR RADIOLOGIC PATHOLGY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1891 Preston White Drive</AddressLine1>
          <City>Reston</City>
          <State>VA</State>
          <ZIPCode>20191</ZIPCode>
        </AddressUS>
        <EIN>800632207</EIN>
        <PrimaryActivities>Education</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACR</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>RADPAC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1891 Preston White Drive</AddressLine1>
          <City>Reston</City>
          <State>VA</State>
          <ZIPCode>20191</ZIPCode>
        </AddressUS>
        <EIN>541931987</EIN>
        <PrimaryActivities>Pol Advocacy</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>527</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACRA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ACR Image Metrix LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1818 Market St 1600</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19103</ZIPCode>
        </AddressUS>
        <EIN>510638501</EIN>
        <PrimaryActivity>Clinical Trials</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACR</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>635680</ShareOfTotalIncome>
        <ShareOfEOYAssets>692816</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ACR Image Metrix LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>9900000</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ACR Image Metrix LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>102650</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ACR Image Metrix LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>3580059</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ACR Image Metrix LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>356259</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>American College of Radiology Association</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>5500000</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>American College of Radiology Association</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>6583708</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN COLLEGE OF RADIOLOGY FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1326402</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN COLLEGE OF RADIOLOGY FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>1518750</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN INSTITUTE FOR RADIOLOGIC PATHOLGY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>886180</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>