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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>184342</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9268</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Doreen J Addrizzo-Harris MD FCCP</PersonNm>
        <TitleTxt>President</TitleTxt>
        <AverageHoursPerWeekRt>3.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>110875</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David A Schulman MD MPH</PersonNm>
        <TitleTxt>Immediate Past President</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>39300</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jack D Buckley MD MPH FCCP</PersonNm>
        <TitleTxt>President-Elect</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>36600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Victor J Test MD FCCP</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>16600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sandhya Khurana MD FCCP</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>13150</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christopher L Carroll MD</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>10000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Angel Coz MD FCCP</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>7800</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Neil S Freedman MD FCCP</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>5400</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Douglas A Arenberg MD FCCP</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>4000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Aneesa M Das MD FCCP</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1800</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John A Howington MD FCCP</PersonNm>
        <TitleTxt>President-Designate</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kevin M Chan MD FCCP</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Vera A De Palo MD FCCP</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lisa K Moores MD FCCP</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael E Nelson MD FCCP</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alexander S Niven MD FCCP</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nneka O Sederstrom PhD MA</PersonNm>
        <TitleTxt>Regent-At-Large</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert De Marco MD FCCP</PersonNm>
        <TitleTxt>Foundation Chair</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Cassie C Kennedy MD FCCP</PersonNm>
        <TitleTxt>Networks Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Semra Bilaceroglu MD FCCP</PersonNm>
        <TitleTxt>Global Governors Chair</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3343530</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>255662</TotalOtherCompensationAmt>
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      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Encore Group USA LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5100 N River Rd 300</AddressLine1Txt>
            <CityNm>SCHILLER PARK</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60176</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Audio Visual Service</ServicesDesc>
        <CompensationAmt>2077708</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Freeman Expositions Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1600 Viceroy Suite 100</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75235</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Exposition Service</ServicesDesc>
        <CompensationAmt>918411</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ReachMD Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>500 office Center Drive Suite 325</AddressLine1Txt>
            <CityNm>FORT WASHINGTON</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19034</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Webinar/Podcast Prod</ServicesDesc>
        <CompensationAmt>328200</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Sentinel Technologies Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>180 N La Salle St</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60602</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT Solutions</ServicesDesc>
        <CompensationAmt>302876</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>The Cleveland Clinic Educational Fo</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9500 Euclid Avenue</AddressLine1Txt>
            <CityNm>CLEVELAND</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44195</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Editorial Services</ServicesDesc>
        <CompensationAmt>229500</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>15</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>8077979</AllOtherContributionsAmt>
      <NoncashContributionsAmt>24584</NoncashContributionsAmt>
      <TotalContributionsAmt>8077979</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>9757815</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9757815</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PUBLICATIONS</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>4584714</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4584714</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3279891</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3279891</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CORPORATE DEVELOPMENT REVENUE</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>3131386</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3131386</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>20753806</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>925054</TotalRevenueColumnAmt>
        <ExclusionAmt>925054</ExclusionAmt>
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      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>6359685</TotalRevenueColumnAmt>
        <ExclusionAmt>6359685</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1714587</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1877725</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-163138</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-163138</TotalRevenueColumnAmt>
        <ExclusionAmt>-163138</ExclusionAmt>
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      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>193636</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>113806</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>79830</TotalRevenueColumnAmt>
        <ExclusionAmt>79830</ExclusionAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
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        <Desc>INSURANCE PROCEEDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>490000</TotalRevenueColumnAmt>
        <ExclusionAmt>490000</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>HOTEL REBATES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>500087</TotalRevenueColumnAmt>
        <ExclusionAmt>500087</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>33511</TotalRevenueColumnAmt>
        <ExclusionAmt>33511</ExclusionAmt>
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        <TotalRevenueColumnAmt>37056814</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20753806</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>8225029</ExclusionAmt>
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        <ProgramServicesAmt>957189</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>1500</TotalAmt>
        <ProgramServicesAmt>1500</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>54000</TotalAmt>
        <ProgramServicesAmt>54000</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2773298</TotalAmt>
        <ProgramServicesAmt>2338631</ProgramServicesAmt>
        <ManagementAndGeneralAmt>434667</ManagementAndGeneralAmt>
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      </CompDisqualPersonsGrp>
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        <TotalAmt>10574918</TotalAmt>
        <ProgramServicesAmt>9589277</ProgramServicesAmt>
        <ManagementAndGeneralAmt>931322</ManagementAndGeneralAmt>
        <FundraisingAmt>54319</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>549954</TotalAmt>
        <ProgramServicesAmt>494959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54995</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <TotalAmt>1636648</TotalAmt>
        <ProgramServicesAmt>1472983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>163665</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>982964</TotalAmt>
        <ProgramServicesAmt>884668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98296</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>49785</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46772</ManagementAndGeneralAmt>
        <FundraisingAmt>3013</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>83929</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74333</ManagementAndGeneralAmt>
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        <ExplanationTxt>THE COLLEGE HAS RECEIVED FAVORABLE DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE STATING IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(A) AS AN ENTITY DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION FOLLOWS GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") WITH RESPECT TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST AND INCOME TAX EXPENSE, RESPECTIVELY. THE ORGANIZATION HAS NO AMOUNTS ACCRUED FOR INTEREST OR PENALTIES AS OF DECEMBER 31, 2023 AND DECEMBER 31, 2022. DUE TO ITS TAX-EXEMPT STATUS, THE COLLEGE IS NOT SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX, EXCEPT ON UNRELATED BUSINESS INCOME. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. ALL ENTITIES ARE SUBJECT TO EXAMINATION BY THESE TAXING AUTHORITIES.</ExplanationTxt>
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        <PurposeOfGrantTxt>Community Impact Grant</PurposeOfGrantTxt>
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        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>North America</RegionTxt>
        <PurposeOfGrantTxt>Research Grant - Sleep</PurposeOfGrantTxt>
        <CashGrantAmt>30000</CashGrantAmt>
        <MannerOfCashDisbursementTxt>WIRE</MannerOfCashDisbursementTxt>
      </GrantsToOrgOutsideUSGrp>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE F, PART I, LINE 2 - PROCEDURES FOR MONITORING USE OF GRANT FUNDS</FormAndLineReferenceDesc>
        <ExplanationTxt>CHEST'S AWARDS COMMITTEE OVERSEES THE CLINICAL RESEARCH AND HUMANITARIAN AWARDS PROGRAM THAT OFFERS ANNUAL GRANTS TO TAX-EXEMPT ORGANIZATIONS OR NON-GOVERNMENTAL ORGANIZATIONS (NGO) TO WHICH MEMBERS DONATE THEIR TIME AND EXPERTISE. A PEER REVIEW APPLICATION PROCESS IS USED TO SELECT RECIPIENTS OF THE FUNDS. THE NGO PROVIDES PROOF OF ITS STATUS. CHEST ONLY CONFERS PART OF THE MONETARY GRANT ACCOMPANIED BY A LETTER OF AGREEMENT TO THE RECIPIENT ORGANIZATION. AS PART OF THE AGREEMENT, THE RECIPIENT ORGANIZATION MUST SUBMIT A REPORT AT THE 1 YEAR MILESTONE OF THE PROJECT, IF IT IS A MULTI-YEAR GRANT. AFTER THE REPORT IS REVIEWED, THE REMAINING GRANT FUNDS ARE RELEASED. A FINAL REPORT IS DUE AT THE CONCLUSION OF THE GRANT PERIOD FOR ALL GRANTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
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        <GrossRevenueOtherGamingAmt>193636</GrossRevenueOtherGamingAmt>
        <RentFcltyCostsOtherGamingAmt>14445</RentFcltyCostsOtherGamingAmt>
        <OthDirectExpnssOtherGamingAmt>99361</OthDirectExpnssOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>true</VolunteerLaborOtherGamingInd>
        <VolunteerLaborOtherGamingPct>1.00000</VolunteerLaborOtherGamingPct>
        <GrossRevenueTotalGamingAmt>193636</GrossRevenueTotalGamingAmt>
        <RentFcltyCostsTotalGamingAmt>14445</RentFcltyCostsTotalGamingAmt>
        <OthDirectExpnssTotalGamingAmt>99361</OthDirectExpnssTotalGamingAmt>
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        <NetGamingIncomeSummaryAmt>79830</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>IL</StatesWhereGamingConductedCd>
      <LicensedInd>true</LicensedInd>
      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>true</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>false</MemberOfOtherEntityInd>
      <GamingOwnFacilityPct>0.00000</GamingOwnFacilityPct>
      <GamingOtherFacilityPct>1.00000</GamingOtherFacilityPct>
      <IndividualWithBooksNm>Stratton Davies</IndividualWithBooksNm>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>2295 Patriot Blvd</AddressLine1Txt>
        <CityNm>Glenview</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>60026</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerPersonNm>Implevents LLC</GamingManagerPersonNm>
      <GamingManagerCompensationAmt>34283</GamingManagerCompensationAmt>
      <GamingManagerServicesProvTxt>OVERSEES GAMING ACTIVITIES</GamingManagerServicesProvTxt>
      <GamingManagerIsIndCntrctInd>X</GamingManagerIsIndCntrctInd>
      <CharitableDistributionRqrInd>false</CharitableDistributionRqrInd>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Duke University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 602651</AddressLine1Txt>
          <CityNm>Charlotte</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28260</ZIPCd>
        </USAddress>
        <RecipientEIN>562070036</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>Young Investigator Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Rector and Visitors of the University of Virginia</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1001 N Emmet Street</AddressLine1Txt>
          <CityNm>Charlottesville</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22903</ZIPCd>
        </USAddress>
        <RecipientEIN>541124769</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Research Grant - Pulmonary Fibrosis</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Rochester</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>601 Elmwood Avenue</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <RecipientEIN>160743209</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>Research Grant - Pulmonary Fibrosis</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>African Digital Wisdom Academy - ADWA Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <CityNm>Silver Spring</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20906</ZIPCd>
        </USAddress>
        <RecipientEIN>853552281</RecipientEIN>
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      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Partners in Health</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 Boylston Street Suite 300</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02199</ZIPCd>
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        <RecipientEIN>043567502</RecipientEIN>
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        <PurposeOfGrantTxt>Community Impact Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Medical Education Resources Unlimited</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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        </USAddress>
        <RecipientEIN>880976250</RecipientEIN>
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        <CashGrantAmt>26000</CashGrantAmt>
        <PurposeOfGrantTxt>Community Impact Grant</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Johns Hopkins University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3910 Keswick Road</AddressLine1Txt>
          <CityNm>Baltimore</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21211</ZIPCd>
        </USAddress>
        <RecipientEIN>520595110</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>Research Grant - Sarcoidosis</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Trustees of Columbia University in the City of</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 29789</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        </USAddress>
        <RecipientEIN>135598093</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>133188</CashGrantAmt>
        <PurposeOfGrantTxt>Research Grant - Critical Care</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>American Thoracic Society</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>25 Broadway</AddressLine1Txt>
          <CityNm>New York</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>10004</ZIPCd>
        </USAddress>
        <RecipientEIN>800759359</RecipientEIN>
        <IRCSectionDesc>501(c)(6)</IRCSectionDesc>
        <CashGrantAmt>100001</CashGrantAmt>
        <PurposeOfGrantTxt>Respiratory Health Equity Research Award</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Emory University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>615 Michael Street NE Suite 205</AddressLine1Txt>
          <CityNm>Atlanta</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30322</ZIPCd>
        </USAddress>
        <RecipientEIN>580566256</RecipientEIN>
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        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>Research Grant - COPD</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Toledo Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>100000</CashGrantAmt>
        <PurposeOfGrantTxt>Research Grant - Non Small Cell Lung Cancer</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Medical University of South Carolina Foundation</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 South Park Circle</AddressLine1Txt>
          <CityNm>Charleston</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29407</ZIPCd>
        </USAddress>
        <RecipientEIN>576028985</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>100000</CashGrantAmt>
        <PurposeOfGrantTxt>Research Grant - Non Small Cell Lung Cancer</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>University of Chicago</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5841 S Maryland Avenue</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60637</ZIPCd>
        </USAddress>
        <RecipientEIN>362177139</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <PurposeOfGrantTxt>Research Grant - Bridging Specialties</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>West Virginia University</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 9156</AddressLine1Txt>
          <CityNm>Morgantown</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>26506</ZIPCd>
        </USAddress>
        <RecipientEIN>550643304</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <PurposeOfGrantTxt>Research Grant - Bridging Specialties</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>13</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2 - PROCEDURES FOR MONITORING USE OF GRANT FUNDS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMERICAN COLLEGE OF CHEST PHYSICIANS (CHEST) ENTERS INTO A FORMAL LEGAL AGREEMENT WITH ALL GRANTEES ARTICULATING ALL REQUIREMENTS RELATED TO THE GRANT INCLUDING REPORTING, INTELLECTUAL PROPERTY OWNERSHIP, CIRCUMSTANCES RELATED TO NONCOMPLIANCE TO GRANT AGREEMENT TERMS, PAYMENT SCHEDULE, AND PROJECT EXPECTATIONS. ALL REPORTING DEADLINES ARE SUPERVISED BY CHEST STAFF. CHEST REQUIRES PROOF OF 501(C)(3) STATUS AND/OR PROOF THAT THE FUNDS WILL BE USED CONSISTENTLY WITH CHEST'S EXEMPT PURPOSES. CHEST SCREENS ALL ORGANIZATIONS PRIOR TO ISSUING GRANT PAYMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert Musacchio PhD</PersonNm>
        <TitleTxt>Secretary/Executive VP &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>478569</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>33000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>36274</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26400</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>574243</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stratton Davies CPA</PersonNm>
        <TitleTxt>Senior VP &amp; CFO</TitleTxt>
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        <BonusFilingOrganizationAmount>21692</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>23007</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26400</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16128</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>375466</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nicki Augustyn</PersonNm>
        <TitleTxt>Senior VP</TitleTxt>
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        <BonusFilingOrganizationAmount>20249</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>23418</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7668</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>339282</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Nemkovich</PersonNm>
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        <OtherCompensationFilingOrgAmt>15618</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11144</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7668</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>333463</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Debra Janiszewski</PersonNm>
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        <BonusFilingOrganizationAmount>17732</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>14734</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13672</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7668</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>294143</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Rather</PersonNm>
        <TitleTxt>General Counsel</TitleTxt>
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        <BonusFilingOrganizationAmount>17940</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1911</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12414</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>278640</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Schuch</PersonNm>
        <TitleTxt>Senior VP</TitleTxt>
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        <BonusFilingOrganizationAmount>16146</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>14497</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9959</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22356</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>274194</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jonathan Iaccarino</PersonNm>
        <TitleTxt>Senior Director</TitleTxt>
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        <BonusFilingOrganizationAmount>10557</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>5971</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11611</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>245623</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Manuel Alfaro</PersonNm>
        <TitleTxt>Senior Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>186737</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>9785</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>8218</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10878</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22356</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>237974</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tracy Lucitt</PersonNm>
        <TitleTxt>Senior Director</TitleTxt>
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        <BonusFilingOrganizationAmount>5104</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1788</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9268</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>193610</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Suzanne Sletto Distel</PersonNm>
        <TitleTxt>VP Org Affairs</TitleTxt>
        <BaseCompensationFilingOrgAmt>181688</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7493</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1194</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9742</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6912</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>207029</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A - HEALTH OR SOCIAL CLUB DUES OR INITIATION FEE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMERICAN COLLEGE OF CHEST PHYSICIANS INCLUDES AS TAXABLE COMPENSATION ANY HEALTH CLUB OR SOCIAL CLUB DUES PAID ON BEHALF OF BOTH INTERESTED AND NON INTERESTED PERSONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ILLINOIS FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
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        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2013-03-07</BondIssuedDt>
        <IssuePriceAmt>18000000</IssuePriceAmt>
        <PurposeDesc>SEE DESCRIPTION ON PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>2833868</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>18000000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>18000000</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2014</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0.00000</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I - DESCRIPTION OF PURPOSE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACQUISITION, DESIGN, DEVELOPMENT, CONSTRUCTION, IMPROVEMENT, FURNISHING AND EQUIPPING OF CERTAIN NEW EDUCATIONAL AND TRAINING FACILITIES, INCLUDING, WITHOUT LIMITATION, ONE OR MORE SIMULATORS, AN AUDITORIUM, CLASSROOMS, ADMINISTRATIVE OFFICES AND VARIOUS OTHER EDUCATIONAL AND TRAINING FACILITIES AND INCLUDING SITE IMPROVEMENTS, LANDSCAPING, AND IMPROVEMENTS TO ROADS, WALKWAYS AND PARKING LOTS, ALL AT 2595 PATRIOT BLVD, GLENVIEW, ILLINOIS 60026.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART III, LINE 9 - WRITTEN PROCEDURES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COLLEGE HAS A DRAFT FORM OF WRITTEN PROCEDURES TO ENSURE THAT ALL NONQUALIFIED BONDS OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH REQUIREMENTS. MANAGEMENT IS IN THE PROCESS OF OBTAINING FORMAL APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 7 - WRITTEN PROCEDURES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COLLEGE HAS A DRAFT FORM OF WRITTEN PROCEDURES TO MONITOR THE REQUIREMENTS OF SECTION 148. MANAGEMENT IS IN THE PROCESS OF OBTAINING FORMAL APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART V - WRITTEN PROCEDURES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COLLEGE HAS A DRAFT FORM OF WRITTEN PROCEDURES AND MANAGEMENT IS IN THE PROCESS OF OBTAINING FORMAL APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D - DESCRIPTION OF OTHER PROGRAM SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>LEADERSHIP, NETWORKS, AND MEMBERSHIP: INTERDISCIPLINARY, FOCUSED-INTEREST GROUPS ARE ESTABLIHED TO PROVIDE THE OPPORTUNITY TO FORM A PROFESSIONAL ALLIANCE WITH OTHER MEMBERS OR GROUPS WHO SHARE SIMILAR EXPERTISE AND CONCERNS RELATIVE TO CLINICAL PRACTICE AND/OR COMMUNITY HEALTH ISSUES. PHILANTHROPY: IN 2023, THE AMERICAN COLLEGE OF CHEST PHYSICIANS (CHEST) PHILANTHROPIC APPROACH EVOLVED TO ALIGN WITH THE ORGANIZATIONAL MISSION AND ELEVATE THE VALUE PLACED ON GIVING, MAKING IT A CORE PRIORITY AND RESPONSIBILITY OF CHEST AS AN ORGANIZATION. THIS WAS A PIVOTAL TRANSFORMATION THAT NOW ALLOWS CHEST TO BROADEN ITS SCOPE AND DEEPEN ITS IMPACT. IN 2023, CHEST AIDED RESEARCHERS IN ACQUIRING VITAL CLINICAL DATA, PROVIDED NEEDED MEDICAL SUPPLIES TO FAMILIES EXPERIENCING ASTHMA, CONNECTED AN UP-AND-COMING MEDICAL EDUCATOR WITH A MENTOR. CHEST CONTINUES TO LAUNCH MANY AND EXPANDED PROGRAMS THROUGH PHILANTHROPY, INCLUDING GRANTS THAT WILL CREATE MORE AVENUES TO SUPPORT MEMBER RESEARCH, EDUCATE THE NEXT GENERATION OF CHEST PHYSICIANS, AND EMPOWER THE WORK OF OUR MEMBERS EMBEDDED IN COMMUNITIES THAT NEED THEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1A- Delegate Broad Authority To a Committee</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNANCE COMMITTEE SHALL BE COMPOSED OF THE IMMEDIATE PAST PRESIDENT, THE CHAIR OF THE BOARD OF ADVISORS, AND BETWEEN 4 AND 5 REGENTS-AT-LARGE. THE IMMEDIATE PAST PRESIDENT SHALL SERVE AS CHAIR OF THE COMMITTEE. THE GOVERNANCE COMMITTEE SHALL RECEIVE AND EVALUATE NOMINATIONS FOR OFFICERS AND REGENT POSITIONS AND PREPARE RECOMMENDATIONS FOR THE BOARD. THE PROCEDURES RELATING TO CALL FOR, RECEIPT, EVALUATION, RECOMMENDATION, AND ELECTION OF OFFICERS AND REGENTS SHALL BE SET FORTH IN THE COMMITTEE'S CHARTER. THE GOVERNANCE COMMITTEE SHALL PERIODICALLY REVIEW THE COLLEGE'S GOVERNANCE DOCUMENTS AND MAKE RECOMMENDATIONS TO THE BOARD AS DEEMED NECESSARY, AND SHALL PERFORM SUCH OTHER DUTIES AS SET FORTH IN THE COMMITTEE'S CHARTER OR AS ASSIGNED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 6 - CLASSES OF MEMBERS OR STOCKHOLDERS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COLLEGE MAY HAVE ONE OR MORE TYPES OF MEMBERSHIP. ANY ADDITION, TERMINATION, OR MODIFICATION OF A MEMBERSHIP TYPE THAT ADDRESSES A RIGHT TO VOTE UNDER THESE BYLAWS OR THAT CHANGES WHO IS ELIGIBLE TO BE A REGENT OR OFFICER OF THE COLLEGE IS SUBJECT TO APPROVAL BY THE BOARD. FELLOW: A FELLOW IS A MEMBER WHO MEETS QUALIFICATIONS ESTABLISHED BY THE BOARD AND WHO HAS APPLIED FOR SUCH DESIGNATION AND BEEN APPROVED ACCORDING TO PROCEDURES ESTABLISHED BY THE COLLEGE. CURRENT FELLOWS IN GOOD STANDING MAY USE THE DESIGNATION "FCCP." MASTER FELLOW: A MASTER FELLOW IS A FELLOW WHO HAS BEEN NOMINATED FOR SUCH DESIGNATION AND APPROVED BY THE BOARD. A MASTER FELLOW'S DUES SHALL BE WAIVED AND THEY USE THE DESIGNATION "MASTER FCCP" AS LONG AS THEY REMAIN A FELLOW IN GOOD STANDING. HONORARY FELLOW: AN HONORARY FELLOW IS AN INDIVIDUAL WHO IS NOT OTHERWISE A MEMBER BUT WHO HAS BEEN DETERMINED BY THE BOARD TO HAVE MADE A SIGNIFICANT CONTRIBUTION TO THE FIELD OF CHEST MEDICINE WORTHY OF DISTINCTION. AN HONORARY FELLOW MAY USE THE DESIGNATION "FCCP HONORARY"FCCP (HON)," SUBJECT TO REVOCATION BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B - REVIEW OF FORM 990 BY GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING THE RETURN WITH THE IRS, A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE COMMITTEE. SUBSEQUENT TO THE FINANCE COMMITTEE'S REVIEW, THE COMPLETED AND FINAL FORM 990 IS PRESENTED TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR REVIEW AND FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C - CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, THE ORGANIZATION DISTRIBUTES AN ELECTRONIC CONFLICT OF INTEREST QUESTIONNAIRE TO ALL INTERESTED PERSONS TO DETERMINE IF ANY POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS. THE PROFESSIONAL STANDARDS COMMITTEE REVIEWS EACH QUESTIONNAIRE ELECTRONICALLY SUBMITTED BY THESE INDIVIDUALS TO DETERMINE IF ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST EXIST AND REQUIRES THE ATTENTION OF THE BOARD. IF THE BOARD DETERMINES THAT AN ACTUAL CONFLICT EXISTS, THEN THE INTERESTED PERSON WITH THE CONFLICT WILL RECUSE HIM/HERSELF FROM ANY RELATED DISCUSSION, VOTE OR SIMILAR ACTION ON THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990,PART VI,LINE 15A-ESTABLISHING TOP MANAGMENT COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEAR ENDED DECEMBER 31, 2022 THE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT MEMBERS, COMPARED THE COMPENSATION FOR "DISQUALIFIED PERSONS" TO THAT OF THE ESTABLISHED "PEER GROUP" BASED ON A STUDY CONDUCTED BY AN INDEPENDENT COMPENSATION CONSULTANT, NOTING THAT THE COMPENSATION FOR THE DISQUALIFIED PERSONS WAS REASONABLE. THESE DELIBERATIONS AND DECISIONS WERE DOCUMENTED CONTEMPORANEOUSLY. FOR THE YEAR ENDING DECEMBER 31, 2023 THE COMPENSATION FOR THE "DISQUALIFIED PERSONS" WERE COMPARED TO THE 990S OF THE "PEER GROUPCOMPENSATION SURVEYS AND DETERMINED THAT THEIR COMPENSATION WAS REASONABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990,PART VI,LINE 15B - ESTABLISHING COMPENSATION OF OTHER OFFICERS</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEARS ENDED DECEMBER 31, 2023 AND DECEMBER 31, 2022 THE COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT MEMBERS, COMPARED THE COMPENSATION FOR "DISQUALIFIED PERSONS" TO THAT OF THE ESTABLISHED "PEER GROUP" BASED ON A STUDY CONDUCTED BY AN INDEPENDENT COMPENSATION CONSULTANT FOR A PRIOR FISCAL YEAR, NOTING THAT THE COMPENSATION FOR THE DISQUALIFIED PERSONS WAS REASONABLE. THESE DELIBERATIONS AND DECISIONS WERE DOCUMENTED CONTEMPORANEOUSLY. THE COLLEGE'S BOARD OF REGENTS DETERMINED THAT THE PRESIDENT, PRESIDENT ELECT, IMMEDIATE PAST-PRESIDENT AND PRESIDENT DESIGNATE SHALL RECEIVE HONORARIUMS FOR THE TIME SERVED IN THESE POSITIONS. SIMILAR MEDICAL ASSOCIATIONS WERE SURVEYED TO DETERMINE WHAT BOARD POSITIONS IN SIMILAR ASSOCIATIONS RECEIVED HONORARIUMS, THE AMOUNT OF TIME THE BOARD MEMBERS SPEND ON ASSOCIATION BUSINESS AND THE AMOUNT OF HONORARIUMS THEY RECEIVED. BASED ON THE DATA COLLECTED A PROPOSAL WAS MADE TO THE COLLEGE'S BOARD WITH THE RELATED "PROPOSED PAID" BOARD POSITIONS RECUSING THEMSELVES FROM THE MEETING AND VOTE. THE BOARD PASSED THE CURRENT HONORARIUM STRUCTURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19- REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BYLAWS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE. OTHER DOCUMENTS WHICH ARE REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC, PURSUANT TO IRC 6104, ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES</FormAndLineReferenceDesc>
        <ExplanationTxt>INCREASE IN ASSETS FROM MERGER WITH THE CHEST FOUNDATION: $18,908,793 LOSS ON SWAP VALUATION: ($55,867) TOTAL CHANGE: $18,852,926</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, Line 4 - CHANGES TO GOVERNING DOCUMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENGAGED IN A SYSTEMATIC REVIEW AND UPDATE OF VIRTUALLY EVERY ARTICLE OF ITS BYLAWS. THE MAJORITY OF CHANGES WERE STYLISTIC. HOWEVER, SUBSTANTIVE CHANGES WERE MADE TO THE FOLLOWING PROVISIONS: (A) MEMBERSHIP CLASSIFICATIONS AND DISCIPLINE, (B) DUES, (C) OFFICERS, (D) COMMITTEES, AND (E) AMENDMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>MERGER WITH THE CHEST FOUNDATION</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE JUNE 1, 2023, THE CHEST FOUNDATION, A RELATED 501(C)(3) ENTITY, CEASED EXISTENCE. ALL OF ITS PROGRAM SERVICES WERE MOVED OVER TO THE AMERICAN COLLEGE OF CHEST PHYSICIANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART V - ENDOWMENT FUND</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE JUNE 1, 2023, CONTROL OVER THE CHEST FOUNDATION'S, A RELATED 501(C)(3) ENTITY, ENDOWMENT FUND TRANSFERRED TO AMERICAN COLLEGE OF CHEST PHYSICIANS, FOLLOWING A MERGER BETWEEN THE TWO ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Chest Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2595 Patriot Blvd</AddressLine1Txt>
          <CityNm>Glenview</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60026</ZIPCd>
        </USAddress>
        <EIN>363286520</EIN>
        <PrimaryActivitiesTxt>Grantmaking</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ACCP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ACCP ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2595 PATRIOT BLVD</AddressLine1Txt>
          <CityNm>GLENVIEW</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60026</ZIPCd>
        </USAddress>
        <EIN>463025022</EIN>
        <PrimaryActivitiesTxt>EDUCATIONAL PROGR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ACCP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORPORATION</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>144522</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE CHEST FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>18852926</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>