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        <ExclusionAmount>2812</ExclusionAmount>
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        <ManagementAndGeneral>11918</ManagementAndGeneral>
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        <ManagementAndGeneral>41228</ManagementAndGeneral>
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      <FeesForServicesLegal>
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        <ProgramServices>3116</ProgramServices>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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        <ManagementAndGeneral>1705</ManagementAndGeneral>
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        <ManagementAndGeneral>112274</ManagementAndGeneral>
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        <ManagementAndGeneral>169607</ManagementAndGeneral>
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        <Fundraising>0</Fundraising>
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      <LandBldgEquipmentAccumDeprec>54863</LandBldgEquipmentAccumDeprec>
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        <EOY>116807</EOY>
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        <EOY>391732</EOY>
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        <EOY>531265</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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        <EOY>1357406</EOY>
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      <TemporarilyRestrictedNetAssets>
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        <EOY>30574</EOY>
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      <PermanentlyRestrictedNetAssets>
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        <EOY>200000</EOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>1587980</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1545629</BOY>
        <EOY>2119245</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>373488</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
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        <CurrentTaxYearMinus3Years>321370</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>375768</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>568057</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>498061</CurrentTaxYear>
        <Total>2104773</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>1264221</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1993977</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2500481</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2599803</CurrentTaxYear>
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      </GrossReceiptsFromAdmissions>
      <Total509>
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        <CurrentTaxYearMinus3Years>1585591</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2369745</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3068538</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3097864</CurrentTaxYear>
        <Total>11421116</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <CurrentTaxYear>3000</CurrentTaxYear>
        <Total>3000</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYear>3000</CurrentTaxYear>
        <Total>3000</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>11418116</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>13677</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10602</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>8267</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3017</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2812</CurrentTaxYear>
        <Total>38375</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>10602</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>8267</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3017</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2812</CurrentTaxYear>
        <Total>38375</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
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        <CurrentTaxYear>13668</CurrentTaxYear>
        <Total>21294</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <CurrentTaxYear>24760</CurrentTaxYear>
        <Total>24760</Total>
      </OtherIncome509>
      <TotalSupportTotal>
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        <CurrentTaxYearMinus3Years>1596193</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2378012</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3079181</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3139104</CurrentTaxYear>
        <Total>11505545</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.99240</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.99430</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00330</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00490</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <LobbyingNontaxableAmount2>
        <CurrentYearMinus3>1320</CurrentYearMinus3>
        <Total>1320</Total>
      </LobbyingNontaxableAmount2>
      <LobbyingCeilingAmount>1980</LobbyingCeilingAmount>
      <GrassrootsNontaxableAmount2>
        <CurrentYearMinus3>330</CurrentYearMinus3>
        <Total>330</Total>
      </GrassrootsNontaxableAmount2>
      <GrassrootsCeilingAmount>495</GrassrootsCeilingAmount>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>212616</BeginningOfYearBalance>
        <Contributions>14840</Contributions>
        <InvestmentEarningsOrLosses>363</InvestmentEarningsOrLosses>
        <EndOfYearBalance>227819</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>115786</BeginningOfYearBalance>
        <Contributions>100000</Contributions>
        <InvestmentEarningsOrLosses>315</InvestmentEarningsOrLosses>
        <OtherExpenditures>3485</OtherExpenditures>
        <EndOfYearBalance>212616</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>100000</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>432</InvestmentEarningsOrLosses>
        <OtherExpenditures>432</OtherExpenditures>
        <EndOfYearBalance>100000</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>100000</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>2043</InvestmentEarningsOrLosses>
        <OtherExpenditures>2043</OtherExpenditures>
        <EndOfYearBalance>100000</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>100000</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>7091</InvestmentEarningsOrLosses>
        <OtherExpenditures>7091</OtherExpenditures>
        <EndOfYearBalance>100000</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <PermanentEndowmentEOYBalance>0.88000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.12000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Equipment>
        <OtherCostOrOtherBasis>171150</OtherCostOrOtherBasis>
        <Depreciation>54517</Depreciation>
        <BookValue>116633</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>520</OtherCostOrOtherBasis>
        <Depreciation>346</Depreciation>
        <BookValue>174</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>116807</TotalOfBookValueLandBuildings>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>3199524</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>3199524</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>3199524</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>2826036</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>2826036</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>2826036</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>SUPPORT FOR KEYNOTE LECTURES OF THE SOCIETY FOR SIMULATION IN HEALTHCARE</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>SSH FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION, CALIFORNIA AND ILLINOIS. WITH FEW EXCEPTIONS, SSH IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE AND LOCAL, OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009. SSH DOES NOT EXPECT A MATERIAL NET CHANGE IN UNRECOGNIZED TAX BENEFITS IN THE NEXT TWELVE MONTHS.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>ASSOCIATION MANAGEMENT SERVICES PERFORMS ACCOUNTING, BOOKKEEPING AND PAYROLL FUNCTIONS AS REQUESTED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 4</ReturnReference>
        <Explanation>THE BYLAWS WERE REVISED WITH A CHANGE TO THE BOARD COMPOSITION OF UP TO FIFTEEN VOTING MEMBERS FROM FOURTEEN VOTING MEMBERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>ACTIVE MEMBERS SHALL HAVE THE RIGHT TO VOTE ON ALL MATTERS SUBMITTED TO MEMBERSHIP CONCERNING THE SOCIETY EXCEPT THOSE SPECIFICALLY DELEGATED TO THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE OR THE OFFICERS AS STATED IN THE BY-LAWS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>NOMINATION COMMITTEE PREPARES A LIST OF CANDIDATES FOR CONSIDERATION. A CANDIDATE MUST BE AN ACTIVE MEMBER FOR AT LEAST TWO YEARS. ALL ACTIVE MEMBERS OF THE SOCIETY ARE ELIGIBLE TO VOTE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>DECISIONS SUBJECT TO APPROVAL BY MEMBERS FOLLOWING PROCEDURES AS SET OUT IN THE BY-LAWS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FINANCE AND AUDIT COMMITTEE REVIEW FORM 990. AFTER REVIEW, THE TREASURER PROVIDES THE FORM TO THE EXECUTIVE COMMITTEE WHO, WITH OR WITHOUT THE FULL BOARD, AS NECESSARY, APPROVES THE RETURN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>WRITTEN REPORTS OF CONFLICTS OF INTEREST ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND PRESIDENT. ANY ACTUAL OR PERCEIVED CONFLICTS ARE ADDRESSED AND DISCUSSED DURING THE BOARD MEETINGS AS NECESSARY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>ASSOCIATION COMPENSATION SURVEYS REVIEWED BY THE EXECUTIVE COMMITTEE AND SALARY RANGES DETERMINED FOR NEW HIRE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>POSTED ON GUIDESTAR</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF AUDIT.</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE PROCESS HAS NOT CHANGED FROM PREVIOUS YEARS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>